HomeMy WebLinkAbout2735 MAIN ST./RTE 6A(BARN.) - Health 2735 MAIN ST./ROUTE 6A, BARNSTABLE
_ A= 258 036
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TOWN OF BARNSTABLE
LOCATION SEWAGE#
VILLAGE ;dE Ltrr ASSESSOR'S MAP&PARCEL 1r,5-3e�. '
INSTALLER'S NAME&PHONE NO. B G•V 5205%771-92"
SEPTIC TANK CAPACITY { ,<1 n hC,
LEACHING FACILITY:(type) — (size) � " /� •$''3 i�.d.t
NO.OF BEDROOMS
OWNER a
PERMIT DATE: 9-/6-1 57 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY l�a✓✓ C ri' r-
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No. / Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
0[ppliLation for Misp08al 6pstem`Construttlun 30ermit
Application for a Permit to Construct( ) Repair A-�Upgrade( ) Abandon( ) ❑Complete System Individual Components
Location Address or Lot No.a)7,36- Me6r) Owner's Name,Address,and Tel.No.5-o8-3,1)S- /U D7
Assessor's Map/Parcel 4258 , & �v•� ���
� rns�.br'�
Installer's Name,Address,and Tel.No.�ff-'771 9 3q�? Designer's Name,A dr s,and Tel.No. �8-3fap
11-4010 i S/S �
CovYstivcx i'cn�, z►x, � ' ✓�®x' in �� , Inc.
Is O o �S"
Type of Building: n
Dwelling No.of Bedrooms 3 Lot Size ` / q.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 30 gpd Design flow provided 3 y 9 gpd
Plan Date 371i/)-/2 r �o is- i Number of sheets / Revision Date
Title 0 eJ o���be� �1�.� CSQ °Z��S ` a1.vt�r ll� � _I�, nS1�/k
Size of Septic Tank exiS Type of S.A.S.q�a a &t_oSX ggAR G &R
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) �H lV
SQL x /a,93'w x 'R
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 Enviro a Cod nd not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Hea
Sign 6 Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued �[�
Fee (/"
THE COMMONWEALTH OF-MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
application for Disposal ytem �onstruction Permit
Application for a Permit to Construct( ) Repair(AK Upgrade( ).,Abandon( ) [:]Complete System Individual Components
Location Address or Lot No.)-'13t M-- i r) i% Owner's Name,Address,and Tel.No.-5-08-375- /U a 7
Assessor'sMap/ParcelS8trnS ��. t�U f�U. r?�K'7Ce4�
�lo Cx�bl�e �- va�3v
Installer's Name,Address,and Tel.No. 5'c'R 77 1 Y 35;>_4 Designer's Name,Addr ss,and Tel.No. JG� 3Coa ` ysy
or{c>Io&btL Cvin,-- x—fi'or, inc, 4P. 3ox , Ge�r� r rl E 45 �' , M-r,c.
�Gcv's ills , AAA C)� J73 YL S • v,kre ox�")S"
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size ` q.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 30 gpd Design flow provided gpd
Plan Date Surma )o Number of sheets t Revision/Date
Title ��e Si �IaA, c� `�7�S rq&4",S6@E7' ',1 t1-/1SfLE(�k. Al
e. )) II
Size of Septic Tank A Si 154e, �aQ ,Type of S.A.S.4,idj ak oZ Lm 1a)
� /��,� .Sc�� C iYt/1lMrs
y
Description of Soil �
J
Nature of Repairs or Alterations(Answer when applicable) :12 C 1 c0 c- i 5� �i E�(1�►c�r� [�X . cry �� �U�J�UC>�_�r�
/ '7
�rrS�- Ill G'�1/xr71fS ir, 4SiL ?C /�•�3�G�1 X a ,'t� /c�� E A
�X i 5��,i� I Sr.Y�Sa.;Q r�e-,o-�yL `�C�.y��• ,.�"'�
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 Environmen al�and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health
Sign d Date Q
Application Approved by Date / 11 5
Application Disapproved by Date
for the following reasons
//--
Permit No. /Date Issued
------------------------------------------------------------- -------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
f. Certificate of (Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( )
Abandoned( )by,A / 141X i.e ozln5�Y�/Q1, __kX'
at �715 AJa/i7 , / tP n$> �+Q has been constructed in accordance
with the provisions of Title 5and the for Disposal System Construction Permit No- /,5,315 dated
Installer ,-blot d/?5//Z4//6/0 _t r,c Designer
#bedrooms
3 Approved desian flo gpd
The issuance of thi pe it shall not be construed as a guarantee that the system wil I c is as design . c
Date II Inspector NV
No.� /5 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Disposal *pstem Construction Permit
Permission is hereby granted to Construct( ),(l Repair Upgrade( ) Abandon
� �
( )
System located at / ,s /11al h JT•
n
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction ust be co ' leted within three years of the date of thisCbylt..
Date /I� �f Approved _�
IFHANA Case No.251-5268 7981 Palle#14 of 36
` Y s Building Sketch
Borrower/Clierd Geoffrey Koper
Property Address 2735 Main St
city Barnstable County Bamstable State MA Zp Code 02630
Lender Liberty Home Equity Solutions,Inc.
20
Den 9'
Family
S'
T �
IOtthen
10,
laundry 23' Basement
[M Sq ft]
Dining ®' Bath
u,h
a a C1
Firoe Floor
(10855q ft] Second Floor
Bedroom [s7s 5q ft] �•
riving Bedroom Bedroom
TOTAL stem'by a la mode,Inc. Area Calculations Summary
ing
First Floor 1085 Sq ftW
Second floor _ 575 Sq ft
Total Wing Area(Rounded): 1660 Sq it -
Non_IivmgArea.:s
Basement _�... 690 Sq it
Form SKT.BIdSkI—"WinTOTAL"appraisal software by a la mode,Inc.—1-800-ALAMODE
IFHANA Case No.251-52687981 Pa a#15 of 38
Building Sketch
Borrower/Client Geoffrey Koper
Property Address 2735 Main St
city Barnstable COUnty Bamstable State MA Zip Code 02630
Lender Liberty Home Equity Solutions,Inc.
First Floor '-- 'y 1085 Sq it � � 23 x 30—690
13 x 17=•221
12 x 10=120
6x9 = 54
Second Hour 575 Sq ft 25 x 23=575
Total Living Area(hounded) 1660 Sq ft
Non-living Area... � �.�.a.; r �; �. _:i rr .. :.: r i' �;e - •r. ..
Basement 690 Sq ft 23 x 30=690
Form SKT.BidSkl—°WInTOTAL°appraisal software by a la mode,inc.—1-800-ALAMODE
Town,of.Barnstable /q 7/ 7
Departitneut of Regulatory.Services "
Public Health IDxvlSIO)a Date
MASS.
200 Main Street,Hyannis MA 02601
Date Scheduled Time Fe'e Pd,
Soil suitabilio Assessment for
QG , ( Se e sv Vo s
By:Performed•By: 6oncg b-le,5 Witnessed r
�LG n"
LOCATION TION& GENERAL,WORMA'I'ION
LocacionAddre$s Z-735 Mc.`t , f (6A) Owner's Name
a✓•near L� /
a A Address
Assessor's Map/•Parcel: Zl�Q Engineer's Name �a t-%f�-
N13W CONSTRUCTION REPAIR Telephone# (SGe� 3f!od// '4A(�
Land Use: La"��-? Slopes(%) Surface Stoacs
Distances from: Open Water Body N00 ft Possible Wet Area 7(rJ fk Drinking Water Well tw ft
Drainage Way 7 toe/ ft Property Llne ` " ft Other ft
SIM'TCH,(Street name,dimensions of lot,exact locations of test holes&pero tests,locate wetlands-In proximity to holes)
Zob,
7Et�. 60/ O
V
1V
Parent material(geologic) / Depth to Bedrock /
Depth-to Groundwater. StandingWaterin Hole: JV/ __ Weeping*CM Pit Fue,
Estimated Seasonal~High-Grouridwater ! -- m_, __•-_.__ __..
DETERAJINAT10N FOR SEASONAL ffiGHWATE ` ABLE,
Method Used: A16 W
Depth Observed standing in obs.hole: Id, Deptli.to s4ll tnattJes: In,
Depth to weeping from side of obs.hole: In. Groundwater Adaunnient
IndexWell#1 RcadingDate: IndexWellloyal_,:_ Adj,factor- Adj.Gro iidwaterLavol,,,,,,
EERCOLAAT'ZON TESL' Data Time
Observation Z ' .
Dole# Tlmo at 9"
Depth of Pere. / Time At6"
Start Pre-soak Time @ Timee(9"-611)
End Pro-soak
/ f
Bate Mln.fluch
Site Suitability Assessment. Sitc Feissed v Sitp Fallcd: Additional Testing Needed CfIN) A�
Original: Public Health Dlvlsloa 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 Colaservation Division at least one(1) week prior to beginniug.
Q:ISEPTICIPERCFORM.D OC
DEEP.OBSER A.TYON HOLE LOG. Hole#
Depth from Soil Horizon Soil Texture Still Color Soil. Otficr
Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders,
o i ten,y,9b'Gravc!)
10f 13z- C;� 12
DEEP OBSERVATION HOLD LOG Hole# Z
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) .Mottling (Structure,Stones,Boulders.
o sis enry,`fib Gravel)
C5 loyp ` ,
F5 2,3—y 7141
3 Z Cz
DEEP OBSERVATION TIOLE LOG. Hole 0._
Depth from Soil Horizon Soil Texture Soil Color Soil Other,
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
ConsigtrTim LY11 G o
DEEP OBSERVATION BLOLE LOG. 19610#
Depth from Soil Hotlzon Soil Texture Soil Color Boll Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoam,Boulders.
CoTislutgnGy,16
• 9
Food Insurance hate Ma
Above 500 year flood boundary No Yes
'Within 500 year boundary No + Yes
Within 100 year flood boundary No.
Depth of Naturally V Occurring Pervious Matarial
Does at least four feet of naturally occurring pervious material exist in all arm observed thrpughout tha
area proposed for the soil absorptibn system' y2 5
If not,what is the depth of naturally occurring pervious matdrlall
Certifncation �--/I//Z •
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 .
the required training,expertise and experience described in�10 CUR 15.017. _
Signature � Datt
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NOV-18-2015 05:11 From: To:15087906304 Pa9e:1/1
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ASSESSORSMAPN ®
PARCEL
SUBSURFACE SEWAGE DISPOSAL 8Y8TEM ZNSPECTION .FORK
Address of property Qc,
Owner's name
Date of Inspection
PART A
CHECKLIST ,
Check if the following have been done:
Pumping information was requested of the owner, occupant, and Board of
Health.
t /
None of the system components have been pumped for at least two weeks
and the system has been receiving normal flow rates during that
period. Large volumes of water have not been introduced into the
system recently or as part of this inspection.
J. As built plans have been obtained and examined.. Note if they are not
available with N/A.
. The facility or dwelling was inspected for signs of sewage back-up.
The site was inspected for signs of breakout.
All system components, excluding the SAS, have been located on the
site.
The septic tank manholes were uncovered, opened, and the interior of
the septic tank was inspected for condition. of baffles or tees,
material of construction, dimensions,. depth of liquid, depth of
sludge, depth of scum.
The size and location of the SAS on the site has been determined based :
on existing information or approximated by non-intrusive methods.
The facility owner (and occupants, if different from owner) were
provided with information on the proper maintenance *of SSDS.'
14
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION
FLOW CONDITIONS
If residential
number of bedrooms
number of current residents
garbage grinder, yes or no'
Y laundry connected to system, yes or no
seasonal use, yes or no
If nonresidential, calculated flow:
Water meter readings, if available:
Last date of occupancy
GENERAL INFORMATION
Pumping records and source of informs ion:
System pumped as part of inspection, yes or no
if yes, volume pumped
Reason for pumping:
Typd of system
J Septic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach previous inspection
records, if any) '
Other (explain)
Approximate age of all components. Date installed, if known. Source of
information:
Sewage odors detected when arriving at the site, yes or no
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
r SYSTEM INFORMATION continued
SEPTIC TANK:
(locate on site plan)
depth below grade:_
material of construction concrete metal FRP other(explain)
dimensions:
sludge depth
W distance from top of sludge to bottom of outlet tee or baffle
, V_ scum thickness
_I:L distance from top of scum to top of outlet tee or baffle
,•; distance from bottom of scum to bottom of outlet tee or baffle
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles,
depth of liquid level in relation to outlet. invert, structural integrity,
evidence of leakage, recommendations for repairs, etc. )
DISTRIBUTION BOX:
(locate on site plan)
00 depth of liquid level above outlet invert
Comments:
.(note if level and distribution is equal, evidence of solids carryover,
evidence of leakage into or out of box, recommendation for repairs, etc.)
G o.-1 4e—
PUMP CHAMBER:
(locate on sijinorking
)
pumps order, yes or no
Comments:`
(note condition of pump. chamber, condition of pumps and appurtenances, :
recommendations for maintenance or repairs,etc. )
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION continued
SOIL ABSORPTION SYSTEM (SAS) : tr
(locate on site plan, if possible; excavation not required, but may be
approximated by non-intrusive methods)
If not determined to be present, explain:
Type.
leaching pits and number
leaching chambers and number
leaching galleries and number
leaching trenches, .number, length
leaching fields, number, dimensions
overflow cesspool, number
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding,
condition of vegetation, recommendations for maintenance or repairs,etc. )
CESSPOOLS (locate on site plan) :
number and configuration
depth-top of liquid to inlet invert
depth of solids layer '
depth of scum layer
dimensions of cesspool
materials of construction
indication of groundwater
inflow (cesspool must be pumped as
part of inspection)
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding,
condition of vegetation, recommendations for maintenance or repairs,etc.)
PRIVY:
(locate on site plan)
materials of construction
dimensions
depth of solids
Comments:
(note condition of soil, signs of .hydraulic failure, level of ponding,
condition of vegetation,• recommendations for maintenance or repairs,etc. ) . ,
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION YORM
PART B
SYSTEM INFORMATION continued
SKETCH OF SEWAGE L=SPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'
DEPTH TO GROUNDWATER
depth to groundwater
method of determination or approximation:
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
FAILURE CRITERIA
Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of
determination in all instances. If "not determined", explain why not)
, 'Backup_ of sewage into facility?
Discharge or ponding of effluent to the surface. of the ground or
surface waters?
Static liquid level in the distribution box above outlet invert?
Liquid depth in cesspool <6" below invert or available volume< 1/2 di
flow?
Required pumping 4 times or more in the last year?
number of times pumped
Septic tank is metal? cracked? structurally unsound? substantial
Infiltration? substantial exfiltration? tank failure imminent?
Is any portion of the SAS, cesspool or privy:
below the high groundwater elevation?
4— within 50 feet of a surface water?
within 100 feet of a surface water supply or tributary to a surface
water supply?
within a Zone I of a public well?
within 50 feet of a bordering vegetated wetland or salt marsh.-
(cesspools and privies only, not the SAS) .
within 50 feet of a private water supply well?
less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis? If the well
has been analyzed to be acceptable, attach copy of well water analy
for coliform bacteria, volatile organic compounds, ammonia nitrogen
and nitrate nitrogen.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART D
CERTIFICATION
Name of -Inspector
Company •Name G Q tJ L AL,i
Company Address ✓4 y.i Y
Certification Statement
1- certify that I have personally inspected the sewage disposal system at
this address and that the information reported is true, accurate and
complete as of the time of inspection. The inspection was performed and
any recommendations regarding upgrade, maintenance and repair are
consistent with my training and experience in the proper function and
maiitenance of on-site sewage disposal systems.
Chec one:
I have not found any information which indicates that the system fails
to adequately protect public health or the environment as defined in
310 CMR 15. 303 . Any failure criteria not evaluated are as stated in
the FAILURE CRITERIA section of this form.
I have determined that the system fails to protect public health and
the environment as defined in 310 CMR 15. 303. The basis for this
determination is provided in the FAILURE CRITERIA section of this
form.
Inspector.'s Signatures-
Date
Original to systemowner
Copies to: t , 631 4,
Buyer (if applicable)
Approving authority
TOWN OF BARNSTABLE e
TIC-� 2735 MAIN STREET SEWAGE #
VILLAGE BggN T p R I F ASSESSOR'S MAP & LOT
INSTALLER'S NAME& PHONE NO. ELL T S R R o T H E R S r
SEPTIC TANK CAPACITY ��a 362-6237
LEACHING FACILITY:(type) (size)
NO OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
. BUILDER O OWNER
DATE PERMIT ISSUED: Q- �
. .DATE COMPLIANCE ISSUED:
t
VARIANCE GRANTED: Yes No X
G
- - - - - - _ e
rerekA
-----------------
1 ?a✓ Fl
i
No.. 3 � FRim.....
THE COMMONWEALTH OF MASSACHUSETTS
C_-7 rt�. �� BOAR® OF HEALTH
7 �� ,23 TOWN OF BARNSTABLE
...
p frat.a fur Di!ivwial Wor1w Tomitrurthitt "rani#
Application is hereby made for a Permit to Construct ( ) or Repair (Van Individual Sewage Disposal
System at: _
..................................
Locatint :\d c-s- o Lot N.
zO«-ncr Add re s
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling No. of Bedrooms------------------------------------_ . _Ex ansion Attic Garbage Grinder
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures ......................................................
w 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 ( )
Percolation Test Results Performed by...............................................••----..........•--•-._.... Date----------------.................--- .
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.......................
f fs Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+' •-••••••-•••-•-----------------------•••-••-••-----•---------••------••-•-•-•••--•--.....•---•...................-•-•------•--•------•---•..............---••
0 Description of Soil........................................................................................................................................................................
x
U ..........................•----
x ••.••••....................••.._.......••••••••••••---•-•----••......--••------•-•---••...--•---------•-••-•••----•-•-------••------•--•-•--••-•. •--•-•----•......_.. --- -
U Nature of Repairs o lt�tionss—A-nswer when a gplicable._.,t/4 49.0......_ .......���r � .
-.. -ill �h°`�f •h q 2 -----------------------------------------------•----------------••-------•---•-•-•-•-•--•---.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Co —The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has n issued by the and of health.
ined ....... . ..........
g -....... G� ...�.........
ApplicationApproved By ..... ............. .. .. .... ....p-----. ... .... . - ............ ......... ......... ................Date..................
Application Disapproved for the following reason ...................................................
.. ......
..............
Dare
Permlt No. -- Issued
ate
'5O ov
No......s � _.. FEs............._.......-.......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Try ,,,, $,TOWN OF BARNSTABLE 1
�liratinn for Di!ipn l i nrk Cann trnr#inn erntit
Application is hereby made for a Permit to Construct ( ) or Repair (/an Individual Sewage Disposal
S at:
iu1 , A i t .. ,c_
-------------------------------------------------------------------------- --_.... ------•--------- -•--. �-1 -----...._--�..................................
J Locat.>i ....c .
'' - .. ....................................
Address,
s
- -- --------- ....
Installer Address J V
v J�
UType of Building Size Lot............................Sq. feet
.a Dwelling— No. of. Bedrooms.---------------------------------------- Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
QOther fixtures --------------------------------------------------------------------------------------- ------------------ ---------•--4'
WDesign 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.
A�3 Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed bY-------- ---------------------------------------------••-•--------------_. Date.------------.........------............
r04 Test Pit No. I________________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........................
-----------------------------------•--------------------•----------------------•----....•--•-••--••.........................................................
DDescription of Soil........................................................................................................................................................................
i �14
V ---------------------------------------•-------------------------------------------------•----------•-----------------------------------•---------------•-----------------------.......----••-•••-------
W
U Nature of Repairs or.,,Alteration,.sy—Answer when applicable.-__/-,5'_.2,2.......�F.4:.......-5
-------------------------------------------------------------------------------------•--•-•-----.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance'with
the provisions of TITLE 5 of the State_Environmental Co —The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed ............ .... -...... ' '7....Application Approved By . ; = p.... .U...�&!,........ ......................................
Dare
Application Disapproved for the following reason .
�............................................................... ................. .... .......I..................................................................... ..... ..........,.:. .1!................g...................j C�
Permit No. .....".j.... �...1.. �... Issued .....j... �L..1........ .....................
V� Dare
i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Qff
x rtifirate of (110raplian e
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( V )
by . - -1...�.. .�. s.._ `� ..... ...................................... ......................................... . ..
.......
_ . Installer
at .... . --- -. .. .. �� 7. _ 19 ._ .. y..b...... ......
has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ... ..r-�� dated ............._...._..................._._.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B C NSTR A S A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
i q
DATE..........................1........�.................�.:'�................. ........ Inspector ......-------------------�. ............................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE 3�
No.�4-./...--_�4•-- FEE.. ..........
Dinpngtt ran T nntr inn amit
Permission is herebygranted--------- _. -!,R�/).....�C�'1 _._. ...................................................
to Construct ) or Repair ( ) an Individual Sewage.Disposal System /
Street 4 ..... /�.
as shown on the a-plication for Disposal V4'orl:s Construction P en o______________ 'ted.._.___. .__.._
Board of Health
--�.DATE 1 - .......................................
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS
NOTES
ALL E STWITHCMAGNETIIC T E OR BE 1. DATUM IS NAVD88
SYSTEM PROFILE MARKEM
(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 2. MUNICIPAL WATER IS EXISTING Barnstable Harbor
ACCESS COVERS TO!WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE
2" PEASTONE OR GEOTEXTILE 3. .MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
\ TOP FOUND. EL. 54.6' FILTER FABRIC OVER STONE
2X SLOPE REQUIRED OVER SYSTEM 46.5 4. DESIGN LOADING FOR ALL PROPOSED PRECAST
MINIMUM .75' OF COVER OVER PRECAST UNITS TO BE AASHO H-LQ
PRECAST H-10 NOTE: MIN. WALL THICKNESS 2" BLOCKS OR
PRECAST RISERS 5. PIPE JOINTS TO BE MADE WATERTIGHT. °
RISERS (1YP) 4"0SCH40 PVC MORTAR ALL INVERT IN 43.5' �� b Jy
.a: 2'* 46.08'
t; PIPES LEVEL 1ST 2' �ENDS
4' COMPONENTS 4' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE �o(NP) SIDES 44.33 a
t0. EXISTING 14" »� WITH 310 CMR 15.000 (TITLE 5.)
TEE SEPTIC TANK** TEE 44.7't* ®®®® ®®®® ®L �0�8�0�8
,°°°°o°o° ®®®®®®®®®® �I ®®®®®®®®® 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND o
6" MIN. SUMP °°°°°°°o p� ° ° ° NOT TO BE USED FOR LOT LINE STAKING OR ANY
0 0 0 0 0 o n o 0 0 0 ®® ® O® ® ®® o 0 0 0° G
GAS BAFFLE_ ° �.° ° 12 MIN. INT. DIM. ;°g°oogog ®®®®®®® ®®®® ®® ;°o °g
' ° ° °'° ° °°°°°°°° ®®®®®®®®®®® ®�®®®®®®®®® ° ° °° OTHER PURPOSE. s
• ) >°OpOQOHO .,°Oo0OQO00
4' L IQ. LEVEL (ACME OR EQUAL) °° ° °_° ° ° ° 41.5
43.77 43.6
WATERTEST D'BOX 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Locus �'oi7r `ice
' :,::, ':....:.......; FOR LEVELNESS L o
' 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H-10 500 GAL. LEACHING CHAMBERS BY ACME PRECAST OR EQUAL Qc
** (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR
INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE ALL AROUND PRECAST STRUCTURES CONCEALED WITHOUT INSPECTION BY BOARD OF
AT 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. '6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO-OUTSIDE OF STONE: 25.00' X 12.83,
REPLACE WITH 1500 GALLON SEPTIC TANK APPROPRIATE HEALTH AND PERMISSION OBTAINED FROM BOARD 9G
COMPACTION. (15.221 [2]) o o
<6 OF HEALTH.
TO SITE CONDITIONS IF NOT SUITABLE (4_9% SLOPE) ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR
LEACHING CALLING DIGSAFE (1-888-344-7233) AND
FOUNDATION- EXIST. SEPTIC TANK 19' D' BOX 12' 35.5' BOTTOM TH-1 37.5' BOTTOM OF VERIFYING THE LOCATION OF ALL UNDERGROUND &
FACILITY NO GROUNDWATER FOUND SUITABLE SOIL OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF LOCUS MAP
LAYER (Gd WORK.
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL NOT TO SCALE
UTILITIES AND ALL BUILDING .SEWER OUTLETS AND ELEVATIONSi RAb,,rT. n E 6 /� 11. ANY UNSUITABLE MATERIAL ENCOUNTERED
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEMSHALL BE REMOVED 5 BENEATH AND AROUND THE
(� PROPOSED LEACHING FACILITY. ASSESSORS MAP 258 PARCEL 36
12. EXISTING LEACHING FACILITY SHALL BE PUMPED
- 52 AND REMOVED OR PUMPED AND FILLED WITH CLEAN
LEGEND �--�-5f-� �5 � SAND.
tK 72.80' 24.8
99- EXISTING CONTOUR
1 0
Ln
X 99.1 EXIST. SPOT ELEV. N
r7
99 PROPOSED CONTOUR .9' o
198.4] PROPOSED SPOT EL. BENCHMARK SYSTEM DESIGN.
50 SPIKE SET I
TH 1 > EL. = 52.48
TEST HOLE o GARBAGE DISPOSER IS NOT ALLOWED
o c I
2% SLOPE OF GROUND w
a 2 � EXISTING 3 BEDROOM DWELLING
UTILITY POLE o_
W DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD
j o USE A 330 GPD DESIGN FLOW
FIRE HYDRANT z- o
Li
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 00 i >
EXISTING a SEPTIC TANK: 330 GPD (2) = 660
TH 1 DWELLING
TOP of FNDN USE EXISTING SEPTIC TANK**
TEST HOLE LOGS „ EL. 54.6'
' I LEACHING:
DANIEL E. GONSALVES, SE 13587 I
�� OTH2 � SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD
ENGINEER:
s, BOTTOM 25 x 12.83 (.74) = 237 GPD
WITNESS: DAVID STANTON, RS
DATE: 6/1 1/15 TOTAL: 472 S.F. 349 GPD
N
< 2 MIN INCH W USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
PERC. RATE -
q8J WITH 4' STONE ALL AROUND
CLASS 1 SOILS P# 14717
4 ELEV. � ELEV. ��8 SHED i _ �
0„ 46.5 0» `V' 46.5 - 49 r�
A A
LS LS
10YR 5/3 1 OYR 5/3 w °` DANIEL '
° DANIEL ` (/ VED DATE BOARD OF HEALTH
20 19110 OJALA o A. ,,,,
B B CIVIL CD OJALA 6fll ITLE 5 SITE PLAN
i �No.46502 �No.40980P) /I
LS LS w °A'S,'/sTe NG�a`��` ty�DFss\o OF
36„ 10YR 4/6 43.5' 3119
1„ 1 OYR 4/6 43.9 �� Ass of Rv
w o � DANlELA.9cy� � � Mgss�c
2735 MAIN STREET
NIELA.OJALA � DANIEL yG� BARNSTABLE, MA
G Ct CIVIL fD
FS PERC FS OJALA i No.46502 PREPARED FOR
i & p k No.40980
2.5Y 7/4 2.5Y 7/4 E o��S ONAL�G`�� °FEss,°�¢ GEOFFREY KOPER
108" 37.5' 108" 37.5' qNa sURJ
DATE: JUNE 12, 2015
off 508-362-4541
`SiL\\` `SiL\\\ / C Y fax 508-362-9880
downcope.com
2.5Y 5/2 2.5Y 5/2 {UNSUITABLE SOIL DATE DANIEL A. OJALA, P.E., P.L.S. dowel cope ellgineerin69, 18C.
132" 35.5' 132" 35.5' k� �� Civil engineers
NO GROUNDWATER ENCOUNTERED
Scale: 1"= 20' land surveyors
/ 0 10 20 30 40 5o FEET 93YARMOUTHPORT MA 602
/ 95.7I /
DICE # 15- > > 6 I 67515-116 KOPER.DWG