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Home My WebLink About0182 HARBOR POINT ROAD - Health 182 Harbor Point Rd.', Barnstable = - A-- 352-005 Y i I I I TOWN OF BARNSTABLE LOCATION SEWAGE:O, VILLAGE Gov✓ M gQ ASSESSOR'S MAP& LOT 33';)- 00-r" INSTALLER'S NAME&PHONE NO. ��h Ag A/0 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) F/nw �'-�� SSo�5 (size) X 10 tN�f NO.OF BEDROOMS BUILDER OR �WNER-) W.'�li`G�„� AlL J94-Ncr PERMIT DATE: $- / - 9 Z 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 4. P. fi r� i asp i 3 14 00 _ 3 30 ' yy G TOWN OF BARNSTABLE OP 10 9 q7 4) Lr.." ' -fUN /;a de r h yr P -1 Rd SEWAGE # '7 7 o?41'1 ✓r.:, AGE uy✓��'✓l�y e ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. h A g /�o �'� ' 9 S SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ��w '-�� SSo�5 (size) P�,I' X /0 vy�f °30 2- NO.OF BEDROOMS 3 BUILDER OR WNER w lriGw► 14C �'`� PERMIT DATE: �� 9 7 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 I, 3 3® ' S �e7, ; o s No. -7, Fee 9 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Zigaaf *pgtem Congtruction i3ermit Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. t /;p Qe/,/T Owner's Name,Address and Tel.No. Assessor's Map/Parcel jeC&-(. .� G i Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7-- ,�1. �� 7�L tic-%tea cv�, Type of Building: Dwelling No.of Bedrooms i:9 Lot Size q. ft. Garbage Grinder(69) Other Type of Building C—_-&CLtrrr_' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date /rig V—�—%*431/Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. _�� l�►1 v S F Description of Soil a bft,�M 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 Certifi- cate of Compliance has been iss d bOs oard of Healt�/ Signed '�'"� Date 7—g� Application Approved by Date 1440— 5;% 2 Application Disapproved for the following reasons Permit No. Date Issued —————— ————————————————————————————————— 00 -5 No. '/~ Fee 9 7' THE COMMONWEALTH OF MASSACHUSETTS.- Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS y 0(pprication for Miquar *p!6tem Construction Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) ❑Complete System ElIndividual Components Location Address or Lot No. I t ije*/ oKil Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's blame,Address,and Tel.No. Designer's Nae,Address and Tel.No. m #N Type of Building: Dwelling t No.of Bedrooms_� Lot Size G q. ft. Garbage Grinder(0) Other Type of Building Taw&CC1"- No. of Persons Showers( ) 'Cafeteria( ) Other Fixtures 1 ,. Design Flow { gallons per day. Calculated daily flow 3 gallons. i Plan Date D V-=!V Number of sheets Revision Date Title �. 1R - Size of Septic Tank Type of S.A.S. Gw -D/ Description of Soil /t/wk 57W C✓ Nature of Repairs or Alterations(Answer when applicable) 1 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 ' s d 't s oard of ea . A, YM i t Signed C/` `"""`"' •� Date 1-1 7— 9j Application Approved by ,Date ,.4 - Application Disapproved for the following reasons y � _ Permit No. �' s�,/ Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS R . r� BARNSTABLE, MASSACHUSETTS Certificate of Compliance / THIS IS TO CERTIFY,shat the O -site Sewa Disposal System Constructed'(P-5 Repaired( )Upgraded( ) Abandoned( )by Zr )u Av & �p at /if �? f'�J� 'vl has been constructed-in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No:.9 7-e' �4 ated 47 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as deigned. Date /L -' a�- g Inspector � > -.L-� No. C. -------------------------- / �� #�/ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwiopooar bpotem Construction Permit Permission is hereby granted to Cons t )Repair( )Up_ System located at $ �1� d,-7,07- - f and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/he duty to comply with Title 5 and the following local provisions or special conditions. Provided: ns c be7completed within three years of the date of this rmit. O Q Date: Approved by LOCATION SCALE —,/'�30 . . . DATE .Aloy-,* /ff,6 , PLAN REFERENCE Z. , Z2 , Tbp.c.'Cb,,c G0 T At Z 3 ,.,Z3• ( ' 201 ' T 7a ICY nl �TJ�` $ ozd:. A. L ' Z 3. a >; / �T , 7� .. • t J f 4 q ` E D D' ' LEY- l'l.o. 261 c- t 44LD ;P C P�� /GG � tioT&— Fl GG [.,v Su�T.9 SLR f�G-�T Z O T Z �— EL..zSoo. . . TOP OF FOUNDATIONS T e.i 'BEY� Z> NO`S/-Ji4DLsD fYIZE'A, CONCRETE E COVERS r�� r�Hov&'D INln/ cG�. sctria- 300 " . 4"CAST 1 9 OR SCHEDULE 40 4"SCHEDULE 40 P.V.C. (ONLY) W MIN . P.V.C. PIPE MIN. PIPE- MIN 36" MAX. v ; . PITCH 1/4"PER.FT. PITCH IPER.FT. } LEACHING TRENCH (....REQUIRED) Z1 I/8"-I/2" VIASHED P3 STON E L_� `lF� 6 .2 n�' n`f�l n �i_ /2 INVERT INVERT DIST. INVERT / �1: :,° EL.zZ:�P... SEPTIC TANK �4 Z/./ �,3/4"- II/2"WASHED STONE EL.......�! BOX EL..... 7 INVERT .So a Z/.G GAL.. T INVERT INVERT / INVER E�Z/<3¢• FLOWDIFFUSORS Zo: REQ. 6"CRUSHED STONE I 7 75 PROFILE OF �aru:ST� i� GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION SOIL LOG NO SCALE LEACHING TRENCH , TIME .�Z:i..�iy NO SCALE TEST HOLE I TEST HOLE 2 DESIGN DATA ELEV. .?��.Z.. . . ELEV. 9.'MIN. V.'^: ED 36 MAX. "'g srarroy parr 8" sor 4sry NUMBER OF BEDROOMS `�7 S—"ETv. y yq,,D rJ.e n C� ��oys/t�r0 TOTAL ESTIMATED FLOW . . . . . . . . . . .. GALLONS/DAY _t `Ql Z � '/o�•rYy/zG/f. Z/ �� y� /E' r,__,:. f c rr c 3r,.n $ �NG'ri/ZZ q•1 .. Zzz C' /PONz 7�.`,� /8,?L r/1;'i C Buy 101M LEACHING AREA . ... :.. ... Q.FT./iiE, �, 4! V c -. 2l•7 c7- SrcaY.s,RWD ,;��/ scyi�p SIDE LEACHING AREA . . . SQ.FT./Tr'cE, „ 3911 /eyiz ��G ly'/irr loyz 7716 0 /6.�D 3/4-II/2 WASHED /t to '9G'1 ;��i;.; GARBAGE DISPOSAL . !✓QIee „{50 /o AREA INCREASE) STONE .. 78 C 3c,vry f TOTAL LEACHING AREA . . Q:Q.. ..: SOFT. ! i I / jol3wo -' --''I m 7 i IS'L ,s�,N / --}i g' ware PERCOLATION . RATE PER.INCH /z LEACHING AREA PER PERCOLATION RATE `�' :¢S0.FT#PD t /`�// iey27�� oy�� GROUND WATER TABLE N/+T�iz APPROVED . . . : . . . . . . . . . .. BOARD OF HEALTH Y4_. ..WATER ENCOUNTERED DATE ... . . .. . . ... t&Lr:,A OF WITNESSED BY . AGENT OR INSPECTOR ✓ �� s,�, EDWAR s T BOARD OF HEALTH 'Tr BOARD .S7�s7so•U /Z_�.4�C .L?S: ENGINEER ,/1-,q Z/3c2.�/.vT /Z41D o K. 26106 0 l tt I iS Al PETITIONER ' js/jL[JiYJ7 �`7G1]pN.9LD \ —'� a4a r r ASSES50RSMAP111� - FORM Il SOIL EVALUATOR FORM Page I or 3 PARCEL N0: i Date: No. / Commonwealth of Massachusetts i Massachusetts foil Suitability Assessment for ®n-site Sewage Disposal i 1: Performed By: , ' . '............................................................................. .. ..... WitnessedBy: ...................................•.................................,............•.........,.................................................... Owrel' Landon Add-is a /Q/,J � r Address end Name, La/ Adbet4 Tekphm J i I ew Constructlon ❑ Repalr ❑ Office Review Published Soil Survey Available: No ❑ Yes I Year Published /97:73 Publication Scale Soil Map Unit4ltlez..T..'` ls Drainage Class Soil Limitations --a ;7 .lzt ..f� �i.F.S,.....S�'Q.�/,. ...... .... . ...... .. . . Surficial Geologic Report Available: No ❑ Yes /9 ?.// Publication Scale Year Published 7 � l ••� !5,.�• - Geologic Material (Ma Unit) /��'A•►•�� .....0 �? ,r .n�•G ........,...0 �. �.� ..- Q....z ....... Landform � �.gar.. ..,,-... Fk •.• ,d,S'.r..,c.:........................................................................................................... t e Flood Insurance Rate Map: 226000/ 0o0 Above 500 year flood boundary No ❑Yes ® i Within 500 year flood boundary No ❑Yes ❑ Within 100 year flood boundary No ❑Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) ........................................................................ ..................................... Wetlands Conservancy Program Map (map unit) ...•........ ............................................................................. i Current Water Resource Conditions (USGS): Month /a�R�L -�'✓�a •h!a./��'�w•aS� —'z°"��'`� i Range :Above Normal ONormal ❑Belc!v Normal ❑ + O. Other References Reviewed: DEP APPROVED FORM-1210119S ' ' i FORM 11 - SOIL EVALUATOR FORM Y Page 2 of 3 .t r Location Address or Lot No. �oT '�22 ��'� Di'�/� ? �cJ�'1/✓/'�QV�� On-site Review Dee Hole Number Date:..:�3 1y( Time:l4i�s Weather P Location (identify on site plan) ::.:::::,.:::::::::::.:::....::.:::.::::.::. .::::.:::.:.:::::::..::.::::::::::::.:.:...:...:::::.:,::..:::::::..:::::::.::.:::.::.:..::,::::::.:::.::..:, Land Use :.::. . .. Slope (%) Surface Stones f / Vegetation : f�f?r�/<✓::. .:. ... ..::.....::..:.. ,.., Landform :. ...:..:...::::. .. .: :.................. :; F Position on landscape (sketch on the back) Distances from: Open Water Body �I feet Drainage way feet Possible Wet Area feet Property Line .................... feet Drinking Water Well .:: feet Other : .::.; .:.:.:. . DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Bounders, Consistency, % �6c_ ?o? o�F . A r � -39",-a,•. a. N /o 7/6 1.z:aaST A/R.2.:s3A ss a; � A � ioz7/. 9" r ,2A+" qr rw-r ! /Dyz 7� /Go .. a WH>aR . 1 /6 w/ ., 97 -r.�✓� Ts: o� Cjr?Aree,44 .L eCo.,�- . jMINIMUM Ur OLES REQUIRED AT EVERY MPOSIED DISPOSAL 'AREA Parent Material (geologic) G t,; DepthtoBedrock: .300 I _L t I Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Water: DEP APPROVED FORM•1210719S i r FORM I I - SOIL. EVALUATOR FORM Page 3 of 3 I i I Location Address or Lot No. /oT'•`�2 i De Seasonal High Water Table Method Used: , I ❑ Depth observed standing in observation hole ....... inches (K Depth weeping from side of observation hole .../.Z8 inches ❑ Depth to soil mottles inches I it I i ElGround water adjustment ..... feet Index Well Numbers?./. h/A-<A Reading Date ..`�� .19G Index well level ,,.' 6• ? Adjustment factor .... 8 Adjusted ground water level ...,.. 8.. .......... ..... � �•.. .. Depth of Naturally Occurring Pervious Material t i 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 pervious material? I Certification I certify that on 11 _30 -23(date) I have passed the soil evaluator examination i approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience, described in 310 CMR 15.017 o� Si9 nat re Date a- m � No.527 o pQ�p e °p QQ FVALUA�OQ4� I ►®wvvva • 4 DEP APPROVED FORA1•12/07195 f FORM 12 - PERCOLATION TEST f Location Address or Lot No. COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test` - Date: ...:.:..: . Time:, Observation Hole # Depth of Perc Start Pre-soak End Pre-soak Time at 12" Time at 9" i Time at 6" II Time (9"-6") Rate Min./Inch ' Minimum of 1 percolation test must be performed in both the primary area AND reserve area. . I Site Passed ❑ Site Failed ❑ i ................................ .... ............................•.. ... ....•..........................__.................... • I Performed By: Witnessed By: Comments: .%:✓ ,.�. /9c3our /"'l'q�/ �y�6 - �'�i,sr L iC. ��.r'Al / � s xBsfr 7�//�r..J o2 r/�/ �I NC /0.EcN !-tiQ'n 2 DEP APPROVED FORM-12/07195 4 i