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0046 CAP'N JAC'S ROAD - Health
46 Cap,N Jacs Rd Centerville A= 194 - 055 No. 4210 1/3 ®RA E. ctu 10 0 �k. ® ® ® 0 �.... .... .,:.:.w.:,...:w AS.u.sswe.,.✓....n,..,.. __.:_. ...._:,..:.�i�u�_�.nu:.�:m,r:..._.......__.�.- _. .....�.�.,._. �i..y�� ....auilw ti .... s __ Al...:a!i'tfLlfiL`ic'�4�lvaffiLiILLI Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. ' Important: A. General Information When filling out forms on the 'r computer,use 1. Inspector only the tab key to move your A.Riker cursor-do not . Name of Inspector use the return key. R.L.C. Company Name P.O. Box 726 Company Address South Yarmouth MA 02664 City/Town State Zip Code 508-776-6460 SI 4590 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 04/14/2011 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 ' 1 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments b 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04114/2011 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E!always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: System was inspected with no failure conditions observed at time of inspection. Tank was installed in 1985 with new construction and S.A.S. upgraded in 2008. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-09M Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): is removed i El obstruction ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cunt.) 2. System will fail unless the Board of Health(and Public water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow bins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 L— Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M z 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. cityrromm State Zip Code Date of Inspection B. Certification (cost.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ 0 Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts W Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] C. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: System is constructed of 1000 gallon concrete septic tank , H-20 Distribution box and two 500 gallon H-20 concrete drywells with stone on perimeter 12'W x 251 x 2' Deep Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): bolo= la / JP-4 Detail: a®®q - He Ff4 Sump pump? ❑ Yes ® No Last date of occupancy: currentDate Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-09M Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w. 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is Centerville MA 02632 04/14/2011 required for i every page. Cityrrown State Zip Code Date of Inspection D. System Information (cost.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: homeowner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: not required at time of inspection Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): 15ins•09/08 Title 5 Official Inspection Forth'Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts u W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ,.•''v 46 Capin Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known) and source of information: Tank 1985 all other components 2008 Were sewage odors detected when arriving at the site? ❑ Yes 0 No Building Sewer(locate on site plan): Depth below grade: 2.5feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: Town water line feet Comments (on condition of joints, venting, evidence of leakage, etc.): no leakage or staining observed on inspection of interior PVC soil pipe. Septic Tank(locate on site plan): Depth below grade: 2.5 w/risers to 6"Grade feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) Riser on outlet side was shifted but stable and no indication of infiltration. If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 9'x5'x5'4'liquid level Sludge depth: 611 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments wM 46 Capin Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. City/Town State Zip Code Date of Inspection D. System Information (coat.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 28 Scum thickness 2" - Distance from top of scum to top of outlet tee or baffle 811 Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Pump was not required on inspection and there is no indications of leakage or damage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle I Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,. 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order. ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): ' Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert at invert of two outlets with speed levelers Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D box is approx. 4'to top of H-20 Distribution box with 3'of H-20 riser with no indications of Garry over or leakage. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments z 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Type: ❑ leaching pits number: ® leaching chambers number: 2x500 gallon H-20 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): On inspection of chamber there was no standing water in base of unti. No indication of high water staining or other adverse condition.The system was approx.4'deep with no visible vent. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-09108 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 c Commonwealth of Massachusetts W Title 5 official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5. rl 46 Capin Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. Cityrrown State Zip Code Date of Inspection D. System Information (coot.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts u W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Capin Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. City(rown State Zip Code Date of Inspection D. System Information (cons.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system,including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately y ,moo �� ► d1`6 �ot` � iron a- Q e o i0,P y t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts y W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Capin Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. Cityrrown State Zip Code Date of Inspection D. System Information (coot.) Site Exam: ® Check Slope , ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 35' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 10/03/2007 Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: Test hole on file 1010312007 132"with no water observed ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database- explain: You must describe how you established the high ground water elevation: Plan on file was reviewed. On site the bottom of S.A.S. is 7'deep from grade . Rear of property has 25'+ deep depression with no standing water observed. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins-09108 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M r 46 Cap'n Jac's Rd Property Address Brain Manning Owner Owner's Name information is required for Centerville MA 02632 04/14/2011 every page. CityrTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Official Inspection Forth:Subsurface Se wage Disposal System-Page 17 of 17 No. �I �L�i�Sa' r Fee A .aV THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipprication for TDi!6po!6a1 *pgtem Construction Permit Application for a Permit to Construct( ) Repair X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.Al 0 Cjq/'17 Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel 9Y- C A&I R 5 A C I tal er's am Addr Tel.No. P.006611 Designer's Name ddr s and Tel.No. 3(�'�• (f p 9 S, .Seri/ y 3 -Pr IG r .S c Type of Building: Dwelling No.of Bedrooms ^J Lot Size sq. ft. Garbage Grinder (n 7 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of R pairs or Alterations(Answer when applicable) -1—A5_14 .4 4�(r) � ��� 3 54si-em -?e) AlAn"� .Lw Fca -*T 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. Signed Date Application Approved by Date /r® � �Q�- Application Disapproved by: Date for the following reasons Permit No.4 2.W'4 —` & / Date Issued /0 / ev`•.•.,,. 1-. .... .'.r..,,y+.. ..�.-a^-�.•`r..-.�,.. » ..r•-'.°..- - -r---.Yam,,.-r-�, - , _ .. •'� .. ..... Nr Fee/W.f�V r � f Entered in computer. .._ THE COMMONWEALTH.OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Migpogar 6pgtem Construction Permit Application for a Permit to Construct( ) Repair Xj Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No.�Y7 �°f{/0, J,4 Owner's Name,Address,and Tel.No. t 0 c 11y S6 h r, w An 17 I n j Assessor's Map/Parcel /qy G (o C V ✓&5 A-0 C 41'vA, I taller's am Add Tel.No. Designer's Name Add r ss and Tel.No. U ,� ki• e 2dbrflSGh E-c0 - ToC A 3 1- a8 9y l c. ,�en/ y 3 -r & 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 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ' Description of Soil ,SA 1.►f) Nature of Repairs or Alterations(Answer when applicable) , n 5-141) 9 /2e(,_%Y k, '"S 1 o ni K SV5120 1.4 n c d-1 FCC' rc /i 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. Signed Date Application Approved by Date 16 //1 - Application Disapproved by: Date E for the following reasons 1 Permit No. 00 4 '46 j Date Issued ———— ————————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS A" �f (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired Upgraded ( ) Abandoned( )by" L' �O p l/i,SG r1 Se,p ft C� at /�i CA,p// I AC S /?#-;0 I olrk1 U/11_ has been-constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.a 7°' y(f/ dated Installer Designer #bedrooms Approved design flow A© gpd a The issuance oft s t .all.n t fe� . rued as a guarantee that the system 11 nc�tiii nn. ssAesi ed. Date V Inspector w� ° ---------------------------------- No. Fee leo.00 m � THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—.BARNSTABLE, MASSACHUSETTS 1igpogal *pgtem Construction Permit Permission is hereby granted to Construct ( ) Repair Y1 ) Upgrade ( ) Abandon ( ) System located at L_ r,qW ..AC S 119 Q rl i f and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Con truction must be completed within three years of the date of this-perlmit. Date 1 Q �" Approved by / No. 4 Fee Y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Migpogal *pgtemc Construction permit Application for a Permit to Construct O Repair O Upgrade O Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 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 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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. Signed Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued 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 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Mioogal 6peum Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at 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 permit. Date Approved by No" iF9 T /��! °a ."' 4 Y Fee/P t _oZ l }°' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN O BARNSTABLE, MASSACHUSETTS Yes F' Zippy cation for Migpogal 6p.5tem Conotruction Permit"'N, Application for a Permit to Construct O'3 Repair Upgrade O Abandon O ❑ Complete System ❑Individual Compon/ents Location Address or Lot No..4 6 ��j9 f " y Owner's Name,Address,and Tel.No. i F! i i/l4 i) "mrli;t +� y / �"tI�t ri � .J Assessor's Map/Parcel �c 'r- _ - i t � 4 4eY J,� A 1) c{.'r) ,'e4 Installer's.Nam ;Address,and Tel.No. p l Designer's Name,Address and Tel.No. 3 .! I IV. e 1�cI{jltf jlt � �I( i�,,', t rK,;/I lie r+%J 1 /L sc: t j � '14 evq "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 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil �,4 k) Nature of Repairs or Alterations(Answer when applicable) 3 T t 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 t place the system in operation until a Certificate of " Compliance has been issued by this Board of Health. .. i Signed., . Date Application Approved by :)y It I r J'A rl t\ Date l o hi i I6 Application Disapproved by: Date for the following reasons Permit No. > )"#" " Date Issued f o - -————————-`-——————— —————— —f------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance T141S IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired Upgraded ( ) Abandoned(` )by 1AIrn I�� t� 1 .' '�, � has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.rF.-K/ ( ` dated Installer ,,�. Designer f V #bedrooms Approved design flow ,i ,, - gpd The issuance of thsperm/it shallrcrr©t be,colrued as a guarantee that the system w 11 funpction as designed t f, �tM•, � ' Date 4-'' f 3 Inspectors'' No. . 'O o 471p l Fee/'y.G o THE:C.OMMONWEALTH OF MASSACHUSETTS_ _ - 5; 1. PUBLIC HEALTH DIVISION—BARNSTABLE;MASSACHUSETTS &gpogal *pgtem C.ongtruction Permit Permission is hereby granted to Construct ( ) Repair (�V Upgrade ( ) Abandon ( ) System located at &e and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit.l ' J , Date I 1 1/ Approved by •,. a Town of Barnstable °FTME r° Regulatory Services 0 Thomas.F..GMer,Director . 'BAM Public_Health_Division Tfiomas:McKean;Director 200-Main Street;Ryannis, 60 MA 021. - Office:.508-862=4644 ... Fax: .508=790=6304 Installer&Designer Certification Form Date. w -: Sewage Permit#:: : Assessor's Map\Parcel : Designer: 0- Q'1 - - Installer: �.(.�M �pVJ c — I Address: Adess: dr ut hl 1-I was issued a permit to uistall a o-- :-(dat). (installer) .. . septic system at`: -"'based on a design drawn by (address . ... (designer),. ... - - I certify that the septic system referenced above was":installed substaatially:according to ".=the design; which may:include muior_:approved=changesauch-:as-lateral relocation o t e distribution.box:and/or.septic tank: ... . I certify-that.the septic system referenced above was iristalled:with.mayor changes (i.e. greater.than..10'.lateral relocation.of the.SAS or any vertical relocation.of any component 'of the septic system)but in aceoYdance with: &Loca1 Regulations: Plan evision or certified as-built:by designer to follow: : . ti JDAUID sSgcG� (Installer's.Signa a :GDU R N GHAN�W No..:1093. P �o r .. S qN!TARX�'� esi er's Si afore Affix Designer's.Stam Here gn ) (- P: ): PLEASE: RETURN TO BARNSTABLE -PUBLIC `.HEALTH DIVISION.- ' : CERTI ICATE O >: COlVIPLIANCE_WILL..NOT:BE:.ISSUED_UNTIL BOTH--THIS--FORM_AND .AS-BUILT.-CARD::AiLE::.: RECEIVED:BY THE BARNSTABLE PUBLIC.HEALTH-DIVISION::-THANK YOU:.':- Q:Health/Septic/Desigcier Certification Forma-2b-04:doc I L.t Town of Barnstable P# Department of Regulatory Services Public Health Division Dated �r � 200 Main Street,Hyannis MA 02601 fp MIK &6' Date Scheduled Time _ Fee Pd.ol JL1 C� Soil Suitability Assessment for Sewage Disposal Performed By:�ayld Cov�lr�av�w,� LSC �G( Witnessed By: cry ® �.0 � •tn �ff LOCATION& GENERAL INFORMATION Location Address A Owner's Name ,h,, lie —"- Address L Col A h, 7qG SRA Assessor's Map/Parcel: j qt l S S Engineer's Name (�_NVtyplr v i l e/� NEW CONSTRUCTION b. REPAIR t� Telephone# so.& 340+ Land Use eslkeu-�a l c Slopes(%) 70 Surface Stones Distances from: Open Water Body��``�V 'r ft .Possible Wet Area � + ft Drinking Water Well l o�i' f, // Drainage Way `�Q+ - ft Property Line 10+ ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 1L 12570 f! I -- _ y --—_ - O Q GROUNDWATER ADJUSTMENT - i r rF O EXISTING GROUNDWATER LEVEL BASED ON TOWN OF' BARNSTABLE "I GIS DEPARTMENT RECORDS. ----- INDICATED GW 35.00 INDEX WELL A1W-247 ZONE C -- '— ,�« READING DATE SEPT. 2007 READING 25.0 ADJUSTMENT 5.7 ADJUSTED GW 40.7 Parent material(geologic) �GI441 OrA W A Depth to Bedrock, Depth to Groundwater. Standing Water in Hole: 11 Weeping from Pit Face Estimated Seasonal High Groundwater G?e qbo Ue 1 @— r-T•1 -, 0 i DETERNIINATION FOR SEASONAL HIGH WATER TABL,E!� Method Used:!;;Nt? 4boye- ' - Depth Observed standing in obs.hole: ___ in. Depth to soil mottles: G! into Depth to weeping from side of obs.hole: �in. Groundwater Adjustment fr.=. ;> Index Well# Reading Date: Index Well level Adj,factor— Adj.Groundwater Level, a �— PERCOLATION TEST Dstedd3k2w we I PM Observation Ji'L.C� p Hole# Time at 9" Depth of Perc G cepp Time at 6" Start Pre-soak Time @ " ?7 _ Time(9"-6") __`_L,J_ End Pre-soak IC) "CC Rate MinAnch t 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:iSEPTICIPERCFORM.DOC I DATE OF TEST: OCTOBER 3, 2007 SO : DAVID : 'S 0 I L TEST O G WIITINESSEDUBY:OR DAVID SDTANOTON. HEOALRTHRDEPT. PERC NUMBER: 11969 TEST PIT 1 PAARENTUNDWATE MAATERIA EPROGLAC ALD OUTWASH PERC AT 80 in - 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 103.70 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 0-30 FILL 30-33 0 LOAMY SAND 10 YR 2/2 NONE FRIABLE 33-35 E LOAMY SAND 10 YR 6/2 NONE FRIABLE 35-40 A LOAMY SAND 10 YR 4/3 NONE FRIABLE I i 98.70 40-60 B LOAMY SAND 10 YR 5/B NONE FRIABLE 60-134 C MEDUIM SAND 10 YR 6/4 NONE LOOSE 92.53 f TEST PIT 2 POARENOTUMDATERER EPROGLAC ALD OUTWASH PERC AT 80 in - 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 103.60 0-28 FILL 28-30 0 LOAMY SAND 10 YR 2/1 NONE FRIABLE 3 30-34 E LOAMY SAND 10 YR 6/2 NONE FRIABLE 34-36 A LOAMY SAND 10 YR 4/3 NONE FRIABLE 98.77 36-58 B LOAMY SAND 10 YR 5/8 NONE FRIABLE 58-132 C MEDUIM SAND 10 YR 6/4 NONE LOOSE 92.60 Consistencv.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones:Boulders. Cons' ten G Flood Insurance Rate Man: -� Above 500 year flood boundary, No— Yes C Within 500 year boundary No Yes [�$ Within 100 year flood boundary No V Yes uV Depth of Naturally Occurring Pervious Material vedthroughoutthe ( material exist in all areas observed L� Does at least four feet of naturally occurring pervious area proposed for the soil absorption system? 106 naturally occurring pervious material? depth of natu t If not,what is the dep y >� Certification L C I certify that on'C" � 2 (date)I have passed the soil evaluator examination approved by the LLt Department of Environmental Protection and that the above analysis was performed by me consistent w't the required training,expertise and experience described in 310 CMR 15.017. �jN ofssq �—J�( �. �S, Date�d 4, ZO07 �° DAVID 0 Signature D - g COUGHANOWR `r0 �'CENSE9 10 Q:\SEP'1'IC\PERCFORM.DOC /� E VA L P TOWN OF BARNSTABLE �40CATION /;?014 p SEWAGE# Qoo!-14 6 C. VILLAGE (Etn1 l2.V CHIC ASSESSOR'S MAP&PARCEL I9� 55 INSTALLERS NAME&PHONE NO. t o�j"15oW St, 7 7L SEPTIC TANK CAPACITY j, 000 LEACHING FACILITY:(type) 2 ,E044A,) G-4[4yf (size) 1 2 X 15 NO.OF BEDROOMS 3 OWC�ER M ANh/ PERMIT DATE: j(��i( U'7 COMPLIANCE DATE: I DI�3IU'7 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet J g ty 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 �eopjr o� V v-x- 6 e e i � t 2 A-74 3 3a �eQ i r , ------------ Z ' e :LO CAT ON (/ �' SE 'G E PERMIT NO. L 7 CA0T CTALs CApT ' L 011A5 VILLAGE I N S T A LLER'S NAME i ADDRESS. L ZE1dI�itiy B/zdi BUILDER OR OWN ER DATE PERMIT ISSUED -a DATE COMPLIANCE ISSUED C ArlA� f - - - 0-0 10" 39 p 30 • .� � L, HWAY CONTOURS BENCH 'MARK MID CAPE HIG PAINT SPOT ON ROAD CONCRETE APRON SERVICE (•"1 EXISTING - - - - - - - 5m ELEVATION = 103.91 l ) MINIMAL GRADING PROPOSED �---� OAo _ I BARNSTABLE GIS DATUM G5 R \ 104 __�� GApN JA WATERL NE ` 105 —�— Z m Focus WA TER — 103 __�-- T frl o� Z GA TE o-- __-� I g <) f Y 305.01 t ]08 \ I O m A p W _-- \ frl /V^' z NAI-YAR DRIVEWAY PAVED COMMON �_ \� I I O CENTERVILLE. MA y _ ��: <� I LOCUS MAP 112 -= 2� � O rno / \ \ \ NOT TO SCALE v I O m I __� las I \ Ti cam* / __-__�--� 112 110 108 , / �'� I EGEND __�__� 125.70 ft u4 1 VENT T y I PIPE TO m IIo 1000 EXISTING LLON 114 ]05� t m �O SEPT C T K PLAN 1aft1-0 ❑ M X ml Z Z - I r EXISTING LEACH SCALE. 1 in - 20 FL i I n 1 O m m � PIT/CESSPOOL \ I m-TI ❑ _ O 20 0 20 40 �' 1 1� r- $ 25Ff. x12Ftx2Ff. 1 0 .Z I o UTILITY POLE 0 10 20 LEACHING GALLERI' A Z Z ❑0 I TEST PIT ® D-Box \ 13 I Z DECIDUOUS CONIFEROUS NOTES m I]6 TREE Op TREE G� m -P I d4b]2-M ]2-P EXISTING LEACH PIT IS TO BE PUMPED, G C� -NUMBER REFERS TO DIAMETER IN COLLAPSED AND REMOVED. EXCAVATE ® TP-2 m INCHES. LETTER DENOTES TYPE. ALL ASSOCIATED CONTAMINATED SOILS 104 TP-1 II K O-OAK M-MAPLE P-PINE C-CEDAR AND REPLACE WITH CLEAN MEDIUM p SAND PER TITLE 5. LOT 22Z+ INSTALLER .MAY CHOOSE TO MOVE \ AREA = 20507 sF VENT PIPE TO A DIFFERENT LOCATION. - 1800 ft 102 103 02 GARBAGE GRINDER ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS IS NOT ALLOWED F L O W PROFILE EXPRESSED IN DECIMAL FEET NOT FEET AND INCHES C 11 WITH THIS DESIGN. TOP OF FOUNDATION RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE I VENT ONE INSPECTION RISER FOR LEACHING GALLERY TO PIPE EL = 104.34+- WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT. 4 104.50 Teo� SEWAGE DISPOSAL SYSTEM PLAN D-BOX 5 ft ALL PIPE TO BE, -TO SERVE EXISTING DWELLING MAX SCHEDULE 40 PVC 3' DROP H-20 AND TO PITCH A'.- EST. MARY M. MANNING FLOW LINEFL-11 TEE 99.50 1/6 In/ft MIN. + OWNERS OF RECORD 10 14 H-20 �ytNOFlyq� ��HOF,�gs � 46 CAPN JACS ROAD 46" GASH® PRECAST ; o'�� DAVID ��� ��� �y 4� 1995 `�� CENTERVILLE. MA BAFFLE u' DAVID G 6 In DRYWELL I BOTTOM O o D. ON ASSESSORS PROPERTY ADDRESS 100.60+- LEACHING �' COUGHANBWR N D. ASSESSORS MAP 194 PARCEL 55 EXISTING STONE LEACHING I GALLERY No. 1093 COUGHANOWR 43 TRIANGLE CIRCLE EXISTING BASE EXISTING 96.82 GALLERY 4�r o s �, O SANDWICH MA 02563 PLAN BOOK 379 PAGE 70 EXISTING 1��� GALLON se'S0 (END VIEW) 96.50 5.00 ft + SqN TAR P� °'< Evn���P�°� 5�8 364-PJBJ4 DATE: OCTOBER 4. 2007 SEPTIC TANK SEE DETAIL ON REVERSE m / JOB ETE-2��2 PAGE 1 OF 2 1 VERSION: R EXISTING 8 ft of 5 ft 12 ft (�J� ) �7i� THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED bl 16 ft o���� dd"«// ' SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM ADJUSTED SEASONAL;Y 40 DEPICTE�G Plr 4-1 200 PLACEMENT OF ADDITIONS, SHEDS. FENCES OR ON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING HIGH GROUNDWATER SWIMMING POOLS, OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. DATE OF TEST:TEST: OCTOBER '3. 2007 SOILTEST LOG WIITINESSEDUBY OR. DAVID STANOTON. EQALTHRDEPT. D E S I N CALCULATIONS PERC NUMBER: 11969 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD NGRUNWAT ENCOUNTERED OUTWASH SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS TEST PIT PERC PARENT 80 In -MATERIAL: MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 103.70 SOIL ABSORBTION SYSTEM: A 25 Ft x 12 f t x 2 f't LEACHING GALLERY CAN LEACH , 0-30 FILL Abot = ( 25 x 12 ) = 300 sF 30-33 O LOAMY SAND 10 YR 2/2 NONE FRIABLE Asdw = ( 25 + 25 + 12 + 12 ) x 2 = 148 sF ALot. = 448 sF 33-35 E LOAMY SAND 10 YR 6/2 NONE FRIABLE Vt 0.74 x 448 = 331.5 GPD 35-40 A LOAMY SAND 10 YR 4/3 NONE FRIABLE USE A 25 Ft x 12 Ft x 2 Ft GALLERY. Vt = 331.5 GPD > 330 GPD REQUIRED 98.70 40-60 B LOAMY SAND 10 YR 5/8 NONE FRIABLE 92.53 60-134 1 C MEDUIM SAND 10 YR 6/4 1 NONE ILOOSE NO GROUNDWATER ENCOUNTERED L EA CHING GA L L ER Y TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH USE SHOREY PRECAST 500 GALLON NOT TO 1000 GALLON SEPTIC TAW PERC AT 60 in - 2 MIN/INCH IN C SOILS LEACHING DRYWELL (H-20 LOADING) SCALE DIMENSIONS AND DETAIL NOT TO ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER CONSTRUCTION DETAIL USE EXISTING H-10 LMT SCALE (INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING 103.60 DRYWELL UNIT 0-28 FILL STON SEPTIC TANK IS TO BE PUMPED DRY AT TIME OF INSTALLATION AND IS TO 28-30 O LOAMY SAND 10 YR 2/1 NONE FRIABLE 25.0 f t BE EXAMINED FOR STRUCTURAL INTEGRITY. INSTALL NEW PVC OUTLET m 30-34 E LOAMY SAND 10 YR 6/2 NONE FRIABLE m`` ,, TEE EQUIPPED WITH A GAS BAFFLE. 34-36 A LOAMY SAND 10 YR 4/3 NONE FRIABLE m 1 In 38-58 B LOAMY SAND 10 YR 5/B NONE FRIABLE m 0.] TAPER 98.77 m �� 58-132 C MEDUIM SAND 10 YR 6/4 NONE LOOSE � 92.60 "' c 2 ri 8.5 f't. 4 Ft 8.5 f t 2 fk 0 00 I GROUNDWATER ADJUSTMENT z5.0 Ft o � EXISTING GROUNDWATER LEVEL Lo BASED ON TOWN OF BARNSTABLE 1� GIS DEPARTMENT RECORDS. 500 GALLON DRYWELL -lm INDICATED G W 35.00 DIMENSIONS AND DETAIL INDEX WELL AIW-247 USE H-20 UNIT INSTALL ONE INSPECTION ZONE C RISER TO WITHIN THREE INLET OUTLET READING DATE SEPT. 2007 INCHES OF FINAL GRADE COVER COVER READING 25.0 AND INDICATE LOCATION ADJUSTMENT 5.7 ON AS-BUILT PLAN a,.L,,^,z,z,..,a,ns+.a.a; --b. A, IN D V LOW LINE a...,. ADJUSTED GW 40.7 FROM 10 in = 14 TO N O T E S n BUILDING in D BOX �0 36 48��O BOO I LIQUID GAS �0E-J, �0 ADO 000�� LEVEL BAFFLE 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. o0000000000 000 00000ao 00 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED o0o O i�` FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. ... 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS leZ 1� CROSS SECTION VIEW OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITI.ES :.' ; BEFORE EXCAVATING FOR SYSTEM. :: '� ��:. CROSS SECTION VIEW SEWAGE DISPOSAL SYSTEM PLAN 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND REMOVED. - 2 in PEASTONE 2 In PEASTONE 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF, IRON. FINES, `AND6DUST 3'IN PLACE. -TO SERVE EXISTING DWELLING 7) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION 'OFF LOWS' FLOW FIXTURES o 24'" MARY M. MANNING l. 28 3/4 u,TO EFFECTIVE /4 u,TO 26 AND APPLIANCES. AND BIANNUAL PUMPING 'OF THE SEPTIC ;TANK. - i" In -1/2i,GRAVEL DEPTH I-I/2u,GRAVEL 1n 8l SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING.-DO ,NOT" 46 CAPN JACS ROAD CENTERVILLE, MA .' PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 431n 581n 431n ECO-TECH ENVIRONMENTAL 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL- AND.-TRUE TO GRADE ON A `LEVEL 144 In STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE_ UNEVEN SETTLING. FABRIC IN PLACE OF THE 2 in. PEASTONE LAYER SPECIFIED. ETE-27721 OCTOBER 3. 2007 1 1212