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HomeMy WebLinkAbout0139 OLD JAIL LANE - Health Barnstable, A—'278-002-001 0 TOWN OF BARNSTABLE LOCATION 1� C,-N\A �w.�`,,,,, XANt„ SEWAGE# Ro�N_ VILLAGE � ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY k000 e'er\(g*3, LEACHING FACILITY.(type)�� �e\i (size) n 9�y,, 1 NO.OF BEDROOMS L� OWNER � r.1L, PERMIT DATE: ♦ 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 le Jin acility) . �t'W Feet FURNISHED BY �1i'� ! /io►� � v c GO_ IS I a j� � No. `� (� Fee—nT V� THE COMMONWEALTH OF MASSACHUSETTS Entered in co pute r:_�tJ PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE MASSACHUSETTS ftpUtation for Bisposal ,*pstrm Construction 3pPrmit Application for a Permit to Construct( ) Repair(,Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.\3 9 O %L UK) Owner's in Address,and Tel.No. Assessor's Map/Parcel .ISO-An v3 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel No. 9\(�1}�p zr�'�ec�l►. �5� Cite �tc�.¢�, �,`� j` Type of Building: 5 9,a 6 vAL% n t•a� 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) 41iQ gpd Design flow provided �J qc e n 15 gpd Plan Date j\`tom �, Number of sheets Revision Date Title .Seir C, 0 i�Vo5�s7cmj ko� Size of Septic Tank t'®®0 gpyjIC_cAj Type of S.A.S. Description of Soil $e< Nature of Repairs or Alterations(Answer fw�he_n applicable) > v rY�aG�. �1gi�ta\euCvdrJ 0)0)4 Gwt) 10.� 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 alth. Signed Date ` Application Approved by Date kq Application Disapproved by Date for the following reasons Permit No. Date Issued c 't � •, F �. 1 ' � No.. ., Fee y), Entered in co ' THE COMMONWEALTR'OF MASSACHUSETTS pater: Yes PUBLIC-HEALTH DIVISION -.TOW,N,_OF BARNSTABLE, MASSACHUSETT�S 3 application for Nspo8al 6pstrut (Construction 30Prpit a ;y Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete Systems, ElIndividual Components Location Address or Lot No. \39 ©kcal Ta\L t.-N Owner's Name,Address,and Tel.Ne Assessor's Map/Parcel _ j 4/1 V1 S+F Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel!No. Wti f cogd T�pe of Building: g 1,8 5•(5%44 o t•c5 ; `'- E,, Dwelling No.of Bedrooms 1. Lot Size a��t sq.ft. " Garbage Grinder( ) 4' Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures l "� Design Flow(min.required) H 140 gpd ''Design 0ow,provvid Cam{t / Plan Date '(`l gpd �s�lit Number of sheets Revision Date Title ,oTtG 1�1�(?oS.K L 4 Size of Septic Tank O 60 Q* tr,0j Type of S.A.S. Ty-) . 1 M kA 41�t Description of Soil Set !6,,. !y 'i`', 14.9� s Nature of Repairs or Alterations(Answer when applicable) 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. r'' Signed ,�%� Date Application Approved by Date . Application Disapproved by Datef for the following reasons A Permit No. .3 Date Issued 9 ---- ---------- ----- ----------------- ------------1 ---------------------- ----------- _ x THE COMMONWEALTH OF MASSAQHUSETTS BARNSTABLE,MASSACHUS ETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired O Upgraded( ) Abandoned( )by , 0, Vi„j W at_-�'S t,� � 1, k— r2 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No—'29,�R �1,�dated Installer Designer #bedrooms Approved design flow gpd 01 The issuance of this permit shall not be construed as a guarantee that the system will func i de d. Date Inspector ~ --------------------------/-�------------------------------------------------------------------------------------------------------------- No � . + e / .r � Fee THE COMMONWEALTH OF MASSACHUSH�TS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is Hereby granted to Construct( ) Repair V) Upgrade( ) Abandon( ) System located at \ i t \n 4 ly, L ti� -'1A► � 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. q 1 jol, Provided:Constructio mustjbe completed within three years of the date of this permit. Date Approved bby '~ I down cape engineering, inc. SIEVE SOILS ANALYSIS 139 Old Jail Bam.xlsx • DATE OF REPORT: 1-26-10 (sample 1-6-2010) JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 139 OLD JAIL LANE, BARNSTABLE, ILIA LOCATION: DARREN MEYER TH SIEVE ANALYSIS Weight Sample(Grams): 246 SIZE ;WEIGHT RETAINED %RETAINED %PASSED .(sum)- ! .... -------- - --. .... - .6.0; ----------- -. 0_.0%: _100.0% 1/21' — ' i _0.0' 0.0%: —100.0% -------------F..........---......... ...,}-------------------7------------------ 3/8" ; 0.0; 0.0%; 100.0% ---------------------------------------•---------------------r--------------- #4 _ 0.0; _0.0%: 1.00A% 90 ------ .................I 30.5A----------- 12.4%:......... 87:6% -0 -6---•---------------'.92.1A-----------37 4% ............$2.6% - -------- -------- --- ---- ------ 0 !168.1; 68.3%; 31.7% -0------_ _------------------•-i207.7Y-------------84.4%;........---1.5.6% --3------ •.-------•----------1226',i- ---------- 93.3% ----------- 6.7% #100 3.7% ......................... #200 t...................1243:14------------------ -----------1-2% ------------ PAN: _- 1246.0: 100.0%: 0.0% ----------- ---------------- ,- -------------------------- S --------- AMPLE: ; 1246.0; i NOTE:TEST ON PASSING#4 ONLY, 26%RETAINED ON#4<45%O.K. I RESULTS: SOIL CLASSIFIED AS AASHTO A-3(GRANULAR,COARSE SAND)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE: #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%400'/o OK II SKOF/M #100 0%-20% OK k �``Ac #200 0%-5% OK ��oa DANIELA yG� OJALA � SAMPLE MEETS TITLE 5 FILL SPECIFICATION CIVIL N q No.46502 RESULTS:PERMEABLE MATERIAL-GLASS 1<2.MINAN.MATERIAL F s NONCOMPACTED I NAl E / SOIL DESCRIPTION: MED SAND, 0.74 GPDISF MATERIAL �-- 2�,•Zow + + 1 i i Tower of B -�astable r# --3 °f Department of Regtilatoryi Services c7 ` ]Public Heap Division Date 6 e$' 200 Main Street.HSfannis MAI02601vL /. rEbMlxa, 1 •! l � Date Scheduled ' 'Time A� Fee PcL C) e) i ,Foil Suitability Assessment for Sea e Disposal 1 Performed By: ,►� �1 c.4 t'� Witnessed By. • i I _ LOCATION&GENERAL WORM[ATION Ownces Name Location Address ij �' �Lp� )) 4E�n IGL/ N Address Assessor's Map/P4rcel: '��.$ O� Engineer's Name D!{�Y►'7 NEW CONSTRUCTION REPAIR j Telephone# �� 6 2 / 2 U land Use L O GN�PCIJ Slopes(%) D Surface Stones , /1rb�, _.ft ' Distances from: Open Water Body���ft Possible Wee Dunking Water Well :�/�I .� —�--ft Drainage Way ? O O A. PropcM line l� ft Other ft SKETCH:(Street name,dimensiods'of lot,cxa, i in proxitnity to holes) -. i—`. 72 • - -�ti.r... ... ,•ice, .. Parent material(geologic) . 0� I�L Depth to Bedrock • Y" - Depth to Groundaa{er. Standing Water in Holei ' Weeping from Ptt PAee � ►. Estimated Seasonal High Groundwater I)�TERIVIIIl .=N FOR SEASONAL HIGH WATER TA15LE Method Used: . Depth C1.4erved standing in obs.hole: in. Depth to soil mottles: in. Depth toiweeping from side of obs.hole: 1 in. aroundwater Adjustment it. Index Well# Reading Datc Index Well levcJ Adj.C roundwaterLevel,..,., PERCOLATr TEST • Date Observation Tiino at Dole# !i .._......_. Depth of Pere 1 y 60(7� �. Time at G" Start Pre-soak'fittx.0 s I 'time(9"•ti') c End Pre-soak " to Rate MnJlnch L �- Site Suitability Assosraeat Site Passed _ Site Failed; Additional Testing Needed(YIN),T__ Original•.Public HeM Division Observation Hole Data TO Be Completed on Back ***If percol4pn test is to be conducted within 100) of wetland,-You must first notify the ,�__.......,,,�t-A- --,vatinn-Mvisian at least one(1)wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole#_ Depth from Soil Horizon Soil Texture' Soil Color Soil ' Other Surface(in.) (USDA) ounselp Mottling (Structure.Stones,Boulders. Consistency. vel 0 t 2 bolt o'ki $a 1 ' 10 r� f3 f S)-Yr L,a ew-w DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Cher Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. Gravel)consistency.% A Is b4arntj 31 jig" �1 pf • .N3n DEEP OBSERVATION HOLE LOG Hole# Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muoscll) Mottling (Structure.Stones,Boulders. Consistency. v DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munseln Motting (Structure,Stones.Boulders. consisteno ' Flood Insurance Rate May: Above 500 year flood boundary No— Yes / Within 500 year boundary No Yes Within 100 year flood boundary No Depth of Naturally Occurring 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? y, e& If not,what is the depth of naturally occurring pervious material? ' Certification I certify that on U r (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, fining,expertise and experience described in 3,10 CMR 15.017. Signature -,- �v •� Date 404, ?! Q:iSElYnCTERCFORM.DOC } Town of B�-nstable. P# Department of Regulatory Services . Public Heal h Division mite r 68' 200 Maio Stnet,finis MA 02601 Date Scheduled b 1 C� i Time tom— Fee P l oil Suitability Assess#ieni or Sewage Disposal Performed By.., Witnessed B I LOCATION&GENERAL•INFORMA I8LN location Address • f � 0(,V ,`kt 1. (, Owaer'sName Address s Assessor s MaplParcel: 1002 _ O� ! Engineer's Name New eONs UftON REPAIR X Telephone# ZA z b Land Use i r�nl'1�A2 Slopes(S) ! ' [d surface Stones �'g'V0� Distances from: Open Water Body �' tt Possible wet Area 7 ZP0 R Dduldng Water Well ? t Drainage Way i ft Property Lini > /C* _ft Other . P SE TCE:(Street arrw 1` — "'ands in proximity to hors) n dimensiorisbf lot.exact ,�.,,•�M, ........... DB ' ! / •,- ,1 r ..............gip, t •................_ pnrrent material(ge6l6gie) Depth to Sedfclt..:---. Depth to Grottadwaldr. Standing Water is Roles N `� Weeping from Pit Face Estimated Seasonal4gh Grotmdwater D] TERM TION FOR SEAS OkAL HIDE'CATER TA.]�LE IN Method Used: Depth dtperved standingprt ob&holes in. Depth td sell mottlest Depth tofweeping froth side of obs.hole: in. Otoundwt►trr AdJuemteat DeP DWI•CrOundw►ttterLsVol..�,,. Index Well# Reading Dat4 i PERGOLA ON TEST . Date w.-- 74ue_�.. Observation I Thee at 9" Bole# ,j Time at r Depth of Pere .•.•..--- Start Pre-MkTime.@ End Pre-soak ' ` Rite MinAnch Site Suitability Ass0sment: Site Passed r. Site Failed; Additional Testing Needed(Y/I�.r BeCom leted on Back Original•.Public Ile�tth Division Observation hole Data To P ***If percola#0n testis to be conducted within 100' of wetland,you must first notify the u..-nctahle C6xiservation Division at least one(1)week prior to beginning, l DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture' Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. i' Consistenev.%Graven PO 11QaK 14kKd 1 S�� ?.i)4`t G3,, Mew Strry 2• a DEEP OBSERVATION HOLE LOG HoIe# - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. I . consistenev. r5 L040 2 S� q y"— Id i C �t�r Ls JIMj'_ 6`t Mt.Q.SA,4 7, 6 b J AMi I DEEP OBSERVATION HOLE,LOG HoIe# Depth from' Soil Horizon Soil Texture Soil Color Sal Other Surface(m.) (USDA) (Munseln Mottling (Structure.Stones.Boulders. Consistency.%amve r DEEP OBSERVATION HOLE'LOG Hole# N I R Depth from Soil Horizon Soil Texture Soil color Boll Other Surface(in.) (USDA) (Munwi) Mottling (Structure.Stones.Boulders. consistengL 50 QLaven I, Flood'insurance Rate Map: Above 500 year flood boundary_ No— Yes Within S00 year boundary _ No Yes Within 70o year flood boundary No 7 Yes= Depth of Naturally Occurring Pervious Materlal Does at least four feet of naturally occumingpervigus 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 C� I certify that on 1 (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 ' in and experience described in 310 CUR 15.017. Signature 1 AA A L&4� Date 1 C.1 t c) QASEMC1PERCPORM.DOC Town of Barnstable . ram.. Regulatory Services . . Richard V.Sca1i,Interim.Director nAaNsrAUIE M^ Public Health Division '°fFcrr ° Thomas.McKean, Director - 200 Main Street;Hyannis,MA 02601 Office: 508-362-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: . Sewage Permit# • jytig -� Assessor's Ma \Parcel 278/2-1 P David D. Cou hanowr RS Ucsigner• 9 Installer: (��11,taw►_Dh►v Address: 155 George Ryder Rd South Address: Q(. Q�T,,44 Chatham, MA 02633 On .1,`1�,*VV\ 1 tj my— was issued:a permit to Install a (date) (installer) septic system at 139 Old Jail Lane: based on a design drawn.by (address) David D. Coughanowr dated July 18, 2019 (designer) I certify.that the septic system referenced above..was-installed substantially according to the design,.which may include minor approved changes such as latcra `relocation of-the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory; X A certify that the septic system referenced above was installed with major changes (i.e. greater than I O' lateral relocation of the SAS or any vet tical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. 1 certify that the system referenced above was constntcted in compliance with the terms of the RA approval letters (if applieable) �t DAVID o DAVID c�v D. ` 5 �D. (Installer' Signature) C0 eG NOt�R ' U , ,No, 1093 COUGHANNR (Designer's Signature) - ' ner's StafiTftililf PLEASE RE`.fURN TO:BARNSTABLE PUBLIC REALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE 'ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC,HEALTH DIVISION. THANK YOU. QAScpticNDesigncr Certification ionn Rev 8-14-13.doc Yr TOWN MOF.-B_ARNSTABLE LOCATION �� b `�"'' SEWAGE # VILLAGE ASSESSOR'S ASSESSOR'S MAP & LOT INSTALLER'S NAME&.PHONE NO. � �" b SEPTIC TANK CAPACITY LEACHING FACILITY: (type) IVNCI YI49YS (size) NO.OF BEDROOMS BUILDER OR-OWNER, PERMIT DATE: JI3O 2012. COMPLIANCE DATE: -7- 3 �� Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of,Leaching Facility Feet Private Water Supply Well a.`d Leaching Facility (If any wells exist on site or within 200 feet of leaching facilRy)! Feet Edge of Wetland and Leaching Facility (If any wetlands exist ' within 300 feet of leaching facility) a z Feet Furnished by 4 v . CU a : BCD • � 3 o4� No. )X� �� I/J 9 t, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLation for Disposal *pstem Construction Vermit Application for a Permit to Construct( ) Repair(k�Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 6yUAc t A*Ve &Ze�W Owner's Name,Address,and Tel.No. Assessor's Map/Parcel p 0 6 mnyr4'n 1396/P&14p9 Inst le 's Name,Address,and Tel.N . Designer's'Name,Address,and Tel.No. .2�, eyev' dry �a°max�-r z� �►.�s � ���, lAw�, Type of Building: } Dwelling No.of Bedrooms Lot Size . D ®��'f sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 7 t/ f gpd 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) 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 B and of alth. t I l e.. L R _ Date T !j 6 Za _. Application Approved by Date o -4?_ 2. Application Disapproved by Date for the following reasons Permit No. 2 0/ t- /s Date Issued 0 / f ------------ --------------------------------------------------------------------------------------- ------------- - No. a j Feex THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN'OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation fDr•Bisposat 6pstrm Construction Permit '! Application for a Permit to Construct( ) Repair(*'.Upgrade( ) Abandon( ) ❑Complete System Individual Components I Location Address or Lot No. / 'J��JAr( j�/e': Owner's Name,Address,and Tel.No. '7 Assessor'sMap/Parcel �� � �r� . �> 06ekl?on 13961cc/AIA1-,1A,e Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No, Type of Building: r r' Dwelling No.of Bedrooms Lot Size o'Uo X 'sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons q( Showers( ) Cafeteria( ) , Other Fixtures Design Flow(min.required) gpd Design flow provided C� d r` { gP 4 Plan Date Number of sheets Revision ate r= Title I Size of Septic Tank ' Type of S.A.S. 4 jDescription of Soil , i Nature of Repairs or Alterations(Answer when applicable) o 1 e-1 aa,r,R- �Ct^erg Vic. i 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 B and of alth. (� / ,Stg ed r ` QDate T Lw /Za Z-- 1 Application Approved by Date a ' Application Disapproved by Date for the following reasons i Permit No. '?0/ f/ Date Issued d / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( V) Repaired( ) Upgraded( ) Abandoned( )by i' at r ?01 6 / a,' ' �� �s^ = has been constructed in accordance with the provisions of itle 5 and the for Disposal System Construction Permit No. 2 u/-D — //S dated L ,9 / Installer M, Vt L a _ Designer #bedrooms y Approved design flow qy& gpd The issuance of this permit shall n t be co strued as a guarantee that the system will function asas^d6sif n d. Date > , � Inspector ----No. �/ �- . //�f� : .-.--.-_ ..__.-_-.-_: -------_---- -------------- ---.-------- ---�----.------------- -Fee ---� --- . . . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Zisposal 6pstem Construction i3frmit Permission is hereby granted to Construct(j Repair( ) Upgrade( ) Abandon( ) y q System located at 11 / �. d r P� �� �, , r 1) T7 z 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:Construc ion must be completed within three years of the date of this perm Date y' o a Approved by 1A 1 —�r f .. k Town'of Barnstable r# - - Department of Regtilatory Services • �- Publiciealth Division Date= • HAS& ems$ 2000 Main Street,Hyannis MA 02601 Date Scheduled ,f ` Time Fee Pd, r k o�� S`zrztabzlity AssessM nd fog- Se"a `e Disposal ,Performed By L ° Z��1M •t/\j ew ' Witnessed By LOCATION & GENERAL TNI+'ORmATION' Location Address'. C1 dl� '-� Owner's Namc oe"o—A ,-A) " V ra L ! �. ��`, 4�✓iv q Address Assessor's Map/P4rcel: ` ��Z -�- - :I, Engineer's Name.�j/�✓�t�i(tii �"e'��f��' NEW CONS 1RUl I70N REPAIR Telephone# -i J ' Land Use �/ Slopes(91o) 1®r� Surface Stones Distances from: Open Water Bod U • ft . Possible Wee Area�ft Drinking Water Well �p� ft A h. Drainage Way ® ft Property Linc ft Other ft SKETCH:(Strcetname,dimcnsiods of lot;exa, ..• '. - - in proximity to holes)- ------- - r a----------- ----------------------- e g y� 34 Parent material(geologic) W4 L Depth tO Bedrock' Y Depth to Groundwater Standing Water in Hole:' Weeping from Pit Face Estimated Seasonal Nigh Groundwater - DtTERMINATION FOR SEASONAL HIGH WATER TABLE , Method Used: + �' Depth Observed standing-�in obs.hole: iu. . Depth td SOII mettles ?' / In. Depth toiweeping•from side of obs.hole:` I in, Groundwater Adjuattneni - it• - i ! Adj.Groundwaterl.evel,,,,e, Index Well#�_ Reading Date: Index Well level Ar ,f1clOr _ , TEST' ' Dille— 'A hue Observation Time at Hole# Depth of Perc Rio t Time at 6" Y T Start Pre-soak Time.@ Time(9"-6") End Pre-soak — i Rate MinJlnch I I Site Suitability Assessment: Site Passed�� Site Failed; Additional Testing Needed(Y/N) Original: Public ke'�lth Division: Observation Hole Data To Be Completed on Back— ***If percola>;ibn test is to be conducted within 100' of wetland,•you must first notify the BEjrnstable Conservation Division at least one(1) week prior to beginning. 1 DEEP OBSERVATION HOLE LOG ` Hole#_ Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel fit'- � 't •� `��,,� s<�.� C �� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Ather Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel) tJll��'ljllLpart; (0 5 -31 it A boa m 9 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. ra I N 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 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 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:U0 CNM 15.017. `Im `I /1-` 17 Date P 12' Signature t -- Q:1SEP'rlC\PERCFORM.DOC Town of Barnstable �I,E Regulatory Services Thomas F. Geiler, Director l MSTABLE. 9� . ®� Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-362-4644, Fax: 503-790-6304 Installer & Designer Certification Form Date: lZ. Sewage Permit# 2W�' me- Assessor's ivlap\Parcel A` 9 01/ tiD�, nnpp i� Designer: �! Y 1' Installer: �� �b(,- Address: I Address: 612Z 07S '� On 3e 2012- ,e L.a, u;tA was issued a permit to install a (date) I (installer) septic system at I t� ,� _based on a design drawn by (address) NkAlt-fe' dated 7 (� (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved chan2eS such as lateral relocation of the distribution box ancUor 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 anv vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. OF MA DARN (�Vpinstaller's Signature) 1,140 "' SANI TAR�I'� esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION CERTIFICATE OF COiNIPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU Q: Health/Septic/Designer Certification Form 3-26-4.doc l 16 TOWN OF BARNSTABLE ,- tl°t �d {g.'[{ �ty{}D.,,.e7$7. 64 • ,t - i i .. m 1 � 1 1 i i /y i ---- --_ ---- i. Ilk 3 b� - 4 l .Gown d B• instable. P Department of RekWatory Services • Public Health Division mate pusa 163q tee$ 200 Main Stree4 Hyannis MA 02601 • ~rFD µJ2I� •i - �- Date Scheduled L) Time 6 Fee Pd. vo $oil Suitability Assessm'en fop Sewage Disposal Performed By: f�! - Witnessed Byic "�✓P LOCATION & GENERAL INFORMATION Location Address �� Q ( ' Owner's Name d 6 i 6 Address �Jr VV L Assessor's Map/P4rcel: 2_7 57 /'0'02 ®CD I± Engineer's Name NEW CONS1RUi70N REPAIR • ` Telephone# � 3 '" Z .L Land Use ►'"�'v ���0� k ✓ Slopes(5'0) i l l� Surface stones. Distances from: ripen Water Body � �'oo ft Possible Wee Area 0 ft Drinking Water Well,_L ' ft i Drainage Way ft Property Line 's N ft Other ft SKETCH'( tree[name,dimensioris'oflo4`exaet' 0 L D JAIL L,.i'•IE '"'aadsin proximity toholes) --- ---- --_ _ ys tg, t _________y_K 4____________------------ ----------------------- -------------- ---------------------- "NA r ...e,�--...:'!- -....- ---�, •-�r.�•-'-i.- ..wry _ \T-:-.r-.7r�'-+sK'-•r.+.+v -' +fiver '� _.+..-,.b* .r.__ J ( - rr�W � ---- - - Parent material(geologic) Deth to Bedrock I � p -4- ,,• P Depth to Groundwater. Standing Water in Hole N lY` Weeping from Pit FACe Estimated Seasonal liigh Groundwater l •` DtTERMINATION FOR SEASONAL ffiGH WATER'TALE Method Used: Depth ab erved standing in obs.hole: 1n: 'Depth to soil tttottles: In. Depth toiweeping from side of obs.hole I in, Groundwater Adjustment tt- Index Welt#_ Reading Date: Index Well ICVel ! _ A .faet0r_.�� Adj.Groundwater Level.— ev�el.,,.,e. PERCOLATION TEST . Date : 7c11►tte_____. Observation Tune at -••------ Hole# al�11�+,0 Time at G' -- Depth of Pere' � ., 4 Start Pre-soakTime:0 Time{9"-6„) End Pre-soak ! _ Rate MinJInch Site Suitability Assessment Site Passed_. Site Failed; Additional Testing Needed(YIN) Original:.Public k.Iedlth Division Observatiod Hole Data To Be Completed on Back— ***If percolaion 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. DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil.Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel ij 20 '' 5Al Met DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel) Liu"- is g q C Stt,f L -14 p bC � try F DEEP OBSERVATION HOLE LOG Hole# N - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %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, ra I Flood Insurance Rate Map: Above 500 year flood boundary No— Yes -- Within 500 year boundary No Yes, V Within 100 year flood boundary No_ Yes Depth of Naturally Occurring 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 certify that on ,L (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 tra in , xpertise and experience described in 310 CMR 15.017. Signature ) Date -i Q:\.SEPTICVERCFORM.DOC down cape engineering, inc. SIEVE SOILS ANALYSIS 139 Old Jail Barn.xlsx DATE OF REPORT: 1-26=10 (sample 1-6-2010) JOB a GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 139 OLD JAIL LANE, BARNSTABLE, MA LOCATION: DARREN MEYER TH SIEVE ANALYSIS Weight Sample(Grams): 246 SIZE ;WEIGHT RETAINED % RETAINED ; % PASSED -------------: (sum_)...••.••...- --------------------- 0.0 1 00.0/o 3/4" 0.0: 0.0%: 100.0% ------------ ----•--------------------- ---------------------I------------------ 0. 3/8" 0.0; ------------ -------..----.--•----------r---------------------------------------- #4 0.0: 0.0%; 100.0% ------------- ------------------4------------------------------------•... #10 30.5: 12.4%: 87.6% ------------- ----•---------------- --------------------- .................. #20 -----------•-----:-A-------------37.4%�.------... 62:6% #40 168.1; 68.3%; 3'f.7% .-------------i........................._-r_--------------------r......_.___-.....- #50 207.7; 84.4%; ------------- ---------------------------•---------------------•------------------ #80 229.4: 93.3%; 6.7% ------------- -------------- ----------------------� -----------•---- #100 236.9: 96.3%: 3.7% ------------ 1 2 ----------------••-••--•-- --------------------- ---------------No_ #200 : ---------------243:1 -------------98.8%------------- = % PAN: 246.0: 100.0%: 0.0% ------------- ------------------------------------------------------------------- ' SAMPLE: ; NOTE: TEST ON PASSING#4 ONLY, 26% RETAINED ON#4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3 (GRANULAR, COARSE SAND)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK ��NOFa,gs #100 0%-20% OK #200 0%-5% OK �� DANIELA. SAMPLE MEETS TITLE 5 FILL SPECIFICATION o O VI CIVL � IL No.46502 oc 3 ?L RESULTS: PERMEABLE MATERIAL-CLASS 1<2 MINAN. MATERIAL NONCOMPACTED ' NA ON SOIL DESCRIPTION: MED SAND, 0.74 GPD/SF MATERIAL �� Z�• Zo�e� j 3 TOWN IiA RiVSTAI3LE OF -q- 1 _LOCATION ��� � © dam/ r�L�' SEWAGE # e_IP I VILLAGE S r-.,9/3 ' �/Vd� J _ ASS.ESSORt S MAP & LOT INSTALLER'S NAME.& PHONE 146. A'Le // 5T 2 �, 13.6� SEPTIC TANK CAPACITY LE ACHING FACILITY:(type)?,e Z c.g.s r (size) yX 6 I: 4:NO. OF BEDROOMS ,3 PRIVATE WELL OR PUBLIC WATER Pdl/4/w/ BUILDER OR OWNER D 4 2 7- t 2 i'a 4 �✓ ' DATE PERMIT ISSUED: � DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� l�l .� i '� ' •,�/ 1,,� -��, ���� t�� �.. �., , t _ .. Fimz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . .....-.OF...... 6&.................................. u i 13q Appliration for Uhip al Workii Tnnitrnrtiun antit Application is hereby made for a Permit to Construct (te'or Repair ( ) an Individual Sewage Disposal System at: OLD � ;47 L Lti. B�sT,�3�_6 Co T ................-................................................................................ ..._..•-----••••---•-----•---•-------•---•-••----•••--•--••-••----•-.....---•_..................._ -Location Address or Lot No. ...................... �i�?- ;5;--- Owner Address Installer Address �D oo f Type of Building 3 Size Lot________,,................Sq. feet Dwelling—No. of Bedrooms____________________________________________Expansion Attic ( ) Garbage Grinder ( ) P4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other fixtures ___________________________________ W Design Flow............... per person per day. Total d�ly`flow__._._.__. 30___________........__gallons. WSeptic Tank—Liquid capacityL47�_gallons Length... Width----- Diameter________________ Depth_.S__8•_-- x Disposal Trench—No_ ____________________ Width.......__....___._._ Total Length..............._.... Total leaching area__._.______.........sq. ft. / Seepage Pit No........ .......... Diameter____._Z. ... Depth below inlet..... n�....... Total leaching area.:'8__sq. ft. Z Other Distribution box ( ) Dosing tank ( )''" Percolation Test Results Performed by......... i !`?. ._._�°___-_ L ___._. Date_ G ZZ ..._- -- �.1 Test Pit No. 1...L..�-___minutes per inch Depth of Test Pit_.�5.-l_ ..___ Depth to ground water________________________ Test Pit No. 2.... _L__minutes per inch Depth of Test Pit.... ...... Depth to ground water........................ P+ ----------•--•---•----------•-•------•------•-••----•.................................. O o �- z N ��a� Svc-.Soy[. cL� Description of Soil 7 .......__.. `t''`1 ------ --- . ---- - - -- -- .......... 7....y''_._`�y-----�C'./.........................................�_-•-•-----•------•------...--•----•------•--_.._. W VNature 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 TITLL 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bbbeeenn issu d by e boar ofih h. Sign�3!/�� �...-••-- -- -------•----.... ._ ----------------------- Date Application Approved BY 1� ---__.�._ ..._... Z '�Dr'� Application Disapproved for the following reasons_.............................................................................................................. ..............•-------------••----....._..._..-•--•-----------...._..----•---------..........-----.....------------------------------••-------------------••-•--••---•--•--•----• ----------•-••-•--••-- ¢� Date PermitNo...... •-••---••-•----•.._........ Issued....................................................... Date •...........................a..........................................-............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAGNING ENGINEER MUST SUPERVISE INST T N AND CERTIFY IN WRITING ..............T iN.........OF..............�.3. LED IN STRICT (9rrtifiratle of TIYnf RW CE TO PLAN. THIS IS TO C RTIFY, That th Individual Sewage Disposal System constructed (��or Repaired ( ) by ------.�..'... .--•--••••----•-•----•-•---•.....................•------•-•--•-••-••-••-••-..._..._................-• -••-•- �^ ...............at............. -- ............................................ has been installed in accordance with t 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 CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector....................................................... - th No... . 1 Fps.....74.:�- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............�P WN........OF....R�L/(/S7?7-?&-L6...----.......................... Appliratiun for Disposal Works Tonstrurtiun ramit Application is hereby made for a Permit to Construct (✓f or Repair ( ) an Individual Sewage Disposal System at oe-D 1; -i c, 4-A,. 8�z vsT�3��� Lo 7 �/ ocation-Address or Lot No --•/ v BC7 iy,`t.'?v..............•---------•-•-•-• -2-6zo �fA�.e..�... ✓E3T ----- ----- Owner W N Co c�a A-" Address .......--- s�Z u ........................ ............................ .................................................................... Installer Address Type of Building 3 Size Lot...............................Sq. feet Dwelling—No. of Bedrooms.......................:....................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type T e of Building No. of persons............................ Showers W YP g --------•-----------•---•--• P ( ) — Cafeteria ( ) Q' Other fixtures .............................................•--------.......------•---------------------.........----••--•------.-:...-•--•----...._......--•---_.... d Design Flow............. � ....................gallons per person per day. Total daily, flow......... 3 ........ ...........-gallons. Septic Tank—Liquid capacitye E�..gallons Length.. .G...... Width.1�� ... Diameter................ Depth.S.��.�.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area_...................sq. ft. Seepage Pit No......./............ Diameter....../...... Depth below inlet...... ........ Total leaching area..- 8...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........7}G 1AS.....�y'..! `� . ......... Date/—!p Z � aTest Pit No. 1._�..L....minutes per inch Depth of Test Pit..�S ..`�..._.. Depth to ground water........................ 44 Test Pit No. 2...!_L:...minutes per inch Depth of Test Pit...Z-'.r'��"... Depth to ground water....:............. Descriptiono.. Soil.------•••------•• ... -•-- D...------•....----:..�..---•.............•--•-...._..---........-•---------•--•--------•--• (ra VNature 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 TITIS 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 th, .f��il z. f' Application Approved B ............. •-----..--i� V---- --•-•...................•------ ....... .Ir...-.�� Date Application Disapproved for the following reasons:............................................•-------•-----•---•-•---•--------...----•-..._....-•---•.........._ ........................................ ..........•--....._....._........._............_.._...........------_....._......_.....••----....••-•---•---•---_..............----.... . ..---.........Date PermitNo....... -1� ---......--•--- ....._ Issued...................................................... -- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TWi✓.........OF........... ................................ (Irdif irate of Tontpltanre THIS IS TO CERTIFY, That th Individual Sewage Disposal System constructed 0,,T or Repaired ( ) by.....................�•.--•--- ..... •--• - ....................................---•----................ ._..... .... Installer at.............. .....�--._...... _. 1.(Xis'----.-------.------.---•---••- has been installed in accordance with t 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 CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................•---•--•----------......----................-------......... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �G1 .......oF......1 i1 T ��......................................... .. 7`—No � - .f.. F$s.... ,2- .......... Disposal Works Tunstrnrtiun f amit Permissionis hereby granted..................•-------------.......---•--..-••••----._....--•----...._......-•----..................................................__.. to Construct (61015 or Repair ( ) an Indio� uaSewage Dis��sal yst at No....... ...�.........6hl '...-•-, cJkt..- .�,......--•. ............ . Street CC�� LL'' as shown on the application for Disposal Works Construction Permit No.2 :Z.J.._. Dated.......................................... .......................................��__;Ild o a.._..... lth................_----................... DATE.................... -�. L-------&. ...... FORM 1255 A. M. SULKIN. INC.. BOSTON I ROUTE 6A O EXISTING SOIL ABSORPTION SYSTEM IS TO BE PUMPEDLEGEND g AND REMOVED.: REMOVE ALL ASSOCIATED CONTAMINATED SEPTIC COMPONENTS AND UNSUITABLE SOILS FOR 5 FEET AROUND & REPLACE iocu5 o W WITH CLEAN MEDIUM SAND. PER TITLE 5 & INSTALL NEW EXISTING. SOIL ABSORPTION SYSTEM IN THE SAME LOCATION. 1000 GAL E3 NOT '9.� SEPTIC TANK TO ¢2 SCALE ABANDONED M/ m r LEACH PITI D C O A P E O CESSPOOL H/ VARIANCE REQUESTED QywA � MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT OR HEALTH INSPECTOR. THIS IS A DISTRIBUTION BOX® 310 CMR 15.221(7) — COMPONENT •C�OL0 TEST PIT � BARNSTABLE. MA DEPTH TO FINISH GRADE: 36 in PLAN L 0 C .0 S M A P MAX REQUIRED VARIANCE TO 72 in OF COVER REQUESTED. USE COLOR PLAN ONLY PROPOSED FOR INSTALLATION SOIL FULL DETAIL IS BEST ABSORPTION SYSTEM o _-- VIEWED IN. FULL COLOR -SEE c 'gip DETAIL Q�\1vQPbLE 1 ��� ON BACK ELEVATION 8562 OF FOUND P�\C` s 1 . LOOT I \�AREA = 60001 sf+- `� ��` PLAN BOOK 336 PAGE 79 1 ASSR MAP 278 PCL 2-1 Y '9 1 "^e, <,1 D 150 ft FROM WELL ��. 1 so 1 1 WELL 82 78 76 74. 70 8 72 1 1 G N 1 G EX/S 1 to W 1 S A8 FGE E e rop es N L 1 ' FNp + NON 62+_ 1 r / ki - _ x �a x •a i ...._+cs.. Q— MINIMAL A L � �'� I I x y ` /GRADING I PROPOSED I 3 VENT �9}* PIPE I /. a MTOL:§T§CAS 1 !ti r - �- z P OAS LINES i� ELECTRIC LINE a,; a 7p 1 80 urrcl rr -- 1 78 { 72 / µ POLE $ I 7B EXISTING SOIL ` . EXISTING 1 ABSORPTION 74 STRIPOUT/v�P ry j 1 SYSTEM 16 it Go 1 CONSISTS OF PLASTIC CHAMBERS WITHOUT STONE. + pPJ 1 —TO BE REMOVED. P `k = u• c 1 i o o lo � • o � ` 1 A 44.73 ft FIL . A N PROPOSED SOIL ABSORPTION �� —INSTALLER TO OBTAIN DISPOSAL WORKS SYSTEM II\VII APERMIT BEFORE STARTING .WORK. SCALE I In 40 ft DETAIL ��11JJ�`jj —ALL -COMPONENTS INSTALLED SHALL MEET I. s � 0 8 O -. MASSACHUSETTS TITLE 5 SEPTIC - ®. THE MINIMUM. REQUIREMENTS OF 4 OCODE (310. CMR 15). 0 20 40 —INSTALLER TO VERIFY LOCATIONS OF ALL TUNDERGROUND UTILITIES BEFORE PRINT .ON' 11 x 17 in EXCAVATING FOR SYSTEM. PAPER FOR PROPER SCALE -ECO-TECH RAPID. RESPONSE RECOMMENDS 1 in 20 ft THE INSTALLATION OF LOW FLOW FIXTURES & APPLIANCES. AND PERIODIC NO OTHER WELLS WITHIN 150 ft OF PUMPING OF THE SEPTIC TANK. THE PROPOSED.LEACHING GALLERY -SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT.PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. SEWAGE DISPOSAL Sti of Issgy �`�H oF,u4ssgy SYSTEM PLAN DAVID r J, o DAVID OGJ -TO SERVE EXISTING DWELLING D.' GARB c, COUGHANOWR v v COUGHANOWR w = T.A R A E. G R No. 1093 No. 461 a RILE Y OT >,`l •' _..J LNERIS) OF RECORD A OWED �Fc►srE�° s gpP ova° = ,�J 139 OLD JAIL LANE gNlr P { Oi( BARNSTABLE• MA GGo Ryder Rd S PROPERTY ADDRESS Chothom, MA 02633 DovidcouOHotmoil.com DATE: JULY 18. 2019 508 364-0894 PG.I/2 Joe.- ETE-43 -e�oei SOIL TEST 'Los ,. DROWN COAL CUMLATDON SOIL EVALUATOR: DARREN MEYER, ASE #1614 r DESIGN FLOWN 4 BEDROOMS X 110 GPD = 440 GPD WITNESSED BY: DAVID STANTON. HEALTH DEPT.' ' �I SEPTIC TANK: 440 GPD X 2 DAYS = 880 GALLONS TEST PIT 1 NO GROUNDWATER ENCOUNTERED g USE EXISTING 1000 GALLON SEPTIC TANK IF IN 2 MINIINCH IN C2 S61LS . SOUND STRUCTURAL CONDITION. IF NOT, INSTALL ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER iiJ1 NEW 1500 GALLON SEPTIC TANK. 74.81- 0-18 FILL INCHES HORIZON TEXTURE (MUNSELL) " MOTTLES DISTRIBUTION BOX: INSTALL UNIT DEPICTED 18-26 A LOAMY SAND 10 YR 3/2 NONE SOIL ABSORBTION SYSTEM: 26-49 B LOAMY SAND 10 YR 5/8 NONE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 6181 49-156 Cl SILT LOAM 10 YR 6/8 NONE SOIL WITH A PERCOLATION RATE BELOW 5 'MINUTES 156-204 C2 MEDIUM SAND 2:5 Y 6/6 NONE PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. 1 . 57.81 THE 33.5 ft x 12.5 ft x 2 ft LEACHING GALLERY NO GROUNDWATER ENCOUNTERED DEPICTED BELOW CAN LEACH: TEST PIT 2 2 MIN/INCH IN C2 SOILS PER SIEVE TEST I' '. BOTTOM AREA = (33.5 x 12.5) 418.75. sq: ft. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SIDEWALL AREA = [2x(33.5+12.5)] x2 = 184 so. ft. INCHES HORIZON TEXTURE (MUNSELL) MOTTLES 72.54 ? TOTAL AREA _ 602.75 sq. ft. 0-5 A LOAMY SAND 10 YR 3/2 NONE FLOW'CAPACITY = 0.74 x 602.75 = 446.03 gal/day 5-44 B LOAMY SAND 10 YR 5/8 NONE `44-108 Cl SILT LOAM 10 YR 6/8 NONE INSTALL A 33.5 ft:x 12.5 ft x 2 ft GALLERY AS CONFIGURED - � � ' 63.54 _ BELOW. FLOW CAPACITY = 446.03 gol/day WHICH EXCEEDS 108-156 C2 MEDIUM SAND 2.5_Y 6/6 NONE 59.54 THE 440 gol/doy REQUIRED FOR A FOUR BEDROOM DESIGN. ' S OO I L TEST L OO s DISTRIBUTIOo ON �O� UDSE B-3"�20Y SOIL EVALUATOR: DARREN MEYER,•ASE #1614 DIMENSIONS PIPES EXITING D-BOX TO RUN LEVEL WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. AND DETAIL FOR 2 FEET BEFORE PITCHING D0WiN, (1, ` NO GROUNDWATER ENCOUNTER TEST PIT 3 2 MINIINCH IN C2 SOILS; _ • c �' _,:, 12 In ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER. C MIN. INCHES HORIZON TEXTURE (MUNSELL). MOTTLES _ _ 70.70 0-12 A LOAMY SAND 10 YR 3/2 NONE ') FROM = 12-31 B LOAMY SAND 10 YR 5/8 NONE s ( - ��' N TANK u� TO 31-132 Cl SILT LOAM 10 YR 6/8 'NONE p: K SAS 59.70 1327180 C2 MEDIUM SAND 2.5 Y 6/6 NONE € 55.70 b STONE BASE TEST PIT 4 NO GROUNDWATER ENCOUNTERED f .21 jn CROSS SECTION VIEW 2 MINIINCH IN C2 ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 69.BO INCHES HORIZON TEXTURE (MUNSELL) MOTTLES 0-15 A LOAMY SAND 10 YR 3/2 NONE p � 15-39 B LOAMY SAND 10 YR 5/8 NONE SOIL G�1 DV 39-138 Cl SILT LOAM 10 YR 6/8 NONE S. 58.30 S YS TC��lil CONSTRUCTION DETAIL 138-186 C2 MEDIUM SAND 2.5 Y 6/6 "NONE � - 54.30 t USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL DRYWELL UNIT 33.5 ft �100000o GALLON SEPTIC TANS �� co Y EXISTING UNIT - DIMENSIONS & DETAIL TANK TO BE PUMPED DRY AT TIME.OF INSTALLATION N N AND EXAMINED FOR STRUCTURAL INTEGRITY. INSTALL NEW PVC OUTLET TEE EQUIPPED WITH A GAS BAFFLE: co REPLACE WITH A NEW � STONE 1500 GALLON. TANK ' 4 ftl 8.5 ft 8.5 ft 8.5Tt74 f1 in IF" CRACKED, ROTTEDTAPER 3 {'. OR OTHERWISE 1w ® . COMPROMISED. 500 GALLON DRYWELL O_ DIMENSIONS & DETAIL { INSTALL ONE INSPECTION p }` INCHES OF WITHINRISER TO FINAL GRADE NOT i - & INDICATE LOCATION 41 TO 1 ON AS-BUILT SCALE 36 0 0� in 8 ft_ � � 0��0� USE 6 in A 1" = p" Ol Q.Q H-20 �-�_„'�,_. INLET OUTLET 102 in CO V ER CO V ER ; ,. CROSS SECTION VIEW 3 IN DROP INSTALL AN APPROVED GEOTEXTILE -► - : FLOW LINE . FABRIC OVER STONE FROM r 10 in 14 TO BUILDING D=BOX 48 in LIQUID 3/4 in To C 24 in a 3/4 In To GAS I + 28 1-I/2 In GRAVEL e EFFECTIVEa 1-1/2 in GRAVEL LEVEL BAFFLE in m DEPTH r 46 in 58 in - 46 in b In STONE BASE IF NEW �,' -• • 150 in . SEPARATION BETWEEN INLET & OUTLET ALL STONE TO BE DOUBLE WASHED AND TEES NO LESS THAN LIQUID DEPTH Al. FREE OF IRONS, DUST AND FINES IN PLACE CROSS SECTION VIEW R f5F L 0 W p � 0 F LEl TOP OF FOUNDATION RAISE COVERS TO WITHIN :i ALL PIPE TO 4 in BE SCH. 40 PVC VENT EL = 85.62 + b in OF FINAL. GRADE . , AND TO PITCH AT 1/8 in/ft MIN PIPE 1' 73.0.0 =.0 O� A, USE - 0. USE H-20 • M X RATED EXISTING � �� 67.0 UNITS TEE cm I EXISTING U®®® G/�L,L®IIV 0 0 00o°ooa PRECAST ; ao 00000�0�000 0oo°00 �Cp�TUC� ���� 80.80 t �ooao°0000� DRYWELL ]1%7� ooa000c 66.13oo 0° 000000 000 ExISTING REFER in TO DETAIL BOX S�ONE SOIL ABSORPTION 66.30 ( 66.00 BA4-1 SE REFER TO b In STONE BASE IF NEW I SYSTEM STEM p EXISTING 72 'ft ; . f 5-12 ft DETAIL BOX LO -- NO GROUNDWAT R BELOW MOTTLING OBSERVED 57.81 BARNSTABLE GIS MAPS SEWAGE DISPOSAL SYSTEM PLANT 139 OLD JAIL LANE BARNSTABLE. MA DULY 18. 2019 �' ETE-43991r PG 2/2 INDICATE GROUNDWATER AT 25+- LEGEND GENERAL NOTES: PROPOSED CONTOUR 1. ALL CHANGES TO THIS PLAN-MUST BE APPROVED BY THE LOCAL ® PROPOSED SPOT GRADE BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS EXISTING CONTOUR OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. + 96.52 EXISTING SPOT GRADE 0 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFlLLED PRIOR S --W— EXISTING WATER SERVICE TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE SITE yi'DESIGN ENGINEER. tv TEST PIT 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Q= t%FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. m 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF �• THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD'OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. -7. .WATER SUPPLY PROVIDED BY PRIVATE WELL. : 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL.BE THE RESPONSIBIUIY OF THE CONTRACTOR TO VERIFY I LOCUS MAP N.T.S. THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. ' j 10. EXISTING LEACH PR TO BE PUMPED, CRUSHED AND FILLED PER TITLE V. j 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION ' 12. THIS'PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND'IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING 14. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED OTHERWISE) 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER 1 s rt 16. NO WETLANDS WITHIN 100 FT. OF .PROPOSED LEACHING 17. REMOVE ALL UNSUITABLE SOILS 5 FT. AROUND LEACHING I , ! TO EL.63.54/58.30 OR TOP OF "C2" LAYER AND REPLACE WITH I CLEAN?.MEDIUM SAND PER TITLE 5. SOIL LAYER ELEVATIONS. I MAY VARY. I Ij LOT. ! AREA 1 II WELL = 60001 s f +_ \ \ 1.50 ft M O x �\ i FR WELL L 1 I / 1 , I 70 I r.>...-deti.�......nw+e . 1'72 \ I 1 `LD �� o!! I F i1. . : i � iM 0 �E //V ' ; ; ; ; j N I M I I I OFF O ID = -_TELECrRIC I v m c Z D i B?ULD jEXI5T.1/LEACH PIT I m I1 I R /(5EE NOTE 10) 4 D i I i i I I 84r4-3 I BENCH MARK `t , - C70 , �r SOIL REMOVAL j PAINT SPOT ON \� � ,' ' �� it `\ I (SEEjNOTE I7) GRANITE BOULDER % az- ELEVATION = 80.25 BARNSTABLE GIS DATUM O X 0 1 ao \\<�A } \ / I 70 I 7g \\\ \\/ a.9� it �2 ! ! COMMON D wEw Y OF S MAP.278 `r9�y = LOT- 002.001 DA M PROPOSED SEPTIC SYSTEM UPGRADE PLAN a _ 44'73 ft 11 0 - 139 OLD JAIL LANE, BARNSTABLE, MA. Prepared for: Oberman SURVEY REFERENCE: '�NITAR�a� Engineering by: Surveying by: SCALE DRAWN DATE DARRENM.M M EYER R.S. DARREN MEYER,R.S. 1"=30' DMM 02 15 10 PLAN OF LAND BY: EDWARD KELLEY, PlS � , '� POBOX981 PO Box981 / / DATED: AUGUST 3, 1979 EAST SANDW0tA640=7 E49TS4NOW/CHMAOM7 REV. DATE: CHECKED SHEET NO. 508,5*24M 05/03/12 DMM 1 of 2 TO PREVENT BRKOT, THE PRO OED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: FINISH GRADE SHALLLUNOT BE < E:71.0 DESIGN CRITERIA FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. NUMBER OF BEDROOMS: 4 BEDROOM DESIGN SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 4 SOIL .TEXTURAL CLASS: CLASS I T.O.F. EL.=85.62 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER DESIGN PERCOLATION RATE: <2 MIN/IN OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) .AND SET TO 3 OF F.G. F.G. EL.=84.50t F.G. EL.=84.0t F.G. EL: 74.0t F.G. EL: 74.0-72.0(MAX.) DAILY FLOW: 110 G.P.D/BR. DESIGN FLOW: 440 G.P.D. •./ GARBAGE GRINDER: NO (NOT. DESIGNED FOR GARBAGE GRINDER) Wow w PROPOSED SEPTIC TANK: USE EXISTING 1,000 GALLON CAPACITY L = I0'"t ! 9" MIN COVER/ L = 80' TEE L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) LEACHING AREA REQUIRED: (440) 594.59 S.F. 0 S=1% (MIN.) 36" MAX COVER 0 S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC .74 DISTRIBUTION BOX: 4 OUTLETS (MINIMUM) [Lilo*l 1a• a 11.3" To PRIMARY. -S.A.S. INV.= 81.30 48"UQUID �INV.�-81.05 INVERT USE 4 ROWS .OF 5 - 16" ADS 160OBD BIODIFFUSER H-20 UNITS ;. GAS eAFFLE PRp BOXED INV.=71.30 4 ROWS OF 5 UNITS AT 6.25'/UNIT + 0.75' WEDGE = 32.0'/Row NO STONE .AND' EXTENDED 0.75 Wf CONTOURED WEDGES BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF BIODUFUSER) DB-5(H-10) INV.= 70.61 INV.=71.50 SOIL ABSORPTION SYSTEM (PROFILES (BIODIFFUSERS) 20 UNITS x 6.25 LF x 4.73 SF/LF = 591.25 SF EXISTING 1,000 GALLON SEPTIC TANK (CONTOURED WEDGE) 4 ROWS x 0.75' x 4.73 SF/LF = 14.19 SF RESTORE VEGETATIVE COVER TOTAL AREA = 605.44 SF EXISTING SEWER OUTLET BACKFILL WITH CLEAN PERC SAND- DESIGN FLOW PROVIDED: 0.74GPD/SF(605.44SF) = 448.02 GPD>440. GPD req'd TO TOP OF CHAMBERS NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING 4.' •':; ,: :.:•;.,• •, 75" PIPE INVERTS PRIOR TO CONSTRUCTION 2) D-BOX SHALL BE SET LEVELAND TRUE TO BREAKOUT=TOP ELEV.=71.0 GRADE ON A MECHANICALLY COMPACTED SIX INV. ELEV.= 70.61 INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.= 69.67 EXISTING SUITABLE 310 CMR 15.221(2) 2.83' f MATERIAL 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK 5' MIN. ABOVE BOTTOM OF WITH 1500 GALLON SEPTIC TANK IF FAILED, T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 4'x 2.83' 11.32 DAMAGED, OR LESS THAN 1,000G IN CAPACITY. . (11.86' PROVIDED) USE 4 ROWS OF 5-HIGH CAPACITY I . 76" - 4) INSTALL INLET & OUTLET TEES AS REQUIRED BOTTOM OF TESTHOLE EL=57.81 _ ADS BIODIFFUSER UNITS-NO STONE OF Mgs3, r w/ CONTOURED WEDGE PROFILE 5) PLACE SANITARY TEE IN DIST. BOX o���D RRE 9 SEPTIC SYSTEM PROFILE TYPICAL SECTION 1 16' "N.T.S. KTs 11.2" , SOIL LOG P#: 12814 SOIL LOG t P#: 13623 $TEM� DATE: JANUARY 8, 2010 DATE: APRIL 26, 2012 '�NITAR)P v 3 SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE. #1614 SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE. #1614 ON END CAP WITNESS: DAVE STANTON, BARNS. BOH WITNESS: DONALD DESMARAIS, BARNSTABLE HEALTH DEPT. SECTION Elev. TP-1 Depth Elev. TP-2 Depth Elev. TP-3 Depth Elev. TP-4 Depth � � 16" HIGH CAPACITY (H-20) BIODIFFUSER UNIT 74.81 0" 72.54 A o" 70.70 0" 69.80i 0" 73.31 FILL 18, LOAMY 3/2 " A LOAMY 3/2 A LO0YR 3/2 AMY MODEL 16 HICAP LOAMY SAND 72.12 5 72.12 12" 68.55 15" LENGTH 76" 10YR 3/2 B B B NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT 72.64 26" LOAMY SAND LOAMY SAND LOAMY SAND EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY O B 10YR 5/8 1GYR 5/8 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LOAMY SAND 68.87 C 44" 87.42 31" 66.55 39" SIDE WALL HEIGHT 11.2" 10YR 5/8 ---_ 70.73 49" SILT LOAM C C OVERALL HEIGHT 16" 4640 TRUEMAN BL1/D C SILT LOAM SILT LOAM „ 10YR s/s - 10YR s/s /DYR s/6 OVERALL WIDTH 34 SILT LOAM 13.6 CF zw. HILLIARD, OHIO 43026 Iff C2 toYR s/e 63.54 108" 59.70 C2 132" 58.30 C2 138" CAPACITY 61.81 C2 156" (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. SIEVE SAMPLE PERC TEST PROPOSED SEPTIC SYSTEM SITE PLAN •EL. 82.0 MED. SAND ® EL. 58.7 MED. SAND. MED. SAND 2.5Y 8/"SD 2.5Y 8/6 2.5Y 6/8 2sY 6/6 139 OLD JAI L LANE, BARN STABLE, MA 57.81 204" 59.54 156" 55.70 180" 54.3 186" Prepared for: Oberman PERC RATE <2 MIN/IN. ("C2" HORIZON) PER SIEVE SAMPLE PERC RATE <2 MIN/IN. ("C2" HORIZON)` PER SIEVE SAMPLE NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN DATE: DARREN M.MEYER,R.S. DARREN M.MEYER,R.S. NTS D.M.M. 02/15/10 • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 POBOX981 PO BOX981 to conduct soil evaluations and that the above analysis has been performed by me consistent with the REV. DATE: CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that 1 have passed the Soil Eval. Exam In October,. 1999. EAST SANDW/CH,MA 02537 EAST SANOW/CH,MA 02537 - 50e-3ee-2922 05/03/12 D.M.M. 2 Of •2 f 1. f , i ] J k 4�: 4 °•t :y,�v, .1 zvfi5 d� 1 "wnr �SI,� • I •I I �x I l I I ` I i � i • I , i 1 y i i I N I i ` j - 77 I � N L. •�L.oo.. ... . _ • / _ _,mot N ' . TOP OF FOUNDATION" "" CONCRETE COVER fi CONCRETE COVERS /mw s ° 4"CAST IRON 12"MAX. , • OR SCHEDULE 40 12"MAX. 4,A P.V.C. PIPE PI SCHEDULE 40 PVC.(ONLY) PITCH I/4'�PER.FT. PIPE- MIN. � LEACH 7,¢. _ > PITCH 1/4'PER.FT PIT PRECAST 7(. o'c INVERT e Q LEACHING o EL...7.�.3;j. INVERT INVERT ? . to Q•, PIT OR .78, al, SEPTIC TANK 733 DIST. 7a o w !;'. EQUIV. �' a o INVERT EL..... . .7. BOX 73S¢ /Soo. .. .. GAL. IN 3,0�� 0 ;:� .. 7N� o; EL.....�...... 7 o INVERT ww 0: :•. 3/4 TOII/2 ,&' �" 74 EL../•..7 wo ems• WASHED 8Z v e EL?o,o . w \ �---- o w STONE --�' 6'DIA. + o•r•`. . �---/¢' DIA--� — b' a• PROFI LE OF GROUND ._WATER TABLE— — mr Lar'� oL �® j0 1 SEWAGE DISPOSAL SYSTEM ' - s�, 1-- NO SCALE 1 ���" AAv-&- /. � I SOIL LOG WITNESSED BY : TIME. . .:�oPo G/ �• BOARD OF HEALTH 0 / r TEST HOLE I ¢i' TEST HOLE 23 b• _ ELEV. .. . ENGINEER ELEV. . . 7G.00 7G.• saQ DESIGN DATA ' �,, "8�0 �aS� D,sr �a¢'� c er 3 /t; 17L, cAy� 7L,/ Ct�r�/ NUMBER OF BEDROOMS \ �o R&�izv�r I 15_"70,00 dez• TOTAL ESTIMATED FLOW . . 33d, . GALLONS/DAY BOTTOM LEACHING AREA 3'9 . SO.FT. /PIT a"P p_ / /�, �o ��l Aij I H��D .SIDE LEACHING AREA . . ./'3/'.�. SQ.FT./ PIT/3Zj,9 C f?j�, GARBAGE DISPOSAL (50% AREA INCREASE) TOTAL LEACHING AREA ZSS, B SQ.FT CIO 11 A I �5 1 I /PERCOLATION RATE ,1--E—?V MIN/INCH LEACHING AREA PER PERCOLATION RATE3SSQ.FT./C,P�, 01 G NP. .WATER ENCOUNTERED NUMBER OF LEACHING PITS .qe/E• �\ / i APPROVED . . �v� 7 O/c•S7D.�/� �/�!• /�'LG, , , o. 1 i . . . . . . BOARD OF HEALTH • • 1 � � � � � I ' DATE . . . . . . . . I , / /�3r, AGENT OR INSPECTOR o 7 ` 7� I 10 / EDNUAPv � / ' �--b / E. K �.LE N / -16 26100 cim q L Lwt;n PETITIONER ,Qa�3 D� ?M �Rrt��� o