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HomeMy WebLinkAbout0019 SLATE LANE - Health I'll 9, SE"AU L 4 E °BARNSTABLE. :.. �� 5.. a .. ,. ..... _„� .•�. �'� A = 316 077` µ� �at t . . T.._c Y -' -�- -..,-�•_ -„_---- :�- ��._.� .-:.: - --:s:-�-._--,-..:: t.:_ T .. �_ _. _-c v � _..-._ �.__,r c=_ -:r---,�-__ s.._.. -_> -..°�-s:.�-.:,.__.w== �"-".----_---.--+ ___ �.a•:z....,-..---.��9,:.-_ •�u_�.-�� __r i.�:..._--_.�-.. " w , e d � t • F � " v TOWN OF BARNSTABLE LOCATION" r'( Skgrl l SEWAGE# c200 3� VILLAGE \�J- o�rrs 8-,6 t ASSESSOR'S MAP&PARCEL 3A6— 77 r INSTALLERS NAME&PHONE NO. 3000-ki SEPTIC TANK CAPACITY RX L-t Z () L) 130)C LEACHING FACILITY.(type)-70 - (size) � ,0�( 26.Q X U CL� bff NO.OF BEDROOMS T OWNER sA PERMIT DATE: COMPLIANCE DATE: t p,1,1 1 1 - I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility AJC)\"-9— Feet Private Water Supply Well and Leaching Facility(If any wells exist A on site or within 200 feet of leaching facility) N 0 Feet Edge of Wetland and Leaching Facility(If any wetlands exist. within 300 feet of leaching facility) Feet FURNISHED BY _ � ( to \ r FEE e COMMONWEALTH OF MASSACHUSETTS . ILO Board of Health, ✓ - J,I, MA. APPLICATION FOR DISPOSAL SYSTEM'CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ,) Upgradqt�,< Abandon( - ❑Complete System ❑Individual Components Location / 15/cc-Q to nR Owner's Name n p Map/Parcel# � (Q 7 Address �(�, f ix 9l if f'��lyiS �(R /",4 Lot# (c,-- 7 S-- /AC-av-o4 � Telephone# e.5-09) Zf 6 2-(,q ?l Installer's Name Designer's Name A�,s i' c- C. I-- Address `�7 Y P i�� Address S S�-;2ll1t �� t q e Telephone# / Telephone# Type of Building ��S o�C: p� �-/ Lot Size c7 0 1? sq.ft. Dwelling-No.of Bedrooms ( Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures N/A ' d~ Design Flow (min.required) Lj gpd Calculated design flow Design flow provided ` i gpd Plan: Date 4//Flo ? Number of sheets -Z, Revision Date Title ionn l HC iy 44 A Cqrw-r /3GmJ')-4 IQ /✓Ili "�' - Description of Soil(s) I G-7Z " OA-s >i 3 Le 72`=t 4 2" S sy ,77-2 0-6� �1J✓tt✓/ b k (D -16Z` Soil Evaluator Form No. Z?ze4-s r 14Q 5 Q Name of Soil Evaluator iAefAL �'i�Date of Evaluation ��?R 10-7 DESCRIPTION OF REPAIRS OR ALTERATIONS Icl JAS -- /n f fN The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date or �s No.V V D �"k.= , FEE ��I- 'OF MASSAC14US ETTS 1 _ . ti11;YA "Board of Health, ✓�-S�a MA. ` APPLICATION FOR DISPOSAL. SYSTEM CONSTRUCTION PERMIT r 3 Application for a Permit to Construct( ) Repair(t Upgrahe�=Abandon O ❑Complete System ❑Individual Components Location 4 < CA l i F r l F Owner's Name /�w a. u,Le 5�*` (n 9 S Map/Parcel# Pj / ( ," `i 7 Address/"a, (--2,u-x y/ y Lot# 7 5— Telephoe# 4�,C 0 9 ) Installer's Name �� „� Designer's Name/- i C Y Address J 7 1 Q\v`e ti• CZAAI `llQ Address w, ✓U S S ��d /� j�'(`eS �tC! Telephone# Telephone#(sr O) 11 7?—S 3 /3 Z4 � Tpe of Building ~~� 5' ��'t GL Lot Size S� Q r sq.ft. Dwelling-No.of Bedrooms_ h Garbage grinder ( Other.-Type of Building >s. /ll�iq No.of persons Showers ( ),Cafeteria-(;.) Other Fixtures /V//a Design Flow (min.required) C) gpd Calculated design flow ��� Design flow provided �$y gpd Plan: Date //�c 4 � Number of sheets 2' Revision Date Title iy�c��d l�c Sy A M Up q r6tc4 t e Cc, /?arras/-4 b to MA --d-�• T�/ G -7Z " U,1.11 eta 72 =l42" Sg .df 7r-2. D—�ls "Ur1s✓;Ro�ak !o5av�� Description of Soils) Soil Evaluator Form No. Name of Soil Evaluator&W/fc Date of Evaluation �q DESCRIPTION OF REPAIRS OR ALTERATIONS �!( ` r�hct✓t��� a fA3 0., r The undersigned agree's to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date / n� No ' � FEE_!t/ COMMONWEALT14 Of MASSAC14US ETTS Board of Health, MA 1 CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The and signed hereb certi that the Sewage Disposal System; Constructed ( ),Repaired pgraded ( ),Abandoned O - by: , O M at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plan as-atuilt pl relatin to application No. dated Approved Design Flow (gpd) l� Installer �Ctd1,A °� �a 15 Designer: Inspector: te: l ✓ / The issuance of this permit shall not be construed as a guarantee that the syst will function as designed. No. 1� � FEECOMMONWEALTH Of MASSAC14USETTS Board of Health, )30fn S hr, 5 U- , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair(/Upgrade( ) Abandon( ) an individual sewage disposal system at l 9 . (cl- as described in the application for Disposal System Construction Permit N ?7-- dated Provided: Construction shall be completed wi in f ree ears of the date ofAll local ana tions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA F Date �(/ 1 Board<of Health , rf - - sue_ I I Town of Barnstable Regulatory Services Thomas F.Geiler,Director .Public,Health Division. � , Thomas McKean,Director ' = - 200 Main Street,Hyannis,MA:02601 Office �0�.86244 '. Fax: ,508 794=63:04 Installer 8c Desi ner Certificati orm .`..Q.ii A3_1D7 Sewage Permit# o;� lU Assessor's MapiP.arcel 1 - ^? Address: 1 z l�scra �s 'e l ess r i 1 � .� e. ) : — sc U was issued a permit to ins.. (install e o Septic 3�+St1t_..�..:1 Y�,�."1` Q„" ✓�.� J"�„ �.S 7—Gt `t { t based on a design drawn:by (address) , dated . I 0.7 > I cc aiy that the septic system referenced above was installed substant'all. A design, which may include,_ or approved changes such as a$teml relocation of he nnbox and/or s he tank _ V y ep: .. ; -r-.. .1741 fy . at the septic system re renced above was installed 'with major claaages ( .e gr�r t1a110' lateral relocation the SAS or any vertical relocation..gf an cviYt of sephc.system)but in accor ce with.State &Local Re y p©nent gulahons- Plan rvisian or,cetti= _ d , -as t .y desi signer to:follow., �H bF Mq PETER. T GN G'8 Slgattlre) 4 McENTEE C+�VIL Cp . 9 No.3511 0 (DeSi$>ir's Sigtaature) (Affix Designers Stamp;Here). - 1ARNSTABYS P $ :I THMp E C C�Mi�lLIA1�tCE WILL NO_ T BE_�SSI7ED UNTIL '$OTI 'THIS. FORM AND.. AS.BItII,T CARD ARE CEI{ D BI'TIDE BARNSTABLE PUBLIC HEALTH DMSION THANI{YOU Q HeOWS!T.ttr/ igner.Cer4ficadon Form 3-26-04.&, Engineering Works Civil Engineers 12 West Grossfieid Road,forestdate,AAA 02644 TeMax (508)477-5313 Please provide a sketch of the floor plan of your house showing doorways, closets and indicate the function of the room. This sketch Will accompany the Septic Design Plan. 7T deed e Pa,,4r)I c riper �pshtr�d Y e , ctasai-<. s . ai. FIRST FLOOR fv ' f f v y?3 J �f� y ✓ p. f .6 �1�,9a"rF�'S I .. _ A. r , SECOND FLOOR (If applicable) Town of Barnstable P# Department of Regulatory Services , Public Health Division DateBAWWA D q-- . tm , i639. �� 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: � ✓` 1 `� ' Witnessed By: t�G�h G `.6V Ali LOCATION& GENERAL INFORMATION Location Address _ Owner's Name q ✓1' 6 L )� Address Q C A�U x � 1 y� ��✓YI Assessor's Map/Parcel• 1077 Engineer's Name. P k,- Mc EYt J ex NEW CONSTRUCTION REPAIR Telephone# Land Use Slopes(R'o) , Surface Stones " N/ti- Distances from: Open Water Body ft Possible Wet Area Q� ft Drinking Water Well?-(-.5 -' ft " Drainage Way ? --ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands 9n proximity to holes) !- r,,,, qz Parent material(geologic) 0itij �"bepth to Bedrock fo Z t Depth to Groundwater. Standing Water in Hole: A-)/ Weeping from Pit FACe Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABU Method Used: Depth Observed standing in obs.hole: in, Depth to soil mottles: Depth to weeping from side of obs.hole: in, Groundwater Adjustment' Index Well# Reading Date: Index Well level v. Adj,factor � Adj.f]roundwa er 3 evei t i PERCOLATION TEST Observation Hole# Time at 9" } p � , Depth of Perc - D Time at 6" Stag Pre-soak Time @ — Time(911•6") End'Pre-soak Rate Min./InchM�A cr,Ch 1 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\.SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Con isten % ravel 77- WL CZ M Sa DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. EConsi tenc %OraveI o - S IA . L toyv31 8,-q 6r0 UOL GZ 1'_� `V% 2 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con i to c o el DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsi t n 1 CD Flood Insurance Rate Man: I ' 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 �u9Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the p Q area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? 0 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 310 CMR 15.017. Signature Date ZS Q:\SEP71CVERCFORM.DOC I_ ! , r _ r,- _-..� _ wn!•I!3"ii'.+r a♦.•mow. ♦ wn w..i r. ., � - I . ,r "r ++a,..r„ ..,y..• r.^va..�„ ..,r ..�.. u.o-r.r G ,wtt .r ir' 7HU 1 _ _ 04— DCoWH u=. 4 R E F__ f4L; V F � (i 1 • l 362-4541 93A maul strC-et rt 60 yarrnouth pbfI 1 elvii engineers 8 �vtrl suruc�V�°s �l itructuriji design i fA X # 508-3629380 i� Arno H:Q)ola P.E.R L,S. <land court IIir'i /JRichara R.Fairbonk RE SUI Yc y:• fI / ' site pipnning BATE: sewage system desions � IaIPOR : CLIENT NAME' JOB NUMBER OF PAGES (Including cover page)�__.� �_ _ _...� �a•.�w_.__ IF YOU DO NOT RECEIVE ALL RAGES OF THIS TRANSMISSION, OR IV YOU HAVE A PROBLEM - PLEASE CALL (505) 362-4541 t SA i 'Z ` H _ h >5il,. r ]Cf F. f �— 1 3 — =71 F i s_s 1 ? _ 0 5 rt i=o W F-a r_. r t R t E" H �� . -- r'j x r toI.S508)362.45at maven 81ree1 rt 62 ` 1f Ofmwuth port mass 0267 tax(SClB)362.6a80 y d6WO cape 0,71rh7eer%�, structural dvsgr, civil®ngineers& land surveyors December 13, 1990 _ Arne H.01ala RE,,PIS lend court RlGhard R.Fo'fbank P . SurvQya John Mc@lwoo,P.G.,, Mr . Thomas McKean ite planning Barnstable Health Agent, Barnstable Town Hall South Street ewage :vstcrh Hyannis, MA 02601 trsigns • LSE: Septic Syatem In8pection Lot. 75 Spate Lane spections,,' Barnstable, MA t, Dear Tom: dfrmils On December 11, 12 and 13, 1990 Down Cape Engineering, lnc. inspected tht? removal of unsuitable soil and the r:�-ns traction � � the peptic system at the above r eferenc.ed nite . Tho ova t c.,ry has been .installed in strict compliance r> itt, ttie &PPsoved site plan Prepared by this O:Efice. I you have any 3 questions or require additional infcrma t{ cn please call me at 362-4541 . Sincerely, Thomas J. McLellan Down Cape Engineering, Inc. TJM/pl TJM1213A CE # 69. O41A CC Dewayne Stall ipga Robert Gatewood Conservation Administrator ' .♦ " A • f 1' i ASSESSORS MAP ft- PARCEL NO: O'7 allo.. .....1Y. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH- TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrurtion ramit Application is hereby made for a Per ' to Const- r Repair ( ) an Individual Sewage osal System at: ................___.---.............. 1 �... _ s Location-Address or Lot No. ao Owner Address .............................................. ` Installer Address { Type of Building Size Lot....` �.Q.� `._..Sq. feet U Dwelling—No. of Bedrooms............. ..........................Expansion Attic ( ) Garbage Grinder ( } p-, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ----------------- d ------..--------•---••-------•-•-•----------• -----------------------•--•--•-----••--..... .-•-•-- Design' Flow.................. ...................... W gn �1� gallons per person per day. Total daily flow.._..__,_./�L�d__________________....gallons. WSeptic Tank—Liquid capacity150.gallons Length................ Width-_-_-________- Diameter................ Depth................ x Disposal,Trench—No. ......I............ Width.....(a._.......... Total Length....1!2S.__...... Total leaching area....l_Q.S......_sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlef................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosin&tank ( ) Percolation'Test Results Performed by___ o!�?V.._.... !_�� �?�� 4� t .._: Date....... .�oZ.�_ 5 ......__. Test Pit No. 1..._{,�„_minutes per inch-�..-Depth of Test Pit....'V3.......... Depth to ground water.....P.............. Gt, Test Pit No. 2___.-<_ __minutes per inch Depth of Test Pit._.._' _/... .. Depth to ground water......Q............. Description of Soil ..Xrtl i.fZ ....¢EV..... -...N �T ... tC �S-------------------- x W U Nature of Repairs or Alterations—Answer when applicable...............................................................................0...._......._... ••--------------------------•---------------------•------------------------------------........_--••------•-••---------------------------------.....-•---•••-••---•••---.........---•-••--------------- 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 has beao issued e board o Signed - '...... .. .......... -- ---- Lp � to • Application Approved By - ------ ........ ---- -- ----- ----:..- ----- --- -------- --- ------------------------ ---��'.:---�'�---�"�C�' G��� Dace Application Disapproved for the following reasons- ......................................................-------------------------------------------------------------------------------- .- qDate Permit No. � .....'.../t7J.......:............ Issued j0' +► Date £ _—— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cgertif ate of C antilianre ,� THIS IS TO CERTIFY, Thp�yh ivid S, age2D_isposal System constructed ( �) or Repaired ( ) by ------................................................... U... - .......... -------- ------------------- -------- -- -- i .-r / v�G o /... ta�ller/ (/^ _.. 1 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. .........I.3r ......... dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR D AS A GUARANTEE THAT THE _ SYSTEM WILL FUNCTION SATISFACTORY. --------- Inspector -�. DATE...... ---.�.-.-.... 1�> ------ ---- ----�.------------ ---- ....... ------------- .-•---- ---� -...-- ....................... ' No...r..lJ '�?. �'_ Fics.l ref i ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App iration for Disposal Works Tonstrnriiun -runti# Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: . ................._.....,..._...........__....•....._............-•-•---•----•-•---......._..`_..... ..�z ..17�'_S:AEE... - Location Address or Lot No. I Owner ¢ I Address -i.!l�............................................... ,> ^y �. Innstaaler Address Size Lot._ ( - S feet Type of Building . y�?._.___.._.. q. aDwelling—No. of Bedrooms------------- ---------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ...............•....4...... No. of persons............................ Showers ( ) — Cafeteria ( ) _ d Other fixtures --------------------------''--------------------------------------------------------------------------------------------•------••------•------------ W Design Flow............... .....................gallons per person per day. Total daily flow----------14D......................gallons. \ Septic Tank—Liquid capacity.\.5'6 -gallons, Length................ Width---------------- Diameter................ Depth................ Disposal Trench—No. ................... Width...f4z..I.......... Total Length____. I......... Total leaching area___ n. -------- ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by....... guJ�__�:.t e. � 1i (kg _... Date....... .- -. t`�......... \ ,.1 Test Pit No. 1... ZZ- ._minutes per inch Depth of Test Pit...!_?z.......... Depth to ground water......9................ Test Pit No. 2.._ -._minutes per inch Depth of Test Pit----- _.. Depth to ground water......Q............. O Description of Soil 4 l c4 �- x 1 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 Environmental Code—The undersigned further agrees not to place,the system in operation until a Certificate of Compliance has been issued,4y.t-h'e board of health J ` Si ned Ce- . / - Date l�pplication Approved-By -. --- � /. . , Application Disapproved for the following reasons- ------------------------------ ------------------------------------------------ ---------------------------------------------------- tr v > Date t, l Permit,No. .........�J..... -------------------- Issued ............ '`'` �1',,,,►----------------- Date �J Ill t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -j TOWN OF BARNSTABLE ella � Cle>r#t tca t of C�II>rrt ltttncP : THIPIS TO CERTIFYT at the-•ndividual Sewage Disposal System constructed ( j/� or Repaired ( ) g p Y ) p 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" ..-. .. --- q-- s 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 TOWN OF BARNSTABLE Disposal Worka Tuntrnrtion Vanfit Permission is hereby granted �1C./ f .- �l to Construct-,(-' or epair ( ) an Individual Sewage Disposal System at No.•---..4!a'._77 ................... �'isi� % 7 s. �!1- Gic��J ��i% . _'�- ............... --•-- ,------_-•-- 4 Street i as shown on the application for Disposal Works Construction Permit No..................... Dated.rAI!�,`,�-._..%z............. ......, �'/ Board of Health DATE-------- ^ / ........................... FORM 38908 HOBBS&WARREN.INC..PUBLISHERS i l �1.� yOFI Ep�� TOWN OF BARNSTABLE S�BAAAO& OFFICE OF N i B9TL s BOARD OF HEALTH '00i0�e m lye 367 MAIN STREET HYANNIS, MASS. 02601 t s. September 18, 1989 Dewyane Stallings The Fay School Southboro; Ma 01772 Dear Mr. Stallings: You are granted variances from a Town of Barnstable Board of Health "100 feet" Regulation to install a leaching facility at Lot 75 Slate Lane, Barnstable, 95 feet from the edge of wetlands and a leaching facility reserve 91 feet from the edge of wetlands in lieu of the required 100 feet, with the following conditions: (1) The dwelling must be connected to municipal water. (2) The onsite sewage disposal system must be installed in strict accordance to the submitted plan dated June 26, 1989, revised August 12, 1989. (3) The designing engineer.shall supervise the installation of the onsite sewage disposal system and must certify in writing the system was installed in strict accordance to the submitted plan. (4) The dwelling cannot contain more than four (4) bedrooms. Dens, study rooms, playrooms, enclosed porches, sleeping lofts, finished cellars and similar type rooms are considered bedrooms according to the Department of Environmental Protection. (5) The onsite sewage disposal system 'must be pumped at least every three (3) years with certification of the pumping submitted to the Board by.a licensed septage hauler. The variance expires October 1, 1990. The variances were granted because the wetlands do not contribute to any shellfish resource areas or public supply wells. The proposed onsite sewage disposal system as designed complies with all State Environmental Code: Title V Regulations. Very truly yours, Qom_ �S14V . Ann Jane shbaugh Acting Chairperson BOARD OF HEALTH TOWN OF BARNSTABLE AE/bs G I� ;.. DATE. - y7C� i} TOWN OF 6ARNSTABLE J FEE dO OFFICE OF j'tARIPTAN i I RECEIVED BY post • , HOARD OF HEALTH 3e7 MAIN STREET Q _ HYANNIS, MASS.02601 y+3S Q VARIANCE REQUEST FORM All variances must be submitted FIFTEEN (15) days prior to the scheduled Board of Ilealth meeting. NAME OF APPLICANT Dewayne Stallings TEL. DO. 481-1674 ADDRESS OF APPLICANT The Fay School, Southboro, MA 01772 - .NAIIE OF OWNER OF PROPERTY Dewayne Stallings SUBDIVISION NAME "Cummaquid Hills" DATE APPROVED Feb.. 1967 ASSESSORS NAP AND PARCEL NUtIBER Assessors Map 316 - Parcel 77 LOCATION OF REQUEST Lot 75 Slate Lane Barnstable SIZE OF LOT 58,017 SQ. FT. WETLANDS WITIIIN 200 FT. OF PROPERTYI Yes_xNo VARIANCE FROM REGULATION(List Regulation) Regulation adopted 5/26/83: Leach facility to be 95 from a wetland edge (S variance requested); Reserve to be �� from a wetland edge (9� variance requested) REASON FOR VARIANCE(Nay attach letter if more space is needed) Due to the location of the bordering wetland and isolated wetlands, it was necessary to propose the leach facility within 100' of a wetland. " 'FLAN - TWO COPIES OF PLAN 11UST BE SUBt1ITTED CLEARLY OUTLINING VARIANCE REQUEST. t VARIANCE APPROVED tOT APPROVED 'AEON FOR DISAPROVAL . nGvnar"�HF�- tAg Robert L. Childs, Chairman av Ann Jane Eahbsugh " Grover C.M. Farrish, N.D. BOARD OF IIEALTII TOWN-OF BARNSTABLE �'I �T Fc.O02 S7.14c..Liti s Act 7 S Slag �. I'iEFR14 • rN• t in —-- '— Qe g K gtOAoeK � 2 j Soo C LO SIM. Z�i o 0 N ♦ 2 9� xis V - - cegr ClOc6T n . xxx UP IL v PQNan cT. top 1• .a.�• -Oiw .••4• 0 + t M Q sr e 7 •C .•/y ® 4 • 8 A•.• MMIfL MOOR - - se i► ' 66 .8644 All Ak Its i •L r/ N c O AC w " i 19 1.34AC �" ® O • 4c its % Its \ o` 0 _.. i LoOA c -elf is 1 80-49 es , ••'� Or. se40 i...� y _ p K 1 of is C v 1 80-7 rj er LOOAC. .eaae As s� ..:...:...:.. . , . .. .,. • , -. , �.. �, .�� - ,ram,.. 0 "S R � c + I WE t +n ' a•- 1 Min :J� r� �;sV '�,���-" ���� ��Il►/ " v�. lip--�--.��':'��,i A ^ � ���► . AWO `. IM"`1 SI wit �:�ropme tr4 SVOWN mom MRS i DATE,. ,TOWN OF BARNSTA13LE FEE (� OFFICE OF RECEIVED BY 4 #As177/lLr � _ �••� BOARD OF HEALTH 367 MAIN STREET HYANNIS, MASS.oteol VARIANCE REQUEST FORM •�� All variances must be submitted FIFTEEN (15) days prior to the scheduled Board of Ilealth 'meeting. 'JIME OF APPLICANT Dewayne Stallings TEL. NO. 481-1674 ADDRESS OF APPLICANT The Fay School, Southboro, 11A 01772 IttAtIE OF OWNER OF PROPERTY Dewayne Stallin s SUBDIVISION NAIIE "Cummaquid Hills" DATE APPROVED Feb.. 1967 ASSESSORS NAP AND PARCEL NURBER Assessors Map 316 - Parcel 77 LOCATION OF REQUEST Lot 75 Slate Lane Barnstable - SIZE OF LOT 58,017 SQ. FT. WETLANDS WITHIN 200 FT. OF PROPERTYI Yes-__X__No VARIANCE FROti REGULATION(List Regulation) Regulation adopted 5/26/83: Leach facility to be 95 from a wetland edge (S variance requested); Reserve to be �� from a wetland edge (9- variance requested) EASON FOR VARIANCE(Nay attach letter if more space is needed) Due to the location of the bordering wetland and isolated wetlands it was necessary to propose the leach facility within 100' of a wetland. LAN — TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. u_ ARIANCE APPROVED tOT APPROVED ASON FOR DISAPROVAL +` Robert L. Childs Chairman Ann Jane Eshbaugh Grover C.N. Farrish, N.D. BOARD OF IIEIILTII ' • TOWN*OF BARNSTABLE A o t 7 5 S/ct / 2• to' Cori ., o g 2 .2 geoAo�w In j SNE�P CLOSET. Z` � _ a d. o l+ co qT CIO�bT x Kx !1 P Fa&uwa CT `\ MAC 10 .�enr .Oi•s ' 40 .61 AIL 8 waN WHIM rooa I 60 fie.. �•ar .11q• JIB• 11 / ILL ••arlljj�OMB Ill • • rT t.1LA.P •4s.4c 8Zt •r 80-3 ° 1.34Ac- poi o 44 •� •/� QI YD/ O k 80-4 Cd Its `w.._ i�K !O, 0 � �E ' • �1 i 1 % O 1 LooAG -0ie Q' 60-G' as .o�K O4D ' Lolas. � ® • -N ® .�i � 1 ® •�iC • i•sti w 40 • 1_0iic - C C S,K 1 I.00I►C '�Y AO it , E s �I Ali v I l 7 _' _ -L-_Snni�(/, �•`/��J��J� ,• '��,.�V I ,�i.� _ •may(` ��,.;L` �,�=-�- r�r-���� ��i� 1� :,�r?L., - ��_ �: ..�.�- . �r� - ',fit' �'�` -• y( -�` �� ,� � � ![F+.il- ::,::;�, .� o _. r� �` .� urn• Z N T 11a t ELOO --PLAIN oEslcNAnaN GENERAL NOTES: lie J l Community—Panel No, 250001 0005 C a ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL S 582236" E Map Revised: August 19, 1985 1• Zones "C" BOARD OF HEALTH AND THE DESIGN ENGINEER, - 210.00' 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS WETLAND DELINEATION OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE VACCARO LOCAL RULES AND REGULATIONS EXCEPT AS REQUEST BELOW: N Lot 75 / ( Environmental Consultanting 58,017t S.F. (/ 4,to 1Yo2 P.O. Box 955 — 310 CMR 15.�405 (b): m 1.33E AG iit X4 Sandwich, MA 02563 1) A 2' variance to maximum cover requirement of 3', for 5' of a ?C �® (508) 888-5855 maximum cover. Chambers shall be vented. 04's are voted for n !Vl pp J/ V ftG I �,+ m �N1 greater than 6' of cover. BE Parcel 77 ,�/ \0� "q - J ItiO ` �° TO 'INS ECTIONPRIOR 3. THE SEWAGE UI AL AND APPROVALSYSTEM BY THE BOARD OF SHALL NOT CHEALTHD A D THE DESIGN ENGINEER. SLA TE , 4. ANY CONDITIONS ENQOUNTERE,D DURING CONSTRUCTION DIFFERING ti• \ hO O ° FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN /y - __ _ `��� ENGINEER BEFORE CONSTRUCTION CONTINUES. LANE I g 3ooe ®m bA�l 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6,6 J IN J I 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF d1b HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTIONr 7. WATER SUPPLY 'PROVIDED`-BY-TOWN WATER. ` l ® g \ ° , i '~^) `•� `� \ � 5� ,��0 8. THERE ARE NO ABUTTING WELLS LOCATED WITHIN 150' OF THE S.A.S. F2)?- ��� `II cJ. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED ' Stone '�. 1 Drive D�0. ,� THE LOCATION OF ALL WITH LOAM & SEED OR AS DIRECTED BY THE APPROVING AUTHORITY. 10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY UNDERGROUND UTILITIES; PRIOR TO BEGINNING r CONSTRUCTION. ' is • 0$ ' - � `\ °� -1 \ + `\�b \\ � `D�,, �t J(� 11. WHERE REQUIRED, CONTRACTOR SHALL, REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5 FT ON ALL SIDES OF E S .S. i ,r ♦ r-� �, �J A. + \ ` . \ 1 LPz �� ° AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 5• \ 12. SUBJECT SITE DOES NOT LIE WITHIN A ZONE OF CONTRIBUTION. + LEGEND EXISTING/% t �"42 �\ r w312 � �,''' �o • ' 9 !! � f!"`�3' 1 � � � I ' •` �-�g]--�� PROPOSED CONTOUR HOUSE ( 19) ' t \ J r 0 0,. ! I p°Z ♦ 1 { f I TOF=77. 7J / Deck i \ \\ t ti \ \\ 79 PROPOSED SPOT GRADE /,(Assumed) ` \ o —97 •..... EXISTING CONTOUR !a /"" ♦ 3� I 1 q� c' r I c;? \ \ ` 0 x 75,05 EXISTING SPOT GRADE t� l - ,l' b .1i86t- .}. 3• Q� I I 7• tt i,. r � .. ., :' \ � ` i� J�' j'✓ � ,2 IIII d ° , !t �,��' ��5 fit.` ��p \ \\ �� �,a ® TEST PIT ♦ r ♦ I i R' ♦� F'" ♦ / pI �� / W EXISTING WATER SERVICE B.V.W. BOUNDARY & BUFFER 466 ` \ �t 1 1. t1 lt';. _ I.V.W. BOUNDARY & BUFFER WETLAND SYMBOL x 65,35 /ti'�\� ct• t It 1 tt� ,t� vi115 WETLAND FLAG SS ni /���` A � oC l 1 �� a BENCHMARK o t 1 ♦ I:- 'l ' �� yG I I ]� I U�1-1;•l l Y ..�i i'50 PETER T. r �° 1 ♦ t °� �' 14' .. �`4 r McENTEE N LOCUS MAP N.T.S. Akvoe y CIVIL �s .� g k ® t , 2��1( < No. 35109 sa �1 /A� f ROUTE BA • fc N 623Q OD' W 8 �`�+....r... STRIPO'UT \�i ~' ��^ ' if Q7 SEE NOTE LOCUS r Benchmork set �� � �~=--•�a -----�� PROPOSED SEPTIC SYSTEM UPGRADE Right car. bulkhead EXISTING TANK, TANK +�.4, °� 19 SLATE LANE, BARNSTABLE, MA E1.=77.07 Assumed TOP OF TANK,, EL EL,=74.76 --2 �\ a\3�� R INV.(OUT)=73.43t 1 ° x + • P Prepared for: Dwayne Stallings, P.O. Box 914, Barnstable, MA 02630 EXISTING ED6 Engineering by: Surveying by: SCALE DRAWN JOB. NO. TO BE ABED Eng1n99dn9Wor*r Terry A. Werner PLS 1"=30' P.T.M. 145-07 F ° 12 West Crossfield Road 22 Long Road rc N g r a° t Forestdole, MA 02644 Horwich, MA 02645 DATE CHECKED SHEET NO a z u° (508) 477-5313 (508) 432-8309 P.T.M. 1 of 2 1 FFOUr: I�ON SEPTIC TANK D-Box INSPECTION RISER PIPE VENT-TIE IN ALL INSTALL RISERS/COVER OVER INLET AND INSTALL RISER WITH COVER ANO SETr I I UNITS TO VENT OUTLET. SET TO WITHIN 6" OF FINISH GRADE TO WITHIN 6" OF FINISH GRADE FINISH GRADE: 78.2(MAX EXISTING F,G. EL.76.Ot F.G. EL.78.Ot a I MAINTAIN 2% MIN SLOPE OVER LEACHING AREA ;•; NOTE: TO E F N BREAKOUT,ISHGRADESHALLL NO PRO T BE EL..72 2 FOR A DISTANCE OF 15' AROUND THE L 28' PERIMETER OF THE S.A.S. INSPECTION RISER PIPE 4" SCH 40 PVC 4" SCH 40 PVC „ `I 0111 E'.XISTING 14' ® S= 1°6 (MIN.) e ' O S= 1%; (MIN.) INVERT 1500 GALLON SEPTIC TANK INV.=73.43t ADD GASI7 EXISTING - PRO(�OSED BAFFLE D-BOX INV•=72.90 5 ROWS OF 6 UNITS AT, 4'/UNIT + 2'(END CAPS)= 26.0' „ iNV,=73.15 INV.=72.98 ExlsriNG SOIL 'ABSORPTION SYSTEM (PROFILE) . N.rs ESTABLISH VEGETATIVE,COVER BACKFILL WITH CLEAN SAND NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING - (NATIVE OR PERC SAND) PIPE INVERTS PRIOR TO CONSTRUCTION. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED,SIX INCH CRUSHED TOP OF CHAMBER 'EL.=73.2 STONE BASE, AS SPECIFIED IN 310 CMR 15:221(2). 3) INSTALL INLET & OUTLET TEES AS NEEDED. ►NV,ELEV.=72.901. e��N:e2N BREAKOUT EL.=72.23 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE. BOTTOM• ELEV.=72.23 Lpilmilm EXISTING SUITABLE - 5) CONTRACTOR SHALL EVALUATE STRUCTURAL INTEGRITY 2.8' MATERIAL OF EXISTING SEPTIC,TANK AT TIME OF INSTALLATION. 5' MIN. ABOVE BOTTOM OF 21„ 5-4" POLYSEAL OUTLETS IFFECTIVE WIDTH=14.0' SEPTIC SYSTEM . - PROFILE T.P.TP EXCAVATION OR G.W.GW 2" 3" 1-4" POLYSEAL INLETS USE 5 ROWS OF 6—QUICK4 STANDARD INFILTRATOR CHAMBERS E1.=61.6 (TP-2) WITH NO SEPARATION BETWEEN EACH ROW & NO STONE N.T.S. TYPICAL SECTION N O O » . .T.t17 oLO eck DESIGN CRITERIA SOIL LOG NUMBER OF BEDROOMS: 4 BEDROOMS • i iv Tap View Section `/ ' �.•-:- -� SOIL TEXTURAL CLASS: CLASS I _ D--'BOX X DATE: - May 29, 2007 SOIL EVALUATOR:PETER T. MCENTEE P.E. DESIGN PERCOLATION RATE: '5 MIN/IN > WITNESS: DONNA MIORANDI-HEALTH AGENT. DAILY FLOW: 440 G.P.D. 16" , REFERENCE NO. P-11,764 ~DESIGN FLOWN 440 G.P.D. �L , GARBAGE GRINDER: NO ° F45 U (1b. yElev. ' TP— 1 Depth Eev. TP--"-2 Depth EXISTING SEPTIC TANK: 1500 GAL..CAPACITY 40 076.4 A '0" .75.1 . A 0 LEACHING AREA REQUIRED: (440). = 594.6 S.F. SANDY.LOAM SANDY LOAM74 75.7 10YR 3/3; g" 74.4 10YR 3/3 8„wsFECTION Po �-, q c�i g B USE 5ROWS OF 6—STANDARD 04 CHAMBER �1NITS WITH_ �10 2" co W ^ SANDY LOAM SANDY LOAM lS,TL915 ONE FOR AN SAS HAVING THE DIMENSIONS: 14 0' x 25.0'. TpP VIE C �b i 10YR 5/8 10YR 5/8 - g�4 ----- 71.1 48" `-BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.72 SF/LF OF INFILTRATOR) 48" E p CAT I I ^� 72.4 C1 48" C1 I 1 T LOAM 6 UNITS + 2 END CAPS PER ROW = 26.0 FT Fit N: 4 TDE S L P (V 0S •END VIEW SILT LOAM /� { I 2:5Y 5/4 2.5Y 5/4 5 ROWS x 26.0' x 4.72 SF LF = 613.E SF MULTIPORT END CAP I 0 I 70.1 60" DESIGN FLOW PROVIDED: 0.74(613.6 S.F.) = 454.1 G.P.D. rn 70.4 C2 72" C2 70" SIDE VIEW NOMINAL CHAMBER SPECIFICATIONS N - I �' . • - PERC SIZE (W n L x H)...........................34'It 48"x 12" I PROPOSED SEPTIC SYSTEM -UPGRADE EFFECTIVE LEACHING AREA: 82" N BED.......................................................PER CODE { I - ,F—M LOAMY F—M LOAMY BARNSTABLE, MA TRENCH........................................PER CODE L__-_-- - I SAND SAND _ 9 SLATE LANE, 34" INVERT ELEVATION..................................................8' 4'--� 2.5Y 5/6 2.5Y 5/6 Prepared for: Dwayne Stallings, P.O. Box 914, Barnstable, MA 02630 FRONT VIEW STORAGE CAPACITY PER UNIT....................44.4 GAL ' Engineering by: Surveying by: SCALE DRAWN JOB. NO. QUICK 4 STANDARD INFILTRATOR CHAMBER 62.9 162" 51.6 162" Engineering Works Terry A. Werner PLS N.T.S. P.T.M. 145-07 INFILTRATOR CHAMBERS NO GROUNDWATER OBSERVED 12 West Crossfield Road 22 Long Rood S.A.S. LAYOUT Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET N0. PERC RATE 3 MIN/IN. ("C2" HORIZON) (508) 477-5313 (508) 432-8309 6/1`8//07 P.T.M. 2 of 2 N.T.S. , �lLD1hIC� ��'TF_1'�C1�.•j ���.i? G �,,�,�", �'' .,v`,1=,'_�- `r�1�t -- '-l',�i'='%• '✓K%R.; � , __ r ✓'✓�"� � "�y' /,.,/�A � ���%!Wtv..i r',y+*.•'<r-, �''A ti j; �rJ���� _' O W y --. � "r'1'..�• 3 ;�r�IC X. 1 luk5l) 1, MIN ruti1 r-P.oM \ 'Y,, - Mt J+�M Z•Muti�tPe�. Wa'1�R '% bvdl�Pn,e , I� ��' cuL I ( I '.�,PlP� Q,?G�• ��¢ /FT U4LMS O'T4eeWISE h4 1 P+ - v � 4.1 v�15Si6►k1 LoA046- e.i.L?eeGasT u►,4rM k*4140 r� 44•. 47.r _ 1�J ' �,' ,1 -- ! S.PI96 JOItJ,TS X-*+Al.L. 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