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HomeMy WebLinkAbout0056 KEVENEY LANE - Health 56 Keveney Lane Barnstable A= 35,1,- 026 1 t TOWN OF BARNSTABLE 8®� ATION 5-(0 kv v's SEWAGE # 4007- 34& r T LAGE Y2/9 ^'S ' S ASSESSOR'S MAP & LOT 3St a- •'i•.v . INSTALLER S NAME&PHONE NO. O/LT�►c- SEPTIC TANK CAPACITY /,!;-0 0 6-e0 C c v,1 LEACHING FACILITY: (type) 3 $0• 6.au.N C,+/)w... (size) 3 3 Z 8 3 NO.OF BEDROOMS BUILDER OR OWNER Z�C�a.J �U'"a' /I/�i� lZ�v• d�J PERMTTDATE: el /0 0­7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 2 6 C 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 R-R Y �ATE•ay`'y . t4 �6 /6 , 3� 2- Z6 t • � 37 ' Z� ► A ' Z. 74 J Q-7 FEE COMMONWEALTH Of MASSACHUSETTS Board of Health, " ,�i �.A '� ,MA. APPLICATION FOP, DISPOSAL SYSTEM CO STRUCTI®N PERMIT Application for a Permit to Construct(i/Repair( ) Upgrade(/Abandon( ) - Complete System ❑Individual Components LocationVt:� IA, Owner's Name ,J/ 4-1 Map/Parcel# `'l Address Lot# -7, Telephone# Installer's Name jff VQ M VI� - Designer's N Address 3G-K C�qT nos`1 Address 42 CANTERSURY LANE Telephone# �� 1� T34 elephone#- 508/540-25 Type of Building l Lot Size � .1 sq.ft. ewellin o.of Bedrooms �us4 t Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) A gpd Calculated design flow 441Z — Design flow provided A gpd Plan: Date �1�i fib, � OL Number of sheets s� �Re0vision Date ( ( ✓t*T� Title !-40- 4 4nrt T'L A1.i Description of Soil(s) i... � Soil Evaluator Form No. Name of Soil Evaluator 16 : Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigne ees to* allge e described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a s to no a ee opera a"Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections FEE A. 1 COMMONWEALTH OF MASSACHUSETTS �L L .. f4 Board of Health, / xT,-A 9fl>rAQ. --, , MA. APPLICATION FOR DISPOSAL. SYSTEM CO STRUCTION PERMIT Application for a Permit to Construct(�)�RepairO Upgrade(V) Abandon( 0 Complete System ❑Individual Components Location 1 � > �� t Owner's Name I fir Gt,; , Map/Parcel# ..3 ..G - Address Lot# —Z. Telephone# I Installer's Name Designer's Name STEPHE\'J.DOYLE AND ASSOCIATES r Address Q � ��� �e��- Q�•�/ �� � Address EAST FALMOUTH,MASSACHUSETTS 026M Telephone#. r� q-j (C50GE�le �11 Telephone# $08 540 2534 Type of Building Q 1! t �"r Lot Size sq.ft. :r—t Dweiling�No.of Bedrooms arbage grinder( ) Other-Type of Building A No.of persons; Showers ( ),Cafeteria ( Other Fixtures A y -Design Flow(min.required) AA a gpd Calculated design flow- 44n) Design flow provided A C 04 gpd Plan: Date �1►Y1t �>r R1. OL Number of sheets M Revision Date t*!-�,ta '-+�_ , t Title Cow eol Description of Soil(s) ' t".tst° C�.,Eat�. i! "✓ r • , Soil Evaluator Form No. Name of Soil Evaluator l 7 rA A I'fe, . Date of Evaluation C.,- "'a DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned-agrees to>wnstall,the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agree is o not,to place, theessys[mxin op re ation until a Certificate of Compliance has been issued by the Board of Health. Signed/� ""' Date Inspections No. 22 UU-7 3 ( (� FEE //i COMMONWEALTH OF /MASSACHUSETTS Board of Health, _ � r rJ�I MA. w CERTIFICATE OF COMPLIANCE ' Description of Work: ❑Individual Component(s) b-Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) at kpyei / has been installed in accordance with the pro sions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. 2m-7 —?L/X, dated �=/!v%7 Approved Design Flow LQ (gpd) Installer Designer: i Rr Inspector: r-"._�: 3 Date: 311,E The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. 6��'" 3 ((/ FEE ( > " COMMONWEALTLL OF MASSACHUSETTS Board of Health, 4 -,'A/ MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct(/ Repair( ) Upgrade(}() Abandon( ) an individual sewage disposal system at G as described in the application for Disposal System Construction Permit No. )GW7 -�yA,dated ' //: h'-7 Provided: Construction shall be completed within three years of the date of-this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date .�'�/d��� Board of Health / �� < Al,, ,r li--- ¢ ° Town of:Barnstable °� r0'�,.0 Regulatory Services Thomas F. Geiler,Director * BAMSrABM + 9q, MASS. �0� Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:. 508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form 20*7-346 Date: Sewage Permit# ✓ Assessor's Map\Parcel 3�'l -L4, S'1EFHEN J.DOYLE AND ASSOCIATES Designer: 42-CANTERSURY LANE - Installer: `����.���� �X�C EAST FALMOUTH,MASSACHUSETTS 02636 Address: soeisaa2ssa Address: y ­7_?Sy t-k vet, \I On ✓ /o' tl 7 bresUr try aJ�iu was issued a permit to install a (date) / (installer) septic system at based on a design drawn by (address) s. �5`L;�, �5�`• dated AV-r&\L- \t} '2� T? �/, o� -oq o (designer) certify that the septic system referenced above was installed substantially.according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stnpout (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 relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout ed) was inspected and the soils were found satisfactory. ��qvt Of, A AAAA � h S�, �® g� CHRISTINE FAIRNENY � ®`Spy P� O gym_ STE 9 —+ ® z PHEN -4 (Installer's Signature) No. 9a6 000P ® o �. N � DOYLE � FC'ISTE� ® 41 =37aN SAPJITaR�a`' ®�®9IVD SUP������ (Desi er's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 03-09-06.doc Town of Barnstable r# Department of Regulatory Services ,�,, D Public Health Division Date 1 . %6;y ,6� 0 M Street,Hyannis MA 02601 �/yl Zj Date Scheduled all Time_ Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By:`"R LOCATION& GENERAL INFORMATION Location Address ;--A`z A. .Owner's Name \p t✓ri(ZyJi3t-1J C-1:►i�/1 D\t„1\7 Address )t-rJO i Assessor's Map/Parcel: j 2 L Engineer's Name 15, -Z7:t-�j I jZ S r—to NEW CONSTRUCTION REPAIR Telephone#__:rl; S 2� Land Use ln��S.,Y>wjtff Slopes(%) Z Surface Stones Distances from: Open Water Body G 5 n ft Possible Wet Area-.\5 o ft Drinking Water Well 3 D ft Drainage Way ft Property Line 5 1 D ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) i ; t -4. �J r - pj Jh M4 .E S 3c1 �z � ., 41 i Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping froln Pit Face We" — U Estimated Seasonal High Groundwater '7 t 4_ I r— DETER]WINATION FOR SEASONAL HIGH WA.TER TABLE . Method Used: c� Depth Observed standing in obs.hole: "L2 in. Depth to soil mottles: jrV& to Depth to weeping from side of obs.hole: �,�!n in, Groundwater Ad�ustmenk 1 /� fe A droundwnter Level Index Well# Reading Date: Index Well level —_ Adi.factor_ �• � - , PERCOLATION TESL' We i t f Hole#Observation � Time at 9" �� } Time at 6" Depth of Pere — !b .,�.. � Start Pre-soak Time @ Time(9"-G") li End Pre-soak. Rate Min./Inch Site Suitability Assessment: tie Pass ' Site-Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTICVERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# l Depth from Soil Horizon Soil Texture :Sdil Color Soil er Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency,% ravel O e g S L 10`{tr 311C / V-0 Lit / c wv P s,%.vs.y- pqe 1p. �fZ-] G 1 sA.tiv�C�LcL� 1v�iZ (0 4�cc� v'4.c01 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil er Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten %Gravell 00 t fl1� b G �vA.ts, / C.bt-r. So tAV ,--y n Z A1rJ Z..�S L t d`l Cots r5 L-1-S DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. 1 Consistency. Orav 1 L.PYt, �p stint,%o . °YrA. 5-V G �► -t'� 01, r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Cher Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones: Boulders. Consi ten Lo u t1� b 8 e/ , -e t. ko. 1"01ta�'V. Yp c 1(o rb Z Ci`(� '�� Sp lJ Z b`� �� ' L \b, C✓n t't�( ,J \"PV &,Y 1-l�t�Lt �0 n Flood Insurance Rate Man: Above 500 year flood boundary No_ .Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes �Depth of Naturally Occurring Pervious Material t 7 Does at least four feet of naturally occurring perviou material exist in all areas observed throughout the urea proposed for the soil absorption system? I t'= .S If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environ ental Protection and that the above analysis was performed by me consistent with . the required training,expertise nd experience described in 310 CMR 15.017. Signature Date D L Q:1,SEPTICPERCF0RM.D0C Town of Barnstable PO °f Department of Regulatory Services Public Health Division Pate. t6l 0 M Street,Hyannis MA 02601 Date Scheduled Time_ Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed.By: c � �.e���_ Witnessed By: LOCATION& GENERAL INFORMATION Location Address �� Owner's Name ��o�t: �+ Ct,c�N�0 S \ 1.At—�r� 111 Y_�16 7L �s ,-f- L t.1 N\ Address I So yZ� I l`'N Assessor's Map/Parcel: Engineer's Name 5, t NEW CONSTRUCTION REPAIR Telephone# :�; t9 S ZS Land Use. `��S%.P L Slopes(%) '`Z `g Surface Stones Distances from: Open Water Body G.I S/p ft Possible Wet Area _ft Drinking Water Well J-tS b ft Drainage Way ft Property line I D ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pero tests,locate Wetlands n proximity to holes) r� Zl -7, z Lod P Z - ? �� 3 c:l.�z-i9 41 OR 0 r y f - • t LT+ i y ' Parent material(geologic) G? Depth to Bedrock IA Act Aj, � Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face U1 L7 -1 Estimated Seasonal High Groundwater 17• t �1K.L��t'i= DETERM�ATIOFOR SEASONAL HIGH WATER'TABLEMethod Used: - Depth Observed standing in obs.hole: .�(� in. Depth to loll mottles: iu Depth to weeping from side of obs.hole: ���� _Z< ��e in, Groundwater AdJustmeet f�; index Well# Reading Date: Index Well level .,... Adj.factor. .,, Act,,dtwundwtteril evel D� g }4r;1b PERCOLATION TEST note Observation j Time at 0" C,; Hole# --t-- Depth of Perc r7 b 16 Time at 6" Staff Pre soak'ISme @ i:\f 'Irime(0-6") -----^— End Pre-soak -.�-�= j�<"�� "" t`� Rate MinAnch b L S Site Suitability Assessment:( tie Pass y/ Sito.failed: Additional Testing Needed(Y/N) Be Completed on Back---__--__ original: Public Health Division Observation Hole Data To P ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. n•Vct?PTrnPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole#( Depth from Soil Horizon Soil Texture `Soil Color Soil er Surface(in.) (USDA) (Munseli) Mottling (Structure,Stones;Boulders. 1_'0o s • �"'1`t $ l..S i'b�'(t� (o�(o ��. . Yv�a�tstr:;$ -7-Z- (o C— t sa.Hv�c�La to�12 ,� (0 4�r ,ray Vows DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil er Surface(in.) (USDA) (Munseli) Mottling (Structure,Stones,Boulders. s' A e.;1L . \v t� .� \: sty,a ' a-`T Is. l oP4\,Z (o / C,arad?. 7A C Ir` 1 cam{tL (o. �.Vt S/ W 4-rD w re ty �~I O i• Ga is rS t-�„S DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munseli) Mottling (Structure,Stones,Boulders. Consistenc4 Tj I ire °'� Ga11(s. $aab t°�►t* .5at�.Yi �� Pr A (o r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil they Surface(in.) (USDA) (Munseli) Mottling (Structure,Stones;Boulders. 't \(o E3 G 14 1 l 1!c G`Cr '� Srs�l Z.Y`( 'll ��' L' \b�� cv�ocm E aMM./ +tYGS�C.��C�,� ��YfV �Y 7.lAt G1 k Flood Insurance Rate Man: Above 500 year flood boundary No— Yes y . Within 500 year boundary No Yes ' Within 100 year flood boundary No Yes ... Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perviou material exist in all areas observed throughout the area proposed for the soil absorption system? � S If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environ ental Protection and that the above analysis was performed by me consistent with . the required training,expertise nd experience described in 310 CMR 15.017. Signature Date h L- Q:\.SEPTICIPERCFORM.DOC Town of Barnstable P# Department of Regulatory Services Public Health Division Date D - 019. �s� 0 M Street,Hyannis MA 02601r— kc� 1.4:=L Date Scheduled Time_ Fee Pd. l D� Soil Suitability Assessment for Sewage Disposal , Performed By: gym. ► =_ Witnessed By:`� . TLf"A-1 b LOCATION& GENERAL INFORMATION Location Address`y1� � �Yu Owner's Name p Cxrg4V5i 1v l.i i�+l to 7 Address l'`TO 1 Assessor's Map/Parcel: "> Engineer's Name 5• ;1►r� 5 y�, NEW CONSTRUCTION REPAIR Telephone# :�;-ILq S G, Land Use _ram S� +t� 9-r'i �.� Slopes(%) `Z `� Surface Stones Distances from: Open Water Body Z- Sw ft Possible Wet Area�—ft Drinking Water Well Drainage Way ft .Property Line �i 1 D ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&,perc tests,locate wetlands 9n proximity to holes) 7g � , lam► L� t r Z-A 41 -Z �!0 3 t:i'zZg 12 N+ t YZ 9 u ` J J 1. Depth to Bedrock rpm Parent material(geologic) Depth to Groundwater. Standing Water in Hole: Weeping from Pit RACe ,1- Estimated Seasonal High Groundwater '1-[, DETER1WINATION FOR SEASONAL HIGH WATER FABLE j ►o d " Method Used: Depth observed standing in obs.hole: Depth to Sgll mt19so � ; Depth to weeping from side of obs.hole: 1'i�e �� �� �� in, Groundwater Ad usttnent Uwater;t,cvel„{ Index Well# Reading Date: A Index Well level,.�,,.,..m.� �.factor Ac .Ground ''��_l - PERCOLATION TEST Observation 3 Time at 9" Hole# Depth of Pere -�— 1� r Time at 6" Start Pre-soak Time @ 3; ice= Time(9"-G") End Pre-soak. Rate MinJinch Site Suitability Assessment: Site Pass Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:XSEPTIMERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole#( t Depth from Soil Horizon Soil Texture Sdil Color Soil her Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consi tenc % ravel Loos�z US G1 Sa.Hv/L' tt, t0'412 \ (09cla �t�r A Z.y�� .sue L�e�. r:o�srft.tl,5 %-y U M Mrs DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil er Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. CQ-nsi9encZ%Grayel 6 to �/ cU►�a.rS`-t a `►�, \s(a t 7l4 P CT Ar` 104(K �i�ti'. 5,�i-+p ®�"�► DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiste c O 1 LP ro Sao Czqdq (4 -ZZ C, T-- 6ri �� Pr- � �A � a�— z�,'• DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil they Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consi ten � �� � � ✓L. l v L ,� F Z �(og L. a 1(og � G� �0'�� Sr��,1 Z`b�t '�f� / L GG�'tRi( u 1 j Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes t r Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurrine 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? t'U 7 If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environ ental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 310 CUR 15.017. Signature Date o(P -a Q:\SBPTlCVERCFORM.DOC TOWN OF BARNSTABLE LOCATION Sk(. �e SEWAGE # VILi_AGE , �s4Ab]� ASSESSOR'S MAP& LOT.�J�� '(J `1 INSTALLER'S NAME&PHONE NO. J.P, 17j AcCoM&4,C- 4 Scgu-r, Dv,4 t SEPTIC TANK CAPACITY _J n6o c I. �, Q . hod LEACHING FACILITY: (type) (size) NO.OF BEDROOMS c� BUILDER OR OWNER PERMITDATE: COMPLIANCE PATE: /�Z419? 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) IUI Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachi/n,�facility) l /� Feet Furnished by ,,1/I�sJ�f ��nT� &M4, V- /� `� �'_ �, W . o'' � r 3 ,.r TOWN OF BARNSTABLE LOCATION xic' k SEWAGE # -/40 VILLAGE n,-leh)r- ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.J A M4 CC>Yh Th.l.-. .SEPTIC TANK CAPACITY ),00 LEACHING FACILITY:(type) j�'' �I' (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BURR OR OWNER DATE PERMIT ISSUED: DATE COUPLIANCE ISSUED: �✓R `VARIANCE GRANTED: Yes No ,� � � � .; �. � ' - - - � � T w� � �/ \�` � / ��� ��� / � y�Gj \ �'`.�' � � // � �s J 1. � � // � ///� ��� �I� ��r r Y a �� � .J�` ✓ „R © 20.00 ............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR.® OF HEALTH Town OF._._...Barnstable 1 b le p� _ ....................................................... [" , pphration for Uiivuaal Works Tomitratinn ramit Application is hereby made for-a -Permit to Construct ( ) or Repair F) an Individual Sewage Disposal System at: 5 Keveny".Lane Cummaquid ._............................................ ................ .............................................................--.................................. Location-Address or Lot No. Joseph-.Delorev.......................................................... ••••••-----••...................•--....:. .--------•--..._...•-•••..._..----------..........--•- Owner f„ J.P.Ma e omb e r Jr.. Address ................••.. .........._-•----•-......----•--••--•........................................................... Installer Address UType of Building Size Lot----------------------------Sq. feet Dwelling_X—No. of Bedrooms............3........................ p sion Attic ( ) Garbage Grinder ( ) pa Other—Type of Building ............................ No. of persons...._........____._......... Showers ( ) — Cafeteria ( ) fl, Other fixtures . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Lengthy:............. 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. h z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by....................... '� Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ix --------•------•--------------------------•-------•--------......------------......................-•-••-----........---------._....----..................-- Descriptionof Soil........................................................................................................................... x Sand &gravel U •--------------------------------------------------- ----••-----------------------------............................................. -----------------------------------•------------------------._..----•-•----------•-----------•-- -----•-------•----•.......----------------............----•--------------•--•----------•.•---- U Nature of Repairs or Alterations—Answer when applicable___________________________________ ___________________________________________ _______ ...... 0 gallon tank 1-+ gallon leach pit. :� Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issued b tWboarof healt Signed-- .._ a .......... ................. Date-----•-------- ,.. � Application Approved BY---••--------- ��- ___�._a..�t-.-: ,� ' '=� -`-�-'•'-�-------------••--•---••---•-- Date Application Disapproved for the following reasons------------------------------------------------------------------------....................................... .-•-------•----------------------•----------. --------------------------------------------------------...... Permit No......./.�?.� �o �.................... Issued.......................................................Date Date ; FIc$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........:a ...,:.......::...:.....OF.........::.. ...,....................--------••-----••---......--•---•-------------•--•- Appliration tat Dispas al Workii Tonstxnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .:------------------ ...............................•---------....:.._.....------- .......-•- Location-Address or Lot No. e._....u�;Lla-_�E'......................... :..... ........................................ .......................•--•.....-•----•... --••--........---..................•............ e- Jr. ner Address W ij . e.a''II�c oral e r f1 Installer i Address UType of Building Size Lot............................Sq. feet Dwelling!"—No. of Bedrooms............. .............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ._ No. of ersons-__..____-__•___-______. Showers G.I YP g ------------------------- - P ---- ( ) — Cafeteria ( ) Other fixtures -----=----------••.-------------......................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_-___----_______-------- f3� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-_--.-_-__-____----.-_. W --...--•---------------•-----..............--•••-••-----•---.........---------•--•-------••--..........-----------------------•--.............------_.. 0 Description of Soil..........................:.......... W x ---------------------------------------------------•----------------------------------- - --------;.--------------------------------------------------------------- .------ U 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 iITE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issued b th board of healt O. A.1w. 1 P.e.�Signed--- Ala1 � t7 Date Application Approved By................. z- y Date Application Disapproved for the following reasons:........................................ --------------------------------------------------•---------•-•---. ......................=..................................................................................----------------------------------------------------------------------------------------------- Datc sPermit No.......� ...................... Issued................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......`.I'.„I.j`.....................OF..... arnF�..ta'u1 ................................................ Trrtifirab of TontpliFam THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X,' ) by .. .J�P�i'�.aoor l;er Jr .................•-•-•--...........!....................................... ------••-------------.......---•--............................-----•---•-------........---...........-- '' r C Installer at..................... ................................................--...---•--................................................................................................................... . has been installed in accordance with the provisions of T_ITI 5 j of The State Sanitary Code as described in the application for-Disposal Works Construction Permit No........ �V....._�j_.. . dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL N& BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... . . .......--'---,_._._._....,...._.. .---•-- -•---..,.... Inspecto : THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r I�� �' OF.........:`anrl''k Loz`de, No. �. c� FEE........................ ioposI orkEnotr ion andt Permission is hereb rant :1 _. /l GC.:_.... Yg to Constr ( ) or Repair ( a Indiv' al Se Kra a Dispo System atNo.- .�GCft .... .....:. L� Y ..................•----•--......--•-------------------------------...---•-•---...... Street as shown on the application for Disposal Works Construction Permit No._C-' Z,t� Dated.......................................... ................................ ....---••--•---•-------•-•--•. •-------- - Boa r ealth DATE................................................................................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS � t IIIII I I III I I III'' Illil IiIIIII'I I 'II Iil.'I IIIIII 111i Ili I II � 1 I !I!I � � ' I III III' ' I !III IIIII II jll I,II Ijl i, , I I ', � IIII IIII ! I IIII I,I,II 'EB III .j I,!! I' ilk-- Ilj _ �II I I�! 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II III ' � I� i !IIi'Ili.11� III! I 'IIII (' '!III I IIIII II. IIIIIII IIIIII Illlli'I i I ,'ll :I I '!I I I I III IIjj�II !;I;IIII, I �'!iIIlljiill�I Ili illlli) illilll'llljil�lljl . ;�-✓ � I 'lllllii' III ;III' I li Illi it ('!'!IIIIII I I I I ('IIIIII` ! )ill I IIIIII I ill IIIIII, I k III II � I , I ;llllll , !IIIIII, Il Ili I'lili I I. li! ! I :. Ililli'll II II•lill 'iil � ry (';III ijlllil (' I ;;IiIIIIiII;I III IIIIII III;IIII �f\ Q PROJECT 508-362-9334 PHOMJE. 5,08-362-5456 FAX. I ` � z - 'IIII ril I I, � I Ilr III I I I'lll! IiI' I it lil Iilllll�,lli ,I ,I j e I. II'ill ill I ' I I'I jll Ili jll'I ( F. it IIIII Ij! II 11 I' I I I l�i.'Ij;l ' Iri I lI I Illijii! II I l'I'ii� lilll'i IIII ill iil Ii t-II III' ,I i, ;t ,I.! Ililll IIi •Ijl I;Ii III � 'it li'lill i I !I 'lll!I .i I I I IIIII II `!! l,ll III il�llil�'i!j! 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I; i I II III I II i � II' iI ;ii j I �' il� i I I jII I!II � ii �Illil I.I III I jIl I :I I II; i il �jllll�li � ii i I I, i � II III ' j � I 'I Iili ICI Ili � IIIII �Ilj ''II`� I I�I �% I I'iIIIIIIiII ill IIII ! Ili II 111 l IIIII ii IIIII I I I li Ili i i !� I Ili LEI �I IIIII ��II'il III ��IIII I I ; I ;I'�, I �I j fl I: I II!1! � II �I ;I�Ijj I I I I it ( lily IIIII I II ij 'jl IIII` I II' ;II I �Z� m IIII '; :I IIIII !� III III I I 'Ijl ��il ��I I Ili IIII IIIII - � � _ _ llll��l� Ilillll I j li' I I' ® - �+ I I ill Illj III Milli II III Iljl �,ll'I . Illl �Illi I I I'll IIII'lli'I I IIII 'I l l l ljl 'Ilii ii III liI Il;lll ll ; III ,I I II III I I I III' II II. II I I;I I� IIIII L IIIII ll IiH, IIIII iII Illll IIII ! !!i !' � i! iilll! A I I i PROJECT ?. rI to RIORDA,N RESIDENCE v)� 00., NID ESSWN ANDO' CON'STRUCTION zz MA 02630 11 > 56 KEVENEY LANE 5ARNSTABLE, MA � �. I s ELEVATIONS PHCt iN .- 508-,-36 2®5S",4 5 6 FA': 508 36I2-9334 AT'ii°T AR3T Aril ARSt 8 AR31 6 • '� GXINIS QCW16 CXN116 GXNdIs CJ4wTE5 STEPRr � aiy rr SUN r . ----- AR31 ET6 ARit cuww o n FT f 1 UU C IB i o a \ 1 Q oJ� � in TTN22 T- C C, KI TC44EN O a _ GREAT eA 3 i F01 1_L_I_1 7'-4" V _ _^,.,-�� C o 4 CA ACE T6,2442 J n -544 C_Y FIRE RATED 4° GQi1CRETE 13 RATED GARAGE AND UVING Pm. BETWEEN 6 MIL VIAP?R RRIER i. I AREAS --- OMIAi ' I ... PAh! ! r T --- — PI 2 I D017R5 t 7 = m3 .• _. ;, .,. I ----- =4,AALK IN FOLDING - - MASTER CLOSET--r ----- ------ sc�orcs w&D m 22 LA[ \` --- 1 L—_` �.G i I i�i� �x 2 2-4 1 LU TK2652 OPEN TO STU DY n - — j �®- C � � � - uj --- MASTER 1 � T� ABOVE 7'x9° � Doerr �'x9 a T � � — � Z � . m �EDRC7UM i i �eq qp� CL 8' T ®_ uj B ---�_.- — — 1JF I � � Z TH2E�2 2� c �g C, _ 4 SFAT r xs sl TIN26*a2 oTh52 6 T '1AGTW2652• 61� 41-0° A4 G FE ST FL-00R, PLA1�1 D�sl�ly av:RVGOTV DRAWTJ BY: KIN SCALE: 114' i'-0' I DATE: 7/5/07 r N I Ijl i A 'i IIIIII IIIII � - ; Ilill � II II I I. II I i I II Ili ,III : fin j I I I I l l l l I - I J i L hhmtt i I i i IIII I IIII IIII lil ^ j it III 11 jllilij 1 v li' N I � I� ' •' I I I I I ! III ' e� III li I ro I I i i I I i i � I I I I I I l 1 I I I I IIII III I I I I I Ir III ! I ! I III IIII IIII IIII , � - j � II I'_11 il.11 II ,. _III I t I I 1 I I I I i 1N I j 10 III ! ;I IIIIII ' I 171117 Mlu! 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I ,III , IIIIIIIIII I,! 11 I II I Il I I I II j III ' jl I ( I!j; I' I IIII I II ill III Ilil I Ili ' _ iI IIII Il 11 I I'IIi � ijl Dili il;i I I I I p i - 1 -- I i = - t� l fSID (C N I I N RIORDAN RESIDENCE RI o PLAN PHONE. 50I 67 I 9334 : * i L , L� _I _-- _ _ _ _ ---{— — L ------ -- -- — — - ----- — — I I� � l A l I 77 �i 1/`�" 14j910 q if2' I-Jt51STO el io IF I o-2 -s " 9 I2 I _ UlqTs i k N I \ �v ivo.e. q 1/2' 1-jol ENO\\ i m a I I -- --- 6 ,� I I I 'I L �-1 r J .\ I ; !b — - — ———— —-' I II ------- ---- ----- w I • I o I I 77 iE2" i;Xi6T5 I I I I I i6"o.e.Ll i� I ' I 1 — -- — ——— -- j iw I YJ � I - I i I� jl m ! I • � I � j L— - =— ------ — — �I I I II ——— —J�g — Lis—_------ ——— . ---- -- -- --k=# 24-01 AND CC�NSTRUCTIQPN RIORDAN RESIDENCE 56 KEVENEY LANE BARNS A51-E, MABKOX T' � BAK 2 630 n PLAN } I' qq.. ,6 IP yyyy 508-362-9334 X i pD r � i v-o i I b'-A ill" FL I ;• I T-b 1/2" , � I 7'-W b'—A 1/2' - UUU111 � 0 ® 12° • I . , I I ' W4 1/2' 12, r i gg igaS�tn N 70 RIORDAN RE51DENCE Yl i v ANTI D CONSTRUCTION 7- 2 56 KEVENEY LANE BARNSTABLE, MA BOX ��� � R ���� ��.�[.�, ���l��Q c m 6 x, _< A g: L - O In o 12 �p j I i i w i = 1 I I I j i i I • I i I I . A zc i I ppY i j @ io I I i I I� A . RIORDAN RESIDENCE `���T AND, �" �� �: ,�� 'Ii ,.� z ` 56 K VENEY 1 ACNE 5ARNSTAB E f A 6 SECTION PER OWE. .Y 8 ���-5-try' FAM 50 362=93el4 n r N W �, r n .1� m � A e � 4 � O ro s a ? r -'� 49 p3� (a) II W LVL's w (Nj (a) II 71W LVL's _ ---= __--_ - tin ►rn ^� ®�± axI 'a 10 ® 242's v r v 14, la•la 64a t _ (a) It 7/0° LVL's - — - —— {y r)7>— M 12•12 Lo 1202 CP II 7 /,R'IQG11 N' A!, N :a I. rl�t ilr N I zz 56 KEVENEY LANE BARNSTA L� MA X 9 30 A 70 .. a I, - T 0.F. EL. 42.0' � � 1L C) 1L � +V 7 , a'S Finish Grade El. 38't Finish Grade El 37t 6" 6» 1 6" 12 83' -�{ 1/8" to 1/2" Washed Stone 3" Thick INV. EL 20'Dia. RISER 20 Dia. f ! / Finish Grade El. 37t 34.40" RISER 34" CJQ o P p,'. 24" !i!I'llllll 11 lllllll l llllllllllllll 11 i11111111111I 6„ llil lllllll l lllllll Illllll lllllllllll ill 1 �4``� 48' 4a" 58" I+- 8.5' --H R1SER 34' �� w Min. s" INV EL moo �aa 2F` 10" Min. 14" Min. INV EL Sump a°a" El. 31.17' Q INV EL INV EL , 33.54 Number of Trenches - 1 INV EL d= d _= o g 34.09' Below Flow Line/�- 33.84' 33. 74 's" stone, :: Number of Chambers - 3 d 3/4" - 1 1/z" Washed Stone 33.17, �48,. 48' Liquid Level 48" 4 HOLE DISTRIBUTION BOX PROPOSED LEACH TRENCH - END VIEW N. T.S. 33.5' r �� P� << Install Three 500 Gallon Units �P HALLETS `p�F with Four Feet of Stone at Sides and Ends. o Go��` '° MILL POND 1500 GALLON SEPTIC TANK H10 LOADING PROPOSED LEACH TRENCH o LOCUS ROUTE 6A M Perched GW © El 26.0' L0CU,_ ' .TIP Bo t torn of Deep Observation Hole El. 17 5' 1500 GALLON REINFORCED CONCRETE SEPTIC TANK Minimum Construction Materials Per 310CMR 15.226(e) Tees shall be constructed of Schedule 40 PVC and shall extend a - -35 -- EXISTING CONTOUR minimum of 6" above the flow line of the septic tank and be on '1'1'--- E;ISTING WATER LINE the centerline of the septic tank located directly under the EFISTING FENCE clean-out manhole. The inlet pipe elevation shall be no less than 2" nor more than 3" ExlR0PO ED CO POLE above the invert elevation of the outlet pipe. 4o PRt1PosED CONTOUR Septic tank shall be installed level and true to grade on a level, l stable base that has been mechanically compacted and on which / 6" of crushed stone has been placed to ensure stability and / to prevent settling. / Septic tank shall have a minimum cover of 9" / Two 20" manholes with readily removable impermeable covers of durable material shall be provided with access ports. / BM: TOP CB fND The outlet tee shall be equipped with a gas baffle. / ELEV. 34.67 / 34 DATUM: GIST j Note: ASSESSORS MAP 351 PARCEL 26 / PROPOSED Remove all unsuitable material 5' around SAS #56 IMENEY LANE, BARNSTABLE RELOCATE 1500 GAL �i�/� 32' GAS SING TANK down to the "C2' layer and replace With clean ZONING DISTRICT RF 1 PROPOSED R 36 granular sand per 310 CMR 15.255 OVERLAY DISTRICT. AP SAS CHAMBE / G G TRENCH� BUILDING SETBACKS. 36 - _, J( FRONT - 30' // \ ss TP1 SIDE & REAR - 15' PROPOSED �� G 2 DWELLING 3� �'4 LOT COVER BY STRUCTURES: DISTRIBUTION BOX ° i �'��� h (T.0.F. 42.0 ) EXISTING COVER - 119' 36 PROPOSED LOP CO M 197. PRECAST REINFORCED CONCRETE / � ���' � �� �,'�' � ° Install on a level base / �•" �`� i �,P 20 Minimum wall thickness G DB O 38 -- 34 DEED REFERENCE., 10184-32 Minimum inside dimension 12" / f o �o., 40 \ _ �,� 'z` o l 32 FEMA DATA: ZONE .,I Outlet .inverts shall be equal to each other and at ' ��/ 8� �h / 30 j I 2" minimum below inlet invert FIRM PANEL 2.5001 001 D The distribution lines from ,the distribution box shall all have � a � �/ W �? ' ?�o�s � MAP REVISED., fliLY 2r 1992 equal inverts as determined by flooding the, distribution box to the height of the distribution line invert after all lines have / b°� � 40 been sealed in place. / 38 W No Invert adjustments shall be made by filling with durable and nondeformable material permanently fastened to the line or eP � \ reconstructing the lines until all inverts are of equal elevation. \\� � °� 32 86' e / \ PROPOSED - / 32 / \\ \ DRIVEWAY Design Da ta: Four Bedrooms = 4 X 110 gpd = 440 gpd Required Flow STti �\\ \ PROPOSED PATIO ABANDON G`A EXISTING No Garbage Disposal Allowed q�F \ o� SEPTIC SYSTEM 130' / Use: Chamber Trench 33.5'L x L2.83'W x 2' Eff/Depth oo �\ \\ 36 16 .83 x 2 0 = 185 sf �i [33.5 f 33.5 f 12.83 f 12 J 33.5' x 12.83 = 429 sf _-- 614 x 0. 74 = 454 GPD Total Design Flow ° c�F / GRAPHIC SCALE 4 20 0 10 20 40 80 1 36 6C \ / �O GENERAL CONSTRUCTION NOTES \ \ IN FEET ) I. All the workmanship and materials shall conform to D.E. 36 P Title 5 and the Town of Barnstable rules and regulations for the subsurface \ i inch 20 ft. disposal of sewage. ?.29? \ LOT 2 ,2. At least one access port over tank tees shall be accessible Fti�� s 31,279±SF within 6" of finish grade, with any remaining access ports \ P# 11747 brought to within 6" of finish grade. \ SITE AND SEPTIC PLAN OF LAND Health Agent: D. Miorandi 3. All components of the sanitary system shall be capable of Prepared For Test Date: 06-05-07 withstanding H-10 loading unless they are under or within 10 ft l Soil Evaluator- S. Doyle of drives or parking: H-20 loading shall be used under or within \ / . 6 .KE►V.EIV-EY LA1V-E High Ground Water <Elev. 175' (Observed) 10 ft of drives or parking unless noted. Plastic equals may be used in lieu of all precast units. \36 �A�,{%of, In 4. The excavator/contractor shall call dig safe and verify the location o�� � TH #1 EL. 37.5' TH #2 EL. 37.5 TH #3 EL. 36.5' TH #4 EL. 36.5' of all site utilities prior to any excavation, and shall be responsible for CKISTINE y� Barnstable, Massa eh use t is PERC <5 MIN/INCH PERC <5 MIN/INCH all matters relating to electric easements. o FAIII. � 0„ o„ PERC <5 MIN/INCH PERC <5 MIN/INCH 11 5. Sewer pipes shall be 4" Schedule 40 PVC laid a t a min. 0.02 slope. \ / " No. 92s y pp p a Scale.• 1" = 20' Date: April 11, 2007 A A - ° 0 6. Any masonry units used to bring covers to grade shall be FGIST R`� SL 10YR 3/2 SL 10YR 3/2 A SL 10YR 3/2 A SL 10YR 3/2 mortared In place. SAHITAR1pN Prepared By.- 8" 8,. 8" 8" 7Finish grade shall have a minimum slope of 0.02 ft per foot. Stephen J. Doyle and Associates 42 Canterbury Lane, E. _Falmouth, MA 02536 B LS 10YR 6/6 B LS 10YR 6/6 LS 10YR 6/6 Telephone.-B LS 10YR 6/6 6 The excavator/contractor shall be responsible to check all grades hone: 508 540-2534 B and elevations and to contact Doyle Associates of any discepancies, 72 72" 72" 72" prior to construction. G"l�` .FR� v� 1 o 3'Z SI o c Xqc- COMP. COMP. C1 C1 C1 SAND C1 SAND EL. 26.0'-- PERCHED GW EL 26.0'-- PERCHED GW 9 The excavator/contractor shall be responsible to contact ►►��e�a4� Doyle Associates 24 hours prior to an required inspections. N o�rruss�c��♦ W/GLEY W/GLEY AT 126" AT 126" y p y q p y 10YR 5/6 10YR 5/6 • o Q �.� COMP. COMP. ♦ �"��,�5• RFC �� SAND 10YR 5/6 SAND 10YR 5/6 EL. 24.5' 156" EL. 24.5' 156" W/GLEY W/GLEY SSEpHEN - ► uoLE C2 MED. TO C2 MED. TO . EL. 22.5' 168" EL. 22.5' 168" a " ► FINE FINE C2 , of Q 2.5Y 7 4 2.5Y 7 4 • � �37.a� Q � SAND / SAND / MED. TO 2.5Y 7/4 MED. TO 2.5Y 7/4 ,�y a� 216" 216" FINE FINE NO WATER ENCOUNTERED NO WATER ENCOUNTERED SAND 228" SAND 228" �► q SUF� <a EL. 19.5' EL. 19.5' EL. 17.5' EL. 17.5' ► 1 06-09-07 complete sas design i� _o� NO. DATE DESCRIPTION