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HomeMy WebLinkAbout0109 EMERSON WAY - Health 109 Emerson Way Centerville A= 189 — 104 INISMEAD61 No.H163OR UPC 10259 smead.com • Made in USA Town of Barnstable P# Department of Health,Safety,and Environmental Services Public Health Division Date 1A 4h Q„ 3 7 Main Street,Hyannis MA 02601 BARNSrseM JTirne nr nas. Date Scheduled Fee Pd. Soil S - ability Assessment for Sewage Disposal Performed By: Witnessed By: .:::,:.::::....:::::..... ::::::::::.:. .:.. ....:..:......: : ::: �.��T101\'�L�4::ls�i.:..:� ... � ::;::.. :.: :. :.>:.>::::>:::;::;::>:.;:;.;::>::;;;:;::;::s;:�::i>:�;:<:::; ;:«:: .RAi..II I O.RII�IA1' Q...Y::::::::::::::::: ::::::::::::::::::::::.:..... LocationAddress :: ...............................................................................::::......... .:::::::.....:...:........ ........................... :: Owner's Name STEV6 Ly�oQ� 9 -thIEAd50`�� W p y C`V,11F Address 126 A �yhlE F� Assessor's Map/Parcel: 1891/04- Engineer's Name NEW CONSTRUCTION REPAIR Telephone# �6 "iZ.33�/ 01-1 4 �� Land Use 1z85/DENT/, Slopes(%) ZD 6 Surface Stones ry Distances from: Open Water Body �A ft Possible Wet Area N ft Drinking Water Well ft Drainage Way ft Property Line A#r ft Other 50 f 2.0 It SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 109 Ilk a >v v N co r- E 3� N � Cn M Parent material(geologic) 6 Depth to Bedrock �✓//� Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face /q Estimated Seasonal High Groundwater » << DTEtYIl : ' 1 :: > : .:' >>> >' <>'« > . :.:.:::.:::::::.::.:.:.::.:: .. ..� ...... MethodUsed:::::......................................................................................:............................................................................................................. Depth Observed standing in obs.hole: in. Depth to soil mottles: in. O Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well#_ .Reading Date: Index Well level.-.---- Arli.factor- Adj.Groundwater Level XX .....:...................... ::..::::.:::::::.::.:::::::::::::::.:::::::::::::::::::::::::::::::::..: ...:..::..: :Z` `z► ,:::::::::::::::]J f ..... .::T�ao[e:................::.:: Observation Hole# Time;at 9" Depth of Perc �_ Time at 6" Start Pre-soak Time Q d O Time(9"-6") End Pre-soak Q6 Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back—� Copy: Applicant ........ Cr:::.::.:::::::............ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,° Gravel) D S ri -- /3- z R. fiownt S,sn►D /o R 3 6 vodTS RR- 120 C SqN :> .................. : ............... ...:::.;:.: ::.::.;:.;:.>:: :..:< ER''XT ?l HJL±E I >.;;:.>::::.: ..... ol #....: <::::.::•.. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ° Gravel) to R 3 4- ltlaTC'�n?S ;!Q- 4 , - 12 C ,C '1/4- I, fla .. ......... :>:::>::::.:;:::,::: . s:.:.:.:.:. i De ih frm Soil Horizon �:..........U.............Off:::::::::::::::::Mole.#...............................:...:::::.:.....:.:.:.:..:.:.:.:.:.:..::::::......... Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistena.° ra el 3 r :::::: Depth from Soil Horizon Soil Texture Soil Color Soil...........................Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° rave Flood Insurance Rate Maw. Above 500 year flood boundary No_ Yes Within 500 year boundary No--4/ Yes Within 100 year flood boundary No—V1 Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? VE 5 If not,what is the depth of naturally occurring pervious material? Certification I certify,that on 1113 1-4 (date)I have passed the,soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in.31`O CMR 15.017. Signature-! 5►S.E . Date J7/ No.. ,ppO—7— 3—2 t Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for TBigpont �&pgtem Congtructton perrait Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. h,4-f-Sol Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address d Tel.No. . J�rJ� C� S `'_,`al cne `.. Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided 3 5 U gpd Plan Date 7 �6 Number of sheets Revision Date a, Q Title Size of Septic Tank s 0 r 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 Bo rd of Health. p Signed Date O Q Application Approved by Date r Application Disapproved by: Date for the following reasons Permit No. eILCDy 7—3345 Date Issued _� <' d 7r 1 oo No. . — t r Fee 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pp ication for Migoml *p5tem Conztructiott Permit Application for a Permit to Construct O Repair( Upgrade O Abandon O ❑ Complete System ❑Individual Components � �_ ►�-r Sol Owner's Name,Address,and Tel.No.Location Address or Lot No. 10 ('7°n dt r v�11 �-� S��� l-•�,�1 "' Assessor's Map/parcel j Installer's Name,Address,and Tel.No. 6 t) 3") Designer's Name,Address and Tel.No. f G�c�rh�,� ��,, (J a!CG. !�"�v✓►�...c,t� per-f,t T a 3 i AV4r ) /i-Cil Type of Building: Vv r( r welling.,,-, No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixture\ Design Flow(min.required) 3 3 y gpd Design flow provided 3 5 U gpd Plan Date 7 /1 G/O 7 Number of sheets Revision Date Title G ,A Size of Septic Tank Type of S. .S - Description of Soil C P-e r Nature of R parrs or Alterations(Answer when applicable) 9' 1D to ast inspected: gf-eement: 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 -� ti Date — Q i pplica ion Approved by Date r y AV pp Disapproved by: Date for wing reasons Permit No. a©y 7 335 Date Issued $ -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS j (Certificate of (Compliance i r THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( Upgraded ( ) Abandoned( )by at Q Yn-P r Sayl t'V`°j ffl ]e I'✓, A--I has been constructed in accordance e with the provisions of Title 5 and the for isposal System Construction Permit No. 9007-33 5 dated Instal}.e4 jj J' (L Designer PS dC—C 1:^n A P14/1 Y'") #bed ooh�s Approved design flow gpd Th'Misstaance of this permit shadnot be construed as a guarantee that the system asdesi neeU � �_ InspectorfZ _ ✓1 Date ---- ( ----/—r-------------------�f--------- No. / !--- i� �335 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS '0i.5po9;a �&pg;tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located r a��O � ,1 rSon OA 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 ' it. Date Q r _ Approved by c ' Town of Barnstable .°EVE" Regulatory Services Thomas F. Geiler,Director s &AHNSTAWS, 9� MAS& 1� 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: ff/-1-90 Sewage Permit# SLOO 7 ^3 35 Assessor's Map\Parcel/o Designer: t (V f5 n v 4 Yc hi-- -Je-t Installer: E,l l,S Address: (..Ce C`229 SS Ly,4 Address: a3 iznde,�r e /9,P -3 M 5 On 1 G7 r t),S 6 n4-d-e6',3 C&;-►V was issued a permit to install a (date) (installer) septic system at 101 based on a design drawn by (add ess) 1 Vt� r•��'+1 &4-44-4ed Z/l G 167 R`e v, (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' Iateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & LocaI Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) and the soils were found satisfactory, I7UMAS ga (Installers Signature) No. 619 (Designer's ignature �' K (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. .�Wl! Q:\Septic\Designer Certification Form Rev 03-09-06.doc q 15 210' llfcparatnon of flans act soecincanu,aa n u •. .— - , — The plans and specaficadon4 .for every on-site'system shall be prepared.as follows: (1) Every system shall be designed by a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian provided that such Sanitarian shall tint-design a. system designed to discharge molt than 2,000 gallons per day pu.�stiant to 314 CMR 15.243. Any other agent of the owner.-May prepare-plans for the repair of a system.designed to discharge not more than than 2,000 gallons per day pursuant to 310 CIvM 15.203 provided they are reviewed by:a Massachusetts Registered Sanitarian and.approved by the approving authority; .Every. ,plan. submitted for approval must be dated and bear the stamp and signature of y the designer, (3J Every plan for a new sys.t-rn or plan for the upgrade or expansion of an eistitig:system - ' Which requires a variance to a property'line setback distance,:must also reference a plan which bears the stamp and signature of a lvtassacnasctrs: Licensed Land Surveyor in accordance with M.t;.L. c: 112, § 81D; (4) Every plan for a system shall be of suitable scale(one inch =40 feet or fewer for plot plan and one inch- 20 feet or fewer for derails of system.=rnPOne -t ). ��td.shall include. : d icti.on of: ; the legal boundaries of the facility to be screed: (b) the holder and location of any casements appurtenant to or which could impact the : '. rem; .. .__ • L .(c) the location-of the all dwelli-tg(s)or building(s)existing and proposed an the facility of those to be served by the system; i�.jdcntinqjzio� the''iacation of existing of proposed irnperviaus a`cas; i�iclu'ozng:•�'riyeways and g areas; e) location anddimersions of th'e system (including reserve area); - 'syst mdesign calculations, iricIading design daily sewage flow, septic tank capacity (zegturcd and provided): sail absorption, system capacity (required and provided); and wither systerri is dcsigneii for garbage grinder, �g) North arrow and existing and proposed caritours; Iotiation and log of deep'observation hole tests including the date of *wst, existing grade elevations marked on each test, and he nwr;a of the represeatative of the ap ving authority and soil evaluator, . 77�7- r) location and results of percolation-tests including the aate�f test and tha names of a representative of the approving authority and soil evaluator, . {j) dame and certification nurnbcr-of tht-Soil Evaluator of record: _ (k) location Of every water supply,public and private, 1. within 400 feat of the proposed system ioca don in the case of surface water supplies'and gravel packed public water supply wells, 2. within 250 fact of the proposed system location in the case;of tubular public water supply wells, and ttso .proposed sysum location in the. case of private water 3. within 130 fact of supply wells; • 1) 3acadan of-any stsrfacc waters of the Camrnonwealtlt;-rivers, bordering--vegetated wetlands, salt marshal, inland or coastal banks. regulatory floodvern vzlols, zone, surface water supplies, tributaries to surface water supplies,certified vernal pools,private water supplies or snctina lines, For packed or tubular public water supply wells, substiLface drains, leaching catch basins, or dry wells; and the Iacati.on of any nitrogen sensitive area identified'in 310 CNL� 15.22I5 wirhL-t which portions of the proposed Y" 'stern are located. (ra), location of water lines and-other subsurface utilities on the facility; observed and adjusted ground=water elevation in the vicinity of the system; c) a complete profile of the system; ' a note on the plan listing all vaaanees to the provisions of 310 CMR 15.000 sought in,conjunction with the filar.; b) the location and elevation of one benc..lun=k.v6itl in 50 to 75 feet of the facility which is not si;bject to dislocation or less,Ci:rsg consavetiois'o'ri-the facility, ; when dosing is'proposed, 'complete designaii� spccifcation of the,dosing system roposcd including.but not limited to dosing chamber capacity (required and provided),' ump trouts and specifications, number .of dosing cycles and depth per cycle; s) when a Rtcirculatiiig Sand Filter or equivalent altrmative technology is required or roposcd, a complete plan and specifcat<or.for• the systern,including a hydraulic profile; a locus glan,to show the iocadon of the:ffac.lity including the nearest existing street; ( the stzect nunIber and lot tsumper, if any, of the facility; and the materals of constructian.and the specifications of the system. ;.. TOWN OF BAR.NSTABLE a00`7,33 �t, OCATION-.I Gq,�I�" �'1^ 4Lv� SEWAGE# -S VILLAGE GEn yUY) ASSESSOR'S MAP&PARCEL 1,21 INSTALLERS NAME&PHONE NO. J.JlJ �ja'��►t� C �, II SEPTIC TANK CAPACITY I o 0 LEACHING FACILITY' (type) q /4z�Q ITK A r—MS�size) 1 J x 6 NO.OF BEDROOMS OWNER PERMIT DATE: 9 COMPLIANCE DATE: 9WO 7 . 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 — LU- - - - - - - 1.3 O v A y 226f" <i7 - TROY WILLIAMS _ SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 585-1500 19 Hummel Drive South Dennis, MA 02660 COMMONWEAL'I'I1 OF MASSACNUSETI'S EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION o Y TITLE s OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTF,M FORME zv— PART A ! CERTIFICATION 109 Emerson Way I'rorcrrs Address: MA Os+ner's Name: Bruce Lyons ��� Owner's Address: 120 /z Lime Road i -, Hanover,NI-I 03755 G� Date of Inspection: June 14,2007 Name of Inspector: Troy M. Williams Company Name: Troy Williams Septic Inspections Mailing Address: 19 Hummel Drive 2 South Dennis, MA 02660 Telephone Number: (508)385-1300 o/ ,CERTIFICATION. STATEMENT 1 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. 1 am a DEP, approved s%slem inspector pursuant to Section 1.5.340 of Title 5(310 CMR 15.000). The systenr- Passes Conditionally Passes Needs Further Evaluation by the ►..oval Approving Aulhurit) Fails Inspector's Signature: ? 0, Date: tv The system inspector shall submit a copy of this inspection report to the Approving Authority(Boar(I of I lealth 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. Notes and Comments Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition of system,piping or components. This Inspection represents the conditions of the system on the Date of Inspection noted above. ","This report only describes conditions at the time ofinspection and under the conditions of use at that time. phis inspection does not address how the system will perform in the future under the same ordifferent conditions of use. Title 5 Inspection Form 6/15/2000 nape 1 of It Page 2 of I O VICIAL INSPECTION FORM — No C 1i'OR 'VOI UN`1 AftV ASSESSMENTS SUBSUIII AC1? SEWACL I)jSj'0SA1., SYS`I'I?NI INSPECIAON PORM VA10, A CIAITI I('AT!ON (continued) 1'roperly Address: 109 Emerson Way 1I MA Owner: Bruce Lyons Date of Inspection: June 14,2007 Inspection Summary: Check A,It,C,I)or It/ ALWAYS complete all of Section 1) A. Sysleni Passes: I have not found any iniortnalion which indicates it any ol.the f allure criteris described in 310 CMIZ 15.303 of iu 31(1 CMIt 1S.30q exist. Any !allure criteria 1 evalua and are indicates) below. Comments; 11_ System Conditionally Passes: _ One or more system components as descrihesl n llic "Coudhinnal Pass"section need to he replaced or repaired.The system, upon completion of the replacement or jgmiq as approved by the Board of health, will pass. Answer yes, no or not delcirnined(Y,N,N1)) in the Iur Ilse li,lluwiug statement f"not deterrninesl"please explain. _ fie septic lank is metal aunt over 20 years old* or the septic lank(w tiler metal of no[) is slniclurally unsound,exhibits substantial infiltration or ex6ltratiou of tank failure is i i ninenl. System will pass inspection if the existing tank is replaced with a complying septic lank as approved b w hoard of I leallh. *A inclal septic tank will pass inspection if 4 is structurally smnK tut leaking and if a Ccrlihcate of Compliance indicating that the lank is less than 2(1 years old is available. M explain: _ Obseivatioo of sewage backup or bleak or or high shills wailer level in dic dismbution box due to broken or obstructed pipe(s)or due to a broken,seltled o Ineven disli ibutioa box. System will pass inspection if(wills approval Of fiQaN of'I lealth): bro n pipe(s) are replaced Sslructiou is removed --- distribution box is !eyeletj of replaced NIA explain: The syslem squired Pumping mote than 9 liotas a year slue to broken or obstructed pipe(s),The system will lass inspection Q with approval of the noarsl of Iiealllt):. _broken pipe(s)are replaced obstruction is re[uovesl ND explain: Page 3ofII 01 11('11AL INSI'I CI'ION jl40jtM - NOT V01t VOLUNTARY ASSESSMENTS SIJIiSUIiI�ACI? SCWAGIs DISPOSAL: SYSTEM INSPECTION i Oulvi l'A l2`1' A CI I2`I'II�17Cf�`I'IC)N (continued) Properly Address: 109 Emerson Way KkamAn1AA Owner: Bruce Lyons I)ale of Inspection. June 14,2007 C. I-urlher Evaluation is Rwiuired by the ltoard of lle'd1h: Conditions exist which re(lnire lurlher evaluation by 01 Board of llcahli in outer to determine if flit system is failing to protect public health,safely or tit cnyironntenl. 1. System will bass unless Board ttf Ilealll► tfcfcr n►incs in accordance wflh 310 CNIR 15.303(1)(0) Ihal the syslem is uul functioning In a rnminer ilhich ►yiH protect public heallh,safety and the eityiro►inent: Cesspool or privy is within 50 by of a surface water Cesspool or privy is within 50 by of a border ing vegclaled wetland or i► salt marsh 2. Syslen►will fail unless the lloard of Ilea"!, (and I'uhlfc Water Su ier, if aury) determines that the systeut is functioning in a nlannl:r that prMey" the put►tic heallh,s• My and environn►enl: _ •fhe systeon has if septic tank and soil absorption systci SAS) and the SAS is within 100 Ices of a suilace waltz supply.or Iribulary to a surface walci supp _ The system has a septic tank and SAS and th 'AS k within a "Lone I of a public water supply. __...__ The system has if septic lank and SAS ' nd the SAS is within 50 101 of a privalc water supply well. The system has a septic lank at 'AS and the SAS is !as than 100 feel but 50 feet or more from a private wafer supply well**. Mel d used lit deleimine distance _________ *`!'his systtrn passes if ll well water analysis,performed at a laboratory, for coliform hacleiis and volatile o anie conyonods indicates Thal the well is At lion)pollution from that facility and the ptesmye of ant onia nitrogen and nitrate nitrogen is total to or lass Wan 5 NnK provided that no other failure ctittria lriggcrcd. A copy of the analysts inlsl he alladwil to this forty►. 3. MO. 3 Page 4 of I I INSPEUVION FORM NU!" FOR VOLUNFARY ASSE.SSMEM's SUMSURFACV? SEAVAGE SYS'CEM INSPV'.C'1'10N VORM 109 Emerson My Nopetaly Address: 1ymmik5,14A Bruce Lyons 0Nviler: June 14,2007 Date of Inspection; 1). sysicill Vailill-C Cl iteria applicable to all systeills, You Lillis( ill(licalc"Yes" or"no" in each ofiliv following for 11ILinspeclifills: Yes No fl gpd SAS or cesspool ack-op of into facility or sysicto due in overloaded or CIO Discharge or flooding of effluentto Oil;sni-loco ofilm WunW or surface wow" dim 10 an overloaded of ch%gal SAS Of L"SPH)l Static kpod level in A disAhWivin box above molet invert due in an Overloaded or clogged SAS of cesspool Liquid depth in cesspool is less Own 6" bebw invert or available volume is less than V2 day low Requited ImmWing mitre Than 4 lines in Old last year NjjT Ant in clogged of obstructed pipc(s). Nuiriber (it'lifors Any portion of the SAS, cesspool of It is below high Wouirtl mmwr elevation. Any portion of cesspool or privy is widlij:1 100 fCV1 Ora surface water Supply of tributary to a surface wales Supply. At y portion it in ill'a cesspool of privy is within it zo I w I o f it I I kit)I ic \,V(;11- Any portion Ora cesspool or WRY is willim 50 lot of WivmC mmia supply well. __Z_ Any pill lion of it cesspool of privy is less Olan 100 luct bill greater than 50 feel front it Im Role Witter supply well With no acceptable Water duality analysis. (This sysle"I passes if The well water analysis, perfortmed at a IjKp certified jaharalpiry, 14V(Alphirm baclerha and mai-He orgaldc mnVnmWs indicates (Ilal (Ike well is free Ifairt prip"!1up front pral facility and "m pres"ce of ammonia 1101-ogen and nitrate nitrogen is no In or less Ilia" 5 ppn provided Illal po allier failure crAcria are triggered. A copy of Ote analysis lims! be allaciled in this fol-111.1 (Ycs/No)'lle syslem QW, 1 have detumnied Q one or snore of the above failure criteria exist as ticsclii)ctl in 3 10 ChM 15303, Oicrefore HW symm" faik:nm sysleno owner should Contact the Hoard of Health to(Irlemono whal will be necessary to collect the Iodine. To he corisiQmt4 a large system A sYsleili MY serve 11 faculty with 0 hogil POW of 10A00 gpd In I5M00 gpd. You 11111st indicate cithr-1 "yes"Or "no" to each oftlit; following: ('file following(;I iteria apply in large syments in why jml in we P61 is above) Yes no -- _-- lbe sysletu is within q00 feet of a surface tliiukil wafer supply the systvljj is within 200 feet Ora l6buhn-y it surface drinking water Supply like systern is located in it nillogtil se (tivc aria (Illwi-jol WcIllicail Protection Area--- I WPA)or it mapped Zone 11 of it public Water supply I If you bave answered-yes- to any quq, mil in Section E the qsan is coinitlered a significant throat, or answered Yes" in Section 1) above A bye , stem lias Why jjU OW"Of Of Operator of any large SYSwIn COOSI(Itled it significant threat uiulci ScClion I' I lulled antler Section h shall upgrade the sysletu in accordance with 310 CtvJR 15.30J.'I'lit sysiri-yi owner sit d contact ;he appropriate regia4ai office of the j)epaqfnqi( Page 5 of 1 1 01i' ICIAI., INSITCTIQN fe0jtM — N()'j' I'()IZ VC)I.JJN'I'ARY ASSLSSMEN'I'S SUBSUlZFACC-' SI=V AGt( 0IS4'UW-, S'YS`I VAI INS1'I?CY'I0N ii'6121V1 1'roperly Address: 109 Emerson Way �,MA Owner; Bruce Lyons !)ale of Inspeclioll; June 14,2007 Check if the following Dave been done. You mull indicate"yes"or"no"as to each of'the following: Yes No 1'wnping iulbnuatiou was provided by tilt owner, occnpant, of Board of'lleallh _ Were any of We system eninpuuents punlpcil oul in the picvious two weeks '? Ilas dlc system received no,inal flows in the previous two week period'? ✓ have large volumes of water been introduced to We system recently or as pail of(his inspection'? Weic as boil! plans of the sysltrrl oblaioed and rxajjnntd'? (If Iicy were not available ante as N/A) ✓ Was fie facility or dwelling inspected for signs of sewage back lip'? ✓ _ Was the site inspecled for signs ol'break out'.' Were all system conWoneuls, exchlIng the SAS, located an site '? __ tiller Were the septic lank panhnles uncovered, opened, and lilt interior of the tank inspected IN the condlllon of the baffles or lees, material ofconsiruclion, dimensions, depth Of liquid, depth of sludge and depth of scum'? _.,/_ _ Was the facility owner(ao(l oceupaols ifiliffeicnt hem owner) pmvWM with inlnnnalinn on A pmptr maintenance of subsurface sewage;disposal systems '? The size and localf o0 of the Soil Ahsorpik",System(SAS) on the silt has Been ilelernTlined based on: Yes no RxQlQg inlurm" on. For example, a plan al llle floard of Ilealli. pefarq�ined in the held Of airy of the fatlnre crlterta related to fart C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)j 5 Page 6 of 11 OVVICIAJ., INSPEC"I'U'M V01OVI — N()'J' 1,101t VOLIJNTY110( ASSVSSMENTS SUBSURVACF, SEWAG11" DISj'0SAj- SYS'I'ErVI INSPECTION FORM POTC SYSTPUY1 jNj OjZfY1A'11ON Property Address: 109 Emerson Way M"wAfi,MA Bruce Lyons June 14,2007 FIA)W C-6NIATIONS Nuoibcj-ol'brthoonis(design): _3 Nunlbei of betlitionis (actual): 3 141SIGN flow based oil 310 CMR 15.203 (I'or uxiijilplo; 110 gp(I x // of bedrooms): -33 Numbci ol'cimcnt i-csidclits: 0 Does I-c"Adencc bavc it giijbilgo giiiii-Ict-(yes Of Ito): M) Is laundry on it separate sewage Sysicin(yes or on). ?Ya jil'yes ticpalalo inspection 1equil-UtIl kilindly sy-Sicill inspecittl(yes of Ito): -Nl.,9 Seasonal lisc: (yes of Ito): AJO watel, li-ldcl,readings, ifilvallikb1c(Iasi 2 ycills tistigt Stool) IMIlol)(YCS of Ito): Al,q LiISI dilit;ofOCCUI)MICY: ,oti 0, 'Type Dcsigll flow(based on 310 CM it 15.20): .........glid Basis of ticsigo 11ow Grilst; hap piusclil (yes of no): 111(histi-iid waste holding lank- plosclil (ycs III Ito). SY, Non-saoilioy wade dischiii-gc(I it, 111cTitic 5 sys In(yes 0I M). Witter niciur Icadiligs, ifilvailablu: hist dale ofoccupallcy/tIsc: 0,11,11 ER (dcsclibc): -—------—-- >— --—_-I 1,1111111ing Records WaS Sy.SiCill I)IIIJII)Cti as part�f Ili ilISI)OUlioll(YtS of Ito): If yes, V1111111le ptollptd: I low was (liwiltity piloiptA t1cle'l-11611CLI? Reason fill-ploppilig: Septic pink-, disil-ibillion box, Sod absol-plioll SYS(VI-11 Single cesspool Overflow cesspool Privy Sharer)system Il(yes of no)(if yes, il I tac 11 pi c v iotis i I Ispect jol i I ecof ds, if ally) Innovative/Allepuilivc fechoology. Allach it Copy ot'lliq cuirent 0I)cliklioll Mid "lit intelliulce contact(it)be obw6wil fioni sysicin owiwi) ,I'igllt tank _Allach it copy of the DET ilipl),"vill Othei (desci ibc): Approxitwite age ol'all contpolleflis,dair, installed (if kIlowll)and Soill-ce of ildoll-nalion: wel-c sewagr,odors detected when arriving M (lit silt(yes of '(I): ./V6 6 Pubs 7 of I t OFTICIAf,, INSI'IECTION FORM - NOT rIOR VOLUNTARY ASSESSMr N1'S SUI;SUIWACE SrWAGIE 1)ISI'0$z1f, SYSTIEM INSVE'C ION DORM[ PART C SYSTCM1 INI?011 MA` 'JON (continued) Properly Address: 109 Emerson Way flyowis,MA Owner; Bruce Lyons Date pf Iospeeuo,t: June 14,2007 13I11L.D1NG SEWER(locate on site plan) Depth below grade: -- /9"r _ Materials of ew struclion: / cast An V/10 PVC ✓Purer(explain): Dblance fruit privale water supply well or suction line: — — — Coinntents(on condition of joints, venting, evidence of leakage, etc.): SEp17C TANK: —(locate on site plan) Depth below blade: - - Material of conslruclimc cmane _metal__—fiberglass ___polyclh cue udwr(explain)--- _ !flank is metal list age: _ Is age confirmed by a Cilificale C o uphancc(yes or nu): __(attach a copy of certificate) Dimensions: Sludge deplh: ---_—__-- Distance from lop of sludge In lutllom ofon(1Cflee or a111e: SCi1,11 thickness: _ Distance frun top of scurit to top of outlet ti e t ,al'i '. _ DiswMC from Mom of ScmU In bn((o,n of title( lee Or baffle: low were dirncnsions delerntincd: ----- Coouricn(s(on pumping ica:uouucnd .,ins, inlet and oullel Ice ur baffle condition, strnctmal integrity, liquid levels as related to uullel inwcrl, evideur of leakage, etc.): GIiLASI?fftAj'; —(locale on site plan) Depth below guile: __ Material of cpustrttCliort: cuuciele _metal_fiberglass __-pulyellty tie—other (explain): —_-- --- _ Dimensions: Seoul thickoms: ---- Distanee from lop of scum lt, lop of outlet tee or X C�islauce lium boUom of scuin to tnlwuiofpallet 1palc of last humping: — Comments(on pupipiug rccuntineitdalioos, We nth outlet lei or battle condition, slructurtl integrity, liquid levels as related to uullel invert, evidence of icaka ,etc.): 7 Page 8 of 011TICIAL INSPECTION DORM -- NOT jeoft 'VQM.CJNTARY ASScSSIVIENTS SUI3Sl112I_,'ACI� SJi WAC >talSl'OSAI.. SYSTEM INSPECTION FORM SYS`V'M 1NVORMAIJON (conlilllled) I'roperty Address: 109 Emerson Way UpsMs,MA Owner: Bruce Lyons 11late of Inspection: June 14,2007 '1'IGI1'I'or 1 j01.1)lNG'1'ANIC: (Iank must be poinpttl at tinge of inspec(ion)(locate on site plan) Depth below grade: Material of coustI tic tion: _—concrete__metal`__fibeigla polyethylene o[her(explain): D I i I1C IlS 1O11S--—---- --_--- ------- ------ --- -- Capacity: -- ------gallons Design flow: _-- _---gallons/day Alarm present(yes or no) _- — Alarm level:-- _ Alarm ill working c cr(yes or no): -- Dali of last pumping: -- Conlinents (condition of alarm and oat swilclles,ctc.): 1)IS'f12111I1'I'lON ROX: --(if present onus( be opened)(local li silt plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution lu will equal, any evidence ofsolids carryover, any evidence of Icakage into or oil of box,etc.). 1'IJNJI1 (AIAM1110t. (locate on site plan) Pumps in working order(yes or no): Alarms in working older(yes or no):— -- Conlrilellls(rlwiC C011dlllwll UI'[)Illllp C11i1111bC1, condition o toll's and appurtenances, etc.): 'i. Page 9 of 11 (W ICIAL INSI'ECTIQN 1�01try1 -- NOT 1�QR 'VOI.AINTA12Y ASSESSIV CNTS SUItSr RIi ACE SEWAGE 0181'()SAI SYS'l; V'M lINS111?CTIION VORM VA 11T C SYS`(TM >IN1�00 VlykT1QN (continued) Properly Addl-ess: 109 Emerson Way 1is,MA Owner: Bruce Lyons Date of Inspection: June 14,2007 SOIL. AlISOI ITION SYSTEM (SAS): ✓ (locate all site jitan,exl:ayaljon not required) II'SAS not locatcd explain why: "lypc leaching pits, nuinbei: l - S. S'X 4 ' L P, Sh -- leaching chanibeis, number: — leachiog galleries, nurnher: _ leaching Benches, number, length: -- leaching fields, nunibci, cliotensions: over flow cesspool, muuibei: 1 — -- -- ------- __ innovative/aileinalivc system `hype/uarne of technology: — — - Comniews(note coudiholl of soil, signs ot'llythaillic (aihiie, level pf podding, damp soil, condition of vegetalioo, et 1 � c�.): y� L — A,✓c� f cc� —f�- -1� -- V�.� .—SZK=h.= 'Jr? (.t. CL SSI'QOL.S: (cesspool nwst be pulnped as bait of inspeclion)(tocale on site plan) Number and coutiguiation: .Q!1 _Ltiis�•._5__L ��o-.:�-�-. De All-to)01'lie aid to iulcl iuvcrl: Ocplh I)ep1►1 of scrun layer: Dinkel uions of cesspool: _' S Materials ul'coustiuctiun: _. l�f�a•za1 � k—_—_._--.- Jlulicalion of groundwalef inflow(yes or no): All, Colniiients(rtol'e calitlitiou of soil,signs orhythaillic failure, level of ponding, condition o('vegetation,etc.): 4 u c, y r-C_ G,Yv✓1111 OV� 1. F (:hc. y� i3�J�t�y w.. C �►'vrc .S �Sy .o�� PRIVY: (locale on site plan) Maleiials of construction:---.---------_----- -- Diniensions: Depth o f solids: _—_-- Comments(note condition ol'soil,signs of hydrae :c failure, level of ponding, colidi(iou of vegetation, etc.): Page Ill of' I I Olell'ICIAL INSP TION VORIV1 - NO f' FOR VOL UN'f'ARY ASSI?SSNIE I'S SLJIISljRlliACL S f wA(l DISf(W, SYsI'I'M INSPECTION FORM I'Ali`f' C . SYSITIVI INI,nIZIVIA`f'ION (coniimwd) 109 Emerson Way Property Address: 140awig,MA Bruce Lyons Owner: June 14,2007 Dale of Inspection: SICL I'C'll 01h SEWAGE' DIS110SAI,SYS'I OVI Provide a sketch of the sewage disposal system iachlding lies to al least two perni.ancnt reference landmarks of benchmarks. Locale all wells within 100 feel. L.oc;ltp where public wider supply eoli:rs the building. w v1-..✓l,ti� I t I � O _ s)t P � C � 40 E �sl Page I t of l 1 OFFICIAL. INSPECTION FORM - NOT FOR VOI.UNTAR'Y ASSESSMENTS SUIISURII,AC� Sl?WA(yI- DISPOSAL SYSTEM INSPECTION FORM SYSTEOVI INFOOMATION (continued) PropL1.ly Address: 109 Emerson Way 1- MA Owner: Bruce Lyons Dale of luspr:ctiou: June 14,2007 SITE EXAM Slope Surface wales Check cellar Shallow wells I'slinkaled dcplh (u ground water 33-Y Iccl Adiuslcd Iiigl ground Willer elevation 31.k'feet Please indicale(cheek) all methods used to dc(ernkine like high ground Willer elevaliou: Oblained bout syslcoi design plans on record - Il clkccicett, dale o design plan reviewed: Observed silt(abulliug properly/observa(iou hole widiili ISO tcel ofSAS) Checked Willi local lloarrl of l lealdi-explain: Clicked will local excavalrirs, inslallers- (allach docuilicnlaliou) Accessed USGS database-explain:. .; Z z o..�/ p 7,o G,-A- You must``dcscribe how you eslablishcd (lie High groluul twaier elevaliou: 11�_G 5— LZ�rz� �. . _..f ti.� -``'r^Jv5--�.� ....�• �.�r,.L • } ='r �` `i 'X --33. V, r�e',.-t1.---��•--��j� s_�.--_� �,%.S � _.._ _• a�A........�-�_.l,t-✓_ti!__.��'_3L._�`�-___��-ice�!`_'---- l ✓e c�.u� �.s✓c�.<.. -- ----r� -------- - - �,----- ✓ J D ' L/ I 2-1- 2 This report has been prepared and the system Inspected as of(tie date of inspection. ThIs report is not a warranty or guarantee that the system will function properly In the future. There have been no warranties or guarantees, either expressed, written or Impaled, relating to the system, the Inspection and/or this report. II GT � TOWN OF BARNSTABLE LOCATION SEWAGE # VS� VILLAGE . ���j���„��� ASSESSOR'S MAP & LOT r � INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) j� (size) 41 f NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BZ&MM-OR OWNER DATE PERMIT ISSUED: " DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i 0 I 30.00 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Uiiposa1 Workii Tonitrnrtion jhrmit Application is hereby made for a Permit to Construct ( ) or RepaiRX) an Individual Sewage Disposal System at: 109 Emerson Way Centerville .. __ ___............. -- - - ••------------------------•---._..._...._. Bruce LyonLocation-Address or Lot No. •----...... -- -- ... ............................................... ..........__._..---------------•-------._.....L -....-.......................................... O net Address W J.P.Macomber fir. -----•--- .... ........ Install er Address QType of Buildil f Size Lot............................Sq. feet Dwelling—No. of Bedrooms______________3_._________________________Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria 04 Other fixtures --------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................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........................ -------------------------------------•-•-------------------•-----•------------------._...•-----••---......................................................... 0 Description of Soil................................. x Sand & •G'ra I ve v .-------------------------------•---•--••------------•----------------------------- -----------------------------------------------•-----------------------------------.._...-••-•-•...---------•------ W -------------------------------------------------•---------------------------------------------------------------•-------------------------------------------------•--------------------._...--••------- V Nature of Repairs or�Al erations—Answer when applicabl _2000 gallon Teacfiirig pit. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n is ed by the bo d of ealth. 6 Signed ---- - -- ---- - -�--- - a- - - --�------- ------- ------------�- -[3l -- ------- ApplicationApproved By ------ ----- -- ----------- -- ----- -- --- ---- ----- - -- ..................................... ---- ... - Application Disapproved for the following reasons- -------------------------------------------------------------------------------------------------------------- ------ - -------------------------------- Da[e Permit No. -- ------------------ �.. Issued (/� Da t Ar,� G� NO....! -- ..... t ,� fit✓ Fss.. ... J._2 .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App iratiou for Disposal Works Tlaustrurtiou Errant Application is hereby made for a Permit to Construct ( ) or RepairX(X) an Individual Sewage Disposal System at: 109 Emerson Way Centerville Bruce Lyon Location-Address or Lot No. o ner Address W J.P.Macomber fir. Installer Address Type of Buildin`� Size Lot............................Sq. feet Dwelling—No. of Bedrooms______________ ___________________________Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) al Other fixtures --------------••- ......---• - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed bY.......................................................................... Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4 W Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ tsx- - -••---------------------------------------------------------------------------------------------------------------••••--------------------------------------- x Description of Soil................................. S&Y1C! GY'8V2 --------=-----------------------•-------....----------------••---------------------•-----------•- -----------•------------------------------------------------•--------------------------........_....------------------------------------------------•-••------------....------..._.._..--•.....••-_•---- U Nature of Repairs or/Alterations—Answer when applicab e__--__---___•-___--_•---------------- --•--.------------------------------ -------- -............. -•../••--p( ---------------•--------•-----•-•--•- �-1000 gal�.on .leaching.pit...................... '� Agreement: a The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n ifsss ed by the board of health. Signed •�/. ' �' /" !! ° ........-'---'... '------'-� '3/.q .'-- .. Gr ...,...• to� ----- Application Approved B _� ...... .........................."'----- Application Disapproved for the following reasons: ..................................................................................-...................................--------------- ................................. .........----...:............---.. .- ..................................... .....ate.. --- Permit No. l j . �✓................... Issued . 'Date I j THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#tftettte of Graptianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or RepairedX(XXX) by ..J..R2!Macomb-e r--J.r............--"-----'---'-................................................. ------------'---'-....---...-------'-----------------------------------------' ..............------ Installer at .-109....Emerson Way Centerville...-....... has been installed in accordance with the provisions of TITLE 5 ff�he State Environmental Codes describe, in the application for Disposal Works Construction Permit No. ..... .... dated ..� - ��... --.--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED-AS A '�GUARANTEE�TH/ATfTHE SYSTEM WILLNCTION SATISF) -'0' . ���% /`` DATE----------- ...... '. ..................'-'--------... Inspector ...... ---..-...................................U------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � j�� TOWN OF BARNSTABLE .. 3�•00 No.... FEE.. .. . . Disposal Works Tonstrttrtiort "Prrutit Permission is hereby granted ---.•--. J.P.Mac omb-e r Jr. ....................................•--•------.............••....... ------------- to Construct ( ) or Repair` KX) an Individual Sewage Disposal System at No.....199..Emerson We.y Centerville .. ---- �_�. I Street - Y-��� „� /�i /............. .....�._'?_--._- U_"C -••- ------ of I•I`ealth� DATE........ _..... Board FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS BENCHMARK 20 FT. MINIMUM FROM CELLAR OR Cit. rv*L SPACE _ SOIL ~�i! TOP OF FOUNDATION �� � I ELEV. = 100.0 \— 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB _ CLEAN SAND DATE: tF SAL Trcl r `i't� �* 0 �_��1 SOIL TES] DONE b'i � _ (ASSUMED) CONCRETE WITNESSED BY � k ` COVERS LOAM AND SEED I _ 4" SCHEDULL 40 P,C NII✓r� OBSERVATION HOLE 1 LLEV,-22-f_,r MIN. Pi1Ct1 t,ti" PEk F (. 2" LA)ER OF It 1/8" TO 1 /2" PERCOLATION RAZE _<_� Pt"IN./INCH AT , INCHES -t WASH►J STONE 4" CAST IRON PIPE VENT DEPTH HORIZ TEXTURE COLOR MOTT. OTHER REQUIRED " Q" �-- (OR EQUAL) MINIMUM _ �� r _ •a_ �� r . �r - - PITCH 1 4" PER FT. Z - - ------ ---__-- .__ _. .-_-- --------__-- _ Sw- FLOW LINE -- -- -• - _ _ _ q4,G 10 -�-i o sa - --_-- ELEV. _ MIN. a I ELEV. - __I s z 0 r = o - _ OLD, �' LEVEL ° ' R, j ELEV. _ ______ GAS ELEV. = yi4 o" SUMP ELEV. _gyp, 4 �n EL v. _ 3 NO WATER ENCOUNTERED nT ltid, _ ELEV. BAFFLE DIJYR1B0T!0;! ELEV. , 7 LIQUID OUTLET BOX qo, z y l OBSERVATION HOLE 2 ELEV.= -___ NICK CAPACITY 10 TRA TORS NY IN S 7CNE� z --" DEPTH �-- (To BE PLACED ON FIRM BASE) �---� PERCOLATION RATE _ <_5 _ MIN. /INCH AT _ INCHES 4 FEET 14 INCHES TO BE WATER TESTED - FORMA — — -_- ( SFEET 19 INCHES lr IF MORE THAN ultE OUTLET �N AN_ _� �'� X_= TRENCH r.7N 6 FEET 24 INCHES _ 00 GALLON �, / DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 7 FEET 29 INCHES (TO BE PLACED OII FIt(M BASE) SOIL ABSORPTION WELL �/ , 8 FEET 34 INCHES SEPTIC TANK ZONE �-. l,t_ 3/4" TO 1 1 �2" CLEAIJ '' INDEX 1 - 1 ' — SYSTEM (SASI ��_ _� _ _- DOUBLE WHSiiED STONE (SAS) ADJUST � _ , �. FREE Or FIRES SILT 4 �ar,.._ imimz4AL.�1A '�__.___ 7 1� ._. USGS PROBABLE WATER TABLE ELEV. _ SEWAGE DISPOSAL SYS I-EM PROFILE OBSERVED WATER TABLE ( / / ELEV. = oNOT To SCALL BOTTOM OF TEST HOLE ELEV. = NO WATER ENCOUNTERED AT _' ELEV. I I ' CIO r I LOT 48 i y� F'1A94i 10,000.0 t S.F. . DESIGN CALCULATIONS NOTES: NUMBER OF BEDROOMS „_ 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D E.P. TITLE 5 GARBAGE DISPOSAL UNIT AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL TOTAL ESTIMATED FLOW _ OF SEWAGE. I ( 110 GAL/9R./DAY X - BR.) __ GAL./DAY 2. ALL COVERS TO SANITARY UNITS Sr AL-L BE BROUGHT Tv WITHIN 6" Of cp REQUIRED SEPTIC TANK CAPACITY ! GAL. FINISHED GRADE. l ACTUAL SIZE OF SEPTIC TANK _` f�2QGAL. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL bE LA.PABLE OF I SOIL CLASSIFICATION I WITHSTANDING H-10 LOADING; uNLESS THEY ARE UNDER OR WiTtiiN DESIGN PERCOLATION RATE <_ 5 _ MIN./IN. 10 FT, OF DRIVES Ok PARKIN% AREAS- H-20 LOADING SHALL HE I EFFLUENT LOADING RATE - GAL./DAY/S F USED UNDER OR WITHIN 13 FT Jr DRIVES OR PARKING AREAS 99.1 LEACHING AREA ' SQ. FT. 4. ANY MASONRY UNITS USLD TC dk,NG C04RS TO GRADE SHALL L4r --20.9" — --- -1-- - �1 8 � MORTARED IN PLACE. u6`J (9b)� I LEACHING CAPACITY (AREA X RATE) !aD•gGAL./DAY 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANT t. WITH DEEDED f 9b 9 u`4. ? x r r y OR ZONING REGULATIONS. OWNE:P. / APPLICANT IS TO Ob TAIN SUCH I � W -- W RESERVE LEACHING CAPACITY )JotiS► GAL./DAY DETERWNAT10N FROM APPROPR+ATE AUTHORITY. 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOt+ IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS \� PRIOR TO COMMENCING WORK ON SITE. OF 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL Ay o N 97 i SITE CONDITIONS PRIOR TG COMMENCING WORK ON SITE, ANY Q VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ------- / r T. t ENGINEER IMMEDIATELY. PARCEL IS IN FLOOD ZONE DWELLING �`• ;. `, 49 LOT IS SHOWN ON ASSE;]ORS MAP _�Q AS PARCEL _iQ __.L LEGEND: �,; ,• �.2 MITA ` EXISTING SPOT ELEVATION xO.0 / EXISTING CONTOUR - --OO---- O o (� ,1� / FINAL SPOT ELEVATION 0 p L�i��; `�I}{ /� j FINAL CONTOUR 1P SOIL TEST LOCATIOO ��' '� /t�`. / UTILITY POLE c7D_j TOWN WATER -W W�-- APPROVED. BOARD OF HEALTH w b �9• CATCH BASIN 9�6 ----- —I y� - -- GAS LINE 0 G [�� I COVERED / I / CESSPOOL low �I 98 III &REi_ZrbA)' fl / CLEANOUT Y_ C.O. / I DATE AGEN T b.3 I BARNSTABLB', AUS�IS. - 9 / g (CEN7EeIdLLE) PROPOSED SEPTIC DESIGN FOR GARAGE S`I'E ZTE LYO N -- l4) 2$ �p o�� PR01: 109 EMERSON 97.6 ;•2 / - ' p�� `�'� Q BARNSTABLE, MASS. G �6� / ; 0�0 (CENTERVILLE) 4 ' TADCO ENVIRONMENTAL CONSULTANTS 26 COMPASS LANE, DENNIS, MA 02638 �5 Alter LOCO - S 08) 385-2425 � ' DATE 7 - SCALE 1 �� _ 1 Ol 4) L! l REVISED NO. a LOCATION MAP REVISED 1 [SHEET 1 OF 1� I C: I So- I PROF 1 6556_-O:I I Jwg 16-55t.-sas.DWG 0 2007 T,4.9C0