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HomeMy WebLinkAbout0015 SAMANTHA DRIVE - Health 15 Samantha .Drive Barnstable - AL 349 106 7 - No. 2001 - �� Fee l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye_ PUBLIC HEALTH DIVISION - TOWN OF BARNSTAB LE, MASSACHUSETTS 0[ppYitation for Disposal 6pstem Construction 'Permit Application for a Permit to Construct(d Repair( ) Upgrade( ) Abandon( ) R Complete System ❑Individual Components Location Address or Lot No. `-d 7 7 A6 / Owner's Name,Address,and Tel.No. 6;je;�Z(w0_1F Co--fa DQ, Assessor's Map/Parcel 3 bb -7 7/- yi?D Installer's Name,Address,and Tel.No. 'al7gt 664'5 Designer's Name,Address,and Tel.No. 3 - �IL 0")� rt, Type of Building: '/ Dwelling No.of Bedrooms Lot Size 'Z 3 r7 sq.ft. Garbage Grinder(1-�O) Other Type of Building WSiDFAIC.Z" No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 116 gpd Design flow provided 3 V gpd Plan Date la- 3/-d 7 Number of sheets Revision Date 1 Z-3 o`-7 Title Size of Septic Tank JUG 65 r Type of S.A.S.. Description of Soil zt5 PM PLPIA l 64"-Mhyl�2s Nature of Repairs or Alterations(Answer when applicable) c(J1�s/ ��.�d dF + 9-� 1) /213k -1 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 Envie►tl Cede�notto place the system in operation until a Certificate of Compliance has been issued by this Boar ea —� _ Si ned Date Application Approved by Date !L r.0-7 Application Disapproved b Date for the following reasons Permit No. 5�- �la d Date Issued --------------------------------------------------------------------------------------------------------------------------------------- v�r. 'No. wr Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pphcati0n for Misposal 6pstem c(Construction permit Application for a Permit to`•Construct V Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. D2 1r Owner's Name,Address,and Tel.No. r AF4X Assessor's Map/Parcel 3 �9/��G �.�J ai n(➢ 77/— VY` 0 Installer's Name,Address,and Tel.No. , Designer's Name,Address,and Tel.No. -Z — j , !;,#go�-14-/363 -D0 ctt �N6. Type of Building: Dwelling No.of Bedrooms 3 Lot Size Z13. 41 q sq.ft. Garbage Grinder") Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures G Design Flow(min.required) 116 gpd Design flow provided 3 / gpd Plan Date Id- 3/—Q7 Number of sheets Revision Date 12-3 a"7 Title l Size of Septic Tank/ 6 657 Type of S.A.S. Description of Soils PA2 Pb9N 6'ST �l 57 g01( - 5 07/ 6',4L P2x E�Gt/ L �rfIzs I Nature of Repairs or Alterations(Answer when applicable) j1 TLC- V 5XIOT< /9 Y 12J31c z' ~ Date laWinspected:' d 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 En ' on.ental-Coole-and of to place the system in operation until a Certificate of J Compliance has been issued by this Boar eat _ ` Signed Date 1Z— } 07 Application Approved by k Date Application Disapproved b Date for the following reasons Permit No. ��.d Date Issued d } r THE COMMONWEALTH OF MASSACHUSETTS r �'" , •� BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(1/5", Repaired( ) Upgraded( ) ;1 Abandoned( )by/�/95TOIt CONSTQUfJ<LW FF at / 5 M 4NrA4 OQ-1 (/ate Wln'A4(Wlb has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. P007 �4 0 dated 10� Installer U Bell Designer 3y 6A�" G4lpo _7511L6 #bedrooms Approved design flow 3 1 l gpd The issuance of this permit s all not a onstrued as a guarantee that the system ill fun 'o s' ed.d Date /I �l lD / Inspector - ------------------------------------------------------------------------------------------------�����-C��v---------- - Fee �.SV i No. J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Ai p sal *pstem Construction jhrmit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at /S 519M 4A'17 H�4 P2 GU IT/y►A&I l 6 i and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. �i i Provided:Construction must be completed within three years of the date of this permit) Date Z� 12- -U? Approved by Lai l'.. y.tl c G gul LFJ 1 .-I U y1x Vices cnle . t - �'hCuEFFld'�' F. !� T','dl;nn'LFp-LDr, i MW4STABLE, ID - '- i 6,9. 'Thomas McKean, Director �.Q�D ivy"ice Sti eat,Hy7amis,�/I1 02601 Office: 508-862-4644 Fax: 508-790-6304 Inst9fleTr & DesiEner Certification Form 'L Ate/ - — �.//'J4 ' Z)v :.. 3 / / f Date: /� /7 Sew2-e Pcpn�mit�L O? � f,,0 Assessor's �i a l�an°cei d� IQ�cesignero �OvJV� l� 2 1.�'1 �n2e�l,(�y0' . I[nn�t�l�ere P��,�e `�kCEWaLT10� Address: !� U"�CLi h v � Add resse �q if� �1 fi�Cc4 L(a�t W✓� 1 was issued a permit to install a (date) (installer) y ; septic system at /Y AMOA 4 V/�1 ✓e- based on a design drawn by / (address) Q,A I e{ � � � q� � P� dated d Z v / (de gner) 1/ I certify that the septic system referenced above was vastalled'substantially according to' the design, which may include minor approved changes such as,lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was iustalled.with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of anyIcomponent of the septic system) but in accordance with State & Local Regulations. Plait revision or ce "ed as-bmlt by er"to follow. H OF Lyg SS-. i G.A N I A (P, fo OJALA CIVIL cn No.46502 ONAL (Desigrier's.01"gnatlare . (AFx designer's Stamp Mere)' PLEASE RET T� BAIM STr�P�ll�E P LIC HEAMIR wVISI(CDN. CERTIFICATE OF , COAHLIANCb WML NOT BE TSE-GED tTN'aU, BOTH THIS FORM AAQ AS-BUMT CARD ARE R ECEW ED BY THE BARNSTABLE PUBLIC MEALTH DMSI1ON. THANK YOU Q:Health/Septic/Desigaer Certification For7i 3126-04-doc TOWN OF BARNSTABLE LOCATION /S .4 SEWAGE# :�e007 VILLAGE t o ASSESSOR'S MAP&PARCEL c g s f INSTALLER'S NAME&PHONE NO. 1� �z.�_ -9--m- 7:500 SEPTIC TANK CAPACITY I LEACHING FACILITY:(type) Cbsi, (size)4aL0 X, NO.OF BEDROOMS OWNER PERMIT DATE: 0-7 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) IV A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within A 300 feet of leaching facility) V .A— Feet FURNISHED BY �•c ��, I9 ° A : a�® 6 g3.' 35 ° A -4= 39. (' t3 -3 �` �� su i TOWN OF BARNSTABLE LOCATION ! �.G`Z SEWAGE# .-,;)O0 VILLAGE �'. �t ASSESSOR'S MAP&PARCEL I ► INSTALLER'S NAME&PHONE NO. 4 SEPTIC TANK CAPACITY ze si JC . LEACHING FACILITY'.`(type) :C -? - ( ).' NO.OF BEDROOMS' 4 OWNER PERMIT DATE. L 7- 1 - COMPLIANCE DATE:. Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Ir wFeet _ Private Water Supply Well and Leaching Facility(If any wells exist on _ site or within 200 feet of leaching facility) Feet'. eet:_ Edge of Wetland and Leaching Facility(If any wetlands exist within I: 300 feet of leaching facility) ' Feet FURNISHED BY j ------------- _.. 3 © a i! i i Commonwealth of Massachusetts City/Town of Barnstable Percolation Test i -5y1� Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the Code Realty, LLC, 52 Ship's Eagle Lane Osterville, MA 02655 computer,use Owner Name only the tab key to move your ec Samantha Drive ,. 0 cursor-do not `v Street Address or Lot# use the return MA 02637 key. (Cummaquid) Barnstable — State zip Code Cityrrown John HUtChIf1S Telephone Number Contact Person(if different from Owner) B. Test Res u its D v ` ov &Da Time Dat Time Observation Hole# 0 Depth of Perc Start Pre-Soak l �^ End Pre-Soak Time at 12" Time at 9" 30 S'� Time at 6' ' Time (9"-6") G�bvt•�/ C r ^a✓ t AJCAG CX Rate(Min./Inch) Test Passed: Test-,Passed: �- Test Failed: ❑ Test;Failed: --r; 0 .... e• David D. Flaherty Jr., R.S. - Test Performed By: Don Desmarais, R.S: rri Witnessed By: Comments: Perc Test•Page 1 of 1 t5form12.doc•06/03 ,� Commonwealth of Massachusetts Gifyffown of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal DEP has provided this form for use by on-site professionals and local Boards of Health. Other forms may be used,', but the information must be substantially the same as provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information ,, 1. Facility Information // � s S G� Owner Name ^ V Map/Lot Street Address CUlyt/bta�'Q�f SN-6k� State Zip Code CitylTown B. Site Information 1. (Check one) New Construction Upgrade ❑ Repair ❑ PVC 2. Published Survey available? Yes No ❑ If yes: Iq h 3 - d S Year Published Publication Scale Soil Map Unit S it Name Soil limitations 3. Surficial Geological Report available? Yes No ❑ If yes: Year Published Publication Scale Map Unit lgloyikxq kks Vt Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes No ❑ Within the 100 year flood boundary? Yes ❑ No IR ❑ �( Within the 500 year flood boundary? Yes El No a Velocity Y Zone? Yes No 5. Wetland Area: National Wetland Inventory Map Map Unit Name � Wetlands Conservancy Program Map Map Unit Name DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 1 of 7 Commonwealth of(Massachusetts Gity/Town of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal I Below Normal 6. Current Water Resource Conditions (USGS) JVMC ��� Range: Above Normal � Norma ❑ ❑ MonthNear 7. Oth er references reviewed:� � 3►'T�G� �C C��� r C. On-Site Review (minimum of two holes require)d at every proposed primary and reserved disposal area) Deep Observation Hole Number: l f0 0!CTD'�7d'' Dat Time . Weather 1. Location r t IJ6;-V . Ground Elevation at Surfac e of Hole � . Location (Identify on Plan ) 2. Land Use: CNV U (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body`00 Drainage Way 'Possible Wet Are t feAV t /fee�n _ Sf eo"'. �lre.- Property Line-7 -= Drinking Water Well �s� Other Y"�+"I �� feet feet 4. Parent Material: G( L Ij � Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock[] Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole t Estimated Depth to High Groundwater: DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 2 of 7 Commonwealth of Massachusetts G4yffown of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal inches elevation Deep Observation Hole Number: Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Texture %by volume Consistence Other Horizon/ Color-Moist (mottles) (USDA) (Moist) Depth Layer (Munsell) Gravel Cobbles (in.) Depth Color Percent &Stones 6— �- d mole- lay(_ ��rF-r7 Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 3 of 7 Commonwealth of Massachusetts UVGWTown of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: D to Time eather 1. Location /r / n y , Uv Ground Elevation at Surface of Hole Location (Identify on Plan ) 2. Land Use: Surface Stones 'Slope(%) (e.g.woodland,agricultural field,vacant lot,etc.) Vegetation ) Landform Position on landscape(attach sheet) 3. -Distances from: Open Water Body >`00 Drainage Way �gs Possible Wet Area f !�CJ '�v/ S Property Line !7/L Drinking Water Well l o Other / �I/� feet feet fq v D No Unsuitable Materials Present: Yes;❑ [� 4. Parent Material: If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s) ❑. Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No [ If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: E p inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 4 of 7 Commonwealth of Massachusetts S+ty/Town of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Horizon/ Color-Moist (mottles) Texture %by Volume Structure Consistence Other Depth Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones T� rlE 3Y- 1S� Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 5 of 7 -7 Commonwealth of Massachusetts Gityffown of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 2 Range: Above Normal Eg Normal El Below Normal ❑ 6. Current Water Resource Conditions (USGS) Mont�ar 7. Other references reviewed C. On-Site Review (minimum of two holes reguireq at every proposed primary and reserved disposal area) Deep Observation Hole Number: Date Time Weather 1. Location f ,c Ground Elevation at Surface of Hole Location(Identify on Plan ) 2. Land Use: Surfa tones (%) (e.g.woodland,agricultural field,vacant lot,etc.) Slope ' � SD�� Landform Position on landscape(attach sheet) Vegetation Drainage Wa f Possible Wet Area 3. Distances from: Open Water Body g y f et feet . Property Line Drinking Water Well z Other �r ' � feet feet 4. Parent Material: ( s Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ 'Bedrock❑ 5. Groundwater Observed: Yes ❑ No M If Yes: Depth Weeping from Pit Depth Standing Water in Hole f Estimated Depth to High Groundwater: DEP Form 11 Soil Suitability Assessment for On-Site Sewage bisposal• Page 2 of 7 I\ Commonwealth of Massachusetts G#yffown of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal j inches elevation Deep Observation Hole Number :- � f Soil rix: Soil Soil Mat Redoximorphic Features Soil Coarse Fragments Soil Structure; Consistence Other Horizon/ Color-Moist (mottles) Texture %by Volume Depth Layer (Munsell) _ (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones It t.OY�y f3 10 f6& 5 Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 3 of 7 Commonwealth of Massachusetts 6ityfTown of Barnstable Form 11 - Soil Suitability Assessment for On Sewage Disposal 0` C. On-Site Review (Cont.) / umber:Deep Observation Hole N �Dt! Time Bather 1. Location Ground Elevation at Surface of Hole Location (Identify on Plan ) 2. Land Use: w i - (e.g.woodland,agricultural fiel�d,/vacant lot,etc.) Surface Stones Slope(%) 7— Position on landscape(attach sheet) vegetation Landform f 3. Distances from: Open Water Bod>/O Possible Wet Drainage Way fe Z�feet e�et Property Line _ Drinking Water Well Other er s, &6— feet feet 4. Parent Material: Unsuitable Materials Present: Yes ❑ No a If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 4 of 7 Commonwealth of Massachusetts T/ Git# Town of Barnstable Form 11 - Soil Suitability Assessment for On Sewage Disposal y Deep Observation Hole Number: i Soil arseSoil %by Vo ume Structure ! Consistence Other mo ; Horizon/ Color-Moist (mottles) (USDA) (Moist) Depth .Layer (Munsell) (In.) Depth Color Percent Gravel Cobbles &Stones Or (� ✓� Ste'' Additional Notes ' Assessment for On-Site Sewage DEP Form 11 Soil Suitability Assess a Disposal •Page 5 of 7 9 *q Commonwealth of Massachusetts Gityffown of Barnstable Form 11 Soil Suitability Assessment for On-Site Sewage Disposal . y D. Determination of High Groundwater Elevation 1. Method used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation hole A. B. inches inches. Nof ❑ Depth to soil redoximorphic features (mottles) A'inches B.inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well'Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes No❑ / /1 b. If es at what depth was it observed? Upper boundary: Lower boundary: l y y inches inches F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15'017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience`described in 310 CMR 15.017. 1 further certify that the results my soil eva ab a indicate the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. h,7-1.4 Signature of$ it valuator Date Typed or Pri ted Name of Soil Evaluator "Date of oil E luator Exam Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 6 of 7 Commonwealth of Massachusetts Mown of Barnstable ilit Assessment for On Sewage Disposal Form 11 - Soil Suitability a< j D. Determination of High Groundwater Elevation 1. Method used: ❑ Depth observed standing water in observation hole A. inches B. inches. ❑ Depth weeping from side of observation hole A.A' inches B. inches- ❑ Depth features (mottles) A. B. I De th to soil redoximorp ( F P inches inches ❑ Groundwater ) �adjustment USGS methodology) A. inches B.inches� F. . Reading 2. Index Well Number g Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material ; 1. Depth of Naturally Occurring Pervious Material naturally occurring pervious material exist in all areas observed throughout the area proposed for the a. Does at least four feet of n y 9 ; soil absorption system? Yes P No❑ unda t what de th was it observed? Upper boundary: Lower bo ry b. If yes, a P inches inches F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.1017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training,expertise and experience;described in 310 CMR 15.017. 1 further certify that the results my soil eval ti s' dicated i he attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. � Q(� Signatur�osoil Ev luat ,r1 Date / r7 Z �,/ �• "Date of Soi Eval for Exam Type Printed N me of Soil Evaluator Board of Health Name of Board of Health Witness Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 6 of 7 Commonwealth of Massachusetts Gityffown of Barnstable Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal a use this sheet for field diagrams: t, DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 7 of 7 I \ \ \ PROPO�ED EROSION CONTROL: l lL4: -ONCE & HAY BALES I — —66— TO REMAIN IN PLACE UNTIL -� LAWN STABILIZED. (TYP.) I s ao aK I \ \ SEE DETA& I �� I156 \ HA `ALE HAY�A\ 74 lI IZ \ � o F, •;� � -� � \ — — ,�, i // III —\ \TH-2 / —70 CY) ot - I c J1° -a T 3 BEN ARK: MAO, NAILET r \ NOTE: �T-7 TO / ELEVA I N 79. 1 m D� HOUSEUTTERS AN CIOArea=43 97 / \ DRIVEW Y DRAIN o r \ \ \ m \ CONNE TED TO / — — / / IN, �/�\ \ DRYWE LS. / P�� CON T OL: \ TH3 ' PROPOSED `" \ \ � 'ALES TH1 LEA RING PIT \ 74 , V)�JN I \T I CL I RDRAINAG O TY LEACH THE 0 L 4 (TYP)743 a� 71-- 14 .09 4 Q) 40 I OLE IMIT C ARJ�MIT CLEAR_LIM { �4 p • :�:,.'p • :.,• v 744 &EM +BI51.397 41 0 Lj'_LIMIT 7 .95` vvaa 110Ff� \ 1 OFF a 750E 9 \ 02 + OFF I' 1�F /1a + 11'OFF � � � � _ -- ------- --- -------- ------ -- - - _ any CL_ROW W - o cL^mowoL �pI\/ (��0 WIDE MINA 80 o -13 3+5n/6 RO / / r"-1 V— .— — — — — CD C14 - 290 _ _ -------- r— Cr1 - OEq 11.OF>ELEAR-LIMIT J P 4 .,�o� PROPOSED — �S MI • ;. �\ 26 T4.097// 15 44. 7ta L1 CCEA LI i;}■ • 40 LEARVLIMI LEA -LIMIT,",,I WIDE PAVEME T /� 10 NP = 1T \ \ CLNR_LIMIT \ (1$ + BERM' CLEAR_LIMIj \ \I O 1 �-�i N 16 \\ CROWN A. / -T101 r O \\ I I \ I 0- L DRAINA l o \ RS 0 r o v 6 Do 0I N �1 /� LEA1p LI�AIT 8 1 n p FACFfAFNT _ i _�L fib' \ \ r O_ AAI In 1 R N`rftl ANT/ ��I i� � Town of B, rnsta.ble. p# 1 � 3 ,ttt: Department-of Regulatory Services ` ,� Public Health Division Dare 200 Main Street,Hyannis MA 02601 Date Scheduled / �'-' Time_11 -.-Fee Pd. " t "Ik Vk Foal Suitability Assessment for Sewage Das sal Performed By: . ' Witnessed By: \v� 1 LOCATION&GENERAL INFORMATION Location Address �;Prl Owner's Name Address Assessor's Map/P4md-. / Engineer's Name NBW CONMU(�RON REPAIR t Telephone# t land Use Slopes M) -' Surface Stones Distances from: Open Water.Body ft Possible Wet Area-�ft Drinking Water Well ft ft thainage Way v — ft Property Line ft— Other i SKETCH:($ireet name,dimensiod6f lot,exact locations of te,t holes&pert tests,locate wetlands in proximity tubules) L �p ' ' 3 ! 77 Parent material(gccilogic) Depth t0 Bedrock (/ �. Depth to Groundwater: Standing Water in Hole:' I Weeping from Pit Race r Bstimated Seasonal!'fligh Groundwater t 14TERMIN TION FOR SEASONAL HIGH WATER TA LrE Method Used: ln, Depth t baerved standing in obs.hole: in. Depth t0 5gll mottles" $. Depth tojweeping from side of obs.hole: + in. ©mundwbter Atjustmcnt Index Well# _ Reading Date index Well level - _ A .factor Adj,Owundwater Leval,,.,., PER OLATIO►N TEST .. Date l oG 7CIme�_. Observation ' I 'irate at 9" Hole# ��jV� � Time at b'• • Depth of Perc � 41 StartPre-soak Time. I lime(9„-6') AA SEC End Pre-soak "� '�� k 1 ' Ttate MinJlnch . Site Suitability Asscissment: Site Passed _ Site Failed; Additional Testing Needed(ll/N)r_ Observation Hole Data To Be Completed on Back . Original:.Public He�lih Division + , ***If percola ji0n.test is to be conducted within 100'of wetland,you must first notify the Barnstable C4#servation 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. onsis e c ravel 0 L S o s DEEP OBSERVATION HOLE LOG Hole#—0 - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. el 8 - 3 L DEEP OBSERVATION HOLE LOG;, Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Oravell 0 Nr 0 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Omni) d S U Y V I �v L. - �' " , Flood Insurance Rate May: 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 pervi us etial exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pery us material? M Certification I certify that on I- (date)I have passed the soil evaluator examination approved by the Department of Envi nm tal Protection and that the above analysis was performed by me consistent with the required traini ,expertise a d ex nc descri in M CUR 15.017. Signature ' Date 0 s Q:�SEPTICIPERCFORM.DOC �4 �4,2/®7 two— I ) 2 i aA jai L v0 A a r - J I 4 I rui�Ne't' JJ IIA YCIl i . a _ - -- - - - j Ti I v. � 1 A- - -4*o -F'SZOP.:o�E>✓ 7. :F FaEaN..0 A }� sk3M.sd'�1 Profess�o�at$uilrngDestgRer e Im t -7I_� o 7-- - - -� i ...Tw.., I ..� 79 I I I'_ lr a t` \ \ ' \-�-,� I'Y'✓'T"11`---��. lit_ j �� tr L -- I �� I' — IC56� 3 I I cp I b x�4 — = Rtrra9 I I 2 _' �� t3 .:'I O ... t.lA� , F����� ��-- � n.�...IZ )��� - �• �-o w w.. .. _ ,i -_ �_l._ 1 . 7 '. I � � : �. I, 4 0 � �-�`. 3�f 3 v � 1.. . � o "° I:•� ! r Y c a � .. � ) -- I �. 7 ,-P - 20 LLL _ } ws5 p I I <o- R ' n K F-0Q r,act ezW L s�n.r.G� �A-r• ZcF.Mn-lu¢ 4a1q��T �stil. —1+6 -� _ s r, Jr t Jr III y s w - ,o�3 �l. . 'n liF..l u wa i b1Cn:_w1. �' ��- • I I i� t al .I ' I°I In .64 _. _ ----._._xZ- - aa' >i1 a'- I � it t, 4 a rr g 4 S C l Iri 1 ,s i 1 M - `0 1 �� �'7oiy 4.iT11 n.?lvkt I �I IL I 411 z ,� ram"�,� v �y I � � �' •�• I, • o �• 1 �- � dal `� '� �: ; , � :: I � u - '4f f ..J J ! f • I 11 - c � �"Jmt1wC nr I N II z tA a lop pp- rt v r j I 7 t' - OR, 5 q S ro a I. mr-TE, WP..I✓l.S ! !' I _, - � � I I i I � � �.\ J � / {?'° ri I g' • 3 .. �r.,>G¢EjY� Sao Ci Na.s I I,s ,fir �*dl`f _I II I i Foul L7 44 • +o i - �o ' s 1 I -m-F - -7-r I i �' :_ ..__-_g_J!a—_e:�,a_.—,,J7-6 ._.... il'• I � � I.� i I I o� � ! 40_ _._...._. - .._ . .._... _...-- r Ali I ! i q I(t•t I�r I i ! '� I I'i � ' - - F, y J� -- -- -- - - - - - - --- - - -- - - i FI o 71P Ps i II I ' � --:$•�X "�'-\ " Li kj� cp....C:"r?. 2E.jEs !. .. i. ,..17_N.. ," kp ; j i SEPTIC PROFILE NOTES LEGEND SYSTEM DESIGN: TOP FNDN. AT EL. 76.7' ACCESS COVER TO WITHIN 60 OF FIN. GRADE (NOT TO SCALE) ACCESS GARBAGE DISPOSER IS NOT ALLOWED ACCESS COVER (WATERTIGHT) To COVER TO wrrHlN 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD ��100.0 PROPOSED SPOT ELEVATION WITHIN 6' OF FIN. GRADE 76.0 MINIMUM .75 OF COVER OVER PRECAST 2. MUNICIPAL WATER IS AVAILABLE 100x0 EXISTING SPOT ELEVATION DESIGN FLOW- 3 BEDROOMS ® 110 GPD = 330 GPD 2x SLOPE REQUIREn OVER srsrEM 77:0 USE A 330 GPD DESIGN FLOWRUN PIPE LEVEE. 2" DOUBLE WASHED PE&STONIE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. R'F sq PROPOSED CONTOUR �*74.0'± FOR FIRST 2 OR GEOTEXI'ILE FABRK: 1 Qp PROPOSED 1500 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO Po SEPTIC TANK: 330 GPD (2) = 660 GALLON SEPTA - - 100 - - EXISTING .CONTOUR ' USE A 1500 GAL. SEPTIC TANK 73.75' TANK (H- 10 ) 7 74.05' H- 1 O RP�� �; 1 BAFFLE 73.48' �� 73.31 W W 0 W W W 5. PIPE JOINTS TO BE MADE WATERTIGHT. LEACHING: 73.25 CD W W E3 E3 C E3 yr SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD ( 2'Sx SLOPE) �60 CRUSHED STONE OR MECHANICAL a r a 0 O 0 G'7 O 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH COMPACTION. (15.221 [21) 2' ED 0 0 p m a m m a o 71.25' MASS. ENVIRONMENTAL CODE TITLE V. I F BOTTOM 25 x 12.83 (.74) = 237 GPD DEPTH of FLOW = 4' ( 1 x SLOPE) ( 1 x SLOPE) G LINE . TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO TOTAL: 472 S.F. 349 GPD " BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. ti INLET DEPTH = �- USE 2 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) OUTLET DEPTH = 14" LOCUS O 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. � WITH 4' STONE ALL AROUND ��s Exrr� FOUNDATION 10' SEPTIC TANK 2" D' BOX 89 LEACHING 11.55' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. LOCUS MAP MA �7 APPROVED DATE BOARD OF HEALTH ALL SYSTEM COMPONENTS SWILL BE 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING SCALY: 1" = 2,0.00'f MARKED WITH MAGNETIC TAPE OR DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION *THE INSTALLER SHALL VERIFY THE COMPARABLE MEANS FOR FUTURE LOCATION. BOTTOM TH-1 EL. 59.7 OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO LOCATIONS OF ALL UTILITIES AND ALL COMMENCEMENT OF WORK. ASSESSORS MAP 348 PARCEL 7 BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE LOCUS IS WITHIN GP OVERLAY DISTRICT SEPTIC SYSTEM REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. TEST HOLE LOGS ENGINEER: DAVID FLAHERTY, R.S., SE2755 WITNESS: DON DESMARAIS, R.S. DATE: J U LY 10, 2006 I J \ \ ' PERC. RATE _ < 5 MIN/INCH CLASS I SOILS p# 11349 \ _ --66-- '%\- / I \ I I 4." / BENCHMARK: NAIL TO BE SET 1 IN TREE AT ELEV. = 76.7' ' m PROPOSED " 4 ELF/. " 4 ELEV. " 7�ELEV. � 77 0 l 4 � 4 . SILT BARRIER & 0 73.0 74.0 �" f \ LIMIT of WORK O/A/E O/A/E 0/A/E 0/A/E N 29`26'02" E 1 LS LS LS LS 7» 1OYR 4/1 8" 1OYR 4/1 5" 10YR 4/1 7" 10YR 4/1 to LO ROOF DRAIN (TYP.) 10 LS LS LS LS \ 5' REMOVAL OF UNSUITABLE SOIL �'".�,. 72 -� REQUIRED AROUND PERIMETER OF r� ) / PROPOSED HOUSELGUTTERS AND " " " cn 1OYR 6/6 1OYR 6/6 10YR 6/6 71 7 10YR 6/6 LEACHING FACILITY, DOWN TO \ ? $-ram_f 6TMX6P LEACH PIT DRIVEWAY DRAIN 37 69.9 34" 71.2' 39 35 74.1 SUITABLE SOIL LAYER. REPLACE 74 y `' \ ( ) CONNECTED TO WITH CLEAN MED. SAND. '� �_ �� A'':I DRYWELLS. r y _ , N R R r- a' a, a' PROPOSED / C C C C �O \ TH2 SPA / 7 600 GABASI / \ PERC PERC ul) \ a � Z -- _r cn �`�' 1 \' / SLAB � ' _ , � _ - - ---�.-__- r._ ,�� __ F� FS FS FS ' P ,..,. DECK -' -- O 3 2� 1 rn, CA \ 76 .. , . . 2.5Y 6/4 5Y 6/4 2.5Y 6/4 D 2.5Y /4 2 6 w 4 / - \a - = y TWO CAR ��� \ o 10. \ ___- GARAGE PROPOSED ( Lot \ --- - _ fD o �•... wo \ DRIVEWAY �� BENCHMARK: MAG NAIL SET 7 2os' TH3 �( Ara=43,979f q. f t. ELEVATION = 7ss4 " " 138" 63.5' 150" 64.5' 2s.2 � Or � 160 59.7 156 61.0 �\ \ 4 ENCLOSED PORCH STEPS \ \ 1.01 Acres NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED \ \ 1 0 \ LE / ' PROPOSED 3 BEDROOM o \ ' DWELLING / \� o I ' \ \ 71.4s l \ TOP FNDN.=76.7' \ \ \ oo\ 1 �.-- \ / TEP w o '° RROPOSED WATER SERVICE \ t \ t / b SWALE \ 76 \ o N / -/ 1 1 TITLE 5 SITE PLAID - .- 11 DRAINAGE EASEMENT o 18 \ � OF 78 �•:y •r�, ::: EXISTING •r:•� •_� �• ._; �. N LOPE - _ #15 SAMANTHA DRIVE DRAINAGE ... EASEMENT\ .... TYP.) '.� \ �� (CUMMAQUID) BARNSTABLE, MA / S 29'26'02" W ! 28.09' ^� / ; I \�,� y "\ I \ '►�/ I PREPARED FOR ___ _ -l--- - -- -------- ---- ---- - --- -------- -- - -- ----- ----A- - ----- - --- \- -----�'------- -- ---- - - - - - - ------- - - -- '- ,, J _ GEORGE K. CAMPBELL -') (50' VIDE) MINOR-A OAD ANTH�A DIVE DATE. OCTOBER 31 , 2007 REV. DATE: DECEMBER 3, 2007 (STREET #) / - - - - yd- _,___ _ _ - - - - - - - -6-- - -� - -- -- ---- - - - --- - - --------- -----� -- --------- -- ----- 7- Scale:---(,- - --- ----- --- - A ----- -- I 1 20' 0 10 20 30 40 50 FEET off 508-362-4541 fax 508 362-9880 H OF�ss9`yG � N OF Mgss9c I . O ALA S ��°�' A HNE yG� down cape erg g ire e erin q, Inc. CIVIL OJALA y NO. ` 2 �No.26348c Cl VIL ENGINEERS 010 S T �NG�� �o L A ND SUR VE YORS DA ARNE H. OJALA, P.E., P.L.S. 9,39 Main Street - YARMOU THPOR T, MASS. DCE #07-270 07-270 CAMPBELL_SP.DWG (ARG)