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0005 CHICKADEE LANE - Health (3)
�MCh �C- ka- wee- -1 /7 TOWN OF BARNSTABLE © f LOCATION 10 V A e L , -SEWAGE# VILLAGE,��� ��1Q. A SESSOR'S MAP&PARCEL Z �{• INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY.(type) ize) QZA XJ: NO.OF BEDROOMS oZ S M' OWNER PERMIT DATE: to COMPLIANCE DATE: 3� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 0A 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 l c ' facility) Feet FURNISHED Bl' tj 3 Bq _ZY t a t �j 9 q T I No. v "' [ l Fee c' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for 30IspoBal Epstein Construction Vertu Application for a Permit to Construct( ) Repair( ) Upgrade( b don( ) El Complete System Individual Components Location Address or Lot No. G of l9aA,, U1, (a �t` Owner's Name,Address,and Tel.No. Assessor's Map/Parcel — — Zd) t"� 1044 gj r Installer's Name,Address,and Tel.No. Designer's Name,Address,Ind Tel.No. W14MAJ4 2 AJQ Iifs v 3 Type of Building: qDDwelling No.of Bedrooms 9 Lot Size d _ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.r qui ed) gpd Design flow provided r gpd Plan. Date Number of sheets Revision Date Title Size of Septic Tank I 0i pe of S.A.S. Y Description of Soil b l 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-sif sewage disposal system in accordance with the provisions of Titlelofalth. vironme 1 Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo Signet Date Application Approved by Date 7 2 to ~C Application Disapproved by Date for the following reasons Permit No. ( Date Issued ��C I ------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes TippliLatlon for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(0 lAbandon( ) ❑Complete System Individual Components 5. Location Address or Lot No. �� r Owner's Name,Address,and Tel.No. ` Assessor's Map/Parcel j Z(f Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Q Lot Size i �, DID sq.ft. Garbage Grinder( ) V. Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min{{.required) gpd Design flow provided gpd Plan Date 1 III I q Number of sheets ,r Revision Date Title 1 O j5 I_� A .Q. Size of Septic Tankl �I(1;1.1,� Type of S.A.S. t'. 5 � Description of Soil F'iAl b(I'VinM a Y✓a c a g s w# tvc1 r W. Nature of Repairs or Alterations(Airswer when applicable) K I, A) b&& . K LIA 12 X29 ( Wi l 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 tt�iEnvironmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bodrd ofHe&h. Signed _ /1 rti Date, 47 / Application Approved by .- ` r 'i P / Date 7 L ?� �9 .- Application Disapproved by • Date for the following reasons Permit No. ( V _ Date Issued -- -t- �r,-r crr c.:c=.=r a__. .:_-_________._.--_,;__,a-,,^_.__._.-_..,._..----------_---_ ?' ' ,,THE COMMONWEALTH OF MASSACHUSETTS ''``"BARNSTABLE,MASSACHUSETTS Certificate of Complia ice t THIS IS"TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ; ) i - Abandoned( `)'by,. '" a at A Q has been constructed in accordance } �` with the provisions-of Title and the for Dis oiall-System Construction Permit No. v,�?R d#d!`'/�.71ii Installer L�i� �V Designer #bedrooms Approved design flow (A w gnd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date '""ti �i li c Inspector No. 0 € 'C � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposai *pstem Construction Permit Permission is hereby granted to/C�rtru c4t,( ) Repair( ) Upgrade( ) AbandonSystem located at " [ }� 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. Date "' 1 �o - i Approved by ^✓� `_J �, JYX��� i own of Bar rabble /ypF j \ RrvguIatory Services ,t Richard V. Scali, Interim Director :; I'. y tBAN.N$7'ABLE. •'1 - 9 hfAS$. 6J Public Health Division � �}p i63g. ♦6 jTFDN`a�® Thomas McKean,Director 200 Nlain S reet,,,Hyannis,_l'IA OZGDI Off-ice: 50S-S62-1644 1=aa-: SUS-790-6304 i Installer& DesiZner Certification Ftii'm ��� 119 ID te. S.e�va,e Permit#2C���'l- -I assessor's_Ia \ arcel 23 4 -D CAS ~13Q0. lY1 Q Installer: Address: Z tV; C /c/ fZe �:s� �-�_...._ _ Address: 3g:__-tom_ MA 14 On �1 �1�Jt�n�S_ JCCCvy . I _ issued a permit to install a (date) (inatalzl)-- septic systera.al �� a c L<lCx p Q Lh based on a design drmvn by (address) -- 4 �er`ny lticsrLcs .I � dated (desi.g7.ier) 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 i distribtition boa anchor septic tank. Strip out (if ret} were found satisf cto.iy. aired} mas inspected and the soils I certify that the septic systeni referenced above was insta cd ��ith tiitijor changes (I.e. greater that 10' lateral relocation of the SAS or any vertical relocation of any component 6f the septic system) butt in accordance with State Local Regulations. Plan rct ision or u I'fi--d as-buitt try designer to fellow. Strip out (if rccluired) was inspected and the soils were found.satis ac-tory. I certify that the system referenced above was constructed in with the tez7ns of the I`%A approval letters(if applical le) -,a Poe ft T. — (Instttller's Signature) Cwi %0.351ag I O -' RfarS tER ( .si rier's Si(hnature) (A fix Designe pr`) PLE:kSE, RETURN TO.BARNSTABLE TUBLIC HEAL 14 DIVISION., 'CERTIE.ICATF OF "COMPLIANCE. WILL NOT BE ISSUED UNTIL BOTH TUIS FORM'-AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEEALTI-1 DIVISION. THANK S'OU.2 (� bcptic.;�esigner Ge-rtificatoo FannF�v 5-:4-4.'.doe Engineers note:TFrs cerlrjcation is limited to ar a,-bu it,rscectien of sy§iem co..nponen?s as.installe,4 prior to backiill.The eno t2er bid not slip nfis2 construction o Ede system" The rrs aller assumes resoonsicd tr -'or all materials,sxor'lk:musnip,bacidilling to specified grades with proper compact.on and setts na riser 'covers as shown on the design plan. LEGEND N 99.27 C t• --99-- EXISTING CONTOUR i x 91.98 EXISTING SPOT GRADE SoZ. 'Qo 0 --{�]•-- PROPOSED CONTOUR 99.51 W EXISTING WATER SVC. G EXISTING GAS SERVICE 9e Of 16' TEST PIT �p0�e Cranberry Ln �a '2e�f BENCHMARK 99,42 ;+ N ?2 SO„ x 100.10 LOCUS Q� =o� Sho/%' on A LOT 41 s,°0' w / 100.32 a a, N1 8,240f S.F. / 100.09; p/epsant Pines Ave h rc ' 100,14 LOCu' 5 MAP BENCHMARK l 100.10 , ... �P NOT TO SCALE BULKHEAD CORNER `- - - - - - ' ' 99.44 �\ LAMP gyp` 100.53 GENERAL NOTES: EL.=100.21 :� �� x 100.20 9� �S 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 98,86:+ , tS` R BOARD OF HEALTH AND THE DESIGN ENGINEER. �p � `o+ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS CO :k / PORCM` oRQ OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE W p / ` L LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: ry �d x 100,17 -310 CMR 15.405(1)(b): LOCAL UPGRADE APPROVAL 1) A 6' variance, S.A.S. to cellar wall, for a 14' setback. 09 / 100,72 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR SHED TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE ¢ai / DESIGN ENGINEER. EXISTING o 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN l DECK 1 M HOUSE&5), 100.18 QL ENGINEER BEFORE CONSTRUCTION CONTINUES. BH T.O.F.=100.95f o 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. 98'9 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 98.64 x ins ; HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. + TP-1 99.39 ��; (b 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 99.27 ( �O:' 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS i TP-2 _ O I O 99,46 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE flID` r31 DIRECTED BY THE APPROVING AUTHORITIES. 98,11 / �- / �� x �` � .• 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. d W 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS J/SHR �� f 9 93, IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND _ J \�p �\ �' O REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). d . .., 2p00' 99,92 '+��- � `>;SFQ ^ � 1.+ 100.08 p o S 7S.1J"10" �Q� ��` S . .,��```�'` / 1. N 12. INSPECTED AS BYBIYING DESIGN E�GINUT �ERUPR OR UNSUITABLE BACK MATERIALS SHALL BE E j'''• r2 100. 5 . . ,qS . \ 30 O 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 99 66..:',. .. NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. �y^ M 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC f s 148.62' ^y SYSTEM COMPONENTS NOT SHOWN ON THE PLAN o Mgss9� ?8 ss'SO., PARCEL ID:E yG � 234-065-B00 2 PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN o �, 't McENTEE c,'I CIVIL N ExiS G SEPITC TANK 5 CHICKADEE LANE; BARNSTABLE, MA No. 35109 (TO REMAIN) TOP OF TANK, EL.=98.7f IP ND Prepared for: Elizabeth Bradley, 31 Linkside Ct, Northbridge, MA 01534 OWNER OF RECORD E INV.(OUT)=97.35f Engineering by: SCALE DRAWN JOB. NO. BRADLEY, JOSEPH & ELIZABETH A EXISTING S.A.S. '' Engineering Works, Inc. 1„=20' P.T.M. 200-19 31 LINKSIDE COURT Z(/ ( � TO BE PUMPED; FILLED 12 West Crossfield Road, Forestdole, MA 02644 DATE 1 CHECKED. SHEET NO. NORTHBRIDGE, MA 01534 W/SAND & ABANDONED i 99.85 (508) 477-5313 6/3/19 P.T.M. 1 Of 2 'I NOTE: TO PREVENT BREAKOUT, THE PROPOSED SEPTIC TANK PROPOSED D—BOX FINISH GRADE SHALL NOT BE < EL. 97.34 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT I FOR A DISTANCE OF 15' AROUND THE OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE PERIMETER OF THE S.A.S. PROPOSED S.A.S. T.O.F.=100.95t INSTALL INSPECTION PORT (MIN.) F.G. EL.=99.4f F.G. EL.=99.3f F.G. EL.=99.3t F.G. EL.=100.0t MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 8' 8'(MAX.) 12' x 38' LEACHING FIELD W 4' DIAM. INSPECTION PORT, L = ® S=1% (MIN.) =8 (MIN*) �---4 PERFORATED IN S.A.S., SOLID 4'SCH40 PVC 4'SCH40 PVCSCHpVCpISTgIqUTI ON ABOVE S.A.S., WITH SCREW CAP 6° SET TO WITHIN 3' OF GRADE. CAPPED ENDS 10 I 14" 6 6" EFF. DEPTH EXISTING 48" LIQUID I SLOPE OF PERF. PIPE = 0.5% INV. EL.=96.80(END) LEVELG� BAFFLE ADD INV.=97.27 p$QpOSED INV.=97.07 38' EFFECTIVE LENGTH S INV:=97.35t D—BOX SOIL ABSORPTION SYSTEM (PROFILE) BACK OF HOUSE �. EXISTING SEPTIC TANK EXISTING INV.=96.99 tBH in e 2g O ESTABLISH VEGETATIVE COVER NOTES: DECK `3 G' Ci+ 36. 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS, PRIOR TO INSTALLATION. FINISH GRADE O' I� 1� 2) D—BOX SHALL BE SET LEVEL AND TRUE TO EL.=100.0t S, GRADE ON A MECHANICALLY COMPACTED SIX ;• •;,;.,.;• •::;•:.• •, APPROVED 1 PROPOSED 5•A• 1� INCH CRUSHED STONE BASE, AS SPECIFIED IN BREAKOUT ELEV.=97.34 " �' AJ` o'',: FILTER FABRIC ; ����'_—_ .., 310 CMR 15.221(2). �- 3B 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM ELEV.=96.30 3/4j-1 1/2" DOUBLE 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 3 6 qqqp_�__ - 3' WASHED STONE AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. 5' MIN. SEPARATION TO G.W. AND 4' OF NATURALLY 12' EFFECTIVE WIDTH OCCURRING PERVIOUS SOILS OBSERVED G.W. EL: 90.9 SOIL ABSORPTION SYSTEM (SECTIOM EST. HIGH G.W. EL: 91.3 SEPTIC: SYSTEM PROFILE ADJUSTED G.W., EL=91.3 N.T.S. SEPTIC LAYOUT SOIL LOG DATE: MAY 28, 2019 (REF.#TPT-19-36) SOIL EVALUATOR: PETER McENTEE PE(SE#1542) DESIGN CRITERIA WITNESS: DAVID STANTON R.S. HEALTH AGENT ELEV. TP- 1 DEPTH ELEV. TP—2 DEPTH NUMBER OF BEDROOMS: 2 BEDROOMS 99.2 A 0" 99.2 A 0" SOIL TEXTURAL CLASS: CLASS I SANDY LOAM SANDY LOAM 10YR 4/2 , 10YR 4/2 DESIGN PERCOLATION RATE: <2 MIN/IN 98'5 B 8.. 98 7 B 6" DAILY FLOW: 220 G.P.D. SANDY LOAM SANDY LOAM DESIGN FLOW: 330 G.P.D. 97.4 22" 97.4 22" GARBAGE GRINDER: NO—not allowed with design G 10YR 5/6 10YR 5/6 G PERC LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF .74 GPD/SF LOAMY SAND LOAMY 2 5Y 5/3D 16"/34" EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 2.5Y 5/3 C 10% GRAVEL 10% GRAVEL PROPOSED SEPTIC SYSTEM UPGRADE PLAN I PROPOSED D—BOX: 1 INLET, 3 OUTLETS, H-10 RATED ! 91„3 ADJ. GW , 91.3 ADJ. GW � _ _5CHICKADEE LANE, BARNSTABLE, MA INSTALL AN 12 x 38 LEACH FIELD 90.9 STDG. GW — 100" 90.9 STDG. GW _ 100"SIDEWALL AREA: NOT APPLICABLE 90.2 108" 90.21 108" Prepared for: Elizabeth Bradley, 31 Linkside Ct, Northbridge, MA 01534 BOTTOM AREA: 12' x 38' = 456 S.F. PERC RATE <2 MIN/IN. "B/C" HORIZONS Engineering by: SCALE DRAWN JOB. NO. STANDING GROUNDWATER AT 98" Engineering TOTAL AREA:.....................................456 S.F. Works, Inc. N.T.S. P.T.M. 200-19 LEACHING CAPACITY = 0.74 GPD/SF x 456 SF = 337.4 GPD INDEX WELL AIW-247, WATER LEVEL MAY 2019=21.0 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. ZONE C, GROUNDWATER ADJUSTMENT = 0.4 (508) 477-5313 6/3/19 P.T.M. 2 Of 2