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HomeMy WebLinkAbout0035 TALLY HO ROAD - Health Bamstable - -' A = 316 • ' TOWN OF BARNSTABLE ) LOCATION SEWAGE# Q, — VILLAGE BAPJJS AaLE ASSESSOR'S MAP&PARCEL 314 3 INSTALLER'S NAME&PHONE NO. 8.jU c1D6I r r 3®csJkCv 477-��z7 SEPTIC TANK CAPACITY , o®o 'Q--A-La&9 LEACHING FACILITY.(type) 50" CMS (size) 0-.9 lC 15 NO.OF BEDROOMS 3 OWNER C,/NDAL`( Shf�64 PERMIT DATE: 10 (2- 14)(9 COMPLIANCE DATE: 10 3 ( o A 0(54 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility lu 1A, . 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) !A Feet FURNISHED BY (I"aL f a E/ Rom.(8 00�. c. P%EAPI �. o« r e 51 -2 No. c' L- I - qb� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System �ndiidual Components Location Address or Lot No. 35 -ALL4 140 e&41> Owner's Name,Address and Tel.No. L.l tj" S, 54�-Y �lE► Assessor's Map/Parcel 3 j Q q3 3 S —r CO kb 1349057-464,6' Installer's Name,Address,and Tel.No. S d'& —q- Z Designer's Name,Address,and Tel.No. �50:g-A'13-Q 3T7 Type of Building: 4 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building _RES[bS-1JZt Ak. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided cj ,q gpd Plan Date to uk—a©(!( Number of sheets ( Revision Date Title 3 RcAb ��4Rn1S l J41�� Size of Septic Tank np C 0 )5' Type of S.A.S. �� ( _ C,q(641 X) C"4f ,W5 Description of Soil L,®"i.F 's kau-6 U i-ra < 5-07o Loe_4t�,) Nature of Repairs or Alterations(Answer when applicable) ( 95cl�. G)qsrL&JG eGC)0 6—,4U.40A/ 5 EP K_ c u t z14- 4 - 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 H Signe Date ' 1 1—� 11 Application Approved by r Date ( d — 4f Application Disapproved by Date for the following reasons �e Permit No. _� Date Issued 5 No 0 0 L�;�Y� Fee ` THE COMMONWEALTH OF MASSACHUSETTS Entered in compu er: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS . _12Wlication for MispoSal 6pstetn Construction Permit Application for Permit to Construct Repair Upgrade Abandon Complete System ndividual Components PP ( ) P r\ PZ ( ) ( ) ❑ P Y P Y Location Address or Lot No. 3� - �� ��� �Q„4� Owner's Name,Address,and Tel.No. ' 0AV Q L.1 NIA � 5f4U-Y SNP Assessor's Map/Parcel ` Installer's Name,Address,and el.No. 5,0 S _41'7-g%Z 7 Designer's Name,Address,and Tel.No. zoo:g X73-O 3-17 Type of Building: : Dwelling No.of Bedrooms .3 Lot Size 14 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) 30 gpd Design flow provided �9 a gpd ! Plan Date Number of sheets Revision Date Title 6 �- / � al �Ta� L- Size of Septic Tank � ,4 0&)C" Type of S.A.S. (al -_5�� ��.( L, �l��C4A(,((�j�M5 Description of Soil LOA4&&f �5"% - A() Nature of Repairs or Alterations(Answer when applicable) [25 C= S?1 o C- 5 C Q 7T e- ID 0 6U)D-GrjY :TQ (mil_ rrp U,4&) 4 . [,_)C_A r_l d wopp 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. r Signed . Date Application Approved by Date Application Disapproved by Date as for.the following reasons Permit No. / �j n �, Date Issued --------------------------------------------------------------------------------------------------------------------------------------- - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-s'a Sewage Disposal system Constructed( ) Repaired(�O Upgraded( ) Abandoned( )bY *Q�Geat < �� �) at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a 14- Lid ated Installer hfic lkrwG c'` ?, D Up an Designer #bedrooms Approved design flow 3,3o gpd The issuance of this Vermil shall not be construed as a guarantee that the system will Vnctiq design d. Date 161 ' 19 ( Inspector S? ' No. l� Fee 60 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(>Q Upgrade( ) Abandon( ) System located at -TAL4-V Ro And dos. and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mus be co pleted within three years of the date of this permit. Date I s Approved by uci, 11. LUly 1; jirm No. 3555 P. 1 Torn of Barnstable Regulatory Services a Rich I and V.Scab,Interim Director 6 9 )public Health Division rrD1N�� Thomas McXean,Director ' 200 Main Street,Hyannis,MA 02601 c0 Office: 508-8624644 Fax: 508 790-6304 + Installer &Designer Certification Form Date: Sewage Permit# 2011 ' Yo(. Assessor's Map\Parcel 316 93 Designer: 37C Eo cime"rnc, joG Installer: Culetwlclf, &-n•Fececis, Address: 2051 C anbarry Rini w�_ Address: 1 j5'3 Ccw,rm erei a l 54(t".&f Ea5k Warc6ky► Hq 62a3 8 }•foNae, 0 2 to '/ y On 1 4dateo cgeewicl� l �n+erQcfs�� was issued a permit to install a (installer) septic system at —rQ I►y If0 960 based on a design drawn by (address) //JJ �C 1 �1�inc�ci�n d1 G. dated OC�IDe,( B 1, 1611. (designer) V I certify that the septic system referenced above was installed substantially accordin to the design, which may include minor approved changes such as lateral relocation of he distribution box and/or septic tank. Strip out (if required) was inspected and the sails Were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any,component of the septic system) but in accordance with State&Local Regulations, .flan revision or certified as-built by designer to Follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was construe ce with the teems of the AA approval letters(if applicable) 4`r ' JOHN L r° CMUR ILLdR, VIL ( to le ' Signature) Aso Q � �S • signer's Signs (Affix igne s St p Here) PL ASE RE, TO BARNSTABLE PUBLIC HE D CERTIFICATE C COMPLI CE WILL NOT BE ISSUED TIL BOT11 THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBMC HEALTH DIVISION THANK YOU, Q:13eptio\besigner Ceriificauon Porm Rev 8.14-13.doc TOWN OF BARNSTABLE t� Lfu ATl;JN 3 'T*,SX.4 HO LA SEWAGE # VILLAGE _1�• ASSESSOR'S MAP & LOT f �� INSTALLER'S NAME & PHONE NO. M/e-"V cbru Cl- SEPTIC TANK CAPACITY I, Co V U LEACHING FACILITY:(type}a (size) 8 NO. OF BEDROOMS PRIVATE WELL t] IC W BUILDER OR DATE PERMIT ISSUED: 3 Q 7 DATE COMPLIANCE ISSUED: �Z VARIANCE GRANTED: Yes No �V y � 1 5 O �L/1 #6 36d s HOU4tL 70 gIDCC-- OX L.L,4e-,V inn/ �(y EU ASSESSORS MAP NO: No . PARCELNO: a Fmz �. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Dhip sal lgorkii Tomtrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: CL—��....... ........................................ ft.......... ............. i ` tf l. ........... Location Address or Lot No. .................................................................................................. `--...----------------•-•------•----.........._..............•--•--------...---...........•-----. ner Address Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic,,( ) Garbage Grinder ( ) a'4 Other—T e of Building No. of persons....................... Showers YP g ---------•-----------•------ P ----- ( ) — Cafeteria ( ) Otherfixtures -•-----••-•----•-•---------•-••----•-----•-•----------.--...---•----•-•----•---•-•----------•----•---------------------------------------------------- WDesign Flow.............:..............................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--_.-_-----.-------.sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1­4 Percolation Test Results Performed by---------:...........................................................-------------- Date........................................ 1 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �rq Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ a ..........-.................. -•--•----.....--------•-•------------•------------•---------•--•----....------....................----------•....--------.---- 0 Description of Soil................................................................................=--------------------•-•-------------•---------------------------------••----------.----- x V --•------------------------------------------•--------------------------------------•---......-----•••----------------••----•--•-•----------......-••---------------------------••-------•----••-------- ------------•-------------••------......----------------------------------------.._..---------•-•------------------•--•--------.....--•---------•--------------•---•---•. --------------------- U Nature of Repairs or Alterations—Answer when applicable------��.......__..T IS=�_3 ''� ...... 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 Co�pl.iiance has been issued by the board of health. Signe ------------------------------------------ Application Approved By ................. . ... ��..-.�_ A.9. ... ....... .................................................................................... Date Application Disapproved for the following reasons- ------------------- ---- ------------- ........................................................------. --...----------- ---------------------..........--------- ----------------------------------------------------------------- -- -------------------------------------------------------------- ---------------------- ------------------------------- Date PermitNo. ---.......... .............................. Issued .... ...................................................... Dace 01-3 V11FIZ11 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Mqvnaal Works Tilmi rnrnatt runfit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: 'e— Ct- `�Q�:.' :...... 35. T�4L� f! 1daQ._.. ..... fi�3LL ................_....... ......_----- .._. .... Location Address or Lot No. ..........-•----------.............................•-----...--•--..._............................ .......••---.....-------------•---.........,._.._...................._.._._.....----•............-- W ,` �Owner Address Installer Address Q Type of Building Size Lot............................Sq. feet U DwellingNo. of Bedrooms.............................. _.___Ex Expansion Attic— --------- p ( ) Garbage Grinder ( ) P4 Other—T e of Building No. of persons............................ Showers a YP g ---------------•---•-------- P ( ) — Cafeteria ( ) Otherfixtures -----------------------------------------------------------•--•-•--•---------------------•--•....................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date-----------...........--------......---- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................... w' .---•-------------------------------------------•--------------••------------......................_.........................................................O Description of Soil............................................................................................................................-............................................. V ----------------•------....-•---•----------•---•••--•---•-•----........-----•----••-------•----•-------••--•-••----------------•••---•--------------•--•---........................................... ------ - ---- - --H-------------------------------------------- U Nature{of Repairs Alterations—Answer when applicable.._____ ...........T: <._�.�—.---•__t �-:� '� ?2-• •••-_. -------------------------• ------------------------------•--------------------••---•---.-•-•- 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 Co pliance has been issued by the board of health. Signed,_:::= 't >3C ---. - _ a"................---------.------------- --.....�..........-Q..Z to Application Approved Bv�y �-t c,�.w-�-� - --/ ------------------------------------------------------------------------------- Date Application Disapproved for the following reasons: .. ..... ............................................................ .....------------- ......--------.......--- ----- ------------------- .-.--I....------------........--.....--- ----..............--------------------------------------..-..--------"-------- --............ Q Dare PermitNo. ............/....�-..-..1� ------------------------------- Issued ...................................... ................-Dar Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cfer#ifi a e of Graptiane THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by..........f\\c�.�-4----- �Q'u S--------------- � -------------------------- . --.....----.--- --------------------.........-----...-- ....... --- ... at 5 �` Installer . ---------------- ---------�----........-------�-'-------------- Q��..........................L�.'<`i'-rJS6 has been installed p Environmental Code as described in the application for 1D sposalaWorks Construction Permit TNooLE 5 of State Enva.r dated ...............................:................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.............. -� n�,-------- Inspector -----..��-.-...' .- -�------'-.--------- DATE................................... ..t- p 6� �^l� .....- -.-,� .---- J 1 t, 1 tlt " THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No....�-�--.1,��.. FEE...-..�4::2...:� Disposal Workii 031ntrnrtion umii Permissionis hereby granted......-........................................................................................................................................ to Construct_( ) or Repair e ) an Individual Sewage Disposal System at No. 3�-•-••-•---�-��Lt,------•• ............. Qo . r� 3LL_.._... Street as shown on the application for Disposal Works Construction Permit NoJ�qq.-./i/_---- Dated.......................................... ...............•-----•-•-•-•-----. • �--•----------•-----•--••--•---.....---------••--•----- -2 / U !Board of Health DATE..........-�,a-----•--1----------•-•-�-�•--------------•-•--...--------•--.. FORM 36508 HOBBS&WARREN.INC..PUBLISHERS p � TOWN OF BARNSTABLE LOCATION ..4 (-�@ 2 SEWAGE # VILLAGE 21N S ASSESSOR'S MAP Cz LOT 31 INSTALLER'S NAME & PHONE NO. H I d&17't c'ow Ci- 7') •'{1 L8 SEPTIC TANK CAPACITY I, G y V ` LEACHING FACILITY:(tygeja to i•,',\i-K- (size) $ 2 I NO. OF BEDROOMS PRIVATE WELL�' LIC W BUILDER OR<jj DATE PERMIT ISSUED: 3I c�Z. DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No • i �b - 26 � 1� NL-)L) f BAgNSTAB LE , CATION �`-� � SEWAGE PERMIT NO. ,g-J (o � 7 VILLAGE i I N S T A LLER'S NAME, &. ADDRESS !: i rc /� cow s � .7 .73 B U I-L D E R OR OWN ER •DA T E P E R M I T I S S U E D DATE COMPLIANCE ISSUED I u li LOT I 0 LOCATION SEWAGE PERMIT NO. 'VILLAGE INSTA LLER'S NAME ADDRESS rC A Col, -7 `7 S /-T 6 �a t B D R D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /� . �: ., ,°�. �-� �` � zt � � 4 � � � � � � � a � - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Awe. l u 1,4 ,�/ ... . O F.... �� / S�"• '�i�.e......,...................................... 3/ � Apli iratiun -fur M_qpuutt1 Works Tonstrurtiun Vrrui t Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at = '..............�---------------...---•-•--- ----------•-----••---•----•• ..........d--•------------------------------------.. Locat' Address or Lot No. Ow�erp/ .61 Address ............ GL-.?.../ 01 �` ,f...................................••-.........--•-••---- Installer Address 7� 70 Q Type of Building Size Lot............................. Sq. feet U Dwelling—No. of Bedrooms. ....................................A'pansion Attic ( ) Garbage Grinder ( 0. Other—Type e of Building, YP g ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) 04 Other fixture W Design Flow....... CC1_ ___..gallons per pet-son per day. Total da*y flow............................................gallons. WSeptic Tank—Liquid eapacit/4�9 gallons Length_____•...... Width................ Diameter................ Depth-.-.--__--_---- x Disposal Trench—No..................... Width-------------------- Total Length..................:. Total leaching area--------------------sq. ft. Seepage Pit No.......I------------ Diameter____________________ Depth below inlet.................... Total leaching area-----. -----------sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------.............................................................. Date--__---_•.----_._____-----..-_____-_---- aTest Pit No. 1----------------minutes per inch Depth of "lest Pit-.._.-__-___-__..__. Depth to ground water...-.__-._-_-_----.----- �, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground a water-_._-..--_---_-_-___-. --------_----------- �_O Description of Soil------- •------ -•---• -- --- ---------- --- ---------------------^ W .. "AT 7i- ----•-------------------------------------`-----------••----•--------•-••-------------------------•--------.-----------------------------------------•-•----•------------------------------------------ UNature of Repairs or Alterations—Answer when applicable.---------------------------r_-_--__-_-_........................................................ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with µ` 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 bee iss d e board of health. Signed........ --------- ----W------------------------------ '.... / --- Date Application.Approved BY ...le' following �_�L - ... -- .... �� .._ Ls�l/_�9�`� = Date y Application Disapproved for' reasons----------------------------------------------------------------------------------------------------- QY .: v _________________________________ .." t"{tt �... Date , . PermitNo........ ..................................... Issued........................................................ x .................. ...................... Date _... ....�...................... ...._... 1 No. ._.. Fmc.... !!.�.. .... THE COMMONWEALTH OF MASSACHUSETTS w ?� BOARD OF HEALTH ...... Ofvtt __.............OF....... ` gal`.! d........................ ... � Iir tine f or i mqal Works C on.vitrurtiott Vamil Applieaaion is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: gr / ......................................... r / Locat y Address or Lot No. w Ow r i Address ts� fl_-­-... ... ................................................................................................. Installer Address 'Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms.., ____________________•:-..--__-_-Expansion Attic ( ) Garbage Grinder1-1 ( ) PA Other—Type of Building ____________________________ No. of persons..-______-______-------___- Showers ( ) — Cafeteria ( ) al Other fixture w Design Flow------- Op.___.gallons per person per day. Total d,Qy flow--------------------------------------------gallons. * Septic Tank—Liquid capacit/P V-Callons Length----(::J------ Width-__ ..... Diameter---------------- Depth---------------- xDisposal Trench—No. .................... Vidth-------------------- Total Length-------------------. Total leaching area....................sq. ft. Seepage Pit No,------I----------- Diameter____________________ Depth below inlet.................... Total leaching area----... ----------sq. ft. Z Other Distribution box. (. ) > Dosing tank ( ) aPercolation Test Results Performed by------------- ............................................................ Date--------------------------------------- a Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ CT, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water...--.-.-__._-_.___---- •-•=------ -------------- . Description of Soil-------� u� - = ---�- - - `-- x ------ = =--------G-------------� w UNature 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 bee •ss' d e boar in , liSigned---� -- ---- Date Application Approved By------ �� '-----------/C,--------he4-4------------44 y ----- --------------------------------------- Date Application Disapproved for file following reasons:..........................................................................................................._____ ............................................................----------------=-------------------------------------------------------------------------------------------------------------------------- Date PermitNo........ 17-----`-----......................... Issued........................................................ - .Date .r,'`�•..,_ may"-4a�,c.,•:g THE COMM"ONWEALTHkc'OF MASSACHUSETTS BOARD OF HEALTH .._ ....... .:.:::: "�. ..........OF.............:.#� .s '���. �rrtifiratr of f oftipliaurrp THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed 'Ow) or Repaired by---------------------- ------------ 6(X.�t`!�'dL!/dam»--•--- ---- ...................................... .......-.......................... ............. ..........-..... Install r at--••--•--...--•••-I�' , .�- -----------��1 -----------------for--------------10--7'-------------0.*..RJ_r#04_ _ 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 IVo.Y'ny�..` ,4�_`....____ ?...__. ..•---•------------- dated + - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS,A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... •--- • -•-- -- --­-­-­---­------- --- inspector.................................... ................................................ THE COMMONWEALTH OF MASSACHUSETTS 5t , BOARD OF... HEALTH 1 .. ��. ':�....OF....... t ,l rfl .+`t G....................................... No. -/-•---...._.._ FEE --- - �i����tt� �rk,s ��tt�trttrti�tt r��ti# Permission is hereby granted..........A .�8..:.....:.......:..... ---------------------------------------•---- to Construct ('jk. ) or Repair ( ) an Individual Sewage Disp sal System at No..........4-a1-"- ---- -.7"•-..._•--...4w-a.....--'---.ftic........ .4_,_49` -------- 9,#/iACTh0 t t Street as shownto .the application for Dtsposal.Works Construction>Pgrirl't No.. / i r w{ �7 ...---- Dated -- .. ... Board of Health DATE. FORM 1255 HOSIPP.A„WARREN, INC.. PUBLISHERS it 1W .. ..a .aim... �.iwv�..-...: _..... r:.-.. _ ''T"�rF r�"iy E ,3zSf� �• ,�� s '.' 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EL.= 91 .6'± FINISH GRADE OVER CHAMBERS= $$,9' - 887 3/4"TO 1-1/2" DOUBLE WASHED GENERAL NOTES PROVIDE EXTENSION RISER SLOPE @ 2/° MIN. OVER SYSTEM REMOVABLE WATER-TIGHT COVER OVER STONE TO CROWN OF PIPE WITH COVER OVER INLET& RISER TO WITHIN 6" OF FINISHED GRADE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OUTLET TO WITHIN 6"OF F.G. °4" SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS 2"OF 1/8"TO 1/2" DOUBLE WASHED METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 90.7't F.G. OVER TANK EL. = 90.21t 5" DIA. OUTLET(S) MIN SLOPE 1 /° BOX TO F.G. (SEE NOTE 21) STONE OR GEOTEXTILE FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE i f PLACE RISERS ON ALL DESIGN ENGINEER. „ PROPOSED 4" 9" MIN. 9„ MIN TOP OF SAS = $6.53� CHAMBERS WITH EXISTING 4 - SCH. 40 PVC 36" MAX. 85.70' 36" MAX. INLET PIPES TO 6"OF 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE SEWER PIPE � BREAKOUT EL= $6.20 FINISHED GRADE SYSTEM UNLESS OTHERWISE NOTED. 56' " 3" DROP MAX 3„ 9„ L=79'± 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN - 2" DROP MIN PROVIDE WATERTIGHT ELEVATION =86.20' FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE SAS. UNLESS A MIN.SLOPE @ 1°y, 4" PVC IN FROM JOINTS (TYP.) T> = 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 14" �*88.3'+ SEPTIC TANK 4" PVC OUT TO 0 0 O 0 L 0 0° � 0 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE ! LEACHING FACILITY o0 00 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SPECIFIED DROP BETWEEN o0 INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL OUTLET TEE 86.17' MIN. 86,00' 2' 000 0 o CD � 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48 VERIFY CONDITION OF 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES GAS BAFFLE 6"CRUSHED STONE 00oo FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE ASOVER MECHANICALLY oo °° o _j NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 4.0' g ( ) 4.0 5' TYP 4 0' AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX 4.83' 4.0 8. ELEVATIONS BASED ON APPROXIMATE MEAN SEA LEVEL DATUM. BENCHMARK TO BE INSTALLED ON A LEVEL STABLE 25.0' (TYP.) ELEVATION OF 90.00' ESTABLISHED ON A SPIKE SET IN AN OAK TREE AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET 83 70, GROUND WATER ELEV= < 77.90' PIPES TO BE LAID LEVEL. 12 83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK 2 - 500 GALLON CHAMBERS 5' MIN. REQUIRED �.i-iHiVItS�K a=1VU v I�i/Il THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO VERIFY EXISTING TANK K PROFILE TYPICAL CHAMBER PROFILE TO THE DESIGN ENGINEER. ELEVATION PRIOR TO ANY WORK & SEPTIC, E`m DISTRIBUTION BOX DETAIL CHAMBER DETAILS 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE - 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM 3@ l ~ter APPROPRIATE AUTHORITY r °� .n PERC NO. TPT-19-163 T1ES1 :.t - 1 =� f;.. 0. \ 4'' 1 INSPECTOR: David W. Stanton, IRS 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED EVALUATOR: Michael Pimentel, EIT, CSE UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. `• C.S.E. APPROVAL DATE: Oct. 27,1999 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. r. DATE: October 11, 2019 •� �� (l .r . Y � y. b TEST PIT 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE #: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT ON ALL SIDES OF LEACHING FACILITY ELEV TOP= 88.90' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 1. -. ELEV WATER= < 77.90' in o • = o `: . 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN L ) LOCUS I PERC RATE _ < 2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. MAP 298 �V0 �< . ` 0 1 DEPTH OF PERC= 36" -54" 16. PROPOSED PROJECT IS LOCATED WITHIN: LOT 71 % !Z �- I TEXTURAL CLASS: 1 ASSESSOR'S MAP 316 LOT 93 C� o 0 (' ;*=' �t`� 1 OWNER OF RECORD: LINDA H. &SALLY A. SHEA 00 V a 04 ` 401:6 • U� J / O G� 11 �\ 0 Sand 88.90' ADDRESS: 35 TALLY HO ROAD A Loam `off J O 1 i 4 10Yr 3/1 BARNSTABLE, MA 02630 CP i90 �� * •`� " FEMA FLOOD ZONE X 0� \ / 0 `1 ,, 0 �-=J 1 `p B Loamy Sand COMMUNITY PANEL# 25001C0558J i tom• 9 -l 19 10Yr 5/6 17. DEED REFERENCE: DEED BOOK 25972, PAGE 202 / f 36" 85.90' 18. PLAN REFERENCE: PLAN BOOK 280, PAGE 55 Perc \ 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.J ter 54 84.40' R, EpGE O i �t 7 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 00, o } I 0�o /, FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY - 90 88 , MAP 316 o O �T �34 �� 0 `'Z'r I! Loam Sand FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. w �� / LOT 85 G► 4c C.� /'1 �_� �(� n C 2.5Y Sand 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL E= PLACED IN A VERTICAL POSITION TO A l I 'l <5% Gravel DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3 OF FINISH GRADE. A �\ I REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. W LOCUS PLAN 22. CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL REQUIRED PERMITS AND MAP 316 / \ D APPROVALS FOR THIS PROJECT. LOT 93 C f SCALE: 1"= 1000, 132„ 77.90 44,632± S.F. \ m / / \ No Mottling, Standing or Weeping Observed DESIGN DATA TEST PIT DATA LEGEND \ PERC NO. TPT-19-163 INSPECTOR: David W. Stanton, IRS 50xO' EXISTING SPOT GRADE EXISTING 1,000 GALLON NUMBER OF BEDROOMS(DESIGN) 3 SEPTIC TANK TO BE \ I EVALUATOR: Michael Pimentel, EIT, CSE - - 50 - -- EXISTING CONTOUR UTILIZED IN THIS DESIGN #35 0 ! DESIGN FLOW 110 GAUDAY/BEDROOM EXISTING ' ' C.S.E. APPROVAL DATE: Oct. 27,1999 EXISTING LEACHING PIT TO BE OFc 3-BEDROOM C-1 I TOTAL DESIGN FLOW 330 GAUDAY n PROPOSED CONTOUR DATE: October 11,2019 PUMPED, FILLED WITH CLEAN DWELLING DESIGN FLOW x 200 % = 660 GAUDAY 50 PROPOSED SPOT GRADE TEST PIT#: 2 COARSE SAND, AND ABANDONED <v ? P USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 88.90' �S� TOF - 91.6'± O -4 - E/T/C EXISTING UNDERGROUND UTILITIES - ELEV WATER = < 77.90 °'- o_ W W EXISTING WATER LINE 90 Fc / APPROX. LOCATION PERC RATE = CP /� INSTALL 2 - 500 GAL. CHAMBERS w/ AGGREGATE _ TEST PIT LOCATION / DEPTH OF PERC - LP \ O C / SIDEWALL CAPACITY ` TEXTURAL CLASS: 1 EXISTING 1,000 GALLON SEPTIC TANK 0 , MAP 316 (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY MAP 298 12 O 0 A, ✓ N PROP. D BOX/ (25.0 + 12.83) ( 2 ) (2 ) ( 0.74 GPD/S.F.) =112.0 GAUDAY - - LOT 72 0 LOT 86 PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE �� --_ _ ,--- PROPOSED (2) 500 GALLON 0" Loamy Sand 88.90' PROPOSED DISTRIBUTION BOX / (1) Pi TP2 % H-10 LEACHING CHAMBERS BOTTOM CAPACITY A/ (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY 6„ 10Yr 3/1 gg 40' ' lab $gXg 2) ggxg (25.0' x 12.83') (0.74 GPD/S.F.) = 237.4 GAUDAY PROPOSED 500 GALLON LEACHING CHAMBER 16" ` 89, -1/ O PROPOSED B Loamy Sand (4 25.0• 3) INSPECTION PORT TOTALS: 10Yr 5/6 EXISTING THREE (3) INFILTRATORS ''�^ 8g � TOTAL NUMBER OF CHAMBERS 2 I 36" 85.90' (APPROX. LOCATION) TO BE ABANDONED , 88xT REV. DATE BY APP'D. DESCRIPTION 88x7 TOTAL LEACHING AREA 472.2 SQ.FT. TREELIKE (TYP) N870 10' 36"E TOTAL LEACHING CAPACITY 349.4 GAL./DAY PROPOSED SEPTIC SYSTEM UPGRADE 216.53' PREPARED FOR: CAPEWIDE ENTERPRISES Benchmark C Loamy Sand Spike in Oak Tree 2.5Y 6/6 MAP 298 Elevation =90.00' <5% Gravel LOCATED AT NOTES: LOT 73 Approx. M.S.L. MAP 316 35 TALLY HO ROAD LOT 92 BARNSTABLE, MA 02630 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. SWING-TIES { 132" 77 90' SCALE: 1 INCH = 20 FT. DATE. OCTOBER 14, 2019 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE 0 10 20 ao 80 FEET DESCRIPTION HC-1 HC-2 No Mottling, Standing or Weeping Observed ws PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT 1 t� DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF CORNER OF STONE (1) 45.5' 22.3' - JOHN L. �`� PREPARED BY. HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. RESERVED FOR BOARD OF HEALTH USE CHU RC R. JC ENGINEERING, INC. 3.) ENTIRE PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED ZONE 2. CORNER OF STONE (2) 51.3' 38.9' NO. 41807 2854 CRANBERRY HIGHWAY 4.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESY CORNER OF STONE (3) 62.9' 47.1' i 1 1 EAST WAREHAM, MA 02538 FOR THE INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS SITE PLAN CORNER OF STONE (4) 58.4' 34.6' I 508.273.0377 IN THE FIELD PRIOR TO INSTALLING THE SYSTEM. CONTRACTOR SHALL - - ---- - I NOTIFY ENGINEER IF MEASUREMENTS APPEAR TO BE INCORRECT. SCALE: 1"=20' i Drawn By: ATB Designed By:MCP Checked By:JLC JOB No.4844