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2641 MAIN ST./RTE 6A(BARN.) - Health
2641 , ain Street �. 6arnstable -< _ .�. = 258; 044. E f �l a v b or E „ w , _ 4 � v 1 " k • k - R _ to TOWN OF BARNSTABLE LOLTION SEWAGE# �0r i VILLAGE �/�QP�S��.���e ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. � SEPTIC TANK CAPACITY aaz LEACHING FACILITY.(type) ,?-4%mar a,,,,,e fi(size) ree NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: ZS 7®/2 COMPLIANCE DATE: 30 6 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 t f within 300 feet of leachin facility) / �d '�` Feet Furnished by � �" = KI� �y 1� =0. �tV\ 1 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppliLatlon for Disposal *pstem ConstCUttlon Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ?/Yf �9�t`� �-7 Ow is Name,Address and Tel.No. /j�irv.�s S�2 ,mac'IC 1S'ip Assessor's Map/Parcel a� n,��f �q CJ—_ CF - w Installer's Name,Address,and Tel.No. Deser's Name,Address,and Tel.No. Tfpe of Building: Dwelling No.of Bedrooms rZ Lot Size �'�/.7 a sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �Z p gpd Design flow provided 9 y gpd Plan Date �a%T�j/ Number of sheets l Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) lfy,/j 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 Health. Signed Date -✓�9�,/� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued --- ----__.----------__--_-------_, —_---,---- ----®.--------------------------------- ��.1. No. J/( Fee �la {" THE d".OMMONWEALTH OF MASSACHUSETTS Entered in computer: r PUBLIC HEALTH DIVISION - TOWN OF B'ARNSTABLE, MASSACHUSETTS 's - 2iprication for -Misposar 6pisffem Construction Permit Application for a Permit to Construct( ) Repair(P'I'Upgrade(") Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. -��y/� "�" S T Owr�er's/_Name,Address and Tel.No;� �Q'r ��wr�p�tl Sle / o X `S'o�✓s Assessor's Map/Parcel �� �oy`� � `f-- �f- Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 3f-o/r'rv/os sT t .c7o.. tc%' ors ,Sd�7J'.S-?cA?'' ffoi� or a .f• o - T�pe of Building: Dwelling No.of Bedrooms Z Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required)/ 1.?O gpd Design flow provided 9 gpd Plan Date Number of sheets / Revision Date Title �y Size of Septic Tank Type of S.A.S. e Description of Soil Nature of Repairs or Alterations(Answer when applicable) __g jj ,// 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 Health. Signed a Date —3I? Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued 1--------------------------------------------------------------------------------------------------------------------------------------- `T F j . THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS d-� Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(v ) Upgraded( ) Abandoned( )by at ,7�y/ �t4i� sT. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. v+� -Jd'ated 1 /b Installer Z� Designer #bedrooms Approved desi how o?� gpd The issuance o this p rmit shall not be construed as a guarantee that the system wil furl t\ion as desig,ed. Date L13u 16 InspectorIV ------------ -------------------------------------------------------------------------------------------------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- B\STABLE/MASSACHUSETTS /� Disposal/ p P � Btetl� �ot�IBtrUCtlotl Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at �6 y>'� �'/ h 9� r � and as descr •eedin the above Application for Di osal System Construction Permit. The applicant recognized his/her duty to comply with Title 5/and the following local,irovisions or special onditions/ Provided:Construction must be completed within three years of the date of this permit. Date Approved by No. Fee THE COMMONW LTH OF MASSACHUSETTS PUBLIC HEALTH DIVISI -B RNSTABLE, SSACHUSETTS !iS posal pBtem BCD BtrUCt10 Permit Permission is hereb/y ;.to onstr ( ) Repair(el� Up de( Abandon( ) Sy em located atC' and as d c d in the above Ap ication for Di osal System Const ction Permit. The app'cant recognized h' /her duty to comp with Title and the fol local rovisions or special nditions. Pro 'ded:Construction must be completed within three years of the date of this permit. Date Approved by 0 ;at Of Barnstable,, a 84H MAELE, n Pubic Hesitch DiAsio� s6�g. ,� <Ao Thomas-McKean,ea n, ector 200 maim sa+eat,Hyaagim,MA 026,4-1 Offace,. 508-962-4644 Fax 5r13-?40-6304 Date; 7 Sewage peymig ze l&- 23,e'Asgessex9 l �tpQPareel oZj )iDes` �a U cJ,ti 2 liras a ce>;•: 1 v f aid .1 A.�dr�ems; �3y Mc_.rV._ � �d�ressa. J-0 �., f7a ���Ys^ua�ufll�O 2 CT ? ® .g�� was issued a peimit to install a (date)(?nstaller). septic system.at ` �k.r Based o>a a design drawn by (address) . 16-—Y \ L I certify that the septic system.;ieferenced above eras installed substantially according to the design;which may include minor approved ctanges such as lateral relocatioaa of the fistibution box and/or septic tank. I cexEi y that the septic system zefetenrcd above-was installed:with major changes (Le, gleata than 10' la!emal relocation of-ffie.SAS of aiay verdGal relocation of an componen'c of the septic systens)but in accordance wk t Stato &Local Reg tlations. plan.revision.or cer fled as-Built by desigum to follova'. �A OF Mgss4py a DANIELA.. (lnstaller'9 Szgnatu e) 4V N A No.46502 •p .'P o � FM;T. �SSIONAL ECG (Designer's Signature) .(Af Ex Desigaer's Stamp Help-) 1tL A5E Tt7ldN T . 1 TRTABLE oT>LLI HAIg Dp/ 1Q TI OA7'F OF C �o'1l(��1rLm a, qp-��-�y�-),LyI�TOryYrl wp—.y� rom rlry�l�i3r'�si-x1b �.r'epdYp9q�Tl�ayry'YTY•�HS l+OR1Vd A1�f'rfp��T�'BST CARD Ali . f[N��./Y'JL l b+J��+Y��.�=-^-'J!�lE4Ll.� { ++ +.� •r'V•••••1T-J.1Jl�JL Y.ISJJL�.P . �-NV..FCI• f No. (� Fee l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: IF PUBLIC HEALTH DIVISION -TOWN OF 6ARNSTABLE, MASSACHUSETTS Yes 01pplicatlon for Misposal *pstem Construction permit Application for a Permit to Construct( ) Repair(V) Upgrade( ) Abandon( ) ❑Complete System ❑Individual omponents Location Address or Lot No. a(eA// M.41 N sT OA4,?f> Ow er's I�a�j}e,uA�dress/an Tel.No. �^D Ea ui,,)a ,�/ �T G�/Id v Assessor's Map/Parcel .9 g p0/Z xe °V �✓Q / ,�Jip�/Y�J/4 f0, Installer's Name,Address,and Tel.No. . 'dg' '7T' �// Designer's Name,Address and Tel.No.J /V ;V ,rCRv� YYY r / C YYY eee / VV Type of Building: dG y (} Dwelling No.of Bedrooms ��� Lot Size sq., : Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 2 2-0 gpd Design flow provided c21 gpd Plan Date C-4 , I 1 ,aA Number of sheets Revision DatejSW. 1(4 Title Size of Septic Tank tS Q Q Type of S.A JF'C_k CA Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the const ction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the E ironmental Code and not to place the system-iri operation until a Certificate of Compliance has been issued by this and of H alth. Si � Date ZA Z, Application Approved by j Date Application Disapproved Date for the following reasons Permit No. 1 Z ,Z3 t'o Date Issued THE COMMONWEALTH OF MASSACHUSETTS - BARNSTABLE, MASSACHUSETTS Certificate of Compliance /( ) S TO CERTIFY,that the On-site Sewage Disposal system Constructed(<) Repaired( ✓j Upgraded( ) Abandoby -S( f t c�if?at GLi'A 94 � has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2-Z'Xo dated 25; Z01`Z_ Installer�J Kso—_,�. 2�•-�� Designer #bedrooms 1 1 Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector a /�T Fee THE COMMONWEALTH OF'MASSACHUSETTSntered in comPUBLIC HEALTH DIVISION - TOW,—OF` ARNSTABLE, MASSACHUSETT01pplitation for Disposal *pstem Construction Permit Application for a Permit to Construct( )" RepairUpgrade( ) Abandon( -j ❑Complete System ❑Individua t Location Address or Lot No. 011e,4/1 97A%M S%DEG 74 Ow er's N e,Address anI1 Tel.No. E�w,,)a h'1s y^ a/per �Y Assessor's Map/Parcel, �p k.Xe f! �✓(J ,� / 9�/Y.�/A JO I Installer's Name,Address,and Tel.No.,Sd9'�71-'7y// Designer's Name,Address and Tel.No. r N i. Arh&��C�r �YCAv0?, rv7'�,oc�nS Do w,v G'i�/'e �?/ fNedah ( in s C r a c c A8G 19 Type of Building: (J' Dwelling No.of Bedrooms '`7ruJo ` Lot Size sq. ;S 11 Garbage Grinder Other Type of Building No.of Persons../ , . Showers( ) Cafeteria( , ) - Other Fixtures 41 Design Flow(min.required). 2 D . gpd Design flow provided o2 gpd Plan Date b C-1 1 1�1 �Number of sheets Revision Date 4P�U 6 P. Title f �^ ,Size of Septic Tank k S 00 Type of S.A T • e- Description of Soil i a 1 G, Nature of Repairs or Alterations(Answer when applicable) t �a Date last inspected: Agreement: Y The undersigned agrees to ensure th/ironmental nd maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of th Code and not to place the system-ifi operation until a Certificate of Compliance has been issued by this oard of Si i r t Date Application Approved;by A Date O Z y Application Disapproved /f Date for the following reasons f Permit No.��i �- Z 3 Date Issued M"3 ZO 1 Z THE COMMONWEALTH OF MASSACHUSETTS i> . BARNSTABLE,LYIASSACHUSETTS Certificate of Compliance TH �,STO CERTIFY,that the On-site Sewage Disposal system Constructed(�) Repaired( ✓f Upgraded( ) �r pp Abandoned( )by S( A z y ` at (6 ( C� , n �'—k has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.ZarLZ87to dated 4/2 y/ ZO I Z- Installer 4, A ru 7_ Designer #bedrooms .Z... Approved design flow r ?�� gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date ! ! ' _ Inspector 's i. i .,{ w f = ------------------ ----------------------—----------------------- --------------- i No. G0I 2-- 2 36 Fee /�C. pJ f THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS i Nsposal 6pstem Construction Permit Permission-is hereby granted to Construct( ) Repair(�j C Upgrade( ) Abandon ,7(o { ) K0—tJ5-,A L. �System located at y� Y�A1� y`? � �_� 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. i Provided:Construction must be completed within three years of the date of this permi Date 25 1 zo IZ Approved by i �_ �. .�� t: Bk 24792 792 ma's 1 IIASSACHUSETTS STATE EACISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS DuLte=` 03 31-2010 & 01:18Qm tali: 1052 Dcev: V3713 Cons: �165 R8t17ID Fee. $564.a� t000,00 Edward M Iany 20 01 with Road BAfiHSTABLE COUNTY EXCISE TAX DEEDS BA.56--.ABLE COUHrt Y �tEhI�,TRf G. LEE�It wsbury,MA Gate: 03-31-2010 -3 01 a18Qm is�s . _ :,2 Docr. 43713 QUITCLAIMDEED Fee: $445.50 Cons $165YOOL0.130 L Vnginia A.Russell of 187 High Head Road,Harpswell,Maine,for consideration paid, and in full consideration of One Hundred Siziy Five Thousand AND 00/100 Dollars ($165,000.00)grant to Edward Migdelany and Maureen Migdelany as Husband and.Wife, Tenants by the Entirely and not as Tenants in Common of 20 Old Faith Road,Sbrewsbmy, Worcester County,Massachusetts,with QUITCLAIM COVENANTS M - N O Q A certain parcel of land with the buildings thereon situated,on Main Street,Barnstable, Barnstable County,Massachusetts,-being bounded and described as follows: .a NORTTEASTERLY:, By Lot B,as shown on a plan of land hereinafter referred to,by I courses,one measuring one hundred thirty-three and 41/100 (133AI)feet,and one measuring one hundred twenty-eight and 00/100(128.00)feed 5 SOUTHEASTERLY: By land now or formerly of Anderson,one hundred forty-five and 00/100(145.00)feet,more or less,as shown on said plan; NSOUTHWESTERLY: By land now or formerly of Mckaig,three hundred seven and 00/100(307.00)feet,more or less,as shown on said plan,and NORTHWESTERLY: By Main Street,as shown on said plan,one hundred fifty and 11/100(150.11)feet,more or less,to-the point of beginning. c The above-described premises being shown as LOT A on a plan of land entitled"Plan of Land in a Barnstable,Mass.Property of Howard M.Porter",Scale 1"=30',dated July 25, 1957,by Ed Kellogg,Civil Engineer,Osterville,MA,which plan is duly mcorded with Barnstable County Registry of Deeds in Plan Book 136,Page 131,and to which plan reference may be had for a more particular description of said LOT A_ Said LOT A containing 38,420 square feet of land,more or less,according to said plan. Said LOT A is conveyed subject to and with the benefit of all rights and restrictions of record, insofar as the same are now in.force and applicable- { ? y n 2002 and recorded in the ;irng the same piemises conveyed to me by Deed dated August 14: . ._ amstable Cotmtc Remstry of Deeds,Book 15493,Page 202 WITNESS our hands and seals this 31"day.of August,2010. A.Rus COMMONWEALTH OF MASSACHUSETTS f3f}.2tJSri¢o� SS. 2010 before me, the undersigned notary Public, personally On this 31st day of August, satisfa�ry evidence of identification,which appeared Virginia A.Russell proved to me through on the eding or attached were 34/g I rl�Driv. Lic. to be the person whose name is sign P� document,and arimowledged to me that she signed it voluntarily for its stated purpose Notary Public . ryes: "°� ��. ' My Commission Expires: K..°,gip Jn1. l . ...4ttit+ll11111/lljllc` BARNSTASLE REGISTRY OF DEEDS DEED RESTRICTION Whereas, Edward Migdelany and Maureen Migdelany of 44 Curry Lane,Osterville, Massachusetts are the owners of 2641 Main Street,Barnstable,Barnstable County, Massachusetts (the "Property") by virtue of a deed recorded herewith in Book 24792,Page 129 and being shown as LOT A on a plan of land entitled"Plan of Land in Barnstable, Mass. Property of Howard M. Porter", Scale 1"=30', dated July 25, 1957;by Ed Kellogg;Civil Engineer, Osterville, MA,which plan is duly recorded with Barnstable County Registry of Deeds in Plan Book 136, Page 131. Whereas Edward Migdelany and Maureen Migdelany as the owner of said Property has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included-in any home built on said Property as a pre-condition to obtaining a a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code,Title V,Minimum Requirements for the'Subsurfance Disposal of Sanitary Sewage; WHEREAS;the Town of:Barnstable Board of:Health, as.a pre-condition to;granting a disposal works construction permit-for.a septic.system incompliance with 310 CMR15.200, State wEnvironmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary H Sewage, and authorizing the issuance of a building permit for the construction of a single family `n home on this property, is requiring that the agreement for,the restriction on the number of z ~ bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document: N NOW, Therefore, Edward Migdelany and Maureen.Migdelany do hereby place the following; restriction on their above-referenced land in accordance with their agreement with the Town of Barnstable Board.of Health which restriction shall run with the land and be binding upon all successors in title: 1. 2641 Main Street,_Barnstable, Barnstable County, Massachusetts may•have constructed upon the Property a house containing no more than two (2)bedrooms. Edward Migdelany and Maureen Migdelany agree that this shall be a permanent deed restriction affecting the property located at 2641 Main Street,_Ba,mstable, Barnstable.County,;Massachusetts and being.shown as LOT:A on a plan of land'entitled"Plan of Land in Barnstable, Mass., Property of Howard M. Porter", Scale 1"=30% dated July 25, 1957, by Ed Kellogg, Civil Engineer, Osterville, MA,which plan is duly recorded with Barnstable County Registry of. Deeds in Plan Book 136, Page 131. n 3 V7_2 Town of Barnstable- 111E)bt Deilartlnont of Regulatory Services Public Health Divisim Date ruruasreUZ, 1 M 0 N1a n Street,.Hyanuis MA 02601 )ate Scllcdu1 ed Tinie Fee Pd.— Soil Suitability-Assessuzent.for S< ag�,- M�spos�al .. Perronncd By: i� � j sy Witnessed By: ��� y ]-OtCATI[ON J A NERAL TINfg OTCvitA7i-IQN, 1Location Address 6 Q�,✓ � OWner's Naitte d,�r1v,- / ' y Address Q [� Assessor's Map/Parcel: ���; :�.,•,, Cnglucer's Name .' Q V✓h- NEW CONSTRUCI'101J REPAIR j 1 Telephone# lY oe j Land Use Slopes(c, Surface Stones Distance's From: Open Water Body It Posstbl, a ft Driuking Water Well ft Drainage Way ft property"`y_ '__. =__ft Other ft I SKETCH, (Street name;dimensions of lot,exact locations of lest holes 8c pert tests,locate wetlands'ln prarinuty to holes) 1- — 13,7 - k °_y Cn - 7 0000 Parent material(geologic) Depth tp Reclroelt. Depth to Groundwater. Standing Water in Hole: Weepllig 0dill Pit f111ce - - "GSii irlO iGII JGa90nal-lYlgh-UI(7 t1I1(T54rl CCf � � - DE,TERIMINiATION FOR ONAL HIGH W,�.71'l�l(�c 7�'.f B L E. Method Uscd:Depth Observed standing in obs.(tole: In, Depth105411alutthn:Depth to weeping;from side ofobs.holeill. CIYouI1rJV utaY Adf uslntent„P _� ��--o _fC. Indcx Well✓# Reading Date: Ind cx Well IeVrI Ad,�,1tlCtoY _'AtJ.( vowidwateY l�Ve.f 4 Observation Hole tl Tinge at 9'1 tV i �1 Depth of Pere Tln'tF at G' State Pre-soak Time @ 1�1 Time(9" Bnd Prc-soak Rate Min./tnch Site Suitability Assessment: Site Passed— Silg''Failed: Additional Testing Needed(Y/N) Original: Public hledlih Division Observation Mote Data`1'o Be,Completed on Back--�--- ***lf percolation test is to be conducted wiLYlin 100' of vveillland, you mu➢slt first uoltify die. Barnstable Conserv;lt➢oll Division at least 011C (1) Weck Prior to begh,111. uu11g. Q:\S EPTIC\PI:RCFORM.DOC h ]D11C]C][�.�] �Ir]f V �'][®ITT�]f®�,' + z Depth from Soil Horizon �'-LOG ]Dole # Surrace(in.) soil Texture `Sail Color (USDA). Soil• Other 'F (Munsell) rT Mottling (structure,Stones'; Boulders` YV/ L Con is ten c o ravel Depth from Soil HorizonrL - EERVATION HOLE, LOG Surrace(in.) Soil Texture Soil Color (USDA) Soil (Mansell) Mottliner g (Structur ,0eIStones, Boulders. C nsis ency, %OrRyeI ` v ------------ DEEPOESERVATIONTIOLE Depth from* Soil Horizon Text �'®�ir S Hole#_�-- ii rPace(in:) Soil Texture $oil Color (USDA) Soil (Munsgll) Mottling (,;tructurOe,tStones,Boulders. Consistene_ (7 ve -- -- D-E' l l" O-P�SJ'CRVAlTIO NT I-IOLEE Depth fi�om Soil.Horizon LOG. � Hole # Surrace(in.) Soil Texture Sell Color Soil (USDA) Other (Munsell) Mottling (Structure,Stones; Boulders, Consistency ��Orate r,Wd I nsm-ance Rate Above 500 year flood boundary No Yes Ivithin 500 year boundary No Yes, Within 100yenr flood boundnry No� Yes DePfb o�l�cuton HY_OCCUrringPgry_ to 1Vfaterlal — ]Does at least four fe©t of natural] ' c y o earring pervious ma,terlal exist in all areas observed thl'ou hout area proposed for the soil absorption system'? the If not, what is the depth of natu p rally occurring rri ns matol aal? �efit11i�9����t90P➢ I certify that on (date)I have passed the soil evaluator examination approved by the ]Department of Environmental.Protection and that the above analysis was performed by me consistent with dlae Aegtlired training, exper ise and experie e described in �10 CA412 15.017. signature �.. - — ------_ Date _ Q,1S,Ls l'TCCTERCr0TZM.DOC '�Iowp ape engineering, inc. SIEVE SOILS ANALYSIS 2641 Main Street,Barnstable MA.xlsx DATE OF REPORT: 10-12-2011 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE:_,;_2641 Main Street, Barnstable, MA LOCATION: 11-1-10 TH1 B Layer 30" depth DCE TH1 SIEVE ANALYSIS Weight Sample(Grams): 225.5 SIZE :WEIGHT RETAINED % RETAINED % PASSED --------------:=----_(_sum)---------- --v----------------0---- -----------=------ 1" 0.0; .0% 100.0% 3/4" 0.0: 0.0%: 100.0% -------------- --....---------------a--------------------- --=--------------- 1/2" 3.5: 1.6%: 98.4% •-------------r.........-------..........v_--------------------r----_-�_______---- #4 0.0: 0.0%: 100.0% #10--------- -----------------------------------------0.3%:---------------- - ------------•--------------------------a---------------------� - ---------- #20 -- ---- 4.7A_ _2_10 �- 97.9% #40 33.0: 14.6%: 85.4% y ----- 3.7 3 ---------I........................_. %:-7---------6 ..... -� #50 --- - 6.3% #80 161.6: 71.7%; " 28.3% --------------• ------ -- --------a --------- ....... #100 181.5: 80.5%: 19.5% #200 219.0: 97.1 W. 2.9% PAN: 225.5: 100.0%: 0.0% ------------- ------------------------------------------------------------------- SAMPLE: NOTE: TEST ON PASSING#4 ONLY, 0% RETAINED ON#4 <45%.O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3 (GRANULAR, SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK , #100 0%-20% OK #200 0%-5% OK SAMPLE MEETS TITLE 5 FILL SPECIFICATION �ZH OF&f, RESULTS: PERMEABLE MATERIAL-CLASS 1 <5 MIN./IN. MATERIAL NONCOMPACTED ��° DANIELA. SOIL DESCRIPTION: M/F SAND,TRACE SILT, 0.74 GPD/SF MATERIAL o 0.1 N CIVIL No,46502 1 �°��10 AL 97 L f= C A I='F = SEWAGE PERMIT . N O. r A � 'I.L LAG E INSTALLER'S NAME & ADDRESS D UlIDE R AR OWNER DATE PERMIT ISSUED A ISSU ED COMPLIANCE O �. DATE C `, i 4 f ;`p I sr 7 s ' �,, �� � !J T i s ., i � �: .� l �� - �� ,' : , . � � . ,��r L �SCAT10F - ✓5 SEWAGE PERMIT NO. `N"I.,tLAGE I N S T A LLER'S NAME & ADDRESS N U I l D E R OR OWNER DA T E P ERMIT I S S U E D s DATE c 0 M P L I A N C E ISSUED i 4 i f ' 3 a - i No...........8 �_l� Fxs...... .... 10.00.. F THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town OF Barnstable `cl �J ----------- --------------------------------------------------------------------- Aliptikaft'114�fur Diipnsat Works C onaruriion Urratit Application is hereby made for a'Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: ,,, 264.1„Main_Street Barnstable MA 02620 ` Locdtion-Address or Mrs. Vir,�inia_R. Arthur 60 Glen Avenue , Nord almouth, MA 02656 --...--•---•----•-•........................... ddr A & B Cesspool Service 128 Bishops Terrace, ffff annis, MA 02601 ................. ........ ......... Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms................____________........._____._Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of persons......._3__...._.......... Showers ( ) — Cafeteria ( ) WOther fixtures ...........................=.......................................................................................................................... W Design Flow........................................... ......................................}.:gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid-::capacity_--_':._-.gallons Length................ Width................ Diameter__-_____.___---- Depth................ * Disposal Trench—No..................... Width................_... Total Length.....................Total,leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Totai leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' .............................................................. -__:-------------- •-•--•--•••------••--------------------------------- •----------- •..... _..... 0 Description of Soil--_--Sand---------•--•--•----•-------•------•-•---••-----•------•••------------------------------------------•-------••--------•••••......-••••--...•••_•----- x W ---•--•----------------------------------------------------------•-----------•--•-------....•--•--•---••----•-•-------------------•-•---------••---•--------•--------•-----•-•-•----••-•-•--------•--•-- U Nature of Repairs or Alterations—Answer when applicable_Ans.talletio]Cl__9f--4_1. 00__gallon•-septic••tank, .._.and... __flowdi£uss=,...st.one..packed.____________________________ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I TL U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance h e i ed by the board o a V- e --. ............ .............-----••. �1 6183 f D e/ Application Approved By C/••••• -G....... .v-------------•------------•------....._....................... .............. 83 Date Application Disapproved f o h ollowing reasons:-----••--------•------------•-•-----•---------------------------------------•------------------------------•---- ---------------- •------------------------------------------------------- _----------------- --------------------------------------- Date Permit NO3.................................................... Issued-.................. /..6�83............. Date No. FEs..... .......1.0• oo _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tcwn oF............Parnstable Appliration for Disposal Works Tomouatrtion .eranit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: ....2641 Vlain Street. Barnstable.:...MA....0263, ......... ... ...........................: Location Address - rxs. Vir in3a.R.-.Arthur 60 Glen Avenua , lv or %lmouth, MA .02,56 ----•------•-•••--......-•-•-........... A &.B- Cesspool__Aervice 128 Bishops Terrace;drffyannis, ffA 02601 •---------------------------•-------•---- Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...................._............._...._....Expansion3 - ( )Showers gCafeteria ( )Grinder e of Building No. of persons.................. a Type g - Attic (Gajb e Other—T I, dOther fixtures ------------------------•-----------------------•-----.--------------------------------............................................................. Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rxq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ---•---------------------------------------------•-•---•-------••--•----------....-•--------............--••--•---•---------------...--••••---••--•••--.••--- ODescription of Soil........Slnd...................................................................................................................................................... W V ......-•------••--•-----•--•------•--••••------------------------------------------••----.....--•--------------•-•-•------------------------••---------••••••---------•--•----------••-----•---••--..--•- W --------------------------------------------------------------------------------------------------------------------•------•--•----•---------•••-•----------•---•-•-----••••--•--••----•------••--•---- M. Nature of Repairs or Alterations—Answer when applicable__ Xlstltion__of-•_a-.1,-000__gallon septic tank, ansl--a,.flsrcadi usr!} ,._. ....packed)L---------------------•-----------•--•-•---------•••--•-----.---••-•••----•---------•---------•--....--•-••-•..--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL I, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has-een idbied by the board of,I al 'f ed r r --« .. 4 6 83 ......... Application Approved BY fir` --...--•-------- --------------••---------.--------------••- ••--•-•--•-•..4/ /`3 Date Application Disapproved f or/the (01,1owing reasons:............................................. .............. -•-------------------•-------------------•------------------...------------•-----•-------.....------...------------------------------•-----•--••--- .................................................... Permit No 4 6 8 Issued.............•-----.................................._ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ..........................................OF.................................................................................... ToWrtifratr of Tontphanrr T S ST�S�g& 5pTtj6n* u6Se & ° cgC eyyg; W l t � , tru6 4 ;�. ) or Repaired (X) 1 by-- -•.....................................•--------•-----------•---.----- ----•-------•---------------•----------------•--..-....--.--........-..-------------------------------•-•--•---- 2641 Main St. , Barnstable, MA 02630 -jnsrjTginia Arthur at...................................................................................................................................................................................................... has been installed in accordance with the provisions of TITLE r The State Sanitary Code as described in the application for Disposal Works Construction Permit No._�3�.... ................. dated-__�'�..� P -...._......_..._._.__..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTVEDAS A GUARANTEE THAT THE SYSTEM WILL FUPICTIQ3 SATISFACTORY. DATE. •...... ....... ..... ............. Inspector.. .............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 83_ ............Town rarn stab le No......................... FEE........................ Disposal Work.5 ToRaotratrtion rrntit A & B Cesspool ervice Permissionis hereby granted............................................................................................................................... to �FNtaln �t°:,� �taf�1an,I vid��vca .V4pjT&SX4Mr at •-•---•-•---••-•---------••--------•---••------------------.-----------------••••..g-----.........• -•-lNo�?_ - --------- •-••----------•-----------•--.............-••••--• Str -4/ 6/83 as shown on the application for Disposal Works Construction Permi ....... D d....._..----.__................,._........ ---------------••----- ------. ------•-----••-------•-•-----•-•---••...---- 4 8 oard of Health DATE ---3....•----------•---------------•--•---...•••--- r FORM 1255 A. M. SULKIN, INC., BOSTON ^; E`E—T �?-E Q_ OFFICIAL I-SPECaIO1 FOR_-NI-NOT FOR VOLUNTARY ASSESSAIENTS SUBSURFACE ACE SE iV_AGE DISPOS_-�,L SYSTEM EORAT i a'3 R� T CERT IFTC. TIC' rnrerr-�-_-`��idrt�cs: /0 t( /g—) -O ONs ner's Address: A C- 1 �G'„y� f) C3G fn '�a h/ i7 t�Ot / Date of inspection: / ` /Gt r� Name O_4 LIISDeCtQr- tease p-1RZ} E --•� >;�,�- Company Name: O NIailincr_address: �� /a�� i G-) CD Telephone Number/�'"v� ' 2 S— y %} > rn CERTIFTCATION STATEtit£-NT 1 C-2-1 a 1_lave;per_ona 1v�crz i ?ce vaGe c e 0�2 S iC"a=t`j anc e=S a=c- s?- n b_ ovv is irae _'_cu-ar. and cornplere as or;_,i�_.a cfr-te sC�. _e '«� V_ -__ _� ---- iL and eYr e-nencf ill`tt e rOna- �,c n 0 E a1C - approved s 'sjen, inspector Pursuant to Section 15.340 of Title 5(31�, C1rp C _=on,a_ _2 SSeS &0 �oCa, i aim . Inspector's Signature: 6,1xv - Bate: ' �d 0 DES vv,rhi . V 3 v � Or e- chisCyn,:=a s c L c _ - `o-.fs and Colts—er:cz ..,..This (-opni't nni;' :n--;fir _, ;^in• - : :• _° Ci_C' tir -s ti. rlorrr r it e£ C,indit;onc of r7se. I J1rr •J V_ _a_e r - O Or F ZCI_�.I.. 1- SP CTIO'ti FOR!—NOT OT FOB�"OZ�NI�_�R�" _�SSE C� RCj R C E � 9. �Ta�20q-i vy"9TE1�_r i:C I i^ram �=C? - -1 RT CFxTIFtCATION ..'=,- O ner: O t (nsj�i Date of Inspection: Inspection Summary Check A.B.C.D or E;`AL t`AYC complete all of Sec'ios D A. S�-stey� Passes: (-/ 1_ a _OL 2 -01i._at 0Il^_tiC iIIi_iCa-=_ Z _.,._O'Z Or in:i U .r.`' RAny---M _ _�:e,a:nt,,- '•- -a%' ,._ '_ -- — --- _�. ic_�a, u d}Ca Comments: B. Svs-tem Cor_ditionai:ti Passes: �.��-1 G C.�..iji iv gin1L,L_ : .�.�i..- o� -'1T �.'` pa . a a� _�'. Zr=ke-ve - no or riot de.e--:neu<<i N \\D)_ ,.e ',. — e.Kpiain. r^ ' z The Lei^iC-ar�'i i5:%c^t2l a-.�0�'er�n-ve5 Oita or--.e SLi)~C t? i _e�`'er 7uS0:LC_ e,&_ __s =ub=- n a!irL i'_`a'0u Or exffi_`.a Cr t a jS - 'iar:Il2' ar.2C'!s re `aced =T'_? _COi'i'i^1?ii1'?se aC -D _ - _ __ _ uC yK_ ct,_LO�'.C� �1L Ca.'iGi .__eta? se-__. :ar �... ass i-_spec io_�:�_.is sl_c��-z" co„�� ;te,' a if -- - = diCaiirc Lya:t- tank is 1'�s _ aL ' _ —r ---�- ie L�;e2-s-sold is a�•aisa le. Y7 ex-,lay-,: -- ebsr-nucted.,,`el,s; 4 a v r �e Q a:.mKer o_,-e,;eE cs 03:L. s .=n - - - - - ro ai of Board. pi - - broken v'pef C)a^P- _ e b D isLjO ._ 0' _4 f OFFICLA-L INSPE CTION FOR-NI- NOT FOR V0 NT- � � 5.E:camUF S BSLRFAC F '�_FXV.G.EDISP�2Otg S STF1iiZSF1 L t{}� f-�?It3i • - 1.- R Brooert< _address: Cl2(I 7l �irn f- /SG O«-ner: )qk,IS-e Date of Inspection: C. Further Evaluation is 2equir d by the Board of health: is a- Coi_Zaiu Sa ry CS e ^� S0 i. S_-st-em ii ili pass uniesS Board of Health determines in accordance ,v:th-1 t� r'� c 3,r,IR; _ 3;:_' bb - -- s=.stem is not functionin_in a nner ina ;iic, �'ili pre`ec: znlie health. - CesSPC-0 0 T"1 0 het 0-a_w__c..?i-at2S cessD00' " _ 0 8vstem«i11 faii unless the Board of health and Pubhc�A r S* r l ate. sppher. _, an—, d t r mir_es tr,ac 'he system is funciion;nz n a-m,2P Ier that protects the i?u3iic wealth, saEery and'enmv rcmment: -Le _- -`Z"r as a sep-L c to_K and so' aCsc^ CL s C e -- S - -_-- = sZurface , ..at . s:�' i�%os C 2:_" C a' -c, ,2 - '�= - - _ -' - --.-- - sue^ c' l- I ne s; ;`I?has a Sz tank and SAS anG _-_.. CAC i w _' __ t of a` nP SVs_ __ ^a5 a 52p 0:= K aIld SAS a:, iC` 'e SAS is',__ _Ilan 'C, _ a __- •.{' ____ _ - 18t. «ties s i '1; :,'el' �i�thOdLsPd,i0 dZT _ n distaC� y -- - - - - "*THIS c -c.e.n OaS52s -S ana. _ - '_ t1e w� Ci'atPs I'vcjc-D.-'Oi_liw ci 2 `��.�• - - - - J—_ L_- bacle_ia a l'n vo`a ile o_amuc co n✓ounJIS in .. -me - DSeSeIIC: C=a Cn_- __ oz n and 11 ra- ?G u, _ _.� CODv .. :._ " -..�la: , i must a ... _. Other: ' _Ce Cr t3FFI77CI�-1 INSPECTION C���v! FOR SOT �"OR V OZI.���Z� _�-SF;�;�_N s S S L�RS 1.RF.ACE. SF N--AGE DISPOS:iL ;'ART CERTIFICATION --=-jc Pronerrc address: C;2(o q/ 0:vr.er: Date of inspection: Id 0' D. Svstem Failure Criteria applicable to all syste_==,s: You .gust in—c7icat, o Mc"tc each of fa all� L c _ >-�acku-n c=see-ac.7f = fa _' _ s -a --- -- - - f� O` of .4o ---- / SAS oT c ss ool eiai_c l:Gu_ L _i he Lis bui'on box above ouu:?":_ -- O c_O - 55^vOOi r,"du a `.._r 1..c_s-cot__ .__iian 6•^e_'�v, -. 0_ c.__,2,�_.., :C!.y_� -- -`-- =- - �-_---_ [/ ECG i ed L: he"pre Shan_-dmme5 S _cs" ?2Z OT 202_'C 0Or-'o rn O rB G ccupn n. -p is tiPIG, 1 -^cr0-- - r - aier, S iLly, of a spoor or_—n7,- -is Z a Zone e if3 _ rC i C Ci a S COl5C - r po.uc- of a cesspoc_o- Y, ,s a, i00_ e- - _ suppl., v ei; .•'ah no acc,r)tah_- ,,ale_-ouai" lys ._a. _ S. Thi_ s"stem p2SSeS it Z2,e:ve: -"zzer a al'::i . performed at a DEP certified laboratory-.for coliform bacteria and z-olatile organic cot :pc:ur r-; indicates that the well is free from pollution from that facility and the presence of a:-moLia nitrogen and nitrate nitrogen is equal to or less than-5 ppm,prfly?ded that-no Ct Cr 1-u e cry"e a are triggered. A copy-of the analysis must be attached to this form., The system fails_ « o- r - j _ _ e L� - -- d 1;ai on, e 0- ?!arc--`- -- --- -- CCSC ±b'_G Infa'1 Cicj2- - n G - Healt-�, to dZt.,---'-' y:'*aa, i be neces-a- :O Correct c-_u E. Large Systems: To be considered a lame s,-stem the systern must serve a facility wjy—h a des- n Cpd. - -- O IO'ac-Q - .,,tea a - iC - S_-....__iC . -__ ��✓"J -.of _, a V a _-�_-sue -_'.( , -- `__C -..va.e_ scarp: - a SPi FOR-M—XOT FOR VOLU T_-Rz_ SUBSURFACE SEEN ACF DPSPO.,�-ir PART B CHECKUPS rroper<<Address: C2 6 S Owner �vtfS P Date of inspect:__- /d D C eck fftne foliov,'_la_a-e b=en don You must i cca_ _.moo=_z-o_. ..as p-cveec re c;tee- _- '' an;-of t_.e sys __--cam=on __-s e�a:- - = _- - - 4- Ias - s ne eet- iarq, vo t mes of tee'_ o -J Le - (/ ie ?8C1?_J CT e?': 'cry-"C= as t Le si`e in p,- =ed for siZpe ofb_eas 0.,17`? .ere c _:cte.__Cv^^a_iCi'_e=_ e. Ci:`i-.c'^e`�? OCai,=_v ---L - . se_`ic ai ` -t a- _4, of cone— rlen. Vie_ G/ C as the _fac hi-v Cv:mer(and __ai'Te aII O'_ sa. _.ir c r c C=a``Syste qe size and location of the Soil Absorption Si stem(SAS)on _real=` C C INSPECTION FOR I-NOT FOR` OI INT-AR- SUBSURFACE SEVV'-.GE DISPC)S-X- SYSTE:IF:1;-SPEE-.=�3\ PART C pl-STEM INFORNIATi O� opera- Address: b7� // �i/� G ih f h/ 0..2�C j�G 0-ner: I uSfe Date of Inspection: /off O ELO ; CONDITIONS RESIDEN TI_A-1- D�S:G�^'o;, oas=d ^ yOC�I`a _ .203 'te-exa � e: .'0 c' e_c es_,aence ave a .gz_t2c0 =d.'_(i-`c 07 o): /1(10 _ ;a-=V on a Sep2_Z'-, Ge, ''i// _T'e$5= c - -- Laundri%J i 5t.'.^msppem—d( o:no):/V O — Se_sonai use: (des e-_o;: _ �iof LryecJ i� /0 f QaiS '•�3 e '%e!.=._ :e2di_S, �lcSt 7 'a-_ us_zo(r'-„^. jj Summ,pu= (yes QI=?o`).�_ _ - - Last dc`. Oi Occiiparc-, C O�I�iERCi_aL:T�-D L"S TRIAL Le_ - :i'( zSe or Ba_._ o> ...'_Jim^ _iv-,; (`��_ -•P�Jv=�;•=G ..',: ' Grease—iap those^ (<eS -no) ,.vast. hol J `tank;'.sent =s o:ne' �nII-`2P..:3i ,;vas, �'= - ��tC_},e T;? =;Ste" Cr- 0"0�:— ,t'3TeI??e: _ Ie2d 25. fa vaLc ',e' .as date o`oc _c,, Se: 0TFIER id CE\ERAI.E1TORNI TITO Pumping Records as system pumiped as J2"o the ns7eti'0 ;es or C : volu—le l`urr. =d', .r_10'ic __ -?0--.Reason for __ -mg _ in 21 e c SG OOL - or -- :--1k A" a pop, c _._. DE. G -o;. —_ LL1I0_ FoxR:W-NOT FOR VOLUNTARY �c1z �-; SC BSj T�F_ACE SE1%AGE IDFSPf�S. L 5�5-tt as r� �rCi=�?� �tt��? ` PART C /// SYSTEM j/ INFLOR-M TIO��,:�.c-:-�: P-oper`Ad._,ress: c2t7Tl Ott ner: i;�se of_rs�ecfion: AIL O BUILDING SEI ER' eca;e c site__ia_` a o �iatea cf Gra- `cn: cast_=en !/r p ;C � -(e _ _ z:-j. Dist_nce'ors -_:_te crier s. _-01 o-sLzc :on_ir= (_e—__ __s (on ceci_;o^of ioz__s, ten;_ SEPTIC TANK: �t oc�P o�5_ie an) Deo- w _ad : wi3 ez`ial of O Si=_=".0 0`C".te _ _ - c: �•,��,�c_ _. tom c_ s_�� �G LGttc�c`eu:�e. .,.= Scat t .ccess- D s-a ce 5-c_._tcp cf sc r `Gy ,.1'le' m M1 / ✓Stagy ce �-O ?'_ivt-0 - ^. s c u mi _v' Or'OJ� �t✓`�/J n ''✓�o f�2C B L� Ot :C. tJ ' ��'^7 e, l G'^A— c✓f C 7`�C' 00 GREASE P: `.fa era; ct cr: —ccr,._.� — _:a 7. Dirn.cnsion -- -. C n= - - - _ aiec: ia:iDT� " 'c Ccf a�.i_aii. iDFCI�iI F+'.JTi-Il— NOT FOR , 0Lt-N T AJRNI- S BSA RFACE SEANAGE DISPOSAL SYSTI-Al IiSP=r foN Fnn-%r P A-11,a C SYSTEM INFO-ZIFATTO-N Proper address: c,26q/ sf— .� c >-:er: Date of Insi3ec.ion: _ Id- Deg - o v. _-ad, co c=?-- ?-a. - .c n-v = DLit�IIiiC�S: _atip De_ _ .r -- aalloas ,Ia_% A a"_LL _esern fycs or r-.o, C [ii C-C -'arm and flo'a:=Cv-.C== DISTRIBUTION, BOX: / ( --esen irus=,e e, ._t-d}('ocaie o-c t=r an,_ �C S iGiC CO ._ _ `_ dsT _=c to eti_-_ ecua;a _-__- - - ea�Kase to C) o_ o= - _t4o-Lc 0411 -e;f1 hC,,/--/-- yo kle Goc c� PUMP CIA-MBER:�!crate cry si«pi2r_) �3=s :rn -o-7`in_C o,Qom. OFFbC!AL INSPECT IO: FORM—NOS FOR BOLL---i--�-R-�-- �: a STRFACJ: SFXV-% ED SPos-A SLCec'srnaF��. V� �-Vf2` P-4.R i C SYSTEM nFORAIATIO Pr orern.Address: /''I �f-- Owner: p Date ofInspect:en % 1>_ SOIL _;BSORPTION S'STE—I (SAS): (locate on sixte piaM.e_vea arior. r �� y / V/ f—/�O�✓o/, sv/f ne— .dC-L'1a gaene5. member: .. !eac ina re^CPeS. _r_,rnber let;C-71- - eddy, ni-m-beer. di e^_c_c^_: , r 01%-"..'_ root_ �oo'd, 0l O 5Zci' S"_r C) draui:C -O - - . /yG G /lam i✓/!✓1 �I� Q✓r C Oi 8Gv1 ✓� /!il/ /��S D Ll /cis. �� fZ-� y/e CESSPOOLS: /Y iC:'Ss Ooi il_iiS:hn-,--=n''eC=5-p - -sp ,—o ;(j0 - ✓a -TO 0" C _ �eD, 0 SO_'1CS ave_ D'_ _1_0_ sC la_i is Sate is of cols J1 zrou_d% 7e1`m~_ Do): r 0 FFICITAL ENS PEC-1 ONFORM- OTFORjOLLNTARY_aScF�,�,r=-L SL-BSU RF-tCE SE TVAGE DIS OS - SA-S 1 Eli PART C SYSTEM i FORNIATION Property -address: 06�� nn �•4s dot 6�p� Oi-ner: SS-e Date of inspection: p' SKETCH OF SE VI-AGE DISPOSAL SYSTEM F�� 41 A?-as x ^no,-, - - 0 11cIAL FNsPECTI0 X FO-RIT- OJT FOR OLU T-arc SSL:l1j_ti-;, SUBSURFACE RFA E Sr_NV_-kGF Dispos:,.I, sz, 17 Prapen-v ACdresJ: n G,-✓�s S� � /J/t Od 63a C«ner: d�C(l1Sfe Date of Inspection.: FTEE r � \1^L` no he— Please - ^_iC_ (C"eck; Ei< ._- _^_CAS used TO v-,Tcme`ft Co'i S:Sian:6c-i^?`,"?m Cn"cc d- __,:,-1P.C. da-t -_ _--,-=- �1CSer<e!i -oi•^O -T v_C_^,Q`, --- -- �. Q�„',::_��_iT2.t;^vi,; Accz!ssed SGS _ia as_ a^: YCu ;1 'St Qes ^_n•:z-r'%C^ -ZTal lk //d h, crounu,iater ele-vation: fA CJGt ��- 7`o / /�v /O� ki d t-- der O C -A 4•e c+/ / O CVvti O F/AIOW ��NfOi f �!O 6C�C7Gv / I S! / �S /S 0��- t Town of Barnstable �pF THE Tp� y�P ti� Regulatory Services ,CABLE Thomas F. Geiler, Director i6 q Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts,Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. k .� in D L � a y -- -- , iR yy ]s C,-T '1-T------ 1O LLLttY" A•i � 11-L � ��� Egg 1 & i �7 REP -1-.� o...o L-_ G q - 1 7 $Y I O ag q —� DD q d� i LAUNDRY _°. Y � f O e a q I o _ Y yy pnp o za Y zz r p i se CL ABOVE 'u w b' FIREPLAC! fe v 1 , BUILT-IN - BUILT-IN 4 Y - e e 4 \ bib A LE -----------------Fn �t � ♦ I s a g. u ----------------- a 4 I Nw g tx3 �z�r rZ `rt�f Y �N •- OO - �—NI al m o_ of m O f" C Z d )rn z �' Amz . � s �Qm F �mm m ,I 01. T To A Tn m aN9al m mNo lily 3 m i � 9 9 i a>� g zi dAm: i B•-1'-D• AT AND LOCH BuLoo fm,$YARD nr Im , ow ro AND WYry pmm VA. am - M TOM ILL, FIRST FLOOR PLAN NORTHsIDE COPYRIGHT DATE REVISIONS o i z 4 e or_a MIT Aga a * NRE�SETMRy �H�NY ur DESIGN SHEET N0. DATE m moe a "�'N nE PROPOSED DESIGN COPYRiGHL THESES PLANS ARE ASSOCIATES NOT TO RE REPRODUCED ," MIGDELANY RESIDENCE 1 MI ED 4ANNER WNA75µoEyER DRAWN 1/28/12 rwa a m wn iau DISDNCTK RESIDENDAL h O0IIAIERCLAL DESIGN WITHOUT FIRST OEITARUNO THE A• 1e 2641 MAIN STREET oIPRESSsmw y�aT�EH PEawlls9a� °m M sl�uenwk BARNSTABLE, MA. 't`e'oej m_2210 ��""y011M�„j�,°;;a ��SENT OF Na+THSOE CHECKED k`` � Y I 1 1y-10' v j I 1kH�•TitANeDM i 1 1 -------------- ----- -- a � — A D I J ' _______________________ - r I , o w r_ I A + b I H S C --------- OD o w j I I 8 I I r u nce m y J Nn o a y txa a A 1 S j �YY - i 1 I I Y F; r_. dA1 Fl: 1 B•0001'-0. AX I IDCAL a wnq am vw+r nr M akNtln: a;m Nnnt °R O1 rua _ COPYRIGHT DATE REVISIONS 0 1 2 g � or SECOND FLOOR PLAN NORTHsIDE NOMSIDE HEfffBY EI�RESLY No at u�m RESERVES Its " ON UW DESIGN SHEET NO. DATE: a M tr PROPOSED DESIGN DDPNDGHT.THESES PLANS AID ASSOCIATES NOT tO BE REPRGDUHIN " IMIGDELANY RESIDENCE FOR W NER"A ANY A.2 1/29/12 rule� m raw iarx FOR GR IIANNEA WTHA150EVER DRAWN "R * �w 2641 MAIN STREET �mN ERE DEMu1 coUllERcu�DESIGN %'TM00T Fwsr OeT' THE Ab wstloY14 ISGIm1p Nry ut MuN STRW•YARMt11RItPORt• E7�RE55 WRITTEN PERI,II590N N"'"�"wK BARNSTABLE, MA, ctasT aaa nto (eosT�sex�ua�o2 ID SENT OF NORTHSIDE CHECKED I NOTES ALL STE SYSTEM DESIGN. SYSTEM PROFILE MAR ED WITHC MAGNETIC TTAPEALL OR BE 1. DATUM IS APPROX. NGVD LEGEND (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. GARBAGE DISPOSER IS NOT ALLOWED PROVIDE MIN. 20" DIAM. WATERTIGHT PROVIDE INSPECTON PORTS TO 2. MUNICIPAL WATER IS EXISTING 99 - EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE WITHIN 3" OF FINISH GRADE X 99.1 EXIST. SPOT ELEV. DESIGN FLOW: 2 BEDROOMS © 110 GPD = 220 GPD TOP FOUND. EL. 33.75' FILTER FABRIC OVER STONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Barnstable Harbor 99 PROPOSED CONTOUR USE A 220 GPD DESIGN FLOW** 33.0' MINIMUM .75' .4'OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 31 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS TO BE AASIiO H-10 198.4] PROPOSED SPOT EL. PRECAST H-�o PROP. TEE SEPTIC TANK: 220 GPD (2) =440 �' RISERS (TYP.) 5. PIPE JOINTS TO BE MADE WATERTIGHT. o TH1 4"scH4o PVC 2'0 } TEST HOLE USE (1) H-10 1500 GAL. SEPTIC TANK PIPES LEVEL 1ST 2' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH �° 0 5 Y CRAWLSPACE BSMNT A*31 .3' 30.67' 310 CMR 15.000 (TITLE 5.) 2> SLOPE OF GROUND LEACHING: FLOOR ELEV. 27.0' 30.9' TEE 1500 GAL H-io 18• - 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO �� o 6\ MIN., SEE NOTE SEPTIC TANK 30.65 BE USED FOR LOT LINE STAKING OR ANY OTHER TEE o 0 0 0 0 0 6" MIN. SUMP 30.28 4.73 SF/LF x 4' LENGTH = 18.92 SF PER QUICK4 (ON HIGBOWA°TER°TAB E)� a' LIQ. LEVEL 000000a000 12" MIN. INT. DIM. PURPOSE. _Q) UTILITY POLE ACME OR EQUAL ° 000000000000 0° PLUS STANDARD LP UNIT FIRE HYDRANT 22O GPD/0.74 GPD/SF = 297 SF LEACHING WATERPROOF/WATERTIGHT GAS BAFFLE 30.5i ' 30.34' 0'28' 30.0 8. PIPE FCiR SEPTIC SYSTEM TO SCH. 40-4" PVC. Y REQ D ':,.. ..•;.. .. :•:. ::........ :.:..° - NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING O O O O O o 0 O 0 0 0 c Locus Quo ' 9. COMPON'�NTS NOT TO BE BACKFILLED OR CONCEALED 0 0 0 0 0 0 0 0 0 0 0 o USE 21 QUICK4 STANDARD LP UNITS 4' o 0 0 0 0 0 0 0 0 0 o c 0 0 0 0 0 0 0 0 0 0 0 0 (GRAVELLESS SYSTEM) WITHOUT INSPECTION BY BOARD OF HEALTH AND oc 298 SF 18.92 SF UNIT = 15.75 UNITS DEPTH OF FLOW = ^ ^ PERMISSION OBTAINED FROM BOARD OF HEALTH. / / NO STONE PROPOSED So � o TEE SIZES: � 6" CRUSHED STONE OR MECHANICAL ( ) �, , *THE INSTALLER SHALL VERIFY THE THEREFORE, USE GRAVELLESS SYSTEM OF (21) INLET DEPTH = 10" COMPACTION. (15.221 [2]) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING � � AND ALL QUICK4 PLUS STANDARD LP CHAMBERS OUTLET DEPTH = 1 4» 4,0' 5.0' DIGSAFE (1--888-344-7233) AND VERIFYING THE s o 0 LOCATIONS OF ALL UTILITIES LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES BUILDING SEWER OUTLETS AND IN FIELD CONFIGURATION SHOWN PRIOR TO COMMENCEMENT of WORK, AND COORDINATING ALL UTILITY CONNECTIONS WITH APPROPRIATE VENDORS. ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 21 UNITS x 18.92 SF/UNIT = 397 SF> 297 SF ( 2 % SLOPE) ( 1 % SLOPE) ( 1 % SLOPE) BOTTOM C1 LAYER EL. 26.0' 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE 397 SF (0.74 GPD/SF) = 294 GPD (OK) REMOVED 5' BENEATH AND AROUND THE PROPOSED LOCUS MAP LEACHING USE G-W (MOTTLING & SEEP) AT LEACHING FACILITY. FOUNDATION - 20' SEPTIC TANK 14' D' BOX 8' FACILITY EL. 25.0' SCALE 1"=2000'f **(2 BEDROOM DEED RESTRICTION REQUIRED) 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED. "`- NOTE: EXISTING -DWELLING ASSESSED AT 2- BEDROOMS TEST HOLE LOGS 13. PER TITLE 5, RAZE AND REPLACE 11 WITHOUT INCREASE ASSESSORS MAP 258 PARCEL 44 IN FLOW IS NOT "NEW CONSTRUCTION" AS THAT TERM IS LOCUS IS WITHIN FEMA FLOOD ZONE C ARNE H. OJALA, PE, SE & DEFINED. SEE SEWAGE PERMIT #83-147 AND ASSESSORS RECORDS; 2 BEDROOM HOME EXISTING, 2 BEDROOM HOME WETLAND FLAGGED BY HAMLYN CONSULTING ENGINEER: DANIEL A. OJALA, PE, SE PROPOSED. MA APPROVED DATE BOARD OF HEALTH WITNESS: DAVID STANTON, RS DATE: NOVEMBER 1, 2010 VARIANCE REQUESTED UNDER MAX. PERC. RATE _ < 2 MIN/INCH FEASIBLE COMPLIANCE 15.405: CLASS I SOILS P# 13074 1(i): SIEVE ANALYSIS PERFORMED IN LIEU OF PERC TEST X 49 TEST HOLE LOG ELEV. ELEV. �9.89 �� �� \ #1 0�, 4 31.0' 0" � 31.0' x 27.25 Xp Ap ARNE H. OJALA, PE, SE �� `♦ \., LS F//LS/// ENGINEER: ZONING SUMMARY �' DON DESMARAIS, IRS, CHO 10YR 3/2 10YR 3/2 WITNESS: _ A / I �� ♦ 12 6 30.5 DECEMBER 5 2011 ZONING DISTRICT: R-2C DISTRICT PROP. 2 BEDRM. DWELL. 30.0 DATE: TOP OF FOUNDATION =33.75 B B < 2 MIN/INCH �26.96 FIRST FLOOR EL. = 34.9 LS LS PERC. RATE _ / MIN. LOT SIZE 87,120 S.F. /J - 'x 9.56 � 10YR 4/6 10YR 4/6 CLASS I SOILS P# 13074 MIN. LOT FRONTAGE 20' J , 36" 28.0� 36" 28 0� MIN. LOT WIDTH 150' �0 '� 3 t ! C1 C1 MIN. FRONT SETBACK 30' \ A ELEV. MIN. SIDE SETBACK 15' / x 28.66 \� MFS MFS 3 p�� 31.0' MIN. REAR SETBACK 15 TO, 10YR 5/1 10YR 5/1 o. 2 ♦'0 � 60 26.0' 60 26.0' SECTION 240-91(H) DATA: 9.19 %I x 57 9 �3�� .x 8.42 'Qi�- #3 27.12 BENCH MARK - CENTER OF � 9 4 / � ti � , E �2 � � �' , N MOTTLING A CONTIGUOUS UPLAND: 16,119 SF MIN. ® 72 WATER LS LOT COVERAGE: 2542/16119 - 15.8% < 20% (OK) o� ;. ` 9J - CATCH BASIN ELEV. = 29.1 6 ?� cp VC2 SEEP C� 72" /C2 6-9 1OYR •3/2F.A.R.. 4386/16119 ?7.2% < 30% (OK) 30.5 x e0i,� ` SILTLOAM SILT LOAM 9.10 J ` _ �9.0 Qua ` I&I ` `. r 1 G EXIST. 2 BR 2.5Y 5/2 2.5Y 5/2 EXIST. .y 27.91 DWELL. / OWNER OF RECORD .04 �.��� DWELL. ►',J - w 300" 160� 300 16.0' r x 64 . : { X ` IN°ITS EENTI E REMOVED NTIRE J N PROP. X 9.73 �. 28'OO' ***SIEVE ANALYSIS PERFORMED IN B/C1 LAYERS TED & MAUREEN MIGDELANY 9.07 �30.2�. Sri GAL ��� 30. i 3 B P.O. BOX 4085 LOT AREA `Xf3o.9 X 29.88 20 OLD FAITH 'ROAD ♦ 38,940E S.F. LS 29. tiOO 30.53 SHREWSBURY, MA 01545 M #5 10YR 4/6 �• 7 66 ^y ^ h 27.42 2 x ( r W 29.05 �o \ O3O 4 2 29.62.�� '� / EXIS 2 BR ,,SEPTIC " 29� 6 (j \ PROP. WORK LIMIT LINE OF STAKED ;ILT FENCE, O' SYSTEM+/- /� ACKED BY STAKED HAYBALES o \ \ 31.85 (DEMO) V PERC l32� \\ / Q<v / 26" 28.83' �+ 3 x �k!26.92 B LAYER FERC TEST PERFORMED, SJ 5C-v x I ^ BOTTOM PERC AT 26 DEPTH 24 GAL. 12" PRES:AK 0:00 I 9 AT 2:4.5 PROPOSED LEACH FIELD AREA 00�� O� 6„ AT 3:30 <2 MIN./INCH BVW 4 X 6 °moo 5' REMOVAL OF UNSUITABLE SOIL REQUIRED \ 37 S, �GEl� \ qN0 (A LAYER) AROUND PERIMETER OF LEACHING 100, o �G �/ BVW \. BVW 5 FACILITY, DOWN TO SUITABLE SOIL LAYER. �, 5 87 REPLACE WITH CLEAN MED. SAND, TO MEET BVW 2 I �.60 SPECIFICATIONS OF 310 CMR 15.255(3) 01 PROVIDE APPROX. 98' OF 40 MIL LINER AROUND PERIMETER 26.75 J/_ �ll� TITLE 5 SITE PLAN OF SAS, AT LIMIT OF 5' REMOVAL AS SHOWN. TOP AT EL. BVW I \ o 30.7', BOTTOM AT EL. 27.7' (3' HIGH) CONTACT N OF ENGINEER FOR INSPECTION ONCE INSTALLED / O '� 12.0' 91* J/_ NOTE: SEPTIC SYSTEM IS NOT 3��9Q' N DESIGNED FOR VEHICLE LOADING �, 2641 MAIN STREET j BARNSTABLE 16 0' ^ \ PREPARED FOR \ CP DETAIL OF LEACH FIELD j = 20' M/M EDWARD MIGDELANY OCTOBER 17, 2011 IF BASEMENT PROPOSED, FOUNDATION DRAINS REQUIRED AS PER MASS STATE BUILDING CODE DUE \ REV. JANUARY 6, 2012 (REMOVED PORCH & P/C, T.F. TH3) TO IMPERMEABILITY OF SOILS. MUST BE DRAINED TO DRYWELLS WHICH SHALL BE SET IN PERMEABLE REV. JULY 24, 2012 (NOTE 13, REMOVE REF. TO P�C) SOILS. DUPLEX SUMP PUMP STRONGLY RECOMMENDED DUE TO PERCHED WATER IN AREA. \ Scale: 1"= 20' 0 10 20 30 40 50 FEET a6 �� C off 508-362-4541 � M41" o A O M Cf j�� °s��.;1 ✓'�� fax 508-362-9880 n ti� ��� •c. o DAN1RL yG I'o� DANIEL �`' downcape.com DA lIE' s �� DANIELA +� / (� OJA!A '"` °o OJAtA r� OJALA n OJALA __4 ' • down cape engineering, Inc cI�Il_ � � CIVIL I . kulNo.4 6502 �. �! \A No. 40980 No.40980� civil engineers n���G STE��q���A P0,- I R�4'. (� �E.. S�a� C y: ��ESS�7� IFS , .- ; K o Ion suave ors z� `�'.,, c 1_gV--eJR\J y 4 ``e tin . ; n 939 Main Street ( Rte 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 > 0-2 >3