HomeMy WebLinkAbout0058 SWALLOW HILL DRIVE - Health 5S Swallow 11111 Road
Barnstable
A= 336—068
y
TOWN OF BARNSTABLE
LOCATION S<�' Sw A2Lo,.,, t�c Q p SEWAGE #
VIL.LAGEC,UlUkkA$2.U,Z� ASSESSOR'S MAP & LOT3
i
INS,TALLER'S NAME&PHONE NO.
SEPTIC TANK.CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER AAZCC Lkt K A-a,.r�
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) - Feet
Edge of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by K
TOWN OF BARNSTABLE
LOCATION S SEWAGE#A 00?— Oak,,;
V%lLAGE ASSESSOR'S MAP&PARCEL �O
INSTALLERS VAME&PHONE NO. I 1 O ro'rws can A
SEPTIC TANK CAPACITY —576,U
LEACHING FACILITY:(type) lo015 (size)
ENO. OF BEDROOMS ---
Ifs ;Y
OWNER Me, t C,v LM iCk-e
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private:Water Supply Well and Leaching Facility(If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
FURNISHED BY
q �
A 3 `„ 133 ?q F•.
A q _ ��c�� L31
I
,Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
Public Health Division
gb � �
'''�► ° Thomas McKean;Director
200 Main Street,Hyannis,MA 02601
Office:.508-862 Fax: 508-790-6304
Installer&Designer Certification Form
Date: 1
2 Sewage Permit# aoor dad Assessor's Map\Parcel :`3:3- D66
Designer: P Ong Ip :f. e o d r G E L S f5Ins£aller:
Address: Q a X 9's k Address: �.� lI n
On a"
srj Ors Co nO was issued a permit to install a
(installer)
septic system at iy �*
a l`) Ciiii 141,11 4i am,
a design drawn by
__(address) _ -
,0, h i f'' � 'f.'�`�d dated �t'C a -
(designer)
I certify that the septic system referenced above was installed substantially alcording to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Stripout (if required) was inspected and the soils
were found satisfactory. Pb\s-�i. (Soo -&ai , 7-pav- :
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10'.Iateral relocation of the SAS or any vertical relocation of any component
of the septic system)but in accordance with State &LocaI leg�ulations. Plan revision or
certified as-built by-designer to follow. Stripout(if regttit�ed) v ected and the soils
were found satisfactory. . �'IV,U Af,4&
p
I R^ -q
(Installer s Signature)
� IS1�Q;
.6-1i
. - . ..
(Designer ,Signature) _ (Affix Designer s Scamp Here)
'
_f
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF CO CE NOT BE ISSUED UNTII, BOTH THIS FORM AND AS-
BUIL C CE THE BARNSTABLE PUBLIC HEALTg ION.
THANK YOU.
Q:\SePtic\DeMPer Certification Form Rev 03-09-06.doc
No. Gf1 'U� r Fee
UU
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZIppYicatton for aigogal *pgtetn Con0tructton Permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑.Complete System Kindividual Components
Location Address or Lot No. �� J l.0 `' I�' Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 3j �,p 6 !_� fe,a
Installer's Name,Address,and Tel.No. ?7 Designer's Name,Address and Te No. S� a c
i//e e r I
iP m� ca G 7S P,t
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date (Y Number of sheets / Revision Date
Title
of S.A. r�
Size of Septic Tank TypeI�t Y -
Description of Soil a,
Nature of Repairs or Alterations(Answer when applicable) See -e,lJd- �r S i roc�
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. o - I
SignedV \. 1, Date V C
Application Approved by Date
Application Disapproved by. Date
for the following reasons
Permit No. (J¢�0 Date Issued /7
.. - .,. �,�,.e..r...� �. �kf.i,V'� .g^r"�rirr"-..-.. � c.. .•.. �-. ..•`... . .. .- _ _
CU -U,2 5
No. t. f"•"^ ��g¢` � �r°€� � Fee U
'THECOMMONWEALTH OAF MASSACHUSETTS"' Entered in computer: t
✓ A'•., Yes
PUBLIC HEALTH DIVISION - TOWN OF,yBARNSTABLE,.MASSACHU,SETTS
,,Application for Oiooal 6pg;tem edn truction Permit
Application for a Permit to Construct O Repair Upgrade( Abandon( ❑.Complete System�U Individual Components
Location Address or Lot No. mot/-1 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 3-? p6T
"} J�,� + �►
Installer's Name,Address,and Tel.No. 3600) Designer's Name,Address and TeL No J f(/c
COO
J^ n-,.7 G 7S p
Type of Building:'` "
Dwelling/ No.of Bedrooms N Lot Size sq.ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
I 1
` Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date �� /d��0, Number of sheets 1 Revision Date
}
Title I
F Size of Septic Tank _ Type ofS.A.S' n IL
l Description of Soil S A-Q , L c i
t -Nature of Repairs or Alterations(Answer when applicable) S e r- S r?/)J L /jpS,
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. Q t
Signed �-�`'� Date — i 'j — 0
Application Approved by lA^ Date
Application Disapproved by. Date �—
� r '
for the following reasons -
Permit No. (I b E 0)� Date Issued /•—/?- U.S
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate/of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( )
Abandoned( )by
at S g' S /I Z e--7 a� • n , '/- has been constructed in accordance
with the provisions of Title 5 and the for Disposal System ConstructPermit No. :2()d&'Oo?6 dated
Installer 17-1 1 i/ 0(0A P, f_ rc,` d- Designer 2or�o, !,,j Zr, clal-1/9/
#bedrooms W Approved design flow ` U , and
The issuance'
of this permit shall dt be co struQe�as a guarantee that the system w) nction as desi ned. Irk
Date /) Inspector / ,, t�am ,�D
—————————11Z--`-------
r
No. 1 U 2 Fee I T 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
ligpoal 6p5tem Con9tructton Permit
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade Abandon ( )
System located at S' ' w g 11 G'' , c -z
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of this-perm t
Date I ( 7 Approved by y ��u�J [q
t
Town of Barnstable
Regulatory Sem*ces
,. Thomas F. Geiler,Director
DAMMA' ' « 'Public Health Division
Mass. -
'°'�o r ` Thomas McKean,-Director
200 Main Street,Hyannis,M_4 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: j f, Sewage Permit#" aO e+i:_G r Assessor's MaplParcel ( ag.
c
Designer: O-n q.1(} I L 0 1,1 C r L S kWslaller: l F t))'S 0,3-Yc 07,,p,,.S Ce j,)9
Address: 0 oX AS Address: �,� 1fn �llk all/
On Ca:n,� was issued a permit to install a
(date) (installer),
` septic system at �/C, I► Cj Iti, 1,41'y1 �0. b ed ton a design drawn by .
(address) T—
v' d/1f PL5 ��ated 0-r6 9-
( -I -) '
.I certify that,the septic system referenced above was installed substantially according to
the design, which may include minor'approved changes such as lateral relocation of the
distribution box and/or septic tank. Stnpout (if required) was inspected and the soils
were found satisfactory. Pk sii G I Sao 64.I
Pr-yvi'�_ ���,�,�p 1 aoc� (�a llc,
..
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 a lations. Plan revision or
certified as-built by designer to follow: Stripout(if re . ' 1 petted and the soils
were found satisfactory. .
RONALD
F a JWES m
� CADILLAC �d
(In�Iler���� 09 #1060.1a
SgNlTA��P
(Designer' ignature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.- CERTIFICATE
OF COMPLIANCE WELL NOT BE ISSUED UNTIL BOTH THIS; FORM AND
AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU..
QA$eptic\Designer Certification Form Rev 03-09-06.doc
RONALD J. CADILLAC, PLS, RS, P.C.-
Professional Professional Land Surveyor&Registered Sanitarian
P.O.Box 258; West Yarmouth,MA 02673
(508) 775-9700 (800) 520-5591 voice&fax
TRANSMITTAL FORM
To: �r'll/ .
—ro �J D � Job No.
Re: 55 ks r ' ra
� (,
Date: Certified: ❑ No.
Fax : ❑
Enclosed:
Message:: r
�°r,T►+s ror�
Town of Barnstable P#
Department of Regulatory Services �� Z A
BAANSTA6LF., 1 - Public Health Division pate
7 MA99. g -
�pTEot 200 Main Street,Hyannis MA 02601YA
Time Fee Pd.
Date Scheduled
—
uitabilit Assessment for Sewage Disposal Q c
Soil Suitability �, 9))
,R
ed B ld O
ess Y�
Performed By:
/J�IJ/�l�G/ J ' CAJ>/L A Witn
01""O'cation
��r"'..qi
Owner's Name Ck Address Q A,/ w - t or t
U U Address / III,` 13o)e 4661 ✓Kr1Y�9R�'V ,1N
C umirl'wu/r� N
Engineer's 'Name e
Assessor's Map/Parcel: �j�j(O/Z 8 O
NEW CONSTRUCTION REPAIR ✓ Telephone#
2 1-0 Zo'7o Surface Stones
Land Use A''�^' Slopes(/o)
�� ft Drinking Water Well
�� ft Possible Wet Area_______—
Distances from: Open Water Body {�1
`T s ft Property Line `�-ft Other
+ Drainage Way 1
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
17
04
Lot
f 40.
. �Depth to Bedrock N/,Q
Parent material(geologic)
J
Weeping from Pit Face A)
Depth to Groundwater: Standing Water in Hole: � �
�,' ,�� ��
MLP 4-
Estimated Seasonal Iiigh Groundwater R,��,rex.!� �v(� f9gz 4/a-- 24 7
111pr�r'r
9 CC IrL ii ,k I„r 1114
.FL t�� r+II�Y�II'rI'U" I ax+•
4"1 il'�rliR'llu�l+li!N�t11Y.1!�I,hl I -,,Jl� �hU✓NA-�WW✓ 1J�7� .
Method Used: in.
�n, Depth to soil mottles: �
Depth Observed standing in obs.hole: N W E in Groundwater Adjustment A ��/�
Depth to weeping from side of obs.hole: — Adj.factor Adj.GroundwaterLevel—fin
Index Well# Reading Date: Index Well level ry I n
• mli nS I!t H'r' i�41 ..��
;KR 6N
Observation ` Z Time.at9"
Hole#
g!/ ' Time at 6"
Depth of Pere Time—
Start Pre-soak Time
End Pre-soak
UONg
Rate Min./Inch Al Additional Testing Needed(Y/N)
Site Suitability Assessment: Site Passed Site Failed:
�. ,......., r�He�c:ttri'fetd on Back----
I
p " ._.. ", .yi:::;7.,•r• ,!� �;" �`'A.+.'i"' � '}'S°!i�q5 i!7°CiF!� I•"ri*�{rc�,,pp AA ..;��.��:•-11:�� i a gypp: !•.� i I'M
i•i.:.. ..•,..n,+ x' s stte• �:7.,:,,.i ,;,.;.:v?;:.�•:�� ��rl:"•�"""�' i nt" �. ,il.lr����•d i+c; r� •', Y fl ,I.'�F'S:;19 ����'vl'����'y�!�a��jl;�:'
Soil Other
Depth from Soil Horizon Soil Texture Soil Color Mottling Structure,Stones,Boulders.
Surface(in.) (USDA) (Mansell) g Consistency,`a/°Gravel
Z 11 S ID�n ,®�r
7- 1 L° f l oyr s16
' CI „s�..�Q 2,s 6I� n0
_
S " CZ 5�t l0 2, S �.
6 6 __.--
er
,li�L'I;
��(� of !,i ' i ''IJ,!�l�,ii�'a � � .'p,w.*� 1 i'U ,: :i N f � ''+' � 9� li llr'��� ' ia9._!�:�'.•_ .,�,'� $�ldl
IIil� a�Y�dR1Af7 1 A,1eVh!1 ra e ' a_. I r �Iml �° F ��
Soll Oth
Depth from Soil Hori zon Soil Texture Soil Color Moulin Structure,Stones,Boulders.
Surface(in.) (USDA) (Mansell) g Consistenc %Gravel
it S doh, ►oyl�3
D -ro
2,5
o'�_ �► G � 215 b
v r
r r
�i,r4a'1.1 id+; nt ti x�aRir �." aes Soil Other �lJt�l l
Depth fr`bm Soil Horizon Soil Texture Soil Color Mottling Structure,Stones,Boulders:
(USDA)
Surface in.) (MunselQ � Consisten %Graver =-a
-15
rwA 2 6
II �� ++i Pill",
:p ��
:r,I ��I!1 {5�1(�h"�}�1 t°"' �'r a 'e it I ..! �1 v�.n it ! IIf �+�!U�inH!ii� a"Nro
dl� 91 ��IIWI NN Iq 'Ei4. r :• ..
Soil Other
Depth from Soil Horizon Soil Texture Soil Color Mottling Structure,Stones,Boulders.
Surface(in.) (USDA) (Munsell) Consistenc %Gravel
6 —
C Z I"he 2i s 6l
Flood Insurance Rate Map:
Above 5oo year flood boundary No_ Yes
Within Soo year boundary .No T Yes '
Within 1 oo year flood boundary No_ Yes
Depth of Naturally Occurring Pervious Material. .
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
.area proposed for the soil absorption system? yL✓S -
If not,what is the depth of naturally occurring pervious material?
Certificate°n
I certify that on N 04. 903 (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.
Town of Barnstable
Regulatory Services
Thomas F. Geller,Director
• �rsrwar�a + .
Public Health Division
Thomas McKean;Director
200 Main Street,Hyannis,MA 02601
Office:.508-862-4644 Fax: 508-790-6304 r
Installer&Designer Certification Form
Date: Zyf--"-� Sewage Permit# aooR* dab Assessor's Map\Parcel .3 36),0
Designer: 12 d n g 1 n -,f. C0J i 114 G r L S k!�nslalier: 111 S ib J NS Cc t�
Address: 40 0 Qz In k Address: 1s n �
7 On t 1 1 )1 9-r % 11 ),R) 6 r0 rS Co?)O was issued a permit to install a
(date) (installer)
F e
septic system at S S�/CI I t Qhg j, ��11 fZ64 d C b ed on a design drawn by
(address)
zi 00,0 fr& dated b r C 9� fib'
(designer) -
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Stripout (if required) was inspected and the soils
were found satisfactory. p1,1 S �. l Soo 4I , 7—j4A; :
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10'.Iateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State &LocaI Regulations. Plan revision or
,�
certified as-built by designer to follow. Stripout(if requireOM-, h -
,Wected and the soils
were found satisfactory. . j ..
t
(Installer s Signature) 4 ,, k . f
4(DesiggneMt ignature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC ALTH DIVISION. CERTIFICATE
OF COMPLIANCE wILL T BE ISSUED UNTII, BOTH TffiS FORM AND AS-
B_UILT CARD ARE RECEIVED BY T$E BARNSTABLE PUBLIC HEA,I,TH DIVISION
'THANK YOU
QASeptic\Designer Certification Form Rev 03-09-06.doc
?coo JU4-41 AM 11: 1.4
. ~ 1
No.��.d....... F��:, ..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............OF... .- .. . . - -- --••--'-----------•----
Appliration for Disposat Works Tonstr trfinn Prrmit
Application is hereby made for a Permit to o struct ( ) or Repair ( ) an Individual Sewage Disposal
Syst at
Loc io Addles or t No.
. . .. j ........
Owner- Address
W
Installer Address
Q Type of Building Size Lot___________________________Sq. feet
U .
�-� Dwelling No. of Bedrooms------------ -�.....................Expansion Attic ( ) Garbage Grinder ( )
p-, Other—Type- of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixture
W Design Flow......:..............: .............gallons per person per day. Total daily flow............ ____gallons.
WSeptic Tank—Liquid capacit)/r gallons Length................ Width...........----- Diameter................ Depth------..--------
x Disposal Trench—. 0. .................... Wi th......... Total Length-------- Total leaching area.----;�__-_-____-sq. ft.
Seepage Pit No...._/.........__. Diameter. �_. epth below inlet....._J.°.__ . Total leaching area_c�_J__A 5T.. ft.
Z Other Distribution box ( ) Dosing tank ( )
~' Percolation Test Results Performed by................. �t -AN-��_-----__•__..................... Date....1/����=...._._._..
Test Pit No. 1....�2_._minutes per inch Depth of Test Pit____________________ Depth to ground water-_.__--_-__-___.__-----.
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................t Depth to ground water---____.-__-___-___-.--.
x ------ ----------- - -- ---------- �_-1.2.---•----•••----_...•• --------------------
-------------- -------- - _�R _
Description of Soil------------- � z, �. .6 --- -'�
V ------------------------------------------------------------------------••.
----------------------------------- ...............................------------------------------------------------------------------------------------------------------------------------------------
x 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 Article XI 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.
Signed--•-------- --------------------------------------------------------------•--
Date
Application Approved BY------=- — ------
��•-� diL `------------- � toApplication Disapproved for the following reasons--------------------------- -
---------••-•----•---------------------------------------------------------------------------------------..---------------------------------------------------------------------------------------•------
Date
PermitNo......................................................... Issued........................................................
Date
�t -fir
No. >x�4 . ....... FEx, ......................
THE COMMONWEALTH OF MASSACHUSETTS
may. BOARD OF HEALTH
Appliratioo for Ubposal Worko T000trur$ion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
-: r,: ..r oA.�!'I fg ,��•"�/%P F� j lam✓ .'�' �./5 f�l e,' A./'
/} Location-Address/J
.+�...:. /.�,f .. r�R-- '•a rI 4' ,� � r R ......y �n o, )t:.No
WO
_._.. .... ------.... x
Owner +' Address.•• "
Installer Address
Q Type of Building Size Lot____________________________Sq. feet
Dwelling No. of Bedrooms............. Attic ( ) Garbage Grinder ( )
A4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures ...................................................... _
W Design Flow................ .-�,��__.V --_ gallons per person per day. Total daily flow............. --.-.-gallons.
WSeptic Tank—Liquid capacit)��A�....gallons Length................ Width................ Diameter---------------- Depth.----_-..--___.
x Disposal Trench— o_ ____________________ Width.........r...._ ---- Total Length-----------
------.- Total leaching area-.-�------------sq. ft.
Seepage Pit No.__. ....___.__. Diameter./Ij'..__ epth below inlet__._._ �_____...._ Total leaching area. ,y___ ft.
Z Other Distribution box ( ) Dosing tank ( ) .)
Percolation Test Results' Performed by---------------- •1"11......_° ............................... Date... wlater
4.:_--___________--
Test Pit No. 1...�.---__minutes per inch Depth of Test Pit.................... Depth to grounc ----__--_---___--__-.---
�14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.--._______--____.._.__.
P4 -- t � rr ------ ... .t
��
0Description of Soil------- - ... -
V ---------------------------------------------•-------------..---------•-------------.....................................-----------
---------------------------------------------------------------------------------------•------------------------------------------------------------------------------------------- ...................
V 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 Article XI 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.
Signed __
'�kt Date
Application Approved By_ d'?" t ' f _ �> s--`
f` Date
Application Disapproved for the following reasons:.....................
------------•----------------------------------------------------------------•-------------------------------------------•---•---•---------•-•---------------------------------•---------------•--•--
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 2F HEALTH
,;�f�✓'Cew.:bie". .. ...........OF.... ... �,,, 6�q
wrtifira#r of (P1111uphaurr
THIS IS TO CERTIFY, e�t . diyidual Sewage Disposal System constructed r Repaired ( )
by ._ -'-�? --
,� t r/ � Frf ° IPmlller -
✓ y `
at_.. �' �• r < I dr AIKE_ t�i F d✓
r..-.
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No------------------------- s1". -=.__ dated_.___Af/2Y. _- ..........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
------------------- Inspector-- �. 3 �/ °
DATE------------.�:_V-_-73• i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF, HEALTH
f
. ...........OF.... t •:.r v''"`•' y '',+`•• `•. - �
No... .- FEE_4 .......
Bispolial • 1i Azxmitrurtiou Prrmit
Permission is hereby granted---- = -------------------
to Construct�( ') beatr ( ) an Ind' 'I Sewage Da] System
at
Street
as shown on the application;for Disposal Works Construction Per No (9i,k,- Elted.-- �_ 7Z
----------------
, // h e ��•a`a�d alt
DATE...."�`- -��t--------------------- ................... Board of He
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
AA
lADJUST FOUNDATI OF THK x T-10•
HEIGHT TO.ALIGN CONC, MALL ON G
-FINISHED FLOORS CDNC
NON MAR 3G Ate 9: 37 � FOOTING A.b
26'-0' Z ZZ
.PROVIDE 05 REBARS•
- - - 12' O-C.VERT IN - VERIFY w/GRADE
WA V IPY w/GRA IPY w/GRA E/ W
-EXISTING FOUND, LL (
- _ — it
————————— —
. c ....,... - ...r.r
11 /
• `a7 �� ——— D'THK x VERIFT HG 7 I VI
' I I IYP - CON'T 16i9 •/W ZO
2 10: o FOOTING I V!
`UNFINSHED HASEME
a I^ Zir10 16'O.C.
. - "'• _o II �I IS 1/2•CONC. FILLED I I 3 -
9TL,LALLY COLUMN' I I Fv kJ
3 iFi 311 ON 36'x36'x12'OF.
- "III II CONIC,FoorING, TYp. 4 x4*.-25' E STEEL' p .
ON 56'x36'x12' or.
I� CONC. FOOTING, TYP, I '^/ -j�\•�,,°CJ
4. ALIGN FLOORSIr f- l
_sTEEL BEAM W�Olc9j--- .'� - i a i < olil�^
PL J L I— POST FLUSH I I a
3j s �'2x10•Ib•O.C: w I rcU€a =0
• C I 2)2.10 X� s�z
FLUSH ri` ' cro I I ��
•' s'-B' 6'-5' I I max �yo<owo5L1t
P. a �� z3orc D
4 B•TKI: -1o% 9•TK x VERIFY HG . _ _ � vi
CONIC. WALL ON - _GONG. WALL ON V z¢uzcr5r$LKian
T II CON'T xB' CONC, CON'T 16•'s, CONIC.
FOOTING .
e ---- ------ J I � .
. PROVIDE#5 tEBARS•
12'O.C.V IN
EXISTING FC JND.WALL
FR• _ _ - NG
A b TLWOOOJOIS SPACES E—(f,�O 8A:V
.. \ TYPICAL ,. . . -v i
- - - VERI w/GRADEAIDE '
f �
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BASEMENT NOTES: Z V w
I,MAIN FOUNDATION WALLS TO BE D'�OURED CONIC, W/21 y.BARB TOP 6..CONTRACTOR BNALL ENSURE THAT ALL FOUNDATION WALLS MAINTAIN �- TU �'
. t - F`-.. •BOTTOM REST POUNDATION ON 8'X16 STRIP FOOTING. - 4'-O'MINIMUM COVER, '--L Q Q
PROVIDE 91A5 HORIZ.BARS CONTINUOUS IIj STRIP FOOTING W/
KEYWAT. PRO✓IDE mJ VERT:DOWEl9•24 O.0 �70RIZ EMENDED ,7.PROVIDE WEB STIFFENING PLATES AT'ENDS OF STEEL BEAMS TYP. Z •J� .
- - - 9'-6'.MIN, ABOVE TOP OF FO071NG.PROVIDE 5%D X12'ANCHOR � -
2.ALL STRUCTURAL STEEL COLUMNS TO 159 D I/2•CONCRETE PILLED LALLY D,SEE STRUCTURAL DRAWINGS FOR LOCATIONS,OF ALL.STRUCTURAL COLUMNS, O /w Z Q
` COLUMNS 4. EXTEND TO FOOTING BELOW, PROVIDE 6'x615/B•CAP PLATE 9-CONTRACTOR SHALL NOT SCALE DRAWINGS POR OIMlNSIONS, ANY MISSING P. {L/ 3•5)
_ 4 B4I2 x9/4 BASE PLATEW/2 4W4' ON BOLTS, WELD ALL CONNECTIONS_ -^INCORRECT OR QUESTIONABLE DIMENSKINS NOT BROUGHT TO THE ATTENTION' y
FOOTINGS TO BE 96'x36'x12•SOUARE CONCRETE W/B xy BARS EACH WAY.
OF THE DESIGNER BECOME,THE RESPONSIBILITY OF THE CONTRACTOR.
OR 4'x4'XI/4'TUB!STEEL BELOW STEEL BEAM WHERE LOCATED CN PLANS Q
3, DOUBLE FLOOR JOISTS UNDER ALL PARALLEL PARTITIONS.
NIC
. 4.CONCRETE SLAB TO BE 4'POURED CO .ON COMPACTED FILL. - 1 7 U
CUT JOINTS ALONG WALLS AND BEAM COLUMN LINES. -
. - - 5. CONTRACTOR TO PROVIDE BASCMEN7 VENTILATION A9 - '�. _U
y REQUIRED BY CODE(WINDOWS OR MECHANICAL) CID
L
Seam€ .� .
-
3
E
ag
TYPIgig
CAL NOTES: g .
` ( STRUCTURAL ENGINEER/DESIGNER TO PERFORM FRAMING INSPSECTION '�IF
�$ � „�
- WHEN FRAMING IS COMPLETE AND PRIOR TO ENCLOSURE BY INTERIOR ED
'WALL PLASTER BOARD/FINISH, N , gS CONTRACTORg
SHALL SCHlDUL!AND PROTECT PORn WEATHER ALL
EXISTING WOU9E COMPOIJENT9 AND INTERIORS DURING CONSTRUCTION
AND CONSTRUCT TEMPORARY STRUCTURES/ENCLOSURES A9 MAT BE.-
j - NECESSARY TO INSURE SUCH PROTECTION. CI
- -
CONTRACTOR SHALL 917E INSPECT ALL EXISTING VS.-PROPOSED m
CONDITIONS PRIOR TO AND DURING CONSTRUCTION AND NOTIFY DESIGNER
OF ANY DE9CREPANCIE9 AND/OR CHANGES THAT MAY BE ENCOUNTERED. N
\.• - - 1 - - _ _ CONTRACTOR SHALL CONSTRUCT AND MAINTAIN TEMPORARY WALLS%- D
_ - SHORING ETC. TO MAINTAIN/PROTECT EXISTING HOUSE AND STRUCTURAL m
INTEGRITY OF EXISTING HOUSE, - U O
-CONDITIONS SHALL 317E INSPECT/VSRIFY ALL EXISTING.V9. PROPOSED` .-. Z O
CONDITIONS
I9 O�•INSURE COMPLIANCE JUST ENT9.
RING CONSTRUCTION'v,NO MAKC AD Vj d'
. _ .. _ .. _. .. - PL ANC!WITH DESIGN PARAMETER$ .<] F-
_ Ll0$ i N W
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- TW2442. TW2442 TW=442 ThQM2 O
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- 1 BE
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TMERMA- U a -• E'. ., ,.'.. 1
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i� KITCHEN , ICY.)ro-j .
20-A
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NOTE- lL
ALL WINDOWS ARE TO.BE o
ANDERSEN 400 SERIES `� 4�
WDH W/ APPLIED GRILLES c Ou
INSIDE AND OUTSIDE V co
WALL KEYta Is
��11
_ EXISTING WALLS l2a R =a Y
C_____ WALLS TO BE REMOVEDill $agai�
O PROPOSED WALLS $ g S¢eij;
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1. ALL EXTERIOR WALLS SMALL HE 2X4 'O O N
I - - - - •IC O.C. UNLESS OTHERWISE NOTED. 1
I - 3` 2.ALL INTERIOR WALLS SHALL BE 2X4
. _ 1+ .. •IL'O.C. UNLESS OTHERWISE NOTED.. U m
• 9 _ 9•CONTRACTOR SHALL VERIFY ALL WINDOW
I ROUGH OPENINGS PRIOR TO ORDERING WINDOWS.' O
4.CONTRACTOR SMALL VEFt&ITLL DIMENSIONSPRIOR TO
. - .. ASSUMES RCE9PON9 BTIO4 FOR ANA_T 591HG OR N W
l IyCpRRECT DIMEIJSIONS.NOT BROUGHT TO m
TNE ATTENTION OF THE DESIGNER. O
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.} JOB NO. B07-10
N 0 I ES HICKEY.DWG
NOTE: THIS IS A SITE PLAN SURVEY, TEST HOLE 1 TEST HOLE 2 TEST HOLE 3 TEST HOLE 4
AND NOT A PROPERTY LINE SURVEY 1'. LOCUS Is A.M. 336, PARCEL 68.
DEPTH (inches) ELEV.(feet) DEPTH (inches) ELEV.(feet) DEPTH (inches) ELEV.(fest) DEPTH (inches) ELEV.(feet) 2. ELEVATIONS SHOWN ARE TOWN GIS t1'. o o
BY THIS OFFICE MOST LIKELY THE 0 48.0 0 45.7 0 46.9 0 -- 484 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED JULY 2, 1992.
ct STONE WALL IS THE PROPERTY LINE, A layer 10yr 4/4 A layer 10yr 3/3 A layer 10yr 3/3 A layer 10yr 3/3 4. ALL PIPES TO BE 4�� SCH 40, AND PITCHED AT 1/4 PER FOOT. (UNLESS NOTED) ? o c
CD BUT A COMPLETE PROPERTY LINE 12„ sandy loam 10„ sandy loam 15„ san'dy loam 18„ sandy loam 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100 ARE ON TOWN WATER. p rt
SURVEY WOULD NEED` TO BE DONE 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED.
TO BE CERTAIN. B layer 10yr 5/6 B layer 2.5y 51/6 B layer 2.5y 5/6 B layer 2.5y 5/4 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". a
32" loamy sand sandy loam silt' loam ;, silt loam 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW
CL 45.3 30 43.2 64 41.6 56 43.7 D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET.
C1 layer 2.5y 6/4 C1 layer 2.5y 6/4 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. RTE 6A NOT TO
4 fine sand
�, �, fine sand COVERS:` BUILD UP COVERS JO; 6 BELOW GRADE---1 ON D-BOX, 1 ON LEACHING SCALE
„a. C1 Idyer 2.5y 6/4 Y Y �6 compacted' compacted„a C1 la er 2.5 6
84 94 88" 41.1 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP.
medium sand medium sand ' 76 40.7 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND,, LOCATION MAP
C2 layer 2.5 6 4 C2 layer 2.5y 6/4
Y Y / CONTACT THE BOARD OF HEALTH; OR R.J. CADILLAC.
medium sand medium sand 12. IF AN OVERDIG IS CALLED-. FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING
IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3).
13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL; BLOCK, AND STONE IN
f 3o,s N�F 134" 36.8 98" 37.5 124" 36.6 136" 37.1 LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT.
�S 31,53 CQU LOU R AS C2 layer 2.5y 6/6, C2 layer 2.5y 6/6 C3 layer 2.5y" 6/6 C3 layer 2.5y 6/6 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS.
K: sandy loam sandy loam sandy loam sandy loom
„ no :water ,; no water no water. ,; no water
� 150 35.5 120 35.7 132 35.9 144 36.4 TEST HOLE DATE: December, 3, 2007
i
BENCH MARK-TOP, BACK & CENTER
32,29 x 36. PERFORMED BY: Ron Cadillac, Soil Evaluator
N 81'S2'40"' W SEPTIC TANK-44.38 TOWN GISt1' WITNESSED BY: Donna Miorandi, IRS
5.7' PERC ,RATE: <2'-00"/inch (C layer)
5 moo. 8L SOIL SURVEY(1993): Belgrade silt loam
o 35. 3 x 37.63
o N`�_" 49'41 ADJUST GRADES � 0 GEOLOGIC MAP(1986): Cape Cod Bay lake deposits
co
'ES ' �,
LEACH AREA AS SHOWN �1
' -- 3,4 \\ -`- ---- 4 91``-- 7 ( Invert 43.08 6 CULTEC
x 36.18
2,77 N H 9,66 Use Gas Baffle Invert 42.27 CONTACTOR 100'S
x ` 0I o;RESERV i USE OF RESERVE AREA - Existing
_ �► 48,0 r l 9
1 30,4 34,06 x�\ 5,4 �D,1 96 - -- I REQUIRES A VARIANCE INSPECTION SCHEDULE i i Proposed 42.8
\ ,t 4 0.8 -
30 �� 7 _81 I x 48,68 jj�48 4 48,73 TO LOT LINE. CALL R.J. CADILLAC TO ----- - �! -- ------ „ Top Unit--Use Filter
1,58 `� `� L___ TH 2 INSPECT PRIOR TO BACKFILL. I -T +1 E gtj S=1/8 /ft Cloth' or Peastone Inspection Port
---- &69 TH 4 I 1 I 100 Gal.
° k-36.7 I
30, k\6,4 3 ,6 i ��\ x 44,28 SeP 46,02 TH 3, 46,9 -�--- �- ------------ 6_ ,1
38,6 40,9 co a�0 x 4E�3 x 46,60 8 --
� 34,22 `� ' 4.13 y
DIRT & STO E i 46.01 I Invert 42.44 .41.77
in Invet"t 42.27 ,
1 \`� x 39,1 i r-_ x 46 x 47C� NQ"rE: 6" Stone or compact Proposed Proposed I 6'2 4'2 Bottom" level
I
�( 3 7 38.0 PARKING i :::::. .:...::::::......... 36't 47 52 ---
`� x 35,89 11 40 w ? =� PROPERTY LINE FROM RECORD PLAN, SHOWN DASHED, 64'•----; ; �' ;�•- 0'--�
:.
0 7 45'�s FALLS SHORT OF STONE WALL, WHICHI IS CALLED FOR I ' -' ' TH 2-Top C3 Layer=37.5
1 ) i <
......
" : . ..; x 44.56 ON THE RECORD PLAN AS THE PROPERTY LINE. DESIGN N DATA
\ i S�G TA Bottom TH 1=35.5
\a. •�� 11/,S1 i EXISTING 46,02 N/E No Water i
p IS
p 34,86 % G T/NG �, 1 SETTERLU N D
x 30,60 w' ------_ ' 9,5 ARgG HOUSE 4 �j, BEDRooMs: 4 LEACH AREA
E 1 GARBAGE GRINDER: No
N0. 58 -�--� I REQUIRED CAPACITY 440 GPD USE 6 CULTEC CONTACTOR 100'S
33, / 42 s 05x6 43 I EXISTING SEPTIC TANK: 1000 GAL. WITH ' OF STONE ON SIDES AND
1 44,90 BOTTOM LEACHING AREA. 544.5 SF APPROX. 2' OF STONE ON THE ENDS j
•1,52
° 33.5 ' / 1
\ r Q [(49.5' X 11')] TO MAKE A 49 6 LONGBY 1
T ° \ 34.5 �6� 4 �.Q. 36'± � SIDE LEACHING A
x ,
I E NG AREA: 60.5 SF WIDE BY 6 ' DEEP LEACH AREA.
°k �O�b 1. 2 I x 4,7' 1
[2(11 + 49.5 ) X, 0.5 DEEP)] I
�2.1 I FUTURE ,
,89 ., G � ... ., I x 43 1 w � DESIGN CAPACITY: 447 GPD LEACH AREA SUBSTITUTIO
N
ADDITION N °LI ` [(544.5 SF -� 60.5 SF) X .74 GPD/SF] _
G� I INFILTRATORS MAY BE SUBSTITUTED
PROVIDED SAME FOOTPRINT IS' USED l
.�• ��. x 3 9 3aG� 41 41 32.,3' r I 36'± N� 38.18 AND EFFECTIVE .D,EFTH USED IS N{OT
2 / „
��z G 7 35 �� 2-- 2,28
OVER 9 . I/
x 38,27 6Q' HOC/ I
9,77 3 40 771 x 4L20 �' /
I
° 1 /�3 6.9 0 1
°
°
x 39.43 1 13TO5
O� x 39,61
49
°
�\ 9.7 8' \t I
05
/ c,, 139.31
O 38.86 I
x 37,3 I y �
1 BENCH MARK---TOP S.W. CORNER I
rn i CONC. BOUND=42.28 TOWN GISt1'
If 9,70 x 37.38
11 o x 74 x I (b c Ii
i x 5,64 37.58 N/r
1
MYERS
1 x 37,40 I I
9,53 L 0 T 3
1
j x 3119 37,035 700 ± S . F. "i 7,59
' 050
1
� i I
37,095 81'6 ' "
I
SI TE PLAN
Q 4p � 37,55 1 x 36J2
99.45' I 1
(PLAN) N--���8 4 x 37 30 _ # ;37,35 ��^
K
38'18 THIS PLAN IS A VALID COPY ONLY IF IT BEARS
/� R
IN/F AN' O'RIGINAL RED STAMP AN'D SIGNATURE. M 's LC O LM K & /"1 E HICKEY
LEGEND
TERKELSEN
l
{ TH 1 TEST HOLE LOCATION, NUMBER LOT, 3, 58 SWALLOW HILL ROAD, CU M M AQU ID,. MA.
R VZN OF M,qs P�ZH OF M,qs
q
W � DECEM �3ER 2$ 2`00`7 SCALE: 1 "= 20'
WATERNE MARKINGS
UE U'NDERGROUNO ELECTRIC WIRES (MOSTLY NOT SHOWN) /s�� R c a ��? F2 LLD cy
1 �
-G--- GAS LINE MARKINGS � �
x 9.5 X 8,7 EXISTING & PROPOSED ELEVATIONS ( X MARKS POINT) 6 35779 Q
EXISTING CONTOUR �FcisrER° �� Ss\�oe
`h 8---- PROPOSED CONTOUR
SANITARP Y� r : S R��� RONALD J. CADILLAC, PLS RS, P.C. f
UTILITY POLE IF SHOWN �2� 2� � ,
( ) PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN, i
® EXISTING DRAINAGE CATCH BASIN
P.O. BOX 258
x FENCE (IF SHOWN, NOT ALL SHOWN) I
WEST YARMOUTH MA 02673
0 TREE (IF SHOWN, NOT ALL SHOWN) 508 775--9700
STONE WALL HEALTH AGENT APPROVAL DATE ( �
PAGE 1 OF 1 j
C 2007 BY R.J. CADILLAC