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HomeMy WebLinkAbout0222 MARSTONS LANE - Health 222 Malrstons Lane Barnstable' v I , LL 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 aF 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 h ' P ELEC.BOX LOT 10 1 CONC. PAD I994 1 � --- ci lbi \ ! I/ 9d. cb ?/ 94 9 \ \ PROP -r63l, - - 93,/1 j V I Q j — — L 4! aF;4 1Nd / o ��-t Y 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. /YO.TF _ 'A/vl._-) .cin/i9C C'oivTOvj2S 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 < < " �a►+enRN 69� o ti OF THE TOWN OF BARNSTABLE, MASS. i < 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 ° n LL � d 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 0 job � SCR So i C So i C� 'z - rL_ 8� o I /�/c� �0C4Y Rocky ��,PiOvEL Z= 80. t%k Of M�f9cy 0 RICHAPD G� i JAMES i OBE RK o _ 0/77