HomeMy WebLinkAbout0222 MARSTONS LANE - Health 222 Malrstons Lane
Barnstable'
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AsBuilt Page 1 of 2
LOCATION i/ SEWAGE PERMIT NO.
VILLAGE �efp= p5/�
INSTALLER'S NAME i ADDRESS
BUILDER oft OWNE
DATE PERMIT ISSUED . ��t �3C)
DATE COMPLIANCE ISSUED
I
I
HOUSE
http://issgl2/intranet/propdata/prebuilt.aspx?mappar=349044&seq=1 4/26/2016
Town of Barnstable P a TJ
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Department of Regulatory Services
ate.: Public Health Division Date
bsy 200 Main Street,Hyannis MA 02601
/' n _ t!7
Date SchedtiledItTime Fee Pd. 71
Soil Suitabili Assessment for Sew; a Dis osal
pp e
Performed By: R.f 1� f U t 11 tom' witnessed By: "\,� 16.1.
LOCATION&GENE (FORMATION
Location Address er's Name t-14\�<+4( �
Z Z..Z, h-bt@ S"11V .
1. Address
Assessor's Map/Parcel: Engineer's Name G � C3 1 l
NEW CONSTRUCTION REPAIR Telephone#
Land Use Slopes(%) Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line It Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
� �I Tx•S- icy f '�'
Parent material(geologic) G „v i NAC O C.,/-t Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater —
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_
PERCOLATION TEST Date Time
Observation
Hole# 1 Time at 9" '
Depth of Perc - Time at 6"
Start Pre soak Time Qa Time(9"-6-)
End Pre-soak
Ra[eMin./Inch G-lL-v*N
Site Suitability Assessment: Site Passed " 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:\SEPTIC\PERCFORM.DOC (/s
I
DEEP OBSERVATION HOLE LOG Hole#7
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency_%Gravel)
A.
`►:�-.,� P�A �.� �a —•�►tee.5�.,� �u�l�DEEP OBSERVATION OBSERVATION HOLE LOG Hole# A
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
� I�
lopo C.
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency_%Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No— Yes_
Within 100 year flood boundary No_ Yes
Death 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? �
If not,.what is the depth of naturally occurring pervious material?
Certification
I certi that on !10)t)fy (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 310 CMR 15.017.
Signature +=+ \ Date
Q:)SEPTIC)PERCFORM.DOC
LOCATION SEWAGE PERMIT NO.
a
VILLAGE
/ erg✓ Ao,-.oc-
INSTA LLER'S NAME i ADRESS
BUILDER OR OWNElfof
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
y -
d p
r J
No..............
....... .......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........ _OF.........��?` �!?r�/.Si�-%�..`:.T`....................
Appftrativu for UiipuiiaI Works Tomitrnrtinn ramit
\
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
................__... ...... i1DnR9c1A ?JW.---------------......:.r-•r?T...A.....-------------------------------•-------
Location-Address or Lo t No.
Owner Address
a ...��.Be(;zX._CzZQ �...- .0 : 1A.---------WE5Em....t� N�,a` .......................
Installer Address
Type of Building Size Lot...3S80.0........Sq. feet
U Dwelling—No. of Bedrooms---- ..........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
aOther fixtures --------------------------------------------------------------
Design Flow.._...._= � .................... g P P P Y• Y
W _..__gallons per person per day. Total daily flow__._._._- L?......................gallons.
WSeptic Tank--Liquid capacity.40(b.gallons Length_£- -6.... Width.4-. /G.. Diameter________________
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.--___-_�..._._____-_ Diameter-_--__W�...... Depth below inlet_-_......��_.. Total leaching ar �G ___sq. ft.
Z Other Distribution box (jX Dosing tank ( ) SX J?_
Percolation Test Results Performed by__.,T_ r�. ~y!.__. :T_.__ __. Date_ 01.4 ______________.
Test Pit No. 1................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........................
Description of Soil -�� %"t ��: � ` - '�
fa ........................................... .................
W --------------------------- ,� ............................................................
.. ---•-• -----•-----•••••-•-••-•----•---•-..............
UNature of Repairs or Alterations—Answ when applicable...............................................................................................
•----------------------------------------------------•-----------------------------..........-•------------•---------------------•------------------------------------•----------••-••-•---••-•----••--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of ii�'17 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Si • • ----------••••.....-• ................................
en
Date,
Application Approved BY '• SJ
Date
. Application Disapproved for the following reasons____________________________________________________________........................•..... -----•-
..___
................................................--••--..._._....................-_,:::....------------•-•••••-••-•-••----•••--•••.........--
.� --------------------•-•-------------
Permit No.-•-•-•-•....................... -----•---•---
Date
,
Date
No.��..ek.?A... FEg................ .........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
------------
OF......../g/
Applira#iun for Miposa d,.,Works Tomuurtion ermi#
Application is hereby invade for a Permit to Construct o() or Repair ( ) an Individual Sewage Disposal
System at:
..................__.._ :5.'�1 ....! A u �jwJk%AQA .......................%:%=.`......k....._.......------...------._...........---
Location-Address or Lot No.
!r#: .tJ-s_ -" .. xn ..... � .....................
Owner Address
Installer Address
Type of Building Size Lot... a ° Sq. feet
U Dwelling—No. of Bedrooms----
_._._____________________________Expansion Attic ( ) Garbage Grinder ( )
`4 Other—T e of Building ........................ No. of persons____________________________ Showers — Cafeteria
Q' Other fixtures .
d -----------------------------------------------------------------------------•-------------------•••---------------._......-
-
W Design Flow________.�1"°.................__.....gallons per person per day. Total daily flow....... ______ ________.___gallons.
W Septic Tank�Liquid capacity__ -gallons Lengthg -G?___:Width-0.11_. Diameter................ Depth__ __`__Cj�
x Disposal Trench—No_ ____________________ Width_..._._.._._:___._ Total Length__._._______._._.._. Total leaching area....................sq. ft.
Seepage Pit No.___._.%------------ Diameter-------W.:__.._. Depth below inlet_._...... ...... Total leaching area_04..._.sq. ft.
Z Other Distribution box (x) Dosing tank ( ) 1//L/—G
'-' Percolation, Test Results Performed by.27.Af_rccz=__7/r___,;e�_•_.T_...� Date_ .lo���_______________
aTest Pit No. L____:__________minutes per inch Depth of Test Pit____________________ Depth to groun Water.........................
(i Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Q
Description or Soil-- .5. /......� ^f Q •----- 7`--- �� - y '
jp ._ ��� ---------------------
Nature of Repairs o: Alterations—An"
U p - s en applicable._________________
---- -------- - -- --- ----------------
. b'.............,�. -
'.'
Agreement:
&..........
r:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of`�T E. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
S n _....::. _ ....................
Dape I
Application Approved By---- �� = ~- "
Date
Application Disapproved for the following reasons..........._.................................-.......................................................:_.........._
----------•---••------•----------------------------------------•..----------•----•--•--------•-------•---•--
Date
Permit No........................................................ Issued__.....---•----•----
F µ, ......
Date
yA THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....... . .........OF........... . ... .........-..._.._-.-.......................
....._
Trr#ifiratr of Tomplianrr
T IS T E TJFY, That the Individual Sewage Disposal System constructed ( �r Repaired ( )
by - .........,.............. ... In -------------------------------------- ;L--------------------------------
has been installed in accordance with the provisions of 1 of T e State Sanitary Code as described in the
m a, ��yy
application for Disposal Works Construction Permit N ----------------•-------. ••--.--•- dated__... ..............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT,BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM MILL FUNCTION SATISFACTORY.
DATE--•---..... 1 t-f dv-------------............................... Inspector------. 4.4 __y_1e _P-----------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O'3a HE AL H
I
.............0F. 0....._.... ..._. ..:..._...__._..._........ �j
No------------ -----•--- FEE...�Gr
�tu�ar,� fur . .�nu�riun .ernti�
Permiggion�ereby granted----- -- ��---- - -------..........---•----------------------•---------------••---•--••--•--••----....--•--•-•----
to Con ct' ( or R air. ( �Indiv 1 ew e Dispo System
at No �f..- ---....._.
- f
i street
as shown on the application for Disposal Works Construction P r it No ____ ______ _ ___ Dated___ __"_�______________ _______
--------------------•-----•---•---
OBoard of Health
DATE...................=............................................................
IJ;
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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ELEC.BOX LOT 10
1 CONC. PAD
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?/ 94 9
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PROP -r63l, - - 93,/1 j V
I Q j — — L 4! aF;4 1Nd / o
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96.3 \ 95 �� // / L
co I /� 102
cn
—401- -
1
I 1 \100�
94.0 IN
I 200.00
I LOT 12 0
AREA LOTH
35,OOO SQ. FT.
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7T117115 S.q/121=
2>92-L U/✓SU/Ti913LF_ /✓1.97"E�/AL
TO �F 7,E1WOVE0
L.E/9G-/Y//</6 ZW01 G/T Y
LEGEND CERTIFIED PLOT PLAN IN
EXISTING SPOT ELEVATIONS 96.3 CUMMAQUID , MASS .
EXISTING CONTOURS - - —98 - --
BEING LOT it SHOWN ON PLAN BK.221 PG. 17
ELEVATIONS BASED ON ASSUMED DATUM
CONCRETE PAD ELECTRIC BOX =100.00 IRA R.THACHER, JR.
REG. LAND SURVEYOR
APPROVED! BOARD OF HEALTH SO. YARMOUTH , MASS.
DATE__ ___ _ DATE 5- /a- so SCALE i = 40'
AGENT
DRAWN BY SHEET I OF 2-
pLt41 OF Af asr``"� {>•` ►!" �, I CERTIFY THAT THE PlZO PO SFD
FOUNDATION SHOWN ON THIS PLAN
R�AMes� CONFORMS TO THE ZONING BY- LAWS
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69� o ti OF THE TOWN OF BARNSTABLE, MASS.
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ST
4NIT
-' `'' REG. LAND SURVE R
INVERT ELEVATIONS NOTES:
SOIL TEST
DATE OF SOIL TEST 9 79 INVERT AT BUILDING 9 . FT. ALL WORKMANSHIP AND MATERIALS
WITNESSED BY T rS'��r�v - �/►�; INLET SEPTIC TANK: rT. SHALL CONFORM TO D.E.Q.E. TITLE 5
PERCOLATION RATEL.MIN./INCH OUTLET SEPTIC TANK 9 a FT, AND THE TOWN OF.�?ivsr.�z3��#tULES
OBSERVATION HOLE l OBSERVATION HOLE Z INLET DISTRIBUTION BOX 2 FT AND REGULATIONS FOR SUBSURFACE
ELEVATION = /o3, U ELEVATION=/oo. .6
OUTLET DISTRIBUTION BOX _`�2.6 FT. DISPOSAL OF . SANITARY SEWAGE
"
— o INLET LEACHING PIT 91.%7' FT. '
Loom L0.FA/17 BOTTOM LEACHING PIT 87 Z FT. _
ES_T__-
- 3o DESIGN CALCULATIONS = gs
40, I: A NUMBER OF BEDROOMS . 3 T o f
GARBAGE DISPOSAL UNIT... . . . . . N U sys,
TOTAL ESTIMATED FLOW (i/U GAL./BR./DAY x 3 BR.).., 330 GAL./DAY _ 3�
Boa i' Q s,q.�D REQUIRED SEPTIC TANK CAPACITY. . . . . . . . . . . . . . . . .. . . .. 49� GAL.
p ACTUAL SIZE OF SEPTIC TANK TO BE INSTALLED... . /e,20 GAL.
LEACHING AREA REQUIREMENTS � �fQ
o . SIDE WALL AREA z GAL./S.F
�32 - J¢¢ EL =-88.6 BOTTOM AREA /,0 GAL./S.F.
S X�.o �- �.��x �aa x 39�-7 GAL. Q Q :
do w�7-Lc,� nio �.v.gTErz LEACHING CAPACITY ( BOTTOM * SIDEWALL ).. .., . . . . ... .
�X s 4 z s e
RESERVE LEACHING CAPACITY. . . . . . . . . . . . . . . . . . . . . . . _-3'3z-? GAL.
TOP OF
F 0 U N"D.
ELEV.=/o3,0 /oFT M�^�' CONCRETE 4�� SCH. 40 CLEAN SAND
COVERS PVC PIPE
MINA PITCH CONCRETE
I/8 PER. FT. COVER
f� - 2% MIN. PITCH .
9 . , 12 MAX. � �P�,-OH Of MAssq
a z 2" LAYER OF 1/8"- I/2" RICH
FLOW LINE WASHED STONE o oJAM S
'HEARN y
691
n �pz 19 o c " � -3/4 -
4 CAST' IRON - -�- �►sz�"
WASHED STONE
PIPE - MIN. PITCHo
1/4 PER FT. DIST. > _ ° sAN-fA�.
o F- PRECAST LEACHING
BOX c~iw o a BASIN OR EQUIV.
ui ry
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n W v
00 0 GAL �.�.� -.�,3�,= _MASS,
SEPTIC T�F,
TANK R. J. 0 HEARN, INC., RLS, RS
1348 ROUTE 134
EAST DENNIS , MASS..
. PROFILE OF GROUND WATER TABLE JOB N0. — CLIENT .�Usr�
f SEWAGE DISPOSAL SYSTEM
NOT TO SCALE DATE 41 Z9 8 SHEET Z OF Z
IRA R. THACHER ' JR.
REGISTERED LAND SURVEYOR
227 WOOD ROAD BOX 582
SOUTH YARMOUTH , MASS. 02884
TEL. 396- 9960
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