Loading...
HomeMy WebLinkAbout0031 CRANBERRY LANE - Health I 'an berry Lane A =243 - 031 Barnstable r7/' TOWN OF BARNSTABLE LOCATION 3 I f o L L SEWAGE# VILLAGE E CA S✓I f iIL✓ ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. L/ SEPTIC TANK CAPACITY LEACHING FACILITY.(type) (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 k r- o L 1 W fi ,. i TOWN OF BARN TABLEr2l Pit— j,� �J LOCATION QC )XrC- L'OSEWAGE# 01 �° " 1 6 I VILLAGE r A SSES`SOR'S MAP&PARCEL 23� v OS INSTALLER'S NAME&PHONE NO.L►AG VAS )�c .S09 7�6 Jq t'p SEPTIC TANK CAPACITY L'jQQ LEACHING FACILITY:(type)2 50::)44 6[-rS (size) X E5 NO.OF BEDROOMS 11 ' OWNER e<P,lC PERMIT DATE: 1 3 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility i104- CoCcvrtQFeet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) fdw-t wA4cr Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachm2 facility) II (1d 1i1� Feet FURNISHED BY J �atd� Pace ()0 �N _ C, F 3'1 Le I rqT No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppfiration for Bisposai 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) .Upgra&( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot N031 All ( LA wner's Name,Address,and Tel.No. Assessor's Ma 2 n i i Map/Parcel p � d Installer's Name,Address,and Te],No. 'Sjre Designer's Name dress,and Tel,�.Io �,��7 eort nS N S -so-M I C�4l� I?0 Sw�1s�(, 17 C� �+ 'Fs�s t+��l r Q 77 H43 s 0d Y -5 31.3 Type of Building: Dwelling No.of Bedrooms Lot Size I rj S sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 2 Design Flow(min.required) ?gpd Design flow provided > 7 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S.''e ihhL' tn C e�.V► ���S Description of Soil r Nature of Repairs or Alterations(Answer when applicable)Crap,kj�P p 14C icq p -PC, 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 Certificate of Compliance has been issued by this Board of Hea A—Signed Date If Application Approved by Date Application Disapproved by U Date for the following reasons Permit No. Date Issued �' a No. _ Fee d) f .� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer;' PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpplicatign for Disposal 6pstem Construction Vermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) .Abandon( )•, ❑Complete System ❑Individual Components Location Address or Lot No3, (owner's Name,Address;and Tel.No. Assessor's Map/Parcel 2 3 13 IAI -1 - G CA- Installer's Name,Address,and Tel.No.Ccwj '5 �yC Designer's Name, des and Tel. o 4-:-v I h ems,rS �Kks 3D CHIc kp;('c., J? 5�. - /✓1 U) "0-S c '"Fs�-s+l r�l e .30(f 5 6d Y -5 3 ,3 Type of Building: Dwelling No.of Bedrooms Lot Size I E��'S sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures n Design Flow(min.required) � gpd Design flow provided 3 3 gpd 5 Plan Date Number of sheets Z Revision Date Title Size of Septic Tank 1 0<j > Type of S.A.S. 'F vrC�- ( �'kA XA VA rb e cS Description of Soil Nature of Repairs or Alterations(Answer when applicable) (-�- ) Date last inspected- �`�•, Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal <Signed = Date 5c /c Application Approved by Date -" - Application Disapproved by Date for the following reasons r , Permit No. '20 (� (OT Date Issued — 3' ----------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) i Abandoned( )by � - at" r r F,.,�,,( , �.Q - has been constructed in accordance ;I with the provisions of Title 5 and th for Disposal System Construction Permit Nox?u(6 JVf dated /` 3 -f 7 Installer Designer #bedrooms Approved design flow A —'7"C) gpd The issuance of this permit shall not be construed as a guarantee that the system will (� Date / 7 Inspector �C�ctionJdesiggnedl V (A,,.r A-,S ---- ---------------------------I------------------------------------------------------------------------------- ----� -- 6 Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal �6pstrm Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System 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 �'� 3 ( �" Approved by !(� I f Town off Barnstable Replatory"Senices NAM Richard V.Semi, Interim Director 16S�A Public Heath DiviSian. "Thamas McKean,Director 20011Iaia Street,]Ryannis,MA 02601 Office, 508-9624644 "Fax: 508-79"304 Installer.&_I?ef' a-er Cent-fieation'Eorm , Date: I ! !o Sewage Per mit# _ Assessor's MaptPareei �' ''�—0 { Designer: 'gu x: f r.� Iastailerr n 64 vim` s CCi sAk Address: 12 a J, fit Address _ C Q fi`43as issued a Permit to instal I a (date) (installer) Le Septic system at 3! lased,60 a design drawn"by (address) Fe WV- L i:";,n t-C�E J5 dated (designer) I certify that the septic systetn referenced above was instdlled"substantially according to the design, which may include minor approved changes such a's lateral relocation of the distribution bo and/or x is ta nk,.,ink_ ,Styr at2t if" ui ed w � T as ins e P cted and were Pound satisfactory, { � . ) P _ the;soils l certify that the septic system referenced above was installed with iiiajor changes (i.e` greater than 10' lateral relocation of the SAS or anyvertical relocation of any,component of the septic system) brat in accordance with State & Local Regulati6ns. 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 in c fiance with the terms of the nA approval letters (if applicable) NTtE hF M T. 6A a ler's Signature) CIML No. 35109 ( signer's Signature) (Affix DesxgWWvwvpMp ere) PLEASE RETURN TO BAItNSTABLE PUBLIC,HEALTH DIVISION CERTIFICATE OF COMPLIANCE WILL NOT BE I $VED UNTIL BOTH THIS FORM AND AS- BUILT CARQ-ARE RECEIUA BY THE BARNSTABLE PUBLIC HEALTH DRITSION. TJUNK YOU. _ '? QAS$ c\Dmigncr Certification dam Rev -1413.4r PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 234 031- - Account No: 146069 Parent : Location: 31 CRANBERRY LANE Neighborhood: 51BB Fire Dist : BA Devel Lot : 13 Lot Size : . 34 Acres Current Own: FITZGERALD, ALBERT J TRS State Class : 101 FITZGERALD REALTY TRUST No. Bldgs : 1 Area: 1316 P 0 BOX 648 Year Added: HYANNISPORT MA 2647 Deed Date : 070197 Reference : 10862002 - January 1st : FITZGERALD, ALBERT J Deed MMDD: 0993 Deed Ref : 8772/034 Comments : Values : Land: 30100 Buildings : 73000 Extra Features : Road System: 31 Index: 371 (CRANBERRY LANE ) Frntg: 130 Index: 197 (BUNNY RUN ) Frntg: 70 Control Info: Last Auto Upd: 101897 Status : C Last TACS Update : 101597 Land Reviewed By: Date : 0000 B1dgs .Reviewed By: Date : 0000 Tax Title : Account : 858 Taken: 101190 Account Status : PO Hold Status : PO Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ } Road Index [ ] Road Name [ ] Parcel Number [234] [032]LD [ ] [ ] [ ] i -,� -- - I U� • t � � ruy ' I - I t Pile' 60 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for.4 years) A business certificate ONLY REGISTERS YOUR.N you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the AMi i, town (Which. Main Street, Hyannis, MA 02601.(Town Hall) Town Clerk's Office, 1°` FL., 367 o QLV + x DATE: G & a7 rr APPLICANT'S o.r YOUR NAME/S: Fill in please: RMUrj,znv BUSINESS �- <p �" YOUR HOME ADDRESS:n UP th r sic<.��5„1- - ! L ���" Tr 4 2 --32 ' TELEPHONE #: Home Telephone Number NAME OF CORPORATION: NAME.OF NEW.BUSINESS IS THIS A HOME OCCUPATION'? YES-:: TYPE OF BUSINESS ��::i, ADDRESS pF BUSINESS d 3/ 1.�� / Assessing) When starting a new business.there are several things you must do in order to be in compliance with the rules andregulations Barnstable. This form is intended_to assist ou int. - of the T y 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 bee nformed of any permit requirements that pertain to this type of business:.' Ohc r vC1L �He T,-cr� � Authorized Signature** r COMMENTS: 2. BOARD OF HEALTH This individual h s been med,of per��� rements that pertain to this type of business, COMPLY ., ' � NVITI{ RA Authorized Signature** --ARDQUS MATERIALS REGULATIO►vS COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) Thi s individ ual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: �F- f ..i'� �r'c'+-".w.. +..�...e 4ALo.� ,.-..w..«,l'...✓"t ,� _.,�„�t� 'r�A�. .�"a.�',(;.' �i�''Mf�.?41:f�+�'°.�1"'q,:gs+'�'� '�"�d�'�S'+�43s'1rV+:3� Date: TOWN OF BA.RNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �L' e-0.1 edsI- (Gam BUSINESS LOCATION: 3/ 4h CeH7cc►•-1/1, INVENTORY MAILING ADDRESS: /22 120 X �/ b' N%Ghl1 %s m�� TOTAL AMOUNT: TELEPHONE NUMBER: 5o 9 73? 5*30 y CONTACT PERSON: Ih�- �� 'Z4 `��� EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Lbw 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. 11.1, Section 31, of the General Laws of MA, hazardous materials 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) Misc. 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 NEW USED (insecticides, herbicides, rodenticides) 4LGasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED } Misc. 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 Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint & varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxicor hazardous (please Fist): Laundry soil & stain removers; lrj F (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS AN _ \ �(� ��•y� r , DU I ckZ)U t w coe �• o .ap o ; CIO 4* S � �s d is-Ole s .O TE•2k1/"/E� -Tf ST LOCH .�ESUGTS �E..�r! Tow'✓ c.� �sy s S,q,¢.✓sTi4Bc.E �/zO oT�: sys�asE� y N r� X/sTE''"c� qs c� ric/,cs C RTI TIED PLOT PLAN s� .cam STA�3 L� /yl�SS • 'S' " , o.::,vo .OrE.si9,✓ a� •�-Nrs t�A ,�p�•O L O C AT I O N� QGT- /j7lo � TA>t� 3�rs7�^�t�s i`,rr>✓. DATE= .✓ o.✓ S CAL V 7/--/G ,Go7T /3 R F. F E R ✓ ,,.��,E.9 S.p , T�.,q, N►5�T,445GE .AEG/57�y A T 17 LAND SURV oa I HEIaEer CERTIFY THAT D TH_E BUILDING �ZNOF,y THIS PLAN IS l0C, A.TE ON SHOWN ON HEREON AND �o�� CRAtG THE fa R O U N D "A S SHOWN THE RAYMOND ,OoES CONFO.R M TO o SHORT T H A T I T JOSEPH M ZONING Oif - LAWS OF THE TOWN . OF `� �No:.27484 ors , 9ie�/s�'4.c3 L� W H E N C O N S T R U C T E D.- �o FQJSlTr MON'AH 0 [d C . �c/s TES C S A 0CtAT � �� E. Oas 4I'D REGISTEaED E.NGIME,ERS a LAND Ft -CAPE .OFFICE. SUILDINGASS 5 64 2 ® MID M ��-/off SOUTH YARm O UTN� '�, Date: / 9d' TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: a0e_ ,-r ez;Ace BUSINESS LOCATION: MAILINGADDRESS: f- Mail To: RK- Board of Health TELEPHONENUMBE2� �z,��.- Town of Barnstable CONTACT PERSON: 4V Fc;z s c1-v P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPE OF BUSINESS: s ti� Does your firm store a of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity o Antifreeze(forgasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) -SG Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) - Swimming pool chlorine Rustproofers Lye or caustic soda /r QjeZ Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, . NEW USED (inc. carbon tetrachloride) Z Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers I WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE C C6 V4-�� ' 1:t/21, 2 SEWAGE # LAGE 1a!21?/'P tZ' v—_ASSESSOR'S MAP &LOT ' Y !1STALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LTACHING FACILrrY: (type) (size) 140.OF BEDROOMS T B.JII..DER OR OWNER PERMITDATE: 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 Le hing Facility(If any wetlands exist within 300 feet of 1 ng facility) Feet Furnished byL �� - �_ � 4w C{" vt.V TOWN OF BARNSTABLE 1.:- ATICN , p1—/. SEWAGE # .VILLAGE— o7 �- ASSESSOR'S MAP&LOT<V 03 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING'FACELITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER 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) b�G�L Feet �^ Furnished by u 5 S �- i `� _ i IV �.. �.. :� �� - .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �Z---OF..........y �.Ci-Z-�--_ ---------- ---------------*........................ .� pliratiuu -fur Ui ipiial arks Tomitrurtion Prrutit Application is hereby made for a Permit to Construct (A or Repair ( ) an Individual Sewage Disposal System at: 4a.11 -- •-••--•.-• ........ ......•---•-• ................... ................................................................................................. --- ion., ress �� or Lot No. lN`iv. ...................... x' 1._' 9A'J ............------------....---•-°-----......----.....--•--•---•-•------......--------•-•-....... caner Address .................. ••-•••-•------------•-•--•-•-•-•••---•..............................•-••.....................••... stler � Address / CJl►?C) d Type of Building Size Lot-.-. .................Sq. feet Dwelling�No. of Bedrooms.................;2—......................--.Expansion Attic ( ) Garbage Grinder (tVq aOther—Type of Building ---------------------------- No. of persons............----............ Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------- ------------- w Design Flow......-----------------------------gallons per person per day. Total daily flow.....-.-A-V.q--.------ ---.....-..gallons. WSeptic T:uik JL Liquid capacity-hVP.gallons Length................ Width..--............ Diameter.........-...... Depth_.......------- x Disposal Trench—No. .................... Width.------------------- Total Length...--------- ....... Total leaching area--------------------sq. ft. Seepage Pit No---------I.......... Diameter./�O.....P Depth below inlet................... Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) ® ���'' aPercolation Test Results Performed by---- ...... .............................................................. Date---------------------------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit..---.--_---------- Depth to ground water...................--.-- fX4 Test Pit No. 2................minutes per inch Depth of `.rest Pit.................... Depth to ground water.-----------------.----. Ix ------------------------- ------------ ........................... Description of Soil �8�.�- .��r �� � . ..."... .d-... tc. E - - t-1 ��� � x Zr �— l� � `1� /2— g w -f* ------------------------------- ------------------------------------------------------------------------------- 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 Article \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been •5sued by the board of 7hh. Signd------ - ---- -------- --.... "� _------... . ----------- Date Application Approved By----- �� —--- - . .. ---------------- -- Date Application Disapproved for the following reasons---------------------------------••-------------•---------------••--•------•-•--••-----------•------------------- ......-•-•-•................................•----•-----------•-•-•-------•--•-•-•---•------------•---------------•------•--......--•-•-•-•-•------.........----•--------------------•-------........•••- ` Date PermitNo......................................................... Issued...-`o- /-- - Date 14 No. FRa....�..1�....".... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ i�X_O F........../�.... ........................................................ Applirtttion -for Miipoottl Works TottMrnrtion Vrrut t Application is hereby`"made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal Syst at --.........:fi3..•• .................. ....--•------------------------------------------------------------------------------------------ ti A Tess or Lot No. .......e.` Address PQ Installer ��( Address _ Q Type of BuildingSize Lot.._ �_p0�__--_ S feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (Ni)) per-, Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures --------------------------------------------- --------------------------------------------------------- w Design Flow._____4 .............................gallons per person per day. Total daily flow........�:00------.---.---..-------gallons. WSeptic Tank J—Liquid capacity_f©q�-gallons Length................ Width---------------- Diameter-----.---------- Depth_-._..____----- x Disposal Trench—No. .................... Width-------------------- Total Length-................... Total leaching area.-._-.--..__.___--_-sq. ft. Seepage Pit No........./----------- Diameter./..HOC)__-3je Depth below inlet.................... Total leaching area--__--.._..._..._.sq. ft. z Other Distribution box ( ) Dosing tank ( ) — 0 W- 1"26 —a Percolation Test Results Performed by------- ----•----- ....................................................... Date-----_------------------ -•-•--.----- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ f14 Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water._.__.-.___.-__------._. R; ............... --------------------- ..........................-1............................... O Description of Soil--> ���� t lf�l/v s .,� ��d X�==w .. r`--- d( v---Y-- x - � � ,.�.P ., w V 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'ssued by the board of h h. Sign �''� xs ... -........ -- J Date Application Approved By--------------- -- ----Ems.... ----=.�.��zA_4-1Ardf ....----------------- �.j�_'.�s----7 41.-_------- Date Application Disapproved for the following reasons:-------•---- -•-•-•-----------------•--------------•-----__--•--------------•--•-••--------_--------•----------- --.....•••-•-.._.._...--•••-----•--------------------- --•-----------•-------------•---------•--•-------- Date PermitNo........................................................ Issued.-------- .............................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4'Ui'1 ...............OF............ . ........... „ �F Tprtifirtttr of Qlamplitttta THI S (0 C .TIF That the Individual Sewage Disposal System constructed ( or Repaired ( ) .. Installer ------------- ---••--•-----...------------ -'--- at....`_ -r ......(�t � / - _�_ ----------•------- =: ------------ � = G-'fiyt..�_ fd ._s has been installed in accordance with th�ovisions of yrtlle XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit N4—.�'--------------------- dated_...__�_J.-..e__-_7.�.....____... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _712 DATE Inspector .-------------•----........ THE COMMONWEALTH OF MASSACHUSETTS G BOARD O HEALTH c�a- ....... 1-v l::�.... of.... ...No...._ff .... ... ......_...................... (� i� oott for T notrnrtion Vrrmit Permission is hereby granted---- - ---d ----•--•-------------••------------------.-----------.....--------------------•-------- to Const u ,(,I/)"or Repair i n Indiv'dual Sewa 'Disposal Syst . at N Zermi,r as shown on the application for Disposal Works Construction ted___ 7_i-------------- / �� s r / Board of Health 'DATE------..4</ -•. ____ . FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS _ r � y l 1 d 7 �/ jy000 Poo,,,, � r C o+4N, ,• ��/ � Ay�'f G'4000�/ G7XlQSL ' Siq.io yi ff/ �F57".LoG- ,�E.SUG7'S �S /JETE,ess�/-✓E� ,S Y.oq UL !%�'7 U✓�.2�y �q E Nr Tow a,c �,q.2v.sT•48G.E �3v�420 a� �/E•4LT/-� CERTIFIED PLOT PLAN s,�w:'yEoti Ss�yp E� �,y�.c/sTA.�3L.� . �ti0 L O C A r 1 0 N: 1 O4TEn. ,vo D�s��-✓ o= -7-11/s S CAL E: - 3a D A T E: UCT �,�, /97<:�, �.yy�T�O�y Sys7z�/s /�✓TEti0�0 R E F E A E N C E E <::;r L-oT' /3 5 f-�,c.�q.✓ ���,�,E�9 Sq�vT �/�/E'S .LaECo.20,C!° �T.6��/ySTA,�g[.E ,AEG/ST.E y G>� OE.E� S �� •� AT�� I HEREBY CERTIFY THAT THE BUILDING O LAND SURVEYJR „x SHOWN ' ON THIS PLAN IS LOCATED ON SNF H THE GROUND AS SHOWN HEREON AND �o'� CRAIG �'yG OF THAT IT 'QC)E S C O N.F O R M TO THE RAYMOND ,� tN 9ss c ZONING OY - LAWS OF THE TOWN OF �., SHORT �y No. 27483 v 10SEPH M. N � /.�'eAS_7 '91 4ISE WHEN CONSTRUCTE D 'O�o��DfST�-��o��4 � MONAHAN,JR. �FSS 0 E 13660 C M S ASSOCIATES, INC . QjSTf- 4t; REGISTERED ENGIRIEERS A LAND SURVEYORS lq�pgu�V�,y MID -CAPE OFFICE BUILDING - 1 265 ROUTE 26 ,G,-/off SC-i1T-f YARM O UTH M AaS.°' r:'2664 a L _ LANE, - SPZ,coG�� �a 65.08 O 63,66 LOCUS y edge of pavement 62.61 CrOnberr Ln oso. 61.95 S 89'41'20" W : : ";R=381:47' CB ShO��ow 70.00, .• .. L=55.00' ,64.07 oond 65,00 p _ Cn x 64 70 x 64, LOT 13 64+« // p,ea �' 15,005fSF 64.02L-/ \ x 63,63 sdnt Pines Ave w X \L A'M P ro e Q. mow..// x 64,55 . 64,44 PAR EL ID: 234-031 f \ 64.41 \ 3 60:17.' W r W < \ I / r \ 5 .4 / LOCUS MAP NOT TO SCALE SHED \ 'p-••• 64.02 64,00 x 64.33 I \ \ GENERAL NOTES. O 1 64.03 '' 64,10 64,07 b nl., 1, ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN SI N ENGINEER. 64.52 INGROUND 4 \ E G / A SWIMMING \ \ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS/ N � 9-4 OF� OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE \ POOL = / �r �57,8 c LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: /EXISTING + 1 � -310 CMR 15.405(1)(b): CONTENTS OF LOCAL UPGRADE APPROVAL /$ HOUSE(#31) f I I �\ 1) A 3' variance,to the 3' maximum cover requirement, for 6' C� T.O.F.=61.5f of cover over the S.A.S. Venting is required. t I x F . I 63 12 rear 3. THE SEWAGE DISPOSAL SYSTEM SHALL-NOT BE BACKFILLED PRIOR F \ I T INSPECTION P 'PATI . ±' `I 0 EC ION AND APPROVAL BY THE BOARD OF HEALTH AND THE 0 n I N \ �64,3 �xt-_ __. I •.: :`^�.... .`..• \ DES ENGINEER.G E \ 64? 7- 59/36 X5 f 57 91. \ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING- \ 64-" 8 - ---- , r FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN N. \ r�, /l / O�\ \ ENGINEER BEFORE CONSTRUCTION CONTINUES. 6 / / x 57.65 Ov DECK ,�` /off / \� 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. \ i 58.00 ' above 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 7.4 `so 5 6 � � THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 6.96 ® t S � / N x BM � 57I74 ' HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. O 57.54 x 58.�4' ' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. \57.36 + 9.8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 5.7,27 I - ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS �•�\\' MASs9 �` V AGREED UPON BY OWNER-AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. o PETER T. �Gs �'� i 1 x 1� 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY McENTEE N EXISTING LEACH PIT 56,70 / 1 1 P-1 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING o CIVIL s:. c� Q ` rn CONSTRUCTION. o. 35109 TO BE PUMPED,. FILLED '`A • DTP-2 i // SAND & ABANDONED 'l�0 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS WI!� GIS1F�`�O �`� '` �` O BENCHMARK IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND- NY"," ,'' �1 COR. BOTTOM STEP REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). F 10 A G EXISTING SEPTIC TANK x .=A /lb EL. ' � I1 ��:S �''�' 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE L__CJ / INV.(OUT)=55.6.•(VERIFY)t 56.25 �`� �� I INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.b x 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND `® 56,90 / NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN --��$-= EXISTING CONTOUR PROPOSED SEPTIC SYSTEM x 100.98 EXISTING SPOT GRADE i'� SEP C SYS E UPGRADE PLAN W EXISTING WATER SVC. 31 CRANBERRY LANE, BARNSTABLE, MA G EXISTING GAS SERVICE Prepared for: Albert Fitzgerald, 31 Cranberry Ln, Centerville, MA 02632 --O.H.•l!l<.-OVERHEAD WIRES OWNER OF RECORD P 9 Y TEST PIT FITZGERALD, ALBERT,J Engineering by: SCALE DRAWN JOB. NO. _ FITZGERALD, NATALIE,,.,E Engineering Works, Inc. 1"=20' P.T.M. 216-1.6 n n - BENCHMARK 31 CRANBERRY LANE 9 LEGEND CENTERVILLE, MA 02'632 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. ;. (508) 477-5313 10/24/16 P.T.M. 1 of 2 , f I, NOTE: TO,PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, EL.=52.5 PROPOSED D-BOX l INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 1,, FROM THE EDGE EXISTING OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & COVER PROPOSED S.A.S.THE PROPOSED S.A.S. SET TO 6" OF GRADE ` HOUSE(#31)/ INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=61.5f T.O.F=61.5t(REAR) SET TO 3" OF F.G. TO'�SERVE AS INSPECTION PORT (rear) F.G. EL.=58.0t F.G. EL.=57.6f F.G. EL.=57.0f F.G. EL.=58.0 (MAX.) VENT MAINTAIN 2% SLOPE OVER S.A.S. DECK � (above) L = 16' ® S=1% MIN.) L 5' ( S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" DOUBLE WASHED.STONE 69 Dc 11 t0"I 6" Imagoes (OR APPROVED FILTER FABRIC) cp. t a" aaaaaaa EXISTING 48" LIQUID BaaaBaa ---3/a" To 1-1/2" DOUBLE ,��, �p�` LEVEL 00 ADD 1 INV.=54.47 PROPOSED 4' 4.8' 4' WASHED STONE N GAS BAFFLE D-BOX INV.=54.30 / INV.=55.6t EFFECTIVE WIDTH = 12.8' p 3 OUTLETS A d (VERIFY) INV.= 52.00 2-500 GALLON LEACHING CHAMBERS EXISTING SEPTIC TANK ` _SURROUNDED WITH STONE `AS SHOWN NOTES: H-20 RATED 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & ,, TOP CO NC. ELEV.= 53.1t INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BREAKOUT ELEV.= 52.50 INV. ELEV.= 52.00 ease SEPTIC LAYOUT 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE eme esaaON A MECHANICALLY COMPACTED SIX INCH CRUSHED aaaaaaaaa STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). BOTTOM ELEV.= 50.00 4' 2 x 8.5' _ '17.0' 4' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE PERVIOUS MATERIAL AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 5' (MIN) ABOVE G.W. LEACHING SYSTEM SECTION CEE�3E3 5) PROPOSED ELEVATIONS MAY BE ADJUSTED WITH PRIOR BOTTOM OF TEST PIT, EL=44.5 =APPROVAL OF THE BOARD OF HEALTH AND DESIGN F- E3®E3® ® E3 E3®E3 73ENGINEER DEPENDING ON SOIL CONDITIONS AND � wSEWER CONNECTION INVERT ELEVATION. CV Z ®®® ® ®®E3 Ea SEPTIC SYSTEM PROFILE 102" " DESIGN CRITERIA SOIL LOG 4" KNOCKOUT NUMBER OF BEDROOMS: 2 BEDROOMS DATE: SEPTEMBER `19, 2016 (P#15,140) SOIL EVALUATOR: PETER McENTEE PE. (SE-1542) 20" DIA. COVER SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DAVID k'STANTON R.S.HEALTH AGENT 3 DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP- 1 DEPTH ELEy. TP-2 DEPTH 4" KNOCKOUT 0 4", KNOCKOUT 58 DAILY FLOW: 220 GPD 57.1 o FILL 57 0' .0 FILL DESIGN FLOW: 330 GPD 55.1 A 24" 101:7 A 24" SANDY LOAM SANDY LOAM 4" KNOCKOUT GARBAGE GRINDER: NO-not allowed with design StoYR 4/2 10YR 4/2 • LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 54.6 30" 54.5 301, .74 GPD/SF BSANDY LOAM BSANDY LOAM 500 GALLON CAPACITY, H-20 LOADING EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 531 C110YR 5/4 48" 53.2 Ct10YR 5/4 46„ CHAMBERS PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED N.T.S.SILT LOAM SILT LOAM USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 2.5Y 5/3 2.5Y 5/3 SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 52.1 60" 52.1 59" PROPOSED SEPTIC SYSTEM UPGRADE ' PLAN C2 V c2 58"/76" SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. 31 CRANBERRY LANE, BARNSTABLE, MA /7 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. FINE SAND FINE SAND Prepared for: Albert Fitzgerald, 31 Cranberry Ln, Centerville, MA 02632 TOTAL AREA:................................ .... 471.2 S.F. 10YR 6/4 10YR 6/4 Engineering by: SCALE DRAWN JOB. NO. .6 150" 414.5 150" Engineering Works, Inc. N.T.S. P.T.M. 216-16 44 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD 9 g PERC RATE <2 MIN/IN. ("C".HORIZON) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. NO GROUNDWATER ENCOUNTERED (508) 477-5313 10/24/16 P.T.M. 2 Of 2