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HomeMy WebLinkAbout0281 OAKMONT ROAD - Health f281 {Oakmont R®ad wr Barnstable 71 024 I. I No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes fpplicatiou for Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location&ddress or Lot No ) ���_ _„� �1 �J Owner's Name,Address,and Tel. �N�o. �s3se sor's}Map/Parcel f''LQ,," ,`�'I C G 1, r� J ' ► _ Installer's Name,Address,and Tel. o. SQd- Designer's Name,Address,and Tel.No. � G��i 7 Type of Building: �� ��-,��✓� Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 4 U gpd Plan Date , t3o 1:1 Number of sheets Revision Date Title 1 Size of Septic Tank 100C Type of S.A.S. 3 � Le, Description of Soil Nature of Repairs or Alterations(Answer when applicable)— & 4 �� 'C 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 ealth. j Signed DateI Application Approved by Date �� Z Application Disapproved by Date for the following reasons Permit No. Date Issued Co O 2 I Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_G PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 21ppIication for Vsposar.Ft tgm Construction Vermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No Owner's Name,Address,and Tel.No. 3". 661 Gilman � . 1 ssessor's M p/Parcel C G rS Installer's Name,Address,and Tel o. r,� F^ o a-i Designer's Name,Address,and Tel.No. I (!�Gi.j p �r 0C, }, �l r`�G�l V P� s S t c t�P 1 L(l �'� O 13`j 12a Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date P�-►c� '), v I;2 Number of sheets a.,, Revision Date Title Size of Septic Tank loac Type of S.A.S. 3` So 6 4—/ ' i Description of Soil a p ��, 1 1 P4 r. Nature of Repairs or Alterations(Answer when applicable) �4,C Ilog !:!t Date Iasi inspected: r Agreement: i 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 Application Approved by Date �.j• /'Z Application Disapproved by Date for the following reasons "F Permit No. Date Issued — t 2-- s --------------------------------------------- --..-----,-.--._ _... - w _- . :.:. - :. ----.--.----------------------- THE COMMONWEALTH OF MASSACHUSETTS 4 BARNSTABLE,MASSACHUSETTS Certificate of Compliance - THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at G c,(,j has been constructed in accordance with the provisions of Title 5 and the for Disposa�System C nstruction Permit No. t9 0 dated Cp- a bG r Installers�!, / i-,o ( C r C r,S J Designer_ )e A �1 +'�/�t/-t- l #bedrooms t Approved design flow L t 6 gpd The issuance of this permit all of be construed as a guarantee that the system wi fitncfie si ed. ` ! r Date [ Inspector r� I! q--------------------------------------------------------------------------------------------------------�-j-�----�--- - No. �o 1,`~ r ( Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon System located at ('` `i e{.� t i l _ i 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 must be completed within three years of the date of this per Date -�� ��_ Approved by �r TOWN ORBARNSTABLE ten' LOCATION l C�cz�_yv1 cf- /2a StWAGE#y0I9'-0'-1 J . VILLAGE w!M^ ASSESSOR'S MAP&PARCEL INSTALLER'S NA &PHONE NO. (f--I i l'S id Goa J�a r Cc•_;5� 5c"3 rod-&oA 3 SEPTIC TANK CAPACITY /000 LEACHING FACILITY: (type) ,'S- goo C l-0w466,S (size) /'dx Ifa�SX �l NO.OF BEDROOMS OWNER rba 7`d PERMIT DATE:(p 1011kI l 6 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Tahle 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 --6.17 A-Z ` a� i r VS ' 3q 6-3 13-�{ 6 0,<o e ►V "s r ! Town of Barnstable �OFiHE ro `L Regulatory Services o� Thomas F. Geiler,Director &.RNS ABLE, MASS. g Public Health Division Thomas McKean,Director 200 Main,Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508 790 6304 1� j' Installer & Designer Certification Form• Date: Designer: s $tlnV6`C ILL 1,1- Installer: C—d l.S - Address: IF4�t34C 1l�� Address: 2.3 LA� (4SC Rp SAfJ0LJtc�, 1'�4 v2s&i_3 � ' `�A(�-+l�t�� JV,MAr vt&73 On /� - ze - /2 was issued a permit to install a (date) (installer) septic system at ��� 04W A0A1r V4 4O('_"QXPtAgJQ based on a design drawn by (address) DLL R12C-I%J M dated 6�y ��C>(designer) I certify that thVseptic system referenced above was installed substantially according to to design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any-component of the septic system) but in accordance with State & Local Plan revision or certified as-built by designer to follow. °riffs � ARr Gm 1 `{0. 1 r (Installer's Signature) F(3 /STE 19 NITAR\Fa r esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO B STABLE PUBLIC HEALTH DIVISION. CERTTFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PU13LIC HEALTH DIVISION. THANK YOU. Q: HealtIVSepdc/Designer Certification Form a •r ' r 'own of Barnstable P# I c3�0� ' Department of Regulatory services Public Health Division Date c zb 200 Main Street,Hyannii MA 02601 Date Scheduled T e I Fee Pd. _ l � /J J let4 7-Z4-ez t Soil Suitability sessment for Sewage disposal Performed By: Witnessed By: LOCATION&GENERAL INFORMATION Location Addre$s ,�&l � U w�r Owner's Name �S . G �t� Address'Z, ( O�k1GK4O � Assessor's Map/Parcel: Engineer's Na�- P[ ul,C �� NEW CONSTRUCTION REPAIR �' Telephone# - 3 �0 Land Use ' Slopes(96) Cj Surface Stones021 Distances from: Open Water Body--- -ft Possible Wet Area ft Drinking Water Well �ft Drainage Way 'U ft Property l.iney5 7� ft Ottier 1 l r l 2 it SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) � \i e y': IN. Jt Zvf ( t v �1 �� _ce ` � � +I •�I� � C� .:! �- dry �l -�;� Parent material(geologtc)� ``14 Depth to Bedrock Depth to Groundwater. Standing Water in Hole:—�tlLla'. Weeping from Pit Fpee Estimated Seasonal High Groundwater__�� 3 Y —T Z ; DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs,hole: 1•a of In. Depth to soil mottles: Dcpth to weeping from side of obs.hole: ^J v i1 In, Groundwater Adjustment �v !C% f. Index Well#_-,_. —Reading Date:_� Index Well level Adj.&Ctor, , Adj.CDroundwater Level, ,-v>I?,11Z-t7k L- PERCOLATION TEST 114,1 Observation r Hole# 'r/ 4` � k ?4'Z Time at9" Depth of Perc ew�r 4� t/(7,`J' Time at 6" �� 6V Start Pre-soak Time @ �I �J�/1i�A/ •, Time(9"-6") 7 � End Pre-soak ' y 2' s, ��� 7 iYI�L Rate Min./Inch m Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) :O`riginal:ll'ublic 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 t:ose>lvation Division at least one(1)week prior to beginning. QaSEPTIC\PERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,'Boulders. o i ten -"`tea` . Z.-Ty x- IUo 3n, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil , . Other Surface(in.) (USDA) (Munsell) Mottling 4 g (Structure,Stones,Boulders. o sis en %Grave DEEP OBSERVATION HOLE LOG Hole# Depth from oi orizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell Mottling (Structure,Stones,Boulders. S l !� Consistencv.90 Gravell L_ DEEP OBSERVATION HOLE LOG _' Hole# Depth from Soil orizo Soil Texture Soil Color Soll Other Surface(in.) -� u !Z (USDA) (Munsell) - Mottling (Structure,Stones',Boulders. g consistency, - - - - --------------T Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feat of naturally occurring pervio material exist in all areas observed throughout the area proposed for the soil absorption system? S If not,what is the depth of naturally occurring pervious matorial? ,:� Certification A I certify that on �' 9s (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 trainin ,expe 'se and e�xp�er'en a ribed in�10 CMR 15.017. Signature Date Q:\S.EPTICTERCFORM.DOC t No. V Feecr THE COMMONWEALTH OF MASSACHUSETTS Entered in compu!er: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Jr 01ppricatioft for 33i.5pool *pgtem Con!aruction Permit Application for a Permit to Cons Uuct( )Repair( Upgrade( )Abandon( ) O Complete System gi-16dividual Components Location Address or Lot No. Owner's Name,Address and Tel.No. ANY 04A-m o,vT Ro nc S Y 11 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. '"s"a ral), Designer's Name,Address and Tel.No. Q C', A,c 0 35'4 �- �t,- y ,e Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) oe F zlw C r 4 4//V Al,V Z 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 Certifi- cate of Compliance has been iss by this Board of Health. Signed Date —2- Application Approved by Date -d Y Application Disapproved for the ollowing reasons Permit No. ao,) ylU Date Issued �':? ?--1 `9 — — — -- �. — No. O`) 1► � Fee/U� 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �� Yes PUBLIC HEALTH DIVISION -TOWN PF BARNSTABLE, MASSACHUSETTS Rppriratioft for Miopozal Opelem Conotructio'rl 3permit i Application for a Permit to Construct �i.( . j Repair( Upgrade( )Abandon( ) El Complete System C$Iridividual Components Location Address or Lot No. Owner's Naine,Address and Tel.No. Assessor's MapTarcel < H-02 C�ryirti� v/� o97'/ m 0A,T 0 p-,J0 Installer's Name,Address,and Tel.No. 7 7f" o��� Designer's Name,Address and Tel.No. fig fQ C1,41v C 0330 �I/3iti �- Gv- Y4/e Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title ;. Size of Septic Tank Type.of S.A.S. e � Description of Soil Nature of Repairs or Alterations(Answer when applicable) C r //L L1 ti E Date last inspected: Agreement: F 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 Certifi- cate of-Compliance has been issued by this Board of Health. Signed Date ,2 3r o y A lication Approved b ` ""' Date PP PP Y cF` l �'`/ Application Disapproved for the ollowing reasons A Permit No. fi_� Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certif irate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( !.-`Upgraded( ) Abandoned( . )by /7 M: Odxlc o 3So 5 7' Gov-1W,,< at 1;Z / G j k m'O4vT le'b C v/" t9 Q yi 3 has been constructed in accordance with the pro ns of Title 5 and the for Dis-osal System Construction Permit No, '.?Od -Y.Vv dated_& ?3-G t/ Installer Designer The issu e of t *s permit shall not be construed as a guarantee that the s e w 1 nction Id� ried. Date Z U y Inspector- No.. o U U Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Miopooal *pztem (Conotrurtion Verna Permission is hereby granted to Construct( )Repair( tom"Upgrade( . )Abandon( ) System located at /"Diti% 1p-b 7- and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of e Date: g'a3-U L Approved p b c�^C7�1-�J C PP Y � ,� LOCATION �/ SEWAGE PE OMIT NO. VILLAGE ; r I N S T A LLER'S NAIVE ADDRESS ® U I L D E R OR OWN ER - (f-. DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ;� ,� r . i OV - - J _ l r w 5'y fi ---------- No........ _ 1 Fes$........................... THE COMMONWEALTH OF MASSACHUSETTS l� BOARD OF HEALTH .........T/NrV................OF.......... . G,E.......----------------•----...----- Appliration for Di-spoiittl Workii Tooitrurtiort 1hrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: Dv4 /ylD J.... ' � - ............................... ....... Location-• - ---•------•----........or.Lot-No........-•----..........•---..........--- Location Address or Lot No. ......... r� ! <..�olN...So! ........................................ _.........------......----•._._...•-•........-•••-...........•--•....... Owner Address W Installer Address ��� Type of Building Size Lot....42 ,r.0 !.Sq. feet U Dwelling—No. of Bedrooms...............2 .._..Expansion Attic ( ) Garbage Grinder (/Vp 44 Other—Type of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ............................ . W Design Flow..............................Ss....gallons per person per day. Total daily flow.......................... 52........gallons. WSeptic Tank—Liquid capacity./�D..gallons LengtO..�?.,,..... Width_4'..(e...._. Diameter................ Depth._S.`_�It x Disposal Trench—No..................... Width.:................. Total Length.................... Total leaching area............_,......sq. ft. Seepage Pit No..........1_....... Diameter.......Z�___..__ Depth below inlet....:_:.5......_. Total leaching area.3.0.1B...sq. ft. Z Other Distribution box ( 1-1 Dosing tank ( ) aPercolation Test Results Performed by...............4� ...._........._. �Y._-__ Date__/n ...... /!8S Test Pit No. 1Z�...y....minutes per inch Depth of Test Pit...�f�i!��...___ Depth to ground water..... ! .._.__. LL, Test Pit No. 2_41... ...minutes per inch Depth of Test Pit_.-� .�"...... Depth to ground water-_-_NONE a0Soil %Esr-•hbcE #� 0.-02 Y W000coA clucc Foi �..__a�S/=N 72�� e-Y Description of Soil..-•.......................... Jdi?y Rae-I s-� 7Z......../�,�., Fi1V_1 S.¢ii.!o A!o l�/hr�� 641c""'Wrco �-•-----•................. ...... -- ..... /�t�T i/c .'.s7i�"!T/og000Am... _._syl FOiL .,_ ��.� Give s ,o -----------------•------ -•---------•--------------/ZQ----;y-..ir------ P!4C� Q �Sf��!/O_•w�17�± //VES ��� ...... �i9f'ot/a1TF�BEp U Nature of Repairs or Alterations—Answer when applicable.............................•._____......_.._.--...........................__.._._............ --------------------------------•---•-----------------•-----------------------------...------•-•--------------------------------------------•-••----------------------•------------------......--•---••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of iITL% 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in Operation until a Certifi f C )i ce has been issued by the board of health. ,Signed.... - _._............................... ................................ Date Application Approved By...........--•• .. . ............................ ......----�® 7 Date Application Disapproved for the f o to ing reasons:---------------•-----...---••-•--------•----••-----•-----.....-------------------------•----••-•----••--......- --------------•••----------••--••-...----•----•••-•...-•--•------•--.......---•-................_•--•---••-----------•........._....•----------•-------••••---•---•-••-----••--•--•-----••••.._.._-_.._. Date PermitNo.......................................................- Issued....................................................... Date i No................-....... Fitz_.......__ .._. _ THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH Appliration for Disposal Works Toustrurtion rrrutd Application is hereby made for a Permit to Construct ( l'I or Repair ( ) an Individual Sewage Disposal System at: j Location-Address or Lot No. CJt!/2 y JJ:.l�1 r� �....................................... .......................................... ...........--••--........................... Owner Address W Installer Address Type of Building Size Lot....... ------------ Sq. feet aDwelling—No. of Bedrooms................. ....................Expansion Attic ( ) Garbage,Grinder (Nf J p, Other—Type of Building ..................... p ( ) — ( )....... No. of persons............................ Showers Cafeteria 04 Other fixtures ........•---•••-••• ••-•••....................••-•..•-•-•------••--••••...--•••-•-•-•-•-••••-•-•••-••......•-•••---•••-......--•--••--.........•... d - W Design Flow........................:......:� ......gallons per person per rday. Total daily flow........................... 3U•......gallons WSeptic Tank—Liquid capacity.IQ.G'dgallons Length�_A...... Width_ ..gip_..... Diameter................ Depth.._ 5.....11 Disposal Trench—No--------------------- Width.................... Total Length................. Total leaching area...................sq. ft. Seepage Pit No.........../....... Diameter........ ..... Depth below Inlet.....: :-.�`........ Total leaching area..3Q2,.8..sq. ft. Other Distribution box ( � Dosing tank ( ) z Performed by....................................... t Tt.« ��1.. ! Percolation Test Results ...................................••-• Date... ..•... ,aa Test Pit No. l z' .. ...minutes per inch Depth of Test Pit....! .`/..... Depth to ground water.....�.....'�L..,_ f= Test Pit No. 2. ... minutes per inch Depth of Test Pit.... Depth to ground water..... oNE %F.. ..//vcr_�_1......--�..'z`� --M./G.>�)ev�Yr� �/ fuG{c.... 7�1- 72 1Et>...�.virirJ O Description of Soil.............................. lv�T<� /<'ur e c 72 /S/e/ /iVl S//itJli it/a? 141,yYYiZ.rit/CuUiu /CC .----•----••••-------------------------•-------------------------.............. Vis �� ST /IiIE Z...._ .. .. �U /�9 .Sv�SCJ�L/ e .. /ZO.� /Al,E_ Si9itJ/J... rC �(o .....................................•..ZUr•�•-...y....... /... ...-� -....../U -4/si?/-F//V..... .......... �� `t//Y!/l -!d.C'owL)7,re',EU W '.... UNature of Repairs or Alterations—Answer when applicable......._ ........................-........................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate-of Co .pli ce has been issued by the board of health. signed.._....�!.��. n• ,-....... . �:--- ......................... ........................._.... Date Application Approved By............... ;a ... �' ��.................•... - Application Disapproved for the f ol`loi/ving reasons:.....•........................................................................................a__._....____ V .........................•---........-----....-•--•-•...•-------...-•-.......---..•....._-•--------•----.-•••-••-•••-•........-•--•••-••-•-•••---•....•---•••-•••--••-•---••._...........••--......._- \ Date PermitNo..................................................._.... Issued..................................................... Date THE COMMONWEALTH OF MASSACHUSETrS BOARD OF HEALTH �Ul�t//V .�f7/�/ZJ farrfif irtt#r of Toutplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by................... ...............I.�C........-•--•-•-••-•••••..._...---.................-••--•-•----•. ---•--...........................................-•-------•-•-•--................. ._...._ Installer,_ .•�- at....../.c)i: G ?wry �U17 UUr,� � }C...............................................................' -----------------••_... ... .............. ....------ _ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR, ED AS A GUARANTEE THAT THE SYSTEM WILL FUNC ION FATISFACTORY. DATE...................... ..................................... Inspector............. ---•-•• ------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` ................OF............ y ? ►J_S Tf? l_ ................... No.... , Fn.............. ..... Rapoottl orko Tono#rur#ion f rruttt Permission is hereby granted..............:-�- to Ctinstructo Apr Repair ��rIndividual d ual Sewag�Disposal System atNo........ ....f..................................................../................•-•-- -................-•-•-•--•--- •-•-- ••---•---•----.............. Street as shown on the application for Disposal Works Construction Permit No ... %_. Dated.....1 ...'.IT`.: " y-d�,\ ..................................•• �' � _•= t'1..:# ��................._ Board of'Heaiii DATE-.::::....:::.._ ...:_ 1-I c.•� '-----... FORM 1255 A. M. SULKIN. INC.. BOSTON r r� � SHEtyT ��of'``�Sf1EE"TS 0 78' So' C por 3� 1 ev, � o \ \ oil / e¢ zor Lgc Bo /VoTzr- �z -yA7701-15 .BASE`'v qa oN A?d -� sr�a 3 3 V SITE �L.9N LOCATION y• SCALE . . / ��-' "� . . DATE PLAN REFERENCE 8 .Snn/�oWN oil/ ED1"A c . . . . . . . . v ELLEY N 9 No. 26100 0 �ss��EGIST CERTIFY THAT THE ... ...... . . .. ....... ........ L L SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE . . . . . . . . .. . Gr9ay/ ToNwSo�/- �G-7"/T/aNc� REGISTERED LAND SURVEYOR 79 G o L. . . ..... . . TOP OF FOUNDATION CONCRETE COVER ., CONCRETE COVERS t.3S 0 4"CAST IRON II OR SCHEDULE 402 MAX. 12"MAX. "'�"'�' 4"SCHEDULE 40 PV.C.(ONLY) P.V.C. PIPE PIPE- MIN. LEACH PITCH I/4"PER. PITCH 1/4'PER.FT. PIT PRECAST ' J LEACHING q ° EL.... INVERT INVERT o W �? q.� PIT OR SEPTIC TANK �� 6 DIET. �� `O EQUIV. INVERT EL..... .. 7. . BOX EL....:... ' : >x EL.. O`�. /000 GAL. INVERT INVERT 3SWw 0. :�: 3/4°TOIV2� ,.� EL......7. ELF,' �: WASHED .*'� STONE .. . I 3 —►�+-s DIA. AlaVC —+� PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- 44 z9 SOIL LOG WITNESSED BY : DATE .!`�Ay !�.!98s. TIME�o:oo A� �AML-` ��✓�^�, BOARD OF HEALTH TEST HOLE I TEST HOLE 2 '4lzD ENGINEER I ELEV. . .8b, 40. ELEV. .,Ba,Lo Wo�o4o,9.7 Wooplogrl Z¢.. Swe DESIGN DATA.: . _-z-w.4o 3e° S48_Sni4. "ev. 3.r NUMBER OF BEDROOMS '3 SAD . . . . . W/TJ/ POW. �z„ /Zooms. )5" TOTAL ESTIMATED FLOW 330. . . GALLONS/DAY . BOTTOM LEACHING AREA SQ.FT. /PIT /Z815 SIDE LEACHING AREA . . , : q SQ.FT./ PIT13°9 c.P.1>. ez.7's4a GARBAGE DISPOSAL :!V°^./e'.(5O% AREA INCREASE) % ti�o oAuc� TOTAL LEACHING AREA ,3 07, 8 SQ.FT o W�,��-3 PERCOLATION RATE L�'ss T�/�'v '�"'e MIN/INCH LEACHING AREA PER PERCOLATION RATE 437. SQ.FT.�C,RD .!�? .WATER ENCOUNTERED NUMBER OF LEACHING PITS . . . . . . . . . . . . APPROVED . .. . . . . . . . . BOARD OF HEALTH Fu K 2 F�rTo% S7vw6- GA/• ,q2L SIDE;S DATE . . . . . . . . . AGENT OR INSPECTOR 0F`ae EDW� �r ��peSP or t'lz,l !� E. oQ� rY � t �oT ELLEY cD srE-soN N o. 26100 R. LL � 9 (O •�c, OAsG!`lOnNT ,20/�7� �LN /STERN. 1. LAB® T °o • SAMAf N PETITIONER i CUMMAQUID LEACHPIT TO, BE -PUMPED, \ SAND FILLED., AND ABANDONED;, r 0 PER TITLE 5 LOCUS PARCEL ID: J� 27 16" \ A^ �' � A I N cc 334/023 3' TW.OAK �/O ; . TEN►PpRp,RY Z �3 RNING _ Z. OAKMONT ROAD I r 1U RADIUS I \ o -�7 p• R � BM SP ^ �O! D F ) «:, . a_ AL DR. �0 s��S, 22Sp EL= 6.56,T "- I ROUTE s 6 .. GIST _ , ' T _ L _ .,� �, O ......... W G . ..... . ..::::. • .. .. ��.: CABLE �4Q� >0 Rp��o � :::;•:..:.::st• � Q0 I /79.57rN\ .02,sp„W HYDRANT <v s� // 6„p 1 1 LOCUS MAP RASP- n<n ` \ � . Q / PArcH Fs w k• L �� 8, LOCUS INFORMATION. PLAN REF: 354/63 68 \ �' \ O \ ' TITLE REF: 8183/321 PARCEL ID: MAP 334 PAR. 24 >> ' 16"p\ G NOT IN ZONE II . cr JPII'" I FLOOD ZONE: "C" GARDEN \ ' \ j I OCQ COMMUNITY PANEL: 250015-0001-D . DATED:07/02/92 a� "P I SEPTIC SYSTEM 1 IFS W DRIVEWAY REPAIR PLAN ' 16"MAP v' _ 0 >S 6' o o :I G \� _-- / LOCATED. AT: d i 281 OAIKMONT- ROAD r WAL I m o D I MA .. UI ' MA. Lri PREPARED FOR I \ I M _ I COLI N E. & ED I TH S. ELEV.OF STEP GIS± / / I II PARCEL ID: FORS 1 YTH / #2 8 334/049 I / GARAGE ;i MAY 3, 2012' i s 4-BEDROOM DRIVEWAY TCF-78.00 O 4�NOF;4fAo,, �tNOFtit9s9c C yG , am' O �'' �A moo EDII%VVARD ?GN — J A' I LE — :n o 00 CAB � v ON y 4 U SHED ` N 1140 �,o� No. 2 9$� �o. DECK is F PARCEL ID: �� �rGo psi R 334/024 `P,yF. r c�s7E o iao r sq'NI TARS i, E. A. S. SURVEY, INC. 141 ROUTE 6A GRAPHIC SCALE SALT POND BUILDING P.O. ,BOX 1729 20 0 10 20 40 80 - SANDWICH; MA:--0256'3-- 581`39,3p W SB/DH _ 77 336,94 ( W FEET ) BUS:(508)888-3619 ... CELL:(508)527-3600 1 inch = 20 ft. I SHEET 1 OF 2 J 1420 +_ a TOP OF FOUNDATION C ELEV.= 78.0' VENT' 4" SCHEDULE 40 P.V.C.I 1 PROFILE Or MIN. PITCH ,/a" PER Fool SEWAGE DISPOSAL SYSTEM PROPOSED 15'- 13' EXISTING-� (NOT TO SCALE) FILTER FABRIC f MEETS EL= 77.5' = BREAKOUT » - 6 MAX. ..................�� ,.,,,,,,;,>,;.,.,., EL 73.5 EL 73.5 6.. MAX. 6` MAX. „ ,,,, ................,, ,,,,, :.„ RISER CONKER CONC. INVERT CLEAN. SAND FILL RISER & EL= 67.5 so" n PER 310 CMR 15.255so" EL= 75.98 LEVEL II COVER FOR 2' _ 14 i EL= 68.5 EXISTING PIPE 72' S= .096 - T Exlsr. FLOW LINE 'r" T EXIST. INVERT 11 O" INVERT . INVERT o 0 0 EL=74.9' 1 4" INVERT' ° ;o °a 0 0 C7 0 gQwo aQ$° 0 0 o�oo °0 36'� MIN. ADD' EL= 74.7 EL= 67.81' 6" SUMP EL=67.64' 24" o ° 0 0 0 o8a°°o� 0 �o GASo o , I 4 BAFFLE 6" BASE OF MECHANICALLY °° o °o °°� O<b COMPACTED SAND o 0 o EL=65.51 PROP. DB6 I ' DISTRIBUTION 4'0 8.5' 4.0 L4.0' BOX (H-20) (TYP.) EXISTING w/,T, 3/4„ TO 1-1% 41 .5' 2" z 1 ,000 GALLON TANK DOUBLE WASHED STONE .3-500 GAL.' (H-20) DRY WELLS (5'-0 X 8'-6" X 3'-0") in g (TO REMAIN) SOIL ABSORBTION (TRENCH FORMATION) (OVER THE COUNTER)VARIANCE: >3'<6' TOP S.A.S. TO GRADE SYSTEM (S.A.S.) 10 X 41 .5 GENERAL NOTES I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF BOTTOM OF TEST HOLE #2 ELEV.= 61.0' ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED (NO GROUND WATER) 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE. TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS DESCRIBED IN 310 CMR 15.017. 1 FURTHER CERTIFY THAT THE RESULTS OF MY , FOR SUBSURFACE DISPOSAL OF SEWERAGE. SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL; EVALUATION FORM, DESIGN DATA: 2. ALL ACCESS PORTS OVER TANK TEES SHALL BE ARE ACCU" AN IN A CORDANCE WITH 310 CMR 15.100 THROUGH 15.107: ACCESSIBLE WITHIN 6" OF FINISH GRADE. �_.--- .- NUMBER OF BEDROOMS......... 4 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE GARBAGE DISPOSAL.................__ CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE EDWARD A. STONE, CERTIFIED SOIL EVALUATOR UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY TOTAL ESTIMATED FLOW , MUST WITHSTAND H-20 LOADING. 110 GAL. BR. DAY X 4 BR. 440 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION ( / / ) OF ALL UTILITIES PRIOR TO ANY EXCAVATION. TEST PIT RESULTS- 440GPD X 200% = 880 GAL 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE USE EXIST. 1000 GAL. SEPTIC TANK OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. SOIL TEST _DATE: APRIL 12, 2012 ' 6. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE INSTALL: 3-500 GAL. DRY WELLS (W/4 CRUSHED STONE OVER THE S.A.S. AND DISTRIBUTION BOX. B.O.H. AGENT: DON DESMARAIS ON THE SIDES, 4' ON THE ENDS) AND BACKFILL 7. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF SOIL EVALUATOR: EDWARD A. STONE SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE WITH .CLEAN SAND FILL PER 310 CMR 15.255 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND , BACKHOE: ELLIS BROTHERS LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. SOIL CLASSIFICATION................ 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN DESIGN PERCOLATION RATE..... <2 M a._4N. 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT ELEVATION of THE OUTLET PIPE. EFFLUENT LOADING RATE....... 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. TH#� EL.= 74.2 (PERC © . 80" 3 MPI) REQUIRED LEACHING CAPACITY.....440 GAIDAY 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER LEACHING CAPACITY PROVIDED.....459 GAj=/DAY BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND 70.2 0"-48" FILL SIDEWALL: (10' + 41.5')X2X(2 SIDES)(.74)= 152 GAL/DAY FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL 68.2 48"-72" B LOAMY SAND 10YR6/6 BOTTOM: (10' X 41.5')(.74)= 307 GAL/DAY BE LEVEL. PERC 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION 61.2 72"-156" C FINE MED SAND 2.5Y7/6 ---- TOTAL= 459 GAL/DAY TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW AND APPROVAL.. NO GROUNDWATER NO MOTTLES 459 GPD PROVIDED 440 GPD REQUIRED = 19 GPD RESERVE 13. PROPOSED SEPTIC SYSTEM IS NOT WITHIN STATE APPROVED ZONE II TH#2 EL.= 74.5 { qsS \ OF MqS qp CONSTRUCTION NOTES: ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER �� HOFM q� `N s yG y o EDWARD �, .SEPTIC SYSTEM. DETAIL PAGE 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 70.3 0"-50" FILL D G �� A. ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING STONE 281 OAKMONT ROAD WORK ON THE SITE. 68.5 50"-72" B LOAMY SAND 10YR6/6 •o 1 N 2 9 � 81 OAK ON MA. 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 61.0 72"-162" C FINE MED SAND ' 2.5Y7/6 0. 1140 ?'a WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT \ �F p F - E MAY 3, 2012 IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. NO GROUNDWATER NO MOTTLES 0hgTER� sod J 3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING s4' ITARIPN J� ��Z SHEET 2 OF 2 J# 1420