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0033 CONANT LANE - Health
33 Conant Lane Centerville A = 173 076 4 a. i I - r r•: 1521/3 ORA 100/6 P2 eO' •CATION� J SEWA PERMIT NO. 4 �e,6 VILLAGE i I N S T A L L E R'S NAME & A D D R E S S "`J. CRAIG M EDEIRQS Trmckang V Wulldazsng 742 rporc on reet Hyannis. Mass. 775.0828 B U I'L D E R OR OWN ER eb � 1 DATE PERMIT ISSUED ` -7 DATE COMPLIANCE ISSUED 1Z9 /-7c 73 v414 A a , Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 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:When filling out forms A. Genera! Information `��ptuuuuyu�i on the computer, �.\H OF i use only the tab 1. Inspector: 31 , 607 ,/� ,`�����`�'•'�• key to move your p •cursor-do not James D. SearsJAM ES use the return Name of Inspector SEARS key. CapewideEnterprises LLC {[�I Company Name :� � ?zrTPTk•�,�` 153 Commercial Street Company Address Mashpee MA 02649 Cityrrown State Zip Code 508-477-8877 S1623 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 16.340 of Title 5(310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 9-3-13 pector'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 101000 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 on describes conditions at the time of i po only 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. t5lns•3H 3 We 5 Official bnpection Form;Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. Cityfrown 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: 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•3113 Us 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 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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): ❑ obstruction is removed ❑ 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-W 3 Title 5 Wool Inspection Form:Subadaoe Sewage Disposal System-Page 3 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. City/Town 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 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 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 ip less than 6"below invert or available volume is less than Y2 day flow IA.) t5ins-3/13 Title 5 Official Urspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments p 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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. ❑ ® 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 coliiforn 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. Cityrrown State Zip Cafe 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)] D. 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•3113 Title 5 O(fidal kwpectlm Forth:Sutumfaos Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information Is required for every Centerville MA 02632 8-28-13 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system is a 1000 tank D Box and two dry well chambers. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2011 20,000Gals 2010-31,000GaI s Detail: Sump pump? ® Yes R No Last date of occupancy: Present Date 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•3113 Title 5 Official f ispettion Forth:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System For n-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumping every 2 years Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: 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/Altemative 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 1/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ` ❑ Other(describe): t5ins-3113 Tdle 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �t 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. Cityfrown State Zip Code Date of inspection D. System Information (cunt.) Approximate age of all components,date installed(if known)and source of information: Tank 1978 Permit#735/D Box and Chambers 2005 permit 2005-051 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 30"feet Material of construction: ❑ cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH 40 Septic Tank(locate on site plan): •Depth below grade: 22"feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Gal.Precast Sludge depth: 2" t5ins-3113 Title 5 Oftal Inspection Forth:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. Cityfrown State Zip Code Date of Inspection D. System Information (cunt.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Asbuilt-Tape 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.): Tank at working level.Tank at 22"below grade w/covers at 6". In and out let tee's. No sign of leakage or over loading. 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 Date of last pumping: Date t5ins•W 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5-Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owners Name information is required for every Centerville MA 02632 8-28-13 page. Cityrrown State Zip Code Date of lnspection D. System Information (cunt.) 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•3113 TFUe 5 O(fiaal bq)ec ion Form:Subsudaoe Sewage Disposal System•Page 11 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. Cityrrown 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 0 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 16"x16"-6'below grade w/cover at 28". Box is clean and solid w/two line's out. No sign of over loading or solid carry over. 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.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official tnspedon Form:Subsurface Sewage Disposal System-Page 12 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments "t 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number. ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Typetname of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is two 500 Gal. dry well chambers w/4'stone. Chambers are around 6' below grade w/vent. Camera out to chambers. No sign of over loading or solid carry over. 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•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. City/Tom State Zip Code Date of Inspection D. System Information (cunt.) 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-3/13 Title 5 Official Inspection Form:Surface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. City1rowwn State Zip Code Date of Inspection D. System Information (cunt.) 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 a 4 = R EAR fit 319, _7)IFc k s /9_3 = 37 r o - B- V= 3 ❑ 0 0 t5ins-W 3 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 33 Conant Ln. Property Address Donald Meltzer Owner Owner's Name information is required for every Centerville MA 02632 8-28-13 page. Cityfrown State Zip Code Date of Inspedion D. System Information (cunt.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Ng 11'+ Estimated depth to high ground water. teat 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: 10-7-04 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: T.H. on Design plan 10-7-04 no G.W. at 11'. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5irt•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 33 Conant Ln. Property Address Donald Meltzer Owner Owner's flame information is required for every Centerville MA 02632 8-28-13 page. Cityfrown 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 it t5ins-3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17 _oo� No. llalr, Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 2pplication for Migoml Opgtem Construction 3permit Application for a Permit to Construct(i/)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 33 c o no(1+La nt �wnees Name Address and Tel.No. CentervI l l t, IJonwdJ: X_eA/ (509)ti 20- 41 Assessor's Map/Parcel I� b 33 (—OQrj(l} Lon 2. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 g 15 g 5 D 2-9-3 Qohert 6�t l 0\ Wg)417-0653 �v esM.Ae�ef I�f Ih c(ry �J Nt.4 0 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 3 63 gallons per day. Calculated daily flow 3?i n gallons. Plan Date 10 11604 Number of sheets Revision Date Title Size of Septic Tank f 000 Type of S.A.S. Cl PjT_ 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 Certifi- cate of Compliance has been issued by this Board of Health. Signe v Date i -6 Application Approved by a Date Application Disapproved for the following reas �. Permit No. Date Issued I 1 �_ -•_- —i._. � .y \ t ..�' �• i�'� 4M.•.,+.,Yawn°„'xrnf'I"�...—._ - 'e ��-`-w._.n.. i No. i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS _ 0 phration for ]Digpozal 6petem Con6truction 3permit * Application for a Permit to Construct(✓)Repair( )upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.33 C Q no n+Lane-- Owner's Name,Address and Tel.No. 00CN0 -A e47-ei Assessor'sMap/Parcel 1 (ente(vf lie, 33 (OnOnA Lone (J�08) y20 a24 z i r ,Y in I . Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel..No. Qobect� (id Dy (509) y17-0653 OC,r(en iv AAe�e( iy Text e?ey ne '�3 V' e5� !�.tro H it J _ ti 12142 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Buildings P rr+ r_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures f j Design.Flow Ci �'= l gallons per day. Calculated daily flow 4`5 o -gallons. Plan Date Loll 300 Number of sheets Revision Date Title Size of Septic Tank ( l n C► Type of S.A.S. f g—n t- ri r, _ Description of Soil i j get i Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued by this Board of Health. Signe- . . A y Date n,FN Application Approved by _ w✓ / / v 1 Date �� vIV Application Disapproved for the folloivngv rea—s-. Permit No. Date Issued r THE COMMONWEALTH OF MASSACHUSETTS BA((��``RNSTfABLE, MASSACHUSETTS (En -MicKte of (UriLll�ipi a"itLG THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( )Repaired O Upgraded( ) Abandoned( )by ,1 A at _ C, o lD has been constructed in//accordance with the provision �f Title 5 and the for Disposal System Construction Permit No _ dated 9 !-3!c� 5 Installer �(-I Mlle Designer �R. d! ✓ v The issuance of t 'js p t shall not be construed as a guarantee that thesysten�cWi du'n 1tion as designed. Date c� ! J� Inspector lid\ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1=i!6po!5a1 *pztem Cur5truction permit Permission is hereby granted to Construct Repair Z14:V1 Upgrade( )Abandon System located at �. � �rl 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:Constr ctionim st be completed within three years of the date of this`p Y, / Date: // Approved by —/ ;`� TOWN OF BA.RNSTA.BLE LOCATION _3 L'o M ai n- IL.- SEWAGE # -2 OS/ VILLAGE Cc rrl Lr u i l l c. ASSESSOR'S MAP & LOT 173 -0-7b INSTALLER'S NAME&PHONE NO. B (3 excckt)oAi or% , Tog-N77- 06S3 SEPTIC TANK CAPACITY /ODD Q aX-l1on LEACHING FACILITY: (type) 0-batc l c t-S (size) 13�x RS' 'x Z. NO.OF BEDROOMS BUILDEROROWNTER Lauric c�c l�nonala� fnc1-4 ZMr PERMITDATE: P -,3- OS 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 g _ Sir,'. A3 : 38 133 - 3171 A y ' q.� fay = 3 As: 39 0 d �J Town of Barnstable WE'Owti Regulatory Services N O� Thomas F.Geiler,Director snaivsrnsr.E. • AIAM Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: J Designer: C -1-4 � �� - Installer: Address: . �'v + �� L �( Address:. 0 L5`l On_ t was issued a permit to install a (date) (installer) septic system at Co�JA-f,1-7- Lea based on a design drawn by (address) QM. M !�p v`fi dated (designer) T=-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. _ I certify that the septic system referenced above was installed with major changes (i.e. j greater than 10' lateral relocation.of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Lo .. 'ons. Plan re ' ion or certified as-built by designer to follow. ,off DAR EN 0 M E o. 1140 / (Installer's Signature) �PFc � r s T SgNiTAR\—AmP� esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNS TABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WH L NOT BE ISSUED UNTIL BOTH -THIS FORM AND AS- BUILT CARD.ARE RECEIVED BY THE.BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form February 15, 2005 Town of Barnstable Health Department 200 Main Street Hyannis, MA 02601 Re: Septic System Upgrade Residence—33 Conant Lane, Centerville, MA To Whom it may Concern, On Monday February 14, 2005, I conducted an inspection at the subject property to verify that there was no groundwater present 5 feet below the bottom of the proposed leaching system. If anyone from your office has any questions regarding this matter,please feel free to contact me at (781)424-6748. er ,lY, , � N of MAso, Darren M. Meyer �o� DARREN yG� Registered Sanitarian o Certified Soil Evaluator U MEYEI� Na, ��40 SAIVITAR\ i j TOWN OF BARNSTABLE LOCATION_33 Co b a cd A 1 --,--�� —1-f�.�..� SEWAGE # ;Z OOS' - OS! VILLAGE Ccn-lcry ASSESSOR'S MAP& LOT 7 7b I INSTALLER'S NAME&PHONE NO. Q i� x Ca,i i Or1 SOi3 q7 7 O 653 SEPTIC TANK CAPACITY 00 LEACRING FACELrTY: (type) 'ciliaeylkc r-c (size) _13fx�S X NO. OF BEDROOMS 3�\. BUILDER OR OWNER Lau ric�Knc 1 ncnQl� �, Zc,r PERMTTDATE:_o') -.3- S" COMPLIANCE DATE:lS�t%,Sf 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 A I = 4P8' 3z A3 3� 133 . 37� i Ay ' ` .� ! q = 3et t�s= 38 ' �.`�''�,7:.c�'4t"`a;�'� ,- <'rT..-r. .�- ._t f.� _ ,- - - �t '� - , e. _ `�*-• r.-,r'- ''�. + - '�M )5 r r. }#-;?.�y c���fail, Y. s.sY +�.+. Fx t 1:. t + . '.�: + i,- t ^E�_ i'f•' +i ra,<,f i�w t`�.rsC! ,a r3 lt:5-r ] (t wi° �'`.f r,°C'�r` K' s• ",� {<••q.< ,':pl �t � a '' a, 4 r �'' r �j�},� x ts` t�•kf�s. •�� ¢ t �"'��,rs o,.� t. -- �` �� brp � ' _' 1 t,:. t* ; ' ,w c'.}''� s"r �; s �`' '� � �4�i ��,�t / „{ t s ,� F b •• k q i. T �, "':� � p ^. -Al il _t < .. ,��$t+s' •�. 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ING � . a r FT CLIENT :�-G—�' L I CERTIFY THAT -THE,'` PR G S�"ERE REGISTERED JOB NO. 77-O-P8" BUILDING SHOWN ON ..-THIS ;'PI~�E� '} 1 , ,� LAND ,+, CONFORMS TO THE ZONING 1A1 $ aF'klr4 fC'ldEEtX � ` �SURVEYORS�' DR. BY : 49-; !�• 'OF - BARNST LE ,- SST 1 f .rF _ C H. 8 Y 'MAIN S N a ru1I �PJ ST{' t 712 : T. �.�.7 MOI �H,FMAS HYANNIS, MA", ,� t µ �. fiSHEET. OF GATE' R G LANb ,SURV '�Q -- t 1 i Nod:.'.1.:. .......... F m...... .......... .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .... .............OF.......0'4 4.57 AXII'L-----------------------................... Alip iraffo t for Bhivniial Works Tomitrurtiott rantit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: /�' / / �o ....1.a..2c l`-......4.�'�:aa-t_,`... .fi..w---------------- -------•------------------...-----•......---•--- --•--•----•---------.......------------------. cation A dddr s or Lot No. C�. . .� ...... � .-.---- � �� �..1................. .......... caner Address a ,. •-•---------------•............_.......__...Address .......... Installe ���/// QType of Building Size Lot.A.Q,,..C..B.......Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic (l�� Garbage Grinder ( ) `4 Other—T e of Building of ersons_-_-.2.................. Showers — Cafeteria a Other fixtures ...___________----.__�— W Design Flow........... .....................gallons per person per day. Total daily flow------ .3.-,V-....................__gallons. WSeptic Tank—Liquid'capacit3/ gallons Length-----0....... Width---&........ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--______-••-_.___---sq. ft. Seepage Pit No_____________________ iameter............__---... Depth below inlet....._'n........... Total leaching area..................sq. ft. Z Other Distribution box (ie Dosing tank!( `//Y/7 J/ Percolation Test Results Performed by...... .............. Date__. . . . ._ ,aa Test Pit No. I...v >_V..minutes per inch Depth of Test Pit.../".............. Depth to ground water..- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R.4 ---- Description of Soil-----0 cxi . .......... ------------- ------------------------•----•---------------------------•-----•---------•----------- ---------- = U Nature of Repairs or Alterations—Answer when le............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Co — Th undersi ed f tl:er agrees not to place the system in operation until a Certificate of Compliance has bee is tied e bo d alth. '� Signed--- . ••- --------------•••----- •-----------------------------------•-- ---/1- ................. Date Application Approved By..... --=--------------------------•------------•-•--------------------------••------ .............. Date Application Disapproved for the following reasons-------------•---- ----------•-------------------------------------------------------------------------------.... -•--------•-•-•-----------•-----------------------•--------....----------------------------••------------•--------••••--------------•-------•---------•••---------•------•------...•••------------------ Date Permit No....��..r..................•----...........----.... Issued--- --�- -7-9-.--••-•-- - ------ Date Ficls No.....73-3.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' ......................OF....... ` ................ ....OF...... M_......................................... Appliration for Dh4paaal Workii Tomitrurtion "amit V Aj��'i4'-"iion is .hereby made for a Permit to Construct or Repair an Individual Sewer I�Tosal System at: ....../A...Y.......O-A-L....../...el...........4.... ................ .................................................................................................. j F rotation- .s,Addr.,. L or Lot No. ................................................................... ........ ........... .......6 , / t� (Dw.er Address .gpie....................................... .................................................................................................. ...... ..... Installei Address Type of Building Size Lot_tA4LQk:).,2)-------Sq. feet .2. Dwelling—No. of Bedrooms...............,_.............................Expansion,'Attic i � Garbage Grinder '%Other—Type of Building,_................—-.::-No. of persons.....�Z.................. Showers Cafeteria PL4 f P4 Other fixtures -----_------------------ .!� .............................................................................................................................. W Design Flow...........teot__* ..... ...;-'.'-7gallons per person per day. Total daily flow----- .0.......................gallons. 9 Septic Tank—Liquid capacit/4900.gallons Length._...!....... Width---e........ Diameter................ Depth....__......__.. Disposal Trench—No. .................... Width_................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ lameter.................... Depth below inlet.._......_.................... Total leaching area..................sq. f t. Z Other Distribution box Dosing tank,( ) - dr_-#,KV1 Date...A Percolation Test Results Performed by.....a� ..... . V/ 7.6........ F--------------- Test Pit No. 1._02,".'0, -__minutes per inch Depth of Test Pit-J.4?........... Depth to ground wa'ter... Test Pit No. 2.................minutes per inch ,.Depth of Test Pit.................... Depth to ground water........._.........____. ..............;7---0 ......... -- --------Description of Soil...... -------- ------ ----------- <5......... k2f. ........e ----------------a,.............. .... - - ..........qA5��'O!w----- ............................................................................................................. ----------------------- -------------------_----w--------------------------------------------------------------------------------- .................................................................................... U Nature of Repairs or Alterations—Answer wheena-appli&-rle............................................................................................... ..................................................................... ... ............................................................................7........................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in,accordance with the provisions of TAIT 1L 5 of the State Sanitary Co-1-1 T)� pi� h undersied further agrees not to place the system in 11 operation until a Certificate of Compliance has been i§sue board Ith. Signed.. ..... ........................... .......................................... 2 yel-At . ApplicationApproved B ---------------------***-------------------------------*----------------------**---------------- ........................................ Date Application Disapproved for the following reasons:................................................................................................................ . .......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Daie THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................... ................................ Tatifiratr of"Tautpliattrr THI constructed eworor ,�JS TO CER7-�FY That the Individual Sewage Diqposal System constr Repaired _------------------.............................................................................. by..........K.e ------------------------ at.... /_�...... ).k ............................................... .... ----------------- has been installed in accordance with the provisions of4 5 of The State Sanitary Code as-,,ckscribed in the application for Disposal Works Construction Permit '' .... .................................... datc& -7--?p--------- -----------_------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS.A GUARANTEE THAT THE SYSTEM-WILL FUNCTION SATISFACTORY. Inspector.................. ................ .......... .....................DATE, -----------.........................I THE COMMONWEALTH OF MASSACHUSETTS BOARD 0F HEALTH 73,r -Ileo-11-11- 0 ....................................... .b ............................................................................ No......................... F �4��.. ......... Perrj(tssion is hereby granted..................... .......................7............................................................................................ o Constryq-(, �or Re?ay* Indi ewage Disposal System atNo................................7...........&).................................................. -------_--- .... . ............................................................. tr as shown on the applicatioril6f"Disposal �Vorl&_Cohstrlictio ...................... Vol `7_�- .................. ------------------------ -------- ................................................ Board of Health DATE.......................................... . - - 1�1 .............. ................. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS _ �4. . . ca , TEST ' oosa �a ,urr ASSESSORS MAP : (1 5 a�A ff N TEST HOLE LOGS _ �� 1 00 1 THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH 14 . Tm;tv4 x PARCEL : y HIS PLAN 1995 MASSACHUSETTS TITLE V &` TOWN OF SOIL EVALUATOR : � �(� L �, U�� , Nototrt to , 1 ►t�` ..�� "'I , �� da w S I BOARD OF HEALTH REGULATIONS. �C FLOOD ZONE • Nark r� cZ m C� `� ,,�� ��� o LT GU uPT. WITNESS ,_ ©T Ul w ,/^/� b � � ��� Q� J 3tC l DATE. Dr/Ta Z4d $ f 1 2 THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES ee o� REFERENCE: bk_. kjg2:2. 66: Sy t„ _ ) , G M r '1° �` SEWER INVERTS AND SEPTIC COMPONENTS PRIOR< TO PERCOLATION RATE : .. � S i_ E S SE C p '6' �} �2.�0 { ^._.. Z Nf b�' y�� � �o JA^ l INSTALLATION. NITCNINB so G�q i - 1 f c� �nG1 I wS: d , Lltsts*'. P i c P 'r _ _ „ � 3 .THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION �►•re sj �(� � ffx � H I1 .�3. TH 2 i� f r ,�5{' ) F j woo 40F �l, °� ` 6� ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE Hnr q ' DETERMINATION. FT(A p•�-� p lj _«.._at(/!J�:F!__ _ , / I Q 1 P.^ On g• N� -pp'T&'1 1 �? 1 � y P 4) ALL PIPING TO BE 4 SCHEDULE 40 1/8 / FOOT. (UNLESS Ny ge '� _._..� _.:_.._ IJ�( j J (� S e 15 SPECIFIED OTHERWISE) � ( `lR � rya ` Do ) ,NIA v `, 5 THE DESIGN OF THIS SYSTEM DOES NOT ALLOW LOCATION FOR THE USE OF A (� L. MAP � S p-Nv�� � �' � ¢� � ;GARBAGE DISPOSAL. 1 dj 6 SEPTIC TANKS AND DISTRIBUTION BOXES WHEN INSTALLED) ,,, MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON Z SY �� e A BASE OF 6"OF CRUSHED STONE. I_ 'Q s y�1 . M t p � f P L Uwe J SEPTIC SYSTEM DESIGN AAEVI vm 3 A-NV FLOW ESTIMATE Aj F Rt1 . U / J BEDROOMS AT Q GAL/DAY/BEDROOM GAL/DAY o _ S7 II A A-nj TT �. ....SEPTIC TANK _go L f�tt, i GAL/DAY x 2 DAYS GAL rJ �i 0 T AN S f,500 6�:tU"'I USE 6 GALLON SEPTIC C T K "tr't N j G>IL W r w' PI'd G �+ -14 t �► ®y SOIL L ABSORPTION SYSTEM ay2: IJU�' / f +" 1� 'f - 5 ti u5 . ,�2� � v q P>��s LE t1 t , 5 � r T� ., LAM 1 ?'j �� SIDE AREA.��25.� t� 3�L 2 K O q f ' BOTTOM AREA. Z c/ �x 13 �c 0 � 2(toJ 5 � a Ip H o La Y Q -r l dln 2 1 n SEPTI C SYSTEM SECTION 7330 D r S ; 1y o .y, A n U O k� AA i c � CS�AJ to (q- a trj f � '121611 Sine , .- D BOX , 7a,6 3 / p GAL 0 i t L� hT 7, e� SEPTIC JANK 10)5b to 23 T 2 Double MsAid bY [53,1 L 2S L_ u 13 W ---i �sn�y To M >07 sir `rsz Ptr Ps p Ni OF MAs� - �t alit /I98b�i o DA E. ; SITE AND . SEWAGE PLAN U { c > ME , 4 � �.,, /11�- LOCATION : - � � F a ��l GISTS CE f ,e_V l c. - f I S,q N R\P , IfA a l PREPARED FOR : L v a 4 4 J, 1 o SCALE.jZZ DARREN M. MEYER, R.S. W • NE V STREET 43 I DATE 0 • —�--� Z DUXBURY MA 02332 W , 3 DATE HEALTH AGENT 781 585-0293 ` Z - L ( -. ran -- -+ L an �ry ASSESSORS REF. : v �• Map 167, Parcels 45 & 46 w Lot 5 C) C) �r ` // / / / _ ' V ' r , OVERLAY DISTRICT: --'� �,. tT FNo" 7 `U / ,./ / / AP — Aquifer Protection District I ®.... ,.... ®/ % �� /i I/Lo 9�/ / // // / �/ As Shown on Plan Entitled _ Bay �/� / / / Revised Groundwater Protection ra ' �,'I' 85. 812 &3 /� , NjF/ chen H. Murp hy y/ Overly Districts" April, 1993 ° • • - `r' 1 X Gret % / 'Do���{ � 0.O �� � � 12281/187 / / /.� G o p � ` -,r '••0• L0 AL Existing / / / // Ln Dwelling / / / Q 1 j1 246 Location Mop 85'08'12" E / / J / / I l , — f / 1''=2000'f Z LEACH P a I u�aFF ROO ZONE: .jr/�-o1 RD 1 6L Area (min.) 43,560 SF / // /.r,/ / �/ �. 1 1 Frontage (min) 20' Existing — /ti k, �oo / / / / Width min 125' Dwelling � M. 1i ss,/ �; PR u / // / j a, —. Setbacks: )/ 1�/ ti F• tC ' o / . / t/► a -02 /: / Front 30 Lot 6 v , / ,- I / 1 �. < 2 ; Side 10', Rear 10 / :% / / GArypCsr - / I A N/F ie M Olson /' / / F.F,.2D,D \v L` VWF.03I AL �9982+3 / / // N I > I I I / AL '\ / .../ '/ / // - / p1L1 LAN 1 t,-IT� / / / / /' /25 / oo O H AY g. LESA IEP ` \\'•_ _ ` / \ \ / S/8 AL i 100% imit:'of BVW \ l .. �r \\ 1 1 1 \ `\ N IL Esc / / I I / as logged by ENSR �.• _ — \ 1 I 10/April/2000 \ / Edge of Phrogmltles l t Lot 16 ceFND \ \ os l . l / J / IN, / / / / � / / / I \ IN, �� / //� / / / ////l l 1 /l / / J / / / / / / // �7 I / o Q / / QL Lot 17 -;, ` �/ � //�///// // / / i /�/ / /� /1 / •::��/ • // // / :=. lot 8 TBM D=7.98' NGVD'29to ' of CB 4 8 / / / / / / / / / FNo / / / / / :'. / 05 Existing ' � I I • /'/ / / / / /' : // /VKF/- 9 Dwelling Ile X / X / // /// / �/ / // I � ,./ � // /� I l I eGtServ�Pn-�•- r � Su1��lic,� :'/ �= t' m 4/� vcrtwce Post &Rob Fence , `� 1L \ l VWF-12 / 1 `_ r� IJV I ,,, C 5 I Ww r� W/,5u Edge of FIX /Z Th S CL- F I I -/ Edge of Phrogmltles -r H.-I EL-EV. 18,AL U I I o ,,L N I LOAM �1_1125SO1L /I / � I MmD1uM vwF�ts� I / I I 2, SA 40 Lot 7 I 13N O C-ROUN/J \"ATE R pC AS5LAM10TLRIALT I I I-ESSTuAN 7- hn1N /INCH I / 7 C)ATE; 00 /0a/04 \ / N o. t P-3303 W1TMESS:xREG1FFORD,, TO[3,�8.0.41. AL EL-EV, 12-17.0 AL / supso L 214 ✓' 10 M .� SAVV4 \� ._.J—• .� NO GROUNp WATER or Finish / / \ Q \ LOT 7 � 118) GradeGrad e o YX (� / ? f Fllter. •�_Com acted FIII `. / / : - / .PM Fabric P .. _ TEST HOLE ELfiV 1al.S D I/8"-Ile LOAM a- / Pea Slone Su B Sol L t / / I "' C LEAN CO ARSr- Chamber 3/4"-1 I/2"Double i SAND Washed ` washed / , / SILT W/ 1 , • /i I a'-lo' I Fti o i (IV 12'-0" I 1 so" _ coAast (� ►��ry•")� / / CROSS SECTION OF CHAMBER TA HD 51 LTy 1b8 ..NOT TO SCALE l�1:, C LAY - rr I GROUNt) WLTkFt AT L-Ll.V, y,p _J i PERCOLATION - oiL / alllc / DESIGN DATA NOTES t-IicST / C1_ASS 1 MATtca1P.L Single Family-3 Bedroom I. Water Supply For This Lot is Municipal Water. t_E55 THAN '2 MIN/1 N ct+ ° No Garbage Grinder/ 2.Location of Utilities Shown on This Plan Are Approx. PATE 10-5/I y/q0 Daily Flow: 110 x 3 = 330 gpd At Least 72 Hours Prior to Any Excavation For This Ne-: P- 656-7 Septic Tank: 330 gpd x 200 /o=660gpd Project The Contractor Shall Make The Required LNG.: DOWN CAPE fe NG►NEERING J"! Use a 1500 Gallon Septic Tank. Notification to DIG SAFE-1-888-344-7233. WITNESS , E,r6XRRy T•o•[3. , 8.0.14 / AL / LEACHING AREA 5.The Contractor is Required to Secure Appropriate I 330 gpd/0.74=446.s.f.Required Permits From Town Agencies For Construction Sidewalk 2(12 +25' )2=148 s.f. Defined by This Plan. USGS High Ground Water Calculation / Bottom Area: 12'x 25'=300 s.f. 4.Install Risers as Required to Within 12"of Finished Cape Cod Commission Technical Bulletin 92-001 448 s.f.Total Provided. Grade. AKA Frimpter \ _ _ — _ — -- _ _ _ _ / LEACHING CHAMBER DESIGN 5.All Structures Buried Four Feet (4')or More or IndeX Well AlW230 _ ubject to Vehicular tobeH-20 Loading. �111C 2 .—•—•—'-''""'-'—•_. _ I AlAI I Pipes to be Schedule 40 PVC. Use 2 Date Mar-90 \•` ' � �� /' /' -500 Gallon Leaching Chambers in a 6.Septic System to be Installed in Accordance With 12 x 25 Washed Stone Field as Shown. 310 CMR 15.00 Latest Revision And The Town ofAIL Monthly Reading Index Wei 23.9 Barnstable Board of Health Regulations. Water Level Adjustment 3.7 7. All Piping tobe Sch.40 PVC. Water Elevation 4_0 -- — — — — — — E.D p1h of;r,IBt Tee Below Flow Line`• i0;-Min. Corrected Ground Water 7.7 Edge of Saltrnoreh ` _...._ ,. - - -- �•_.� - / Depth of Outlet'ree Below Flow Line 14 Min. • \ / With Gas Baffle. ALL AIL xEwsxn PLAN sysnn rrnt,s�sz 'I` AIL 1 \ 3 8,; sn- I \ / FG.25.0 F.G.20.0-21.0 Arrzaca.WrSNAI.g: PAU Li-JAM ET \/014•Fr= I \ / See Note (owlI-D GtoasC- WADI No.4. 22 PROXEC l LOCAnoN: CC-N•TE RV'i L__.E, M ASS I / .5 17.0 � N /' 1500 Gallon a Top E1.19.0 22.3 Septic Tank 22.1 Bot.El. 16.0 this project b .=as elreadv be i=M as Order of Conditions � 174 17.2 �• / 8.3' Bedding as Bottomof T.H.Elev.4.0 OR OecYoe. v' �iA. I / Per Title 5 sT �. ' GroundwaterCa�Elev.4.0/ Ajusted Groundwater Elev.7.7 Order of Conditions not ..,,nt AL I / DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM I / Not to Scale This plan will be eonsidemd as / DWA AIL S�u^ordp / Directions to Site: From Hyannis take Route 28 toward Centerville; Take a left onto AL Lumbert Mill Road and follow to the end and at the second stop sign, go across Bumps River road (slightly to the left) onto Wild Goose Way; The lot is on the left#116. '', MODIF113D HOUSG FOOTPRINTS - - ' RCVISION 2411/05 RGI_ocATtO LLAc_"%WG AREA Title: PREPARED BY: PREPARED FOR: Notes/Revision: F14 �S Janet Voute—Allen --� SITE PLAN Sullivan lEngineering, Inc. � P � The property line information shown was compiled Cb Cb from available record information PROPOSED SITE IMPROVEMENTS Po Box 659 7 Parker Rood information and does not 8i SEPTIC SYSTEM osterviae, MA 02655 Osterville MA 02655 represent an on the ground survey. (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 fox 116 WILD GOOSE WAY PSOPEOool.com copeaurvftopecod.net The topography and detd-i7 shown was obtained o CENTERVILLE11% , MASS. by conventional survey methods. v 30 0 15 30 60 120 Field: RLH RJM , Draft: The datum used is NGVD '29, U.S.G.& C.S. Disk Date- Scats Comp.: Review. "M 28 PF". April 27, 2001 As Shown Pr . o� # Drawing # C436g1 )