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HomeMy WebLinkAbout0257 OLD JAIL LANE - Health K. 257 Old Jail Lane i 055 Barnstable r t No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS }es ftplitation for Disposal 6pstem Construction i9Prmit Application for a Permit to Construct( ) Repair'(Upgrade( ) Abandon( ) Mt/omplete System ❑Individual Components 1 Location Address or Lot No.07 Ol V �l �� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ?Zd s-s- S Inst�er's Name,Address,and Tel.No.�_a -T7y�- R Designer's Name,Address,and Tel.No. i°� G�• SSA/ Pif r'���'�id! <.S f,7a eye C�/�e '4550-1Iti Type of Building: Dwelling No.of Bedrooms Lot Size /gyp sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 61'�27 gpd Design flow provided gpd Plan Date 3®��2 f Number of sheets l Revision Date Title Size of Septic Tank /,jt-•d,:� Gal' Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)s l4� /s-oa 9:s's►% Zo Zg G 4z-,ZZ x 1_0,,S 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 Health. Si — Date 8/l Application Approved by Date Application Disapproved by Date for the following reasons Permit No., '( '� Date Issued ---------------------- ----------- .�.� rv1 Z,. ,. .y,.,,,y �- . n """"��....-Kra.,r'!•- "h. '�h.x.`.�.Ayt;]' v �,.'y i'":.r•v ..r r {j +An� ��• T �P+� .- w: 5 "No:' � �:•' / Fee do, ,. y 4 l• Entered in computer: „ THE COMIVIONIYVE°ALTH OF MASSACHUSETTS Yes` (PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for Disposal *pstem Construction Permit . olC> Application for a Permit to Construct( ) Repa 'grade O Abandon( ) mplete System ❑Individual Components Location Address or Lot No. ? �� ' ✓ P� Owner's Name,Address,and Tel.No Assessor's Map/Parcel ?7d f-✓� ��'� r Installer's Name,Address,and.Tel.No. Designer's Name,Address and Tel Nor•- ri/,�l��f/it �'•rc Cd r/Se�.�i°r� �}'erv�.r-S /.�o re ar ('G/,' ,G:�rr'ir..w4%.b���r r;���,;�F �d+ r,''��,�,,�, ,.. �.y7/_�-e',v-.ir lsi. �v,�"i.. _ f-1' 9,�1°�•la�%� 9T. �.r�e'uf�f:�r i`7` Type of Building: ` Dwelling . No.of Bedrooms Lot Size y/ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design FloT(n in.required) gpd Design flow provided ��G'" gpd Plan Date ��,1I,ZX Number of sheets Revision Date Ilk Title Size of Septic;Tank /t7 C Type of S.A.S. Description of Soil e7..,/�,e.,• s��—.. �/ Nature-of Re airs or Alterations Answer when a licable - P ( PP ) �i�r/ �'_' /S`oe [ �s� act T.,•G S— ,sacs l'y/ r'�� � r Date last inspected:' - �N 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 Health. Signed DateJ BAP/ Fat., Application Approved by _ Date PP PP Y s ' z A lication Disa roved b Date for the following reasons ` N Permit No.err "`• .. 1 Date Issued -' ' THE COMMONWEALTH OF MASSACHUSETTS ~ BARNSTABLE,MASSACHUSETTS Certificate of Compliance �/'k THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired 4, U raded g P Y ( ) P ( ) Pg ( ) Abandoned( )by i at has been constructed-in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No9'-c� 1 dated 3 Installer ,.• " ' Designer #bedrooms Approved design flow ' "' gpd The issuance of this permit shall not be construed as a guarantee that the system will nction a� esigne . Date -3 nspector .._.....-.-._-No .� ._ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS 18tJo8aY ipste COnitruction Permit • Permission is hereby granted to Construct( ) Repair( Upgrade( ' ) Abandon( ) System located at 2 1:7 e52,6 C l�e�l ZM. �r��rs,� •�/ram. 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 cof ipleted ithin three years of the date of this permit. Date Approved bY\, Cr _ { 4 . P f 1 Tow ,of Barnstable o` + Ne' 5. Inspectional Serviices, � I : , $ Pubiic Health Dwis on, �� 1 , Thomas McKean,.Dir..ecto zl r l�o �e,� Z001Vain St"reef,Hyannis,,MA 026O_1 CO Office: 308=862.-4644 Fax: 508 700-6304 tQ Installer&Designer Certification Form rt Dater Z5 2-1 Sewage Permit# o yl Ass'essor's MaplParcel 2- 5 I Designer: Down Cape Engineering, InG. Installer: GCpoCQ-grw-Spz-tPICIO Address: 939 Route 6A Address:'. Yarmouth Port,..MA 02675 4 y On 3�3�i ��/rrl®�;;�. was issued a permit to install a (date) (installer) septic system at 2S7 OLD JAIL LNj A based on a design drawn by (address).. Daniel A. Ojala; PE, PLS dated i MAitCH .0,91` , 3 (designer) re I certify that the septic system referenced above was installed substantially according to 1 the design, which may include minor approved changes such as lateral.relocation of the distribution box and/or.septic tank. Strip out (if required) was inspected and the :soils . were found satisfactory, i V 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 Regulations. Plan revision or I certified as-built by designer to follow. Strip out(if required) was'inspected and the soils: were found satisfactory., i I I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters(if applicable) i (Installer's Signature) Desi ner s Signature) � .°�c �( ig ' g ) (Aff1x'D8§igM?s' .Stam' p Here) i PLEASE RETURN TO,BARNSTABLE PUBLIC HEALTH DIVISION: CERTIFICATE: . OF COMPLIANCE WILL NOT BE ISSUED.UNTIL BOTH THIS .FORM AND AS- BUILT CARD ARE RECEIVED BY TH&BARNSTABLE PUBLIC HEALTH,DIVISION.i THANK YOU. Y WoAdeptAHEALTMS EWER connect\SEPT[aDesignerCertiricntion Form Rev&14-13;DOC i 0 . _ s F � s TOWN dF BARNSTABLE LOCATION SEWAGE # - S VILLAGE �SESSOIUS MAP & LOT�•j Qb S INSTALLER'S NAME PHONE NO. ►�Z ad7=m C -ice SEPTIC TANK CAPACITYt5 LEACHING FACILITY:(type) (size) 6 Y- f,)- NO. OF BEDROOMS PRI E WELL R PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: / 7- DATE COMPLIANCE ISSUED• "• �' ��" �� VARIANCE GRANTED: Yes No 4 Vim` (i a OU �� No....--.v.:-as's Fas. ............... APPROVED THE COMMONWEALTH OF MASSACHUSETTS e sta Can 0OARD OF HEALTH J TON OF BARNSTABLE Cerred .... D� W Appliration for Diiipmml Work, Tomitrnr#inn Frrntit Application is hereby made for a Permit to Construct ( ) or Repair (k)—an Individual Sewage Disposal System at: f localion-Address or Lot No. yM/ ggner ;ress Installer Address Q Type of Building Size Lot---$'br_jC=......Sq. feet U Dwelling—No. of Bedrooms-------- ----_Expansion Attic ( ) Garbage Grinder ( ) 44 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) Cafeteria ( ) a' Other fixtures --------------------------------- - W Design Flow...... '.<- 5.............gallons per person per day. Total daily flow........Z- .....................gallons. WSeptic Tank—Liquid capa6ty/4700..galIons Length-----9. ___ Width.4•�—.r--.. Diameter................ Depth_.___..... Disposal x Disposal Trench—No. .................... Width.................... Total Length................_--- Total leaching area....................sq. ft. Seepage Pit No--------I........... Diameter.-.--.Ica-...____. Depth below inlet..__............ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.................................................................... ..... Date........................................ ,.� Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water..---.-._-.-_--__-_-.-.. 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..-_--_.___--__-----_--. a -----•--•--•------------------•---•---•------•------•-•-----------••-•-•••---•--------•----•.......---......'•-..............---•----•---•----••----•---••-.. r Description of Soil---------`��-------'!---- �--�=�� --- y--- -- -- -- ---- - ---#---.. . �t�✓�'�._�5�. V - ----------------------- W U Nature of Repairs or Alterations—Answer when applicable.---.-.oJ34b.....J6D0_ 4iA-.L .....#�L.l....... _ , t............ �-i _�[L 1 ,lC-tom/AjJG...... ­1.7L.J:: -sZ S i S--`E .4%-------------------------------------------------------......--••---•---. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance b en issue y t and of health. Signed .......... ---- --------- .� / Date Application Approved By ........ - . - ..................... t = e7.r... .�/ Da, Application Disapproved for the following a sons .....__........_................................_....._..................- .... .............. . ................. ...... ........................ .................................................. . ---------------------------------------- Permit No. ------Q L( -�'.'s j------------------ Issued ........................D....................... . ........ are ----------- -------------------------- THE COMMONW BOAEALTH OF MASSACHUSETTS �J RD OF HEALTH TOWN OF BARNSTABLE Apphratiou for Dit o!ittl Works Tott.5trnrtion ramit J Application is hereby made for a Permit to Construct ( ) or Repair (k_) an Individual Sewage Disposal System at: P �et .............•-------------------•--.....-------- -•-•--....----•-------•-----•-•-••---------- r Location-Addr� ( _ or Lot No. _...... .-.---------- ---------••-----•--------------- O yner A dress n L...-I.C. 1 -=--•-------------------------- � r-..L Installer Address Type of Building _ Size Lot---Z"C_z! ......Sq. feet Dwelling— No. of Bedrooms____- ------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____-______________________ No. of persons--------------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtures _______________________________ _ _ W Design Flow....... ->'._._ ............gallons per person per day. Total daily flow--------_�' �i•.....................gallons. WSeptic Tank—Liquid capacity�r)rg rb. allons Length----- .�___ Width_Gl < '... Diameter________________ Depth. ......... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........L_.__._.___- Diameter------!_:Zk---__.__ Depth below inlet...... ........... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Depth to ground water..................... G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .....---••---•-•-------------•-•-•----------••----..•-- -•---•-•-••---•IF-•••--••-•••-----•--._...--•........................-•-•--...---....-•••-••-•--...._. D Description of Soil------rf ��'= -lt�... t 1' y -- �t ilk.= 5 '�1 .......... ✓ ._la.:>�`: tl W --•--•------------------------------------ ------- .................................................. --•-----------------------...--•-------•---------•---•--•••---•-----•----••--•--.. ..--•-•--•--• U Nature of Repairs or Alterations=Answer when applicable.__-_.c4.�101 ------Ir!---�a.s. .•._.. !_.s...___._�t_ �._ .�......__. ...........................................................••-----.._..---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hls been issued-by the board of health. Signed ..........!./... ....._­ -...............'- ---`-=`-'- ... ... - - - Dare Application Approved By ........... . .. Dale Application Disapproved for the following reasons- ------------------ ------------------------------------------------------------------------------------------------------------------- ................ ....... ..........................................................._.._------------- ------------...._------------- .._............Date......... Permit No. 1 5: `----------------- Issued --------------------------- Da[e W THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�Ex#iftcttte of Cfomyltttnce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ) by .. _._..... �. - - .. Ins[auer i ---- - -- ------------- ( ... has been installed in accordance with the provisions of TITLE 5 of The State Environmental 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. 4. / ... - _.... Ins ect r-'- ------- __. p '... DATE - --- � -------------------------------- ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C✓ pp TOWN OF BARNSTABLE No.../. '. ..1`7 FEE........................ ioo��tl ork �ontrnrtion rrrmit Permission is hereby granted.................... ... --------_...:... '�S�� to Construct ( ) or Repair ,(>-/)-,tea?®Individual Sewage Disposal System at No... `. C �D ....�-..=-- -- .....----'--•--'�'-���1!J(/_C-------------•-----• ----••--- Street q' f �^ as shown on the application for Disposal Works Construction Permit No....- z ..7_.. Dated........ 7^��.......... ....................................... -------------------------•------------•------------•-.... / Board of Health DATE.................. ---�..-- ........................... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 12/15/2009 TUE 10: 10 FAX 5083627103 Barnstable CTY HealthLab — Barnstable Health 0001/001 i C °r. °f fl� s : CERTIFICATE OF ANALYSIS Page: I �o m, E Barnstable County Health Laboratory Report Prepared For: Report Dated: 12/10/2009 Sally Desmond Desmond Well Drilling Order No.: G0955482 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 0955482-01 Description: Water-Drinking Water Sample#: Sampling Location:�t257 Old'Ja`il Ln.Barnstable,MA— Collected: 12/8/2009 Collected by: Customer Received: 12/8/2009 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen ND mg/L 0.10 to EPA 300.0 12/8/2009 g Copper ND mg/L 0.10 1.3 SM 3111 B 12/9/2009 Iron 1,8 mg/L 0.10 0.3 SM 311113 12/9/2009 Sodium 12 mg/L 1.0 20 SM 3111 B 12/9/2009 Total Coliform Absent P/A 0 0 SM9223 12/8/2009 Conductance 84 umohs/cm 2.0 EPA 120.1 12/8/2009 1 i pH 6,5 pH-units 0 SM 4500 H-B 12/8/2009 Based_on_the-results-of-the parameters-tested,-tlie-water--is-suitable for drink_ng,-Gut mays present.aestheticprobleos([asfe;odor t s[ainin -to Iron--=� b')due 1 } I Attached please find the laboratory certified parameter list. Approved _By: _ __. _....... s (Lab ector) f t Fy[F 1 F F 1 S, ND=None Detected RL Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph:508-375-6605 a �LO: CAT ION :�"•3"7 SEWA C E 'EItt3'IT '1 0• VILLAGE l �s7?°&E- IN-STALLER'S HAKE A ADDRESS 6, d U I-L D E R OR OWN ER V1, DATE PERMIT IS-SUED / rZ, D A T E C-0 MI P L I A N C E I S S_U ED 0;?. a- o «� • 47 a 4 11 4 Fins... ......... ........ t. THE COMMONWEALTH OF MASSACHUSETTS, F BOAR® OF HEALTH . �1......OF....... .Q.r '. sS.Z�`�x t? .. ....................... Appliratiou for DWpaiia1 Workii Tomitrurtiun Errant Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at:pa _ . ........... ��...... --------•-- ....-•---••...................•--•--------- --------..... ---- Location-Address or Lot No. ......................—.......................................................................... ..........__..................................................................................... Owner Address .................................... .................................................................................................. Installer Address Q Type of Building Size Lot._ S2r-fee�� Dwelling—No. of Bedrooms.......-�..._.. ................Expansion Attics_- _ Garbage Grinder Other—T e of Building .._._ No. of ersons......_... a Other—Type g .___ p �.............. Showers — (,afeter>a�' Other fixtures - ------------- Design Flow..............�.�..................gallons per person per day. Totaledly�iow.._---.---'+'19-r..:....__.._._..gallons.WSeptic Tank—Liquid'capacityl1�'g.gallons Length tA...G.... Width ___ Diameter________________ Depth. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. e Seepage Pit No........../._______-- Diameter._.__<Ca__-___- Depth below inlet.......&......... Total leaching area..Z 7...sq. ft. Z Other Distribution box Dosing tank_{ '-' Percolation Test Results Performed by.__ ._.. i�-��� ._ L __. ...�:�,.��d �Date......._1 _......�._......-_.. Test Pit No. 1....."—_-?-minutes per inch Depth of Test Pit.---!..Zc......... Depth to ground water,_1.?�....... Test Pit No. 2...L..?—ninutes per inch Depth of Test Pit.... _. ------- Depth to ground water--- Q+' ---•-------------------------------•--._............:_......-•---------------•------...... O Description of Soil m — t=a, -_------ T%4.a'`� , � " -�.._.--3 V ....--•---------•---•----•--••••-•---•----•--•----------------•-----------•---------•-•------••------------•---••-•----•--•-•-•----•--....---•-----•---•--•---•--------•••-----•---------•--••-••---••--- W UNature of Repairs or Alterations—Answer when applicable._.......................... ...... .. ... ....... .. ....... ....................... -----------------------•----.............••••---------•••••------•---r.......................................................... ---- ....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL 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. Si d , --��---� ... .. ................ Application Aproved B - 7 d (D P .e&*c-ky Date Application • i appr ed r e ollowing reasons---------------••----•--•-------•------------------------------...---•---••-----•--••--•--. •-•-•-------•---•.. ................................. --• -- ---------.---•-_.----------------..-------------------••--•-----••---------------------------------------•-•-----------------•------------------- Date PermitNol� -7----------•--------------- Issued....................................................... Date S:, No..��.. : Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s:�_.P...................... Appliration for Dhipaaa1 Workii Tomitrurtion ramit Application is hereby made for a Permit to Construct ( �or Repair ( ) an Individual Sewage Disposal System at: . ..... .... .......... ............. ......- •--- Location-Address or Lot No. .... ••••-•--••-••^....••••--•---•-----•..................•--•......•••...................... .. .----------•-•---_._..•--_......_.._.................•••••-...................._..... Own �' ------.--••--•-•.-•Address J� '... .. -----•...................:..................... •. Installer Address 09 d Type of Building Size Lot.....-_•...........-----_..S U,.., Dwelling—No. of Bedrooms.............................. ..............Expansion Attic,.,(--3-• Garbage Grinder aOther—Type of Building ----- '� _��"_- .!.5 .. No. of persons___-___-_(4. �......... Showers(:�) =:-Cafeteria"" Other fixtures --------- ---------------------------- WDesign Flow.................�........._..........._..gallons per person per day. Total dailyow_--_.-_.--- "�>r ................gallons. WSeptic Tank—Liquid capacity s_�Pgallons Length.�'�...��... Width_ ..... ._ Diameter................ Depth. --.-..aa.. x Disposa.I Trench— No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit,,No-----------I-------- Diameter.....}._�-�'........ Depth below inlet.......1E2.......... Total leaching area... _.V7..sq. ft. Z Other Distribution box ( < Dosing tank" y � Percolation Test Results Performed by... �_______:�`.+�i.:���:..�;�.-! K. i IZ`= �Date.........!v.p ,� ., :._. Test Pit No. 1................minutes per inch Depth of Test Pit. L. !-.:....__. Depth to ground water_ �_ _._..''`.__ P;4 Test Pit No. 2._._`�..`_'minutes per inch Depth of Test Pit....f............. Depth to ground water----,/...2................ ----------------------------------- •-••-------.......------•--- -------------------•-•-•-•----••-------•-----•------------.--•-- O Description of Soil--------` '................................................. = = �. x --------------------- U •--•--•--------------•-•--•---•-------....---•-----••-•----------------•--•-•-•-••-----........---------•------------------------------- W -----------•- ------- ............................... --------------------------••----....------•-------------•-•---•-----••- •--- --- 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Com liance has been issued by the board of health. Sig •--•------------ D Application A r ved y �y7. * i(J K../'r f+G ------- )--�yy�r�r- ---•--lY-!y!"'""' Date Application Dlsappro d t e following reasons:............................. ----•------------ -••-------•------•-----------•------------............--- P Date Permit No.... ..........._ . Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........�.......c!:!...! "i...........OF.....- +.rr : '�.. -. <: � ......................... wrtifiratr of Toutpliatta THIS IS TO-CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by------------------------------------------- -----•---•-••••••-•----....---•--•----•---•------------------------------•---•-•-------••----•-•---•••-••-•..........--•--...•.•. ................. u .. } r Installer '4� has been installed in accordance with the provisions of TI e`>> f�,C1� State Sanitary C�C n the application for Disposal Works Construction Permit No........................................ dated....................... THE ISSUANCE OP THIS CERTIFICATE SHALL NOT BE CONSTiRU S A GUARANTEE THAT THE SYSTEM WILL F�1C/LION SATISFACTORY. � '' DATE......--- ©.. l..d-. ..r........................................ Inspector..--•--....... •................................................................ l�aa � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No...................... FEE........................ Permissionis hereby granted.........-------------------------------------------•--•-----------------------------------•------------........-----....................... t to Construct (X) or Repair ,( ) an Individual Sewage Disposal Systean at No. C s .cl . P' -c.a �--D Y_ ....--............................. ............................................. ------------- Street as shown on the application for Disposal Works Construction Permit No..................!. Dated..._,,.................................... ......... Board of ealth DATE......................-......................... ------ �� FORM 1255 HOBBS & 'WARREN, INC.. PUBLISHERS F 7 1 ~ �`s• h�G.�� ` LET TBs 7- H R5-ZF V 4.rj. _ _ \ -- " •• _�' B9RNSTAB;LE,60 sa'K2D Opt iiEiPC / /en � ,. �, . / Ed►d1!A:Yaf' /s i �E'rST /7rX:G ��. /,g ua n+ra. � v Wm+ e2. Ao n suE7 .� J� `19.3 , Tom""` fiN jPo��a 01,3 u -r4+vd p 1.9 we �� �. O �C,e '�!�✓ EL. 98,so �o3�^D `LGLORrs bvera a P J� ' BEd �orJT IV11t�1/V�UM dLlil.�ll�la 5� 51 DE READ o �F �o�NbA t0 /TAN H O L To t:x D o f�N�sN Ca +►DE Mijd. 2% t. 97}?�_ W1TNih! ON1- FOOT OF O 15H GRADS OV EK LEACH AREA O 4Ime ri tQiBvotl 211 of iA yToNE FbR vw. Cov�pc Box i M PER.V 1 Gv S Covg-iZ I'm .%4"/Fo�p1lb4 _ �►�. , 5�Z LEV&,. PR _VSE,•!T �F �•1>r5 FRoM 1`^ Ic41>r i LT�ZA'rl�a �.. 0R SCN,40 F\tOv�i �It3E � �— TCN . eu _ I �� 1N1tN. Iwr y4� FAoT �F9IN AP H STONE GALLO j T ALL 7 4/ C G1TY 4 nn�rl 9•�07 Orr 0A. .C. �` ,.,. G '. �o►9O-W 17 SEPTt G YAN K INVF-aT P1p WATsFM - �J,3,.q'a L o i cPb 11 y� G AR BA�� G Rlt.1t�ER ,miM E2.87.40 fill o � -SY51EM P E�-r A ) L- 2 5EPTIG 5Y5T:EM CoNSTR1.1G't1eN :.r �� 5 ALL CONFORM -M THE MAS6. '` r a 4= NuM?>F�t OF ?CEO RDoMs; -3 vI RONMENTAL COPS -TITLE g , K �"� — ---' — c KFt..t E`! 4; • /�o CAS. $C7�/'e�r.vi`7 �tZ�oD N 1-4�� THE ToN/N�5 wh �. ,�� � .� ®�°011atJ FL01A1 — c}f; L C44IN6% RATE. 5SP 1C.'rAWV IerRI O JITiot4 13Ox AND U5,ACN1�lGr P'tT To f36 0� .. REQ O. L-EAGW. CAPACITY REt t4Fot eev GoNC^RGTE .53o Cf P. 1� M�rJ , c0PJ4,9 ST JMNGTN 30=Mj PROP05ED LEAOW CAPACITY — — — — — Slv�r -1 t O LOA D I PICA Qom Psi pRt jeWA)1 No�r1r1r�♦-ro ea Locate C1 sf t o� /37Iw�r LWLa4AFv IT 20 tt`v RAY 0i1� /�+ PLAN ' 17154SP1 UN t-0A171W4r UroFo l a No. 2748s s 5y5T[-:AA 1b fJS OP1 F19M eAO'o-S �� OAlert1.7. 12190. OF vEFDs - PA --�. — FIDE --- — ENGINEERING ® DESIGNING BUILDING INC. NEAL�t'I-t /�G�E� ` APP9 OVA t- DENNIS, MASS. j j I BARN SYSTEM PROFILE DWELLING SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR NOTES . (NOT TO SCALE) (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. Cb PROVIDE MIN. 20" DIAM, WATERTIGHT 1. DATUM IS NAVo ss SL0�5 BARN PROVIDE MIN. 20" DIAM. WATERTIGHT ACCESS COVERS TO WITHIN 6"`OF FIN. GRADE 2' CAST IRON COVERS TO GRADE OR CONCRETE eti, ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE COVERS TO WITHIN 6" GRADE, COORDINATE W OWNER . 2. MUNICIPAL WATER IS EXISTING TOP FOUND. EL. 85.3 FILTER FABRIC OVER STONE / \ 3. MINIMUM PI PITCH TO FOOL o 92•Q' MINIMUM .75' OF COVER OVER PRECAST 84.0'. MINIMUM ,75' OF COVER OVER PRECAST" 2X SLOPE REQUIRED OVER SYSTEM 54.0 E 1/8° PER Q�oo PE B NOTE MIN. WALL r* - BLOCKS OR 4. DESIGN'LOADING FOR ALL PROPOSED PRECAST UNITS o •• PRECAST H-10 " THICKNESS REQUIRED TO BE AASHO H- H-10..TANKS RISERS (TYP.) NOTE: 2 MIN. WALL " PRECAST RISERS ( ) 2'0 ' THICKNESS REQUIRED 83 C H-10 Q� 90.0 4 4SCH40 PV +. " > •6 6" MIN SUMP PIPES LEVEL 1 Sir 2' COMPONENTS " �ENDS4' INV' 0 4' 5. PIPE JOINTS TO BE MADE WATERTIGHT.4 0SCH40 PVC 12' MIN. INT. DIM. MID.) a M 6" MIN. SUMP PIPES LEVEL 1 ST 2' Oi b °°°°° 0 BE ACCORDANCE WITH, 12" MIN. . DIM. •'� ° 10" 14" a 'o�owa°vov° ';:'. O � *90 f - 1500 GAL H-10 a +,' EXISTING 6 CONSTRUCTION CTIO DETAILS y 10 14 " t' ° ° ° ° C 0 (TITLE Locus p�7 • +' 88.95' " TEE SEPTIC TANK. TEE :•, TEE SEPTIC TANK TEE *C7G.3' o°°°°Doc ����®®w >°opo°o°o ) S U N D IL T IN CORDAN WI. D'BO •, 310 MR'1 00 Ti 5. ° 0 0 0 IM ) O ° O o Q y: ?: 0, _ _ 4 ACME OR LEVEL ,°o°o°c0000°o ORWAIELEVELNESS RTEST X °°° °°°° °°°0°°°° GAS BAFFLE 000�°,o°e°o°r N iou0o0u0o ®�� �� ® 00000000 7. THIS PLAN IS FOR PROPOSED WORK.ONLY AND NOT TO GAS BAFFLE °°,°° °oa°° WATERTEST D BOX 0 ° o o rCf3l o 0 0 oc e 0 0 0 0 0 0 ' , >°o°o°o°o 0°0°0000 BE USED FOR LOT LINE STAKING OR ANY OTHER 0 0 0 0 0 0 :'! o 0 0 0 0 0 0 0 ° -Oa�n?,°�Q- FOR LEVELNESS t:.a�'• , 80.37 > o 0 0 0 °o°o°o°o PURPOSE. LEVEL (ACME OR EQUAL) .; s ..• ;••.,,.' " '�. ..• • O 3':,.•„•.,+ 80•37 0'. 0 0°0°0°0°0°0°0°0°0°0°0°0°0°0°000°0°0°0°0°0°0°0 $. PIPE FOR SEPTIC SYSTEM TO SCH, 40-4" PVC. r B�a9gs °000°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0' °o°,o°,000„o„o,,o,00000000000�0�0�0„0�0°0°000, „ " , H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. °o°o°o°o°o°o°o°o°o°°°°°o°0°0°0°0°0°0°0°0°0°09 3/4 -1-1/2 DOUBLE WASHED STONE 4 MIN. (5) UNITS REQUIRED ° 1°-� ' ' ° ° ° ° �MEC -NICA ° ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 6" CRUSHED STONE OR MECHANICAL 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE. 50.50' X 12.83' WITHOUT INSPECTION BY BOARD OF HEALTH .AND 'Q°use 6 COMPACTION. (15.221 [2]) COMPACTION. (15.221 [2]) b PERMISSION OBTAINED FROM BOARD OF HEALTH. 6" CRUSHED STONE OR MECHANICAL sd COMPACTION. (15.221 [2]) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1--888-344-7233) AND VERIFYING THE ( 2.5X SLOPE) ( 13 X SLOPE) ( 1 X SLOPE) LOCATION OF. ALL UNDERGROUND ,& OVERHEAD UTILITIES ( 1 X, SLOPE) 3.$ 72.0' BOTTOM TH-1 PRIOR TO COMMENCEMENT OF WORK. LOCUS MAP FOUNDATION- 36' SEPTIC, TANK 50' CLEANOUT LEACHING ( SLOPE) (-!-X SLOPE) NO GROUNDWATER FOUND SCALE 1" 2000't 1 60' D' BOX 12' 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE DB72 FACILITY FOUNDATION EXIST SEPTIC TANK 51' D' BOX 22' LEACHING REMOVED BENEATH AND 5' AROUND THE PROPOSED DB72 FACILITY *THE INSTALLER SHALL VERIFY THE LEACHING FACILITY. ASSESSORS MAP 218 PARCEL 55 LOCATIONS OF ALL UTILITIES AND ALL 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND BUILDING SEWER OUTLETS AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. ELEVATIONS PRIOR TO INSTALLING ANY 13. POOL FENCE "SHALL HAVE SELF-CLOSING L E G E N D PORTION OF SEPTIC SYSTEM SELF-LATCHING GATES, SIZE AND MATERIALS TO MEET LOCAL, AND STATE BUILDING CODE, ALL DWELLING DOORS 99 EXISTING CONTOUR INSTALLER SHALL CONFIRM MINIMUM SEPTIC OPENING TO POOL SHALL BE ALARMED TO CODE. ** X 99.1 TANK SIZE AT 1500. GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE WITH 1500 GALLON EXIST. ED ELEV. • -[99]- PROPOSED CONTOUR C1 SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF ZONING SUMMARY NOT SUITABLE (sa,4� PROPOSED SPOT EL. ZONING DISTRICT: . RIG DISTRICT TH1 TEST HOLE MIN. LOT SIZE 65,000 S.F. � MIN. LOT FRONTAGE 20' 2% SLOPE OF GROUND Q so 84 0 82 00 80 1> 000 77 MIN. LOT WIDTH 200' .0. (� CP a MIN. FRONT SETBACK 30' `� UTILITY POLE MIN. SIDE SETBACK 15' FIRE HYDRANT G MIN. REAR SETBACK 15' NOTE NWT ALL SYMBOLS MAY AFAR IN DRAwm MAX. BUILDING HEIGHT 30' L � �~ 84'05'39"E - SITE IS LOCATED WITHIN THE AQUIFER �� 37 5 �" ~`��' PROTECTION OVERLAY DISTRICT TEST HOLE LOGS 8409 / . 86 , CRAIG J. FERRARI SYSTEM' ENGINEER. SE #13871 85 SYSTEM DESIGN: DAVID W. STANTON' RS WITNESS: TH1 O i P) -- -- - _-- ---- o_---,� GARBAGE DISPOSER IS NOT ALLOWED DATE:_ 1/27/2021 < 2 MIN INCH T 2 i -- _--- i L a�o�oa°°oao ��R PERC. RATE _ / °' 9� Q �? EXISTING 6 BEDROOM SITE h -� ry �o • �� I °' DESIGN FLAW: 6 BEDROOMS 0110 ,GPD = 660 GPD CLASS. I SOILS' P# 20-294 C`! � �� USE. A 660 GPD DESIGN FLOW V. N ELEV. ELEV. N � � / r`1 GRAVEL SEPTIC TANK: 660 GPD (2) = 1320 ,� 4 GARAGE _ **RE-USE EXISTING 1500 GAL. SEPTIC TANK (DWELLING) 0 84 0 84 DRIVE - - USE A 1500 GAL. SEPTIC TANK (BARN) A A LS LS / a LEACHING: 1OYR 3 1 Y s4 o 18" 24" 10 R 3/1 EXISTIN WELLING SIDES: 2(50,5 + 12.83) 2 (.74). = 187 GPD 84 TOF = 85.3 . BOTTOM 50.5 x 12..83 (.74) = 479 GPD B B TOTAL: 901 S.F. 666 GPD LS LS 1OYR 5/6 1OYR 5/6 , / USE (5) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) 42" 80.5' 45" 80.2 � �Oh�� d,, 6, / 3 9 \ WITH 4 STONE ALL AROUND C 1 C 1 o (� O N Q ��O 94 ECK PERC OY N .`t 6' / i / 79 MS MS o MA 2.5Y 8/4 2.5Y 8/4 ! 0 094 o g' APPROVED DATE BOARD OF HEALTH 96" 76' 108" 75' a 3 x� � LOT AREA C2 C2 3 0 91,180 S.F.t VARIANCES .FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE IMMEDIATELY FS FS x N BENCHMARK: Q 9� Ba GRANTED BY THE BOARD OF HEALTH AGENT OR BY HEALTH INSPECTOR BULKHEAD CDR. ,--� a 2.5Y 6/4 2.5Y 6/4 =84.5' NAVD88 pOI, PROPOSED PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED BY THE BOARD E E { . E 3. POOL OF HEALTH REVISED DURING A 'PUBLIC HEARING HELD ON DEC. 10, 2013 18x38 0�' 144'' 72' 144" 72' W E E WI HI 0 x JI 3) FAILED SYSTEMS ONLY, SAS TO PRIVATE WELL SEPARATION DISTANCE VARIANCES, IF LOCATED IN THE SAME GENERAL LOCATION AS THE OLD SAS O o A E S R ( E o AND MORE THAN 100 FEET SEPARATION. IS PROPOSED BOTH FROM ,ON-SITE NO GROUNDWATER ENCOUNTERED $ O WELL AND ANY AND ALL WELLS ON ADJACENT AND NEIGHBORING PARCELS. . P R X. XI TIN X F NC X ^ Q h� EL x '� SITE PLAN 1 d ° OF Cb #257 OLD JAIL .LANE 90 NO -� e �� BARNSTABLE MA -�. L 21 9� h PREPARED FOR '92> ' s , 9� o y� O0.A% BRIAN BURBIC r Ir-��._s' DATE: MARCH 3, 2021 Mgg�l9 n_ , BARN O � DANIELA. -, a� qc fW 0 n, DANIEL G n ?- y`3' �� 0° i,,�f�le1 a t �"� . � �� q s Scale:1 20 O.,T,LA -•� a. �o DANIEL Gloll I C:VjI_ A: ��+' 0 10 20 30 40 50 FEET �O I OI,1LA 46:ij2. ,,,^:I A in C) r -.I { ,�z, C 7 co O . No.40�980 � ' A ho � o �� � � O � NO.4UJCJO C` 9 S~ /8TE,'/J� AZtit� Ff ss`�? ry SS/ONALECG °Fess�o off 508-362-4541 d.; r' ' ' IF, ra gNOsuR��� fax 508-362-9880 co . d downcope.com S84@05'39"E Q�own cope engineering, /nc. 98 5 95 94 3 \ civil engineers 98 land surveyors DATE DANIEL A. OJALA, P.E., P.L.S. 939 Main Street ( Rte 6A) YARMOUTHPORT MA 02675 °DCE' #20--429 1 TOWN OF BARNSTABLE' a �.(� LOCATION ? U I a `S c1;, L N SEWAGE# a0a I-0` VILLAGE ( S�n,�jl ASSEGSSOR�'S MAP&LOT 270- 3 INSTALLER'S NAME&PHONE NO. @�p GO dc� . e.t/'' -,L S(Uv t Le$ SEPTIC TANK CAPACITY �/ 7 �If� �J t +n KS LEACHING FACILITY:(type)9 W(:> C"o NO.OF BEDROOMS LO BUILDER OR OWNER /o n✓� f ��6 I� t PERMIT DATE: ��a ,(�� v COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 .7� B � � Q �i' �, n g -� c� � �— .� � � s � sJ6'�n � � � � � g- � � � C�