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HomeMy WebLinkAbout0037 BRENTWOOD LANE - Health 37 BRENTWOODN� Bamstable A= 333 022 I TOWN OF BARNSTABLE �,OCATION &er)i Wl )J (cx( SEWAGE#A©/p— (o ` VILLAGE (q'a.,r- rl Sf 0.b L L ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. aU\t KCaA O31 NJ�As% .360 SEPTIC TANK CAPACITY 00 GO I. LEACHING FACILITY:(type) L �'On ChNM6afS (size) NO.OF BEDROOMS OWNER PERMIT DATE: 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 leaching facility) Feet FURNISHED BY eta �(i � . �_Ira 3�s�`- � ��� i �'� � No._ l Y/ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for -MisposaY bpstent Construction 30Prinit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location dre rZot 3 7 K re.► mood L_ yl Owner's Name,Address,and Tel.No. Assessor'p/Parcel� � Vl �(4_ %4q Installer's cGstaller's Name,Address,an Tel No. Desi er's Name,Address,and Tel.No. J 6�t4 e%_Cwgt t $ y y e� IS_ S ✓� Type of Building: Dwelling No.of Bedrooms Lot Size 7 z sq.ft. Garbage Grinder( ) Other Type of Building �t No.of Persons �� Showers(3) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date r6 3— /As� --Number of sheets Z Revision Date Title Size of Septic Tank • /0�O0 E�lO Type of S.A.S. Le S^� Description of Soil /' /e f/�44 �h 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 ode and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. p— Signed Date �O Application Approved by Date Application Disapproved by ' Date for the following reasons Permit No. ' Date Issued --------------------- - C�m...� S . �No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t/ f PUBLIC HEALTH DIVISION 6 TOWN OF BARNSTABLE, MASSACHUSETTS Yes F ti G Imo. k 2ppYicatiou for Misposal 6pstrintonstruction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Ad rr ss.or Eot No.. 3 "7 llr---1 .s>oad L• vi (Owner's Name,Address,and Tel.No. Assessor's Map/Parcel l I Ms �.. ,/ �q v� t C 2 ` Installer's Name,Address,and Tel:-No. Designer's Name;Address,and Tel.No. - t v l-t e o..� `��p o z 3'c� �c,nol.� c�, 1N+W G 7`� 3 7 Type of Building: Dwelling No.of Bedrooms / Lot Size V6. Zx/ sq.ft. Garbage Grinder( ) Other Type of Building �G.1( f No.of Persons % Showers(,) Cafeteria( ) I Other Fixtures Design Flow(min.required) J�`7�� gpd Design flow provided �� co gpd Plan Date LZ.0 3- J _Number of sheets 2. Revision Date Title Size of Septic Tank /-,-o d _Type of S.A.S. Description of SoilLGrJ Nature of Repairs or Alterations(Answer when applicable) i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental ode and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. � r p- Signed „ t Date �O Application Approved by Date v Application Disapproved by ! Date for the following reasons Permit No. r9 o k 'q fo Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS 11 TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by LS /f'K� (U 1-(�d-,e4 )L,7-id se � O(v Gz3GG at S /�'�; /ac�J v,o Z-� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.;01 Q dated ..B Installer Designer #bedrooms c/ Approved design flow gpd The issuance of this permit shall n/dt/bedconstrued as a guarantee that the ystem will fund'oniass designed. Date ((�/�,Ij/ l p Inspector 1�� ------------------------- ------.--------------------------------------------------------=-------------------- No. P01 K — I qb Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at d�� tti0'C� ZAI 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 perm_it..—L-j ''''' Date �" J Approved by , 06/14/2018 09:17AM 17744139468 MEYER AND SONS PAGE 01/01 i Town of Barnstable . Regulatory Services r Richard V.Sreh � ',interim Director£ i6y Public Health Division - Thomas McKean,Director 200 Mate.Snreet,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Desis er Certification Form i Date: 0 �y Sewage Permit# (.���"�� - Assessor's MaplParcel 33 3 Q 2Z Designer: Meg 2.0/- �6 fzhj L Installer: Address: Address;. KO on "14 C 3•Cyec PAC c . was issued a permit to install a (fie) nn (installer) septic system at l`� based om a desip drawn by -D* (address) dated � d (designer) XI certify that the septic system referenced above was installed substantially according to the design, which may Include mwor approved changes such as lateral felocation 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 rel6cation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Strap out( required)was inspected and the soils were found satisfactory. I certify that the system referenced above was construct a with the terms of the approval letters(if applicable) er' Signature) 11 Si (Affix.Designs amp Here ASS O ARN ,AISLE PUBLIC EMALTH DIVISION. CERTIFICAn OF CO1V1)<'LIANCE WILL NOT BE ISSUED M L BOTH THIS FOM AND AS- BUILT CARD ARE RECEIVED)BY THE BARNSTABLE PIMLIC HEALTH DIVISION THANK YOU. Q.Sep6c\Deaiper Cext fiicat on Form Rov 8-14-13.doo r# '.down of BA"nstable. i Department of Regulatoryervices S I �12 Op . - Public Heal h Division Bate :.,v,aft 8 $ srq �e 200 M Sveet:Hyannis MA 02001 ' ' '`rta tom" n. Fee Pd: �a Date Schedul `ed _ ' Time � . Soil Suitability Assessmeni fir Vewapye Disposal Sa z Performed By: Witnessed By i f LOCATION&GENERAL INFORMATION Owner's'Name R ,-C pp A N 1,. Address �S' �""" 4 , I Me��1 jw*� Assessors Map/P�rcel: 3��j�Q "�„� Engioee'r's None J NBW CONS1RUli'I10N REPAIR I - Telephone Land Us, IDS C�N t slopes(%i ' ' ' Surface Stones ?` ft~ Drinking Water Well �. fr ' Distances from: Open Water Body.�ft Passible Wet Area_.�, g ' , ! Drainage Way ft Property Line ft Other ft SKETCH:(street name,dimensioos'of lot.exact locations of test holes&perc;tests,locate wetlands in prdxitnity to holes) s eLo,� 1��. 4A4_4 1� A ��S"1 f Depth try Bedrock - f v Parent material(geologic) Depth to Groundwa' S ding Water iti Hole:' N j ' Weeping from Pit FACE- Estimated Seasonal Migh Groundwater i i D RMIN TION FOR SEASO�vAL ffiCII�WATER TADLE Method Used ! Depth d1 -ed standinglir.obs.hole: _In. Depth t08011 MOttlea: In. Depth toiweeping from side of ohs.hole: in. t3'roundwattr Ad)uetttient tt• Index Well# Reading Date: index Well lev61 ._... Adj.factor Adj.0roundwater Level,,.,. PERCOLATION TEST! • Dote Observation ` I 'i'irtta at 9" Hole# f � tt v �C Depth of 1Perc Time at G" , J. Start Prc-'oak Time.@ 2'y I Time(9"-G') . End Pre-soak Rate MinVInch Site Suitability Assessment: Site Passed x Site Failed; 1•Additional Testing Needed(Y/N) original:I Public 1401th Division Observation Hole Data To Be Completed on Back ***If percolal'ion test is to be conducted witbin 1009 of wetland,youu must first notify the Barnstable C6#servation Division at least one(1) we It prier to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other (USDA) (Mansell) Mottling (Structure, n s,Stones, Boulders. 0 ders. Surface(in.) ') '' _ Sitv►ip �b l�-3 Y f� -DEEP OBSERVATION HOLE LOG Hole#_th Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. C nsistenc n Gra el DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other . Surface(in.) (USDA) (Muosell) Mottling (Structure,Stones,.Boulders. Consistency. Gravel DEEP OBSERVATION HOLE LOG Hole# • Depth from Soil Horizon Soil Text ure Soil Color Soil Other p Mottling Surface(in.) (USDA) (Mansell) g (Structure,Stones,Boulders. Consistency, Flood Insurance Rate Map: Above 500 year flood;boundary. No- Yes_X1_ Within 500 year boundary No Y Yes,, Within 100 year flood boundary No X 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 q I certify that on ` (date)I have passed the soil evaluator examination approved by the Department of Enviro mental Protection and that the above analysis was performed by me consistent with the required l ' ing xpertise and ex eri ce described in 3.10 CMR 15.017 Signature L Date Q:\SEPTICIPERCFORM.DOC J � TOWN OF BARNSTABLE `IOCATION 60 1 4l0 SEWAGE # Alm VILLAGErc,,l,, a,,, D y, ASSESSOR'S MAP & LOT 3 34 Ga INSTALLER'S NAME & PHONE NO. Pao, SEPTIC TANK CAPACITY LEACHING FACILITYAtype) Pr',--C .b- (size) d'Q(J NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER c BUILDER OR OWNER 3 .' ", b d Chi DATE PERMIT ISSUED: 2 tzm DATE COMPLIANCE ISSUED: 7 �-- VARIANCE GRANTED: Yes No ---- ,31�,T F 3 O ';L2 ............. THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH Department -----Z----44V�_-'_'52 Appliratiou for Disposal Works Tonotrurt"toUrrmit Date Application is hereby made for a Permit to Construct ( id<or Repair ( ) an Individual Sewage Disposal System at: 1 -at ,u •=�"�= . Location-Address or Lot No. t ............................ . . ....... ............................................ .......--------�--------..................--•--.....---......................................--- ne / Address .......................... Installer Address U Type o Building Size Lot... .Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures -------------------------------- - W Design Flow.....................155_.__ . _-gallons per person per day. Total daily flow..................._...-3._ ..........gallons. WSeptic Tank—Liquid capacitylQ .gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--__._-------------sq. ft. Seepage Pit No.-..-----__ ----- iameter.......? ..... Depth below inlet.....-��__.......... Total leaching area...... ft. Z Other Distribution box ( e Dosing tank ( ) ~' Percolation Test Results Performed b PI�2�.... ._._ _ .r��P�L Y-------- -- Date as Test Pit No. 1...... ____minutes per inch Depth of Test Pit-------f Ln... epth to ground water.....'7. ........... (� Test Pit No. 2................minutes per inch- Depth of Test Pit.................... Depth to ground water........................ ............................................... ...................... --------- O Description of Soil-•-•----------------------------------�-=-` .....--� ...¢...S = U ---------•----------------•----•-------------------------------•---..&IJZ..------� -- " ---------•------------- W --------------------------------•----•-----•-----------------------------------------------------•=-----------------------------••----------------------------•---•--•--'------------•-----........••..•. VNature 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 s beenjiue&dtheboa of healthSigned -- ------- ------- --------- Date Application Approved By ......"-----CV <`.�,-.-�--� ...... � t ' �`�- Application Disapproved for the following reasons: ------------------------------------------------------------------------------------------------------------------------------------ -----....---------------•----------------------------------------------------------------------------------------------------_-.-.--.................---------.--------------------------------------------- ----------...........................-- Date Permit No. ------------ --,91- �- -`-----3 ------------------------ Issued ---- - ..--------------------------------------- ..---- Date No..., Fxs.. 7__.:...1.1.. Q!�••.......... .....� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... .. .........-.....oF....:�........tiY:�..'.: . .---..........--------------........... Appliration for Dispnottl Works Tonstrnrtinn �(ami# Application is hereby made for a Permit to Construct ( tol"'or Repair ( ) an Individual Sewage Disposal System at: b r Locatio(nn� —Address or Lot No. ............................ X ........................................... Owner Address d ................... - Installer Address Type of Building r^• Size Lot...........i_�.Sq. feet Dwelling—No. of Bedrooms________________ ...._........_____.__.Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons...................... Showers — Cafeteria Other fixtures --------------------•----•--••-- . W Design Flow...................... 5...........-__gallons per person per day. Total daily flow........................ .--......gallons. WSeptic Tank—Liquid capacity_]`'Ii`_gallons Length................ Width................ Diameter----I............ Depth................ x Disposal Trench—No. .......... ..... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..._-------/-------- iameter........ .......... Depth below inlet......--�......... Total leaching area......?sq. ft. Z Other Distribution box ( Dosing tank ( ) a Percolation Test Results Performed by._.._...lti '± a ____ ..._.. ....... Date.......... _"� _&........ Test Pit No. 1.......:.. .....minutes per inch Depth of Test Pit------- .._ depth to ground water....... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ;........... ------ -------------------------------------------- --- --------------- O Description of Soil---------••-----•-••------•---•••... �' ....�------ ........ ¢ --�-� ---- --------------------••---------------.......... xa.........t'�°D.....�'-.s6�......=��,U. .......--•--------•--------•-------------------•--------- rJ W •------•---------------------------•----------------------------------•-------•----••--------------•------------------------------•----•-------------•---••----•----••---•----•----•-•--.....----....--- UNature 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 of health. r Signed .,r.:''.....I ../ :. -"... .......�, %(I.�..1 ... Date Application Approved BY ------- < V... �. ..... .......... .. .......................................... ..... z Application Disapproved for the following reasons: ........................................................................................................................................ ---------------------------------------------------------------------------------------------------------------------------------------------------............................................................. ---------------------------------------- Date PermitNo. ---------- -------3/------------------------- Issued ..-- ------------.---...------------------------... -- . Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - -:-�7 i ! Z OF ..`...6'�f'�-z c-� t - G�-1�- k P Q-1er#iftrate of C�IImplittne THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ✓�) or Repaired ( ) by.......................................J .....( .''..! �` n, .�- c� a /, ;� .....------------------- ---- ------------------------------------------ �� Installer at ... ..._......................... .............-�-s£—. '.. h_ 4.)li t.in e.' t ........................----.... .......�...t---.... .................................................................................................' ..---....... -/.'.. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .7 ...... -- ------------------------- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ------------------------------------------------------------------------------------------------- Inspector ........----------....----........------............------------- --------...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �.: ..ti OF.......... 1''�.�"s L... No....._m.- FEE....14-a.......... �i��r�a��1 nrk� �nn��rnr�irin rrnti# ` Permission is hereby granted.......::.f._.....a1.___�� '� �. �............. . to Construct kz) or Repair ( ) an Individual Sewage Disposal System atNo.. ... � '_j U "3 u F �� L� �f- --..................................... �r---------------------------- --•--••--- Street as shown on the application for Disposal Works Construction Permit No. Dated.........................................._.....--••-••--•----.------ . DATE............. - __•.................................. Board of Health -�'-. ..�_'_.�.�.. 1255 OBBS WARREN FORM H & INC., PUBLISHERS -PAT'A r xv`1st I=-Wt-Y - � 6QI��CsE C�I✓�t� ' ;_I ? fiSE�fIC TM4VJ 3:3axt aa, a 4q5(rP r yt,SP AL, IPLL I o0o AqL LnT r r .; BoTToM I I SF w 13P o,DLA �C "fvTAL-�i16N 1_ • j -TOTAL -VA1L F�1-01{/ D l.�q 1/so f+i'.CHARD r�� �•: 180: 733r° • r AN rV 77 _ r 5 - ' Ot90 - :SvpSo�L � GQ I fJ✓ vKT IN sN✓ � q�8 .. � y 3 $ 'SE�T•IC x ' (-non i►1J �; � �d- ��� `T"tiNL�. � � • - wP Tkr'- - u �Z �U,�MA r� ... . ,® -Ceti•' Lo i�lotl • ;_. '�3 - ` ` P.t-�o5�-fig f ` � ''PLAN :��RF1JC.�•t ' RL .�•1our�1 Nez, �F`(' '�•I�TwT� �lu�l:r:IJ� �: ., '�� �` � t- , " _ - '� M'P S 7'µ T11 ". l�E Ll►J E T: 40 �. t wo OP S -tea : '.: A+tD.' 15 r a-o�T� : Ltk �► . ;, � �_ �=Qt{.1. (7�, `�3� �a0 �b • v`Z- .. = �d XY�1Z" G : NYE (tJC 4K FLA aJ ; IS NoT". T3A4ED oN tiN 1�15'1Y-vWIEQI' rw i L c-i.1�i N EEtz:S A14 TOE . OFFJE Ts 4400L' ) .u ur Beo 5TEex i -a Mq,S , use ro 'ESTQ�-1Sl� PrzaPEQr uC5 y t� I � - dPP+-+Ca.NT; �)aL Svc r BA rzrJ,%ag t.�. WA7-E2 Co. r .. T7a-vo k. _ J .. f ! -. ....- 6-9 'J." 1 TaNK- _. • 35 4 ±I 9R,o qoz ------------ pt TER r q�� y }S •'; �CI= i • - Y 196 ; , G T�.c'/EIS' f c.�e 7-,4�4 T T�/E =Dw t.rj,�G. . ..r a C,4 T(f)1t/ �n M 114,4 e t/U .dL YS.:1-r//ram/ Sc�I�L�G—y ' . �� • � .. . .v TE. wit/ :�.0•�l�t! .2E "E p.. el yin>ZAW,42ZE 9wn /S QC.4-T,E� . liter/Thy/�C/ P J& P Z _ Y __.... , ...._. e,4 XTE,e-'es E /�/C. ,4if/ �2EG/STE,2Ep ,L.qc/!� SU.e/��"yar� //VST,eU�/,�cNT S•U,eYEY E T.y� NOT 8e'=-- . .7-2� TOWN OF�BA�RNSTABLE 'JLOCATION 32 ,P)I��ZU-610d !,/,/ - SEWAGE # GI J —J q50 VILL:AGF- a 2r M 6 C2 IJ / ASSESSOR'S MAP&LOT--?92-&Zlo INSTALLER'S NAME&PHONE NO. R66PI'F—t)Y SEPTIC TANK CAPACITY 1560 LEACHING FACILITY: size (type)—� (size) , NO.OF BEDROOMS BUILDER OR WNER m 1LhQ P- PERMITDATE: �2�COMPLIANCE DATE: ;/�—le 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 `� � 3/ � f 3-3j45 P- 593 I jIn at 3,3 3 - a No.-- KI.. -- Fxs..... o................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE ApplirFatioat for Uhnp 1 i al lVarkii Tottgtrttr Wit Urrutit Application is hereby made for a Permit to Coristruct ( ) or Repair ( an Individual Sewage Disposal System at: ........................................ �b....................................... caner Address K.D.B %R Ulf Installer Address �� !� 7 d Type of Building Size Lot____.......!_...._..-T-..Sq. feet U Dwelling No. of Bedrooms.__.._7.-. Expansion Attic Garbage Grinder U g— -------------- P• ( ) g ( ) Other—Type of Building of persons____________________________ Showers ( ) — Cafeteria ( ) at Other fixtures ----------------------------........- d W Design Flow................./f ............._....gallons per per day. Total daily flow--------- 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 tank ( ) aPercolation Test Results Performed by..........................................................._..........._.. Date...................---- ............... a Test Pit No. I...J'. _..minutes per inch Depth of Test Pit---_�.Z__-__-___ Depth to ground water... .___d/ '.. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------- ----- P 4• . L� - -------------------------------------------------------------------------- ------------------ -------------------------•-•---- O Description of Soil... _ --- x W U Nat epai o Altera io s—Answ w lic e.-- ---- m ------------------------------------------------•--.........•--•-•-_.. Agreement: The undersigned agrees to install the aforedescribed In iv d I 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 f health. Si ed C , ..'C-elca5� g tt9....... Application.Approved BY --- -- ------- . 6Q...... .. �1� e ......... ------ ---- --- - - .................. Application Disapproved for the following reaso s• . -........_.... ................................. ....... -------------- ----------------..............--------------------------------- -- - ----- Permit No. .... .............. �L.1.-- . Issued ------1 D---- - -- �-- ..ate ...... ...... o? OP 333 - P a _ No.._ /........_ ..� / Fm$.....3©................ THE-COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di-tipo3al Workii Towitrnrtion Frrmit Application is hereby made for a Permit to Construct ( ) or Repair (/an Individual Sewage Disposal System at: .......................................................r7 2 EtiTWO -�� - c_ Uvn 51 4 Q U / -•---•------------. .........................-)............................................ Location-:\ddress Owncr Address ------------------------------- .. Installer Address q6 Type of Building Size Lot_._..._.......pt.......•.....Sq. feet Dwelling— No. of Bedrooms.____._.______________------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building WOOD_fRAA;:� No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 0.' Other fixtures .-_--_----- -------- ---- ----------- .................. allons er. ear on°per day. Total daily flow..----._..__.. W Design Flow. �/ g P P~- ' P Y Y gallons. WSeptic Tank—Liquid capacit __.-__-__-gallons Length---------------- Width---------------- Diameter._--.._-._._.-_ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------- ---_----_-_ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) t aPercolation Test Results Performed by.......................................................................... Date___.._........_.......,.. Test Pit No. 1___% _�_--minutes per inch Depth of Test Pit_-__L_�-_-__.--- Depth to ground water..- .)- .. (14 Test Pit No. 2................minutes per inch Depth of Test Pit_-.___._-_-_____-_- Depth to ground water........................ a --------------------------------------------------------------- ------------------------------------- ------------------------ •---------------- ••----•--------- Descriptionof Soil... A--✓/1 P�r..�.l� f1, a-----------------------------°--------------------------------------------------------------------------------............---• V ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-•--•--.---- U Naturciof-Repairs',o-'►Alterations—Answer when applica6lee --- - - .............. -------- -- ---- Agreement. r The undersigned agrees to install the aforedescribed Ii-idividZrIS ewage 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 of health. Signed CRAIs ®........ � -1�KEf�Svnl �,,.C.:.. --�..`d.. - - -------.............................. . Application.Approved By /t i f6_11 l�.� �................... f °a.e...�.�� )9VII------------------ ,r-- -,�-----------=- ;>4. ...-.r......Dale-'- --- Application Disapproved for the following reaso4l---------r---------...................---------..........................A.................................................... -- --------- o - - � .... Issued N -----.--//, ..... ....... --Dace......vl late THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE V ertifiratr of CoraplianCE yo.et0 CERTI FY, That the Individual Sewage Disposal System constructed ( ) or Repairedby ..... -.e..r....../...f 1 --- ---------------------------------------------------------- .._............. .... . ................................ . �2 Installer at . .r�.......t ).► . / T(tJ{� 1,. .------- �.0.fo M�/�---0....0 t------ ------------------------ ----------------------------------------------- has been installed in accordance with the provisions of TITLE2 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .�. '°"' .. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BCE CONSTRUEA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------------------------------------- ----------- Inspector ................................. ` ✓`� --- _ --- -- _ ----- ------ --- ----�-- !�` ���— � THE COMMONWEALTH OF MASSACHUSETTS -- — -- BOARD OF HEALTH TOWN OF BARNSTABLE No.��:.�--•--••-� FEE...-•-�•------•----- .�io�osttl orko �onotr�rtion �rrntit Permission is hereby granted.. . .R- -----�J .r�--------------------------------------------------•-----------------••---••---........ to Construct ) or Repair (✓) an Individual Sewage Disposal System at No..-- ----3-------, ----- ---L eq h/k�L------.C=0 0?_? l_A Q v-1 1----�---------- -------------•-----.------ -•-SSM�•et as shown on the application for Disposal Works Construct orfr>rfiit Nd`__����- IDa ____.----- ----------: .. ....................... -. Boar -------------7 of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS T SEP-16-1995 09:39 FROM TO 7750155 P.01 IL 'r-4- f � 9 __. f ... - . .. ,,---• '•� . • . � . : - : :. . �' ,�°ar: `�-.gyp- : . �, oe , vc.A�-Jc7,cJ r� SNdWrv,y�, .cJ Cr�M. '.�YS I�sr.'rhr ` +�'�Q✓/,G E��,�/?'.S_..Garr ?-J•l.�'•'�"`�1-L'itJc'1F' � .�.�,'�,� .�� ��iC/G� .f . Aer '� D�,�,r�•T.S,S.SrGa,�,r/,y'.S.t�X�La� �{/p�--�� _ C�.�'`r,�'Y/.��� /�?.4-SS. T0TFL P.01 SEP-18-1995 10 4? FROMTO 7750155 P-01 M5 ZIP,, . u lay IWTOAC :V'L el .--iN.PMMs+-�• yi.....,.,R—n.. �,i.-��ul•LL !— 9I�. . ;�� � •�'sl�---!'�Ate �� SOSS,114— t t ! T ML... ... ..a r rt _ fu w i • - " iOttta� i� N 6,0 rrA n*usjp- IV- Tow VF B ; • per;_ .� _ - - ����-. �b�' hl�� i�, , TrrYOT 1 - 4 Awry 'n� Ey7 41k"m $Ivr 'tom a ' rr c MAC r �'' U.We T0'd luiol -�� . %1YJ47/r�' ?.� r��''� �/1/�'-•��•7'�c�17' .-�.�/Yf"7'��-�` �.�'3�'f I . . ...___ �8..-4n,.y 71 .....•�'�'r'�'� ��S`L�'.8�c�,fy f.�Y6''7C Sf1�'..G_. �.�/Y�.c`3' ���' .!-1"v'7'�- �i'►�,ri•4rr��. �r°r'� �'� s..:�,''�'�,-s��'rr;c'�3�' ly ;J r7,7 7q�'%T, mQh'� • ,/�'�l�GLr�P7 i . -.�y, r _ :�, f - _ / .gip,����«: • 31 All 110 69 op i } r . .... . _i TO'd SSTOSLL 01 WMA 62:60 S66T-9T-d3S + ,,, ti SEP-10-1995 10:42 FROM TO 7750155 P.01 14 WrA F�•t? / J.n44�--�i a? li� -<o5s x- - �6A� Cat -P. .......- ....... BAIA --'--.. � /VIA.6V ft:> �-1-1—ctz j -•--:II L�.•�--sue. • .. ,. ,• ., : . - ,� " MWOF - . .���•�����•l��'� : .�-�{ U.. .' �t€,t, fit,. � 1�-r�����, . - _ iW,,. Nat Tff : ni t �t vt' a 5'[ tz t . M,�`,4•. TOTAL P.01 ' LEGEND BARNSTABLE ROUTE 6A PROPOSED CONTOUR t ® PROPOSED SPOT GRADE EXISTING CONTOUR N . z - + 96.52 EXISTING SPOT GRADE K ` W— EXISTING WATER SERVICE Q — TEST PIT BENCH MARK Iz * . SCALE: 1 =30 OAKMONTJ DR. PAINT SPOT ON LOT 40 AG ion 03 ER 0 \ BARNSTABLE GIS DATIJKI AREA = 46244 sf+— PLAN BOOK 400 PAGE 82 LOCUS Assn MAP332 PcL 22 37 BRENTWOOD LN. �9 LOCUS. MAP sa / LOCUS INFORMATION 97 PLAN REF: 400/082 / ______` TITLE REF: 8115/187 PAVED\\DRIVEWAY \\ PARCEL ID: MAP 333 PAR. 022 FLOOD ZONE: NOT IN ANY FLOOD ZONE SEPTIC SYSTEM REPAIR PLAN r + \ \\ LOCATED AT: z I ' 37 BRENTWOOD LN. +97. ZZ 10 O - l \ _ _ W BARNSTABLE, MA O� 4 I I ' �96 2 c `''o o J Z PREPARED FOR 1 �w \ . -a Q ' � t 97.81 BRIAN CARCHEDI � � � ! \ \ N i \ 20 ft O! \\ \ I \ c 97 APRIL 3, 2018 9 ' I+-►� . .-.1.-- \ _ ® DRAIN 98 I \\ aTeR-c -�j _-9s O OF t ,ygSs9� 00' ¢ O y o DA E M. W i I W 0 M QNITAR\�`� f D HYDRANT 332.04' 101 101100 ^^ W MEYER & SONS, INC. P.O. BOX 981 GRAPHIC SCALE i EAST SANDWICH, MA. 02537 30 o 15 so so 120 1 PH: (508)360-3311 i FAX: (774)413-9468 meyerandsonstitle5@gmail.com ( IN FEET 1 inch = 30 ft 1. SHEET 1 OF 2 J 1937 NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE+ TO PREVENT BREAKOUT, THE PROPOSED FINISH TOF I GRADE SHALL NOT BE < EL: 96.10 FOR A DISTANCE GENERAL NOTES: SEPTIC TANK 15' AROUND THE PERIMETER OF THE S.A.S. EL.=101.85f PROPOSED D-BOX PROPOSED SAS 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER BOARD OF HEALTH AND THE DESIGN ENGINEER. OUTLET AND SET TO 6" OF FINISH GRADE " INSTALL RISERS & COVERS AND 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SET TO 6 OF GRADE " OF THE STATE ENVIRONMENTAL CODE. TITLE V. AND ANY APPLICABLE F.G. EL.=101.Of SET W/IN 3 OF FINISH GRADE VENT LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: fF.G. EL.=100.6t F.G. EL: 100.Of - 310 CMR 15.405 (1) (B): F.G. EL: 99.0-100.0(MAX.) 1) A UP TO 0.90 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING 9' MIN COVER/ TO BE 3.90 Fr (MAX) BELOW GRADE VS REQ'D 3 FT. (H20/VENT PROVIDED) L = /5' 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR NPAWROMMM 36" MAX COVER L = 1 L 30'(MAX)) O S=1% (MIN.) P EL=99.09t 0 S=1% ['MIN.) 0 S=1% (MIN.) " TO OESIGNPENGI N D APPROVAL BY THE BOARD OF HEALTH AND THE 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 2 OF 3/8 DOUBLE WASHED STONE OR FILTER FABRIC 3/4" - 1-1/2" 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING DOUBLE WASHED STONE FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN JINV.=97.75 6 / ENGINEER BEFORE CONSTRUCTION CONTINUES. INV.=98.0 �"LAW ID ®®®E3. 0 ®a®®M 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. LE 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF PROPOSED as®®® a®®EREMGAS , a®®®®a®a a®® THE CONTRACTOR OR OWNER TO No11FY THE LOCAL BOARD OF D-BOX INV.=96.80 2 ®®®®®aaa®®® HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. NV.=97.0 DB-5 7. DWELLING IS SERVICED BY MUNICIPAL WATER. LINE TO BE SLEEVED. EXISTING 1.500 GALLON SEPTIC TANK 4' 4 X 8.5' 4' 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. IFY THE EXIST. SEWER OUTLET EFFECTIVE LENGTH = 42' 9 LOCATIT ION OF ALL UNDERGROUND UTILITIES,BE THE RESPONSIBILI[TY OF THE CPRO IOR`TO STARTING OR TO WORK. INV. ELEV.= 95. O 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING BREAKOUT 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PIPE INVERTS PRIOR TO CONSTRUCTION EL. 96.10 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 2) D-BOX SHALL BE SET LEVEL AND TRUE TO TOP CONC. ELEV.= 96.10 13. NO KNOWN PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING GRADE ON A MECHANICALLY COMPACTED SIX INV. ELEV.= 95.10 " as 14. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC.emu ) INCH CRUSHED STONE BASE, AS SPECIFIED IN ease®®a 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW 310 CMR 15.221(2) BBaaaaa FOR THE USE OF A GARBAGE GRINDER. 3) REPLACE EXISTING 1,500 GALLON SEPTIC TANK BOTTOM EL.= 93.10 P!EFFE( 5 FT. 4' 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING WITH 1500 GALLON SEPTIC TANK IF FAILED,DAMAGED OR UNDERSIZED. SEPARATION 5.45 FT. TIVE WIDTH = 13' 4) INSTALL INLET & OUTLET TEES W/ SOIL ABSORPTION SYSTEM (SECTION) GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL: 87.65 5) PLACE TEE IN D-BOX. (500 GALLON (H20) LEACH CHAMBER) SOIL LOGS P#:15635 DATE: MARCH 28, 2018 SOIL EVALUATOR: DARREN M. MEYER, RS, CSE WITNESS: DON DESMARAIS, BARNSTABLE HEALTH SEPTIC SYSTEM PROFILE sso5 TP-1 �0 sa.s5 TP-2 Do N.T.S. 98.32 L 10� 3/2 D 8" 97.98 LOAMY S3A/N2D 8" SANDY SANDY LOAM DESIGN CRITERIA I B OYR 5� 30" 95.98 B10YR /8 32" I 96.55 C1 C1 NUMBER OF BEDROOMS: EXISTING 5 BEDROOM DWELLING SANDY LOAM SANDY LOAM SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN IOYR 6/6 10YR 6/6 I 95.38 44 95.15 42" DAILY FLOW: 110 G.P.D. X 5 SR DESIGN FLOW: 550 G.P.D. PERC TEST MEDIUM MEDIUM GARBAGE GRINDER: NO (not designed for garbage grinder) O EL. 94.05 SAND SAND SEPTIC TANK: ! 2.5Y 7/2 2.5Y 7/2 ' 550 gpd x 200% = 1,100 gpd USE EXIST. 1,50OG SEPTIC TANK { ���� OF A1grs9 88.05 132' 87.65 132" PERC RATE <2 MINAN. (-Cl- HORIZON) LEACHING AREA REQUIRED: (550)/0.74 = 743.24 S.F. D R IN M NO GROUNDWATER OBSERVED USE FOUR (4) 500 GALLON (1-120) PRECAST LEACH CHAMBERS 0 PROPOSED SEPTIC SYSTEM UPGRADE PLAN W/ 4' ON ENDS AND SIDES: 42' L x 13' W x 2' D c�S1 37 BRENTWOOD LANE, BARNSTABLE, MA Sq P BOTTOM AREA: 42 x 13 -_ 546 SF NITAR Prepared for. Brian Carchedi SIDE AREA: (42 + 13) X 2 X 2 = 220 SF + System Design and Topography Plan by: SCALE DRAWN DATE MEYER&SONS,INC. DMM I N.T.S. 04 03 18 I. Darren R that 1 am currently approved b MADEP pursuant to 310 CMR 15.017 / / TOTAL SQUARE FEET PROVIDED 766 vs. 743.24 REQ D M. Meyer. .s. CSE, hereby certify tN PPro y p Poeox981 to conduct soil evaluations and that the above analysis has been performed by me consistent with the REV DATE CHECKED SHEET N0. DESIGN FLOW PROV.: 0.74(766 S.F.) = 566 G.P.D. vs. 550 G.P.D. req'd requirements of 310 CMR 15.017. 1 further certify that I have EASTSANDWfCH,MA02537 i passed the Soil Eval. Exam in October, 1999. 508-W-2922 DMM 2 of 2 I