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HomeMy WebLinkAbout0216 GLENEAGLE DRIVE - Health 216 Gleneagle Drive Centerville F/R A = 191 153 UPC 12543 a No. 3L0_R � WASTINGS. MN No. Fee ;�`� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yeses PUBLIC HEALTH DIVISION,, TOWN OF BARNSTABLE, MASSACHUSETTS r1 1, 4pliLation for Disposal *pstrm Construction Permit r� r Application for a Permit to Construct( ) Repair()d Upgrade( ) Abandon( ) ❑Complete System [e Individual Components Location Address or Lot No.o?/(Q Om em Owner's N e,Address,and Tel.No. Assessor's Map/Parcel 42/I53 �r1'� G� rsr�1 St jGaarnsl ' Installer's Name,Address,and Tel.No.S'4f*-'29 -93 Designer's Name Address,and Tel.No. .5�r' 4�r$o(o i C'ca;�s+�vc>;t'a✓�,Z»� qSZ-.4wsfvy/V, aw433 0" i. eeri, . LrA-- 93 1ga&,1 SF r 1 i4 0 Oa:�.'9 Type of Building: Dwelling No.of Bedrooms Lot Size l 5103 -- sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) J,?® gpd Design flow provided 3149 gpd Plan Date 3t,vna..t S.aoi 9 Number of sheets f Revision Date Title 'i;i-lc o �f # 1� G-/eilA- ��� �f', ����R�er�i.%��. Size of Septic Tank / 15 an Type of S.A.S.a -�tt2�)fu?%g )eaA 0_iw4 i45 IR'nox ass Description of Soil &4 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainten of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental �ed-�eawjpt to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date Application Approved by NJ Date Application Disapproved by Date for the following reasons Permit No. Date Issued ------------------------------------------------------------------------------ -- - ---� No. el+us Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t A, Yes PUBLIC HEALTH DIVISION - TPOWN'.OF BARNSTABLE; MASSACHUSETTS 2pplication for 13sposaV,*psteut Construction Permit Application for a Permit to Construct( ) Repair W_Upgrade( ) Abandon( ) ❑Complete System ®Individual Compond to s Location Address or Lot No.o?�(p G'-I�►7 I2 })�� Owner's Name,Address,and Tel.No. &/7-$905' - S/'�7/ Assessor'sMap/Parcel fi,2 JS'3 �PX1�E JA..S ,corn '?U ur5(e,s f -&Ij a Installer's Name,Address,and Tel.No.AZ*.12,9 93:F9 Designer's Name,Address,and Tel.No. 3(�� - -15V1 4�r�(otti Cv istycx{�'�,1nc ysIr�du,3lvyl�c? ; ii.�c�Y,i , Lrr 939 ���rC.r7Sf ­r Type of Building: - Dwelling No.of Bedrooms -.J Lot Size 151031 + sq.ft. Garbage Grinder( ) - Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) .3.q© gpd Design flow provided 30 0 gpd Plan Date 9 Number of sheets i Revision Date Title'[, }-I�c ti,�;o.i.� �(„,-, �•,�'�-dV G fr/Pit��c,IF i�:-�, f�,�'»1 F k�;,l:'s� �•t�9i�- {,. Size of Septic Tank I Sh/� D A � -j C c' Type of S.A.S.a (1t 6605f, leeef C iy. ",.. 1a,1310A 252 Description of Soil �S s J-, e { t V /C)c:s Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: f 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 C- e dynot to place the system inop ation unt&a'-Certificate o�f Compliance has been issued by this Board of Health. Signed Date J / Application Approved by Date a. Application Disapproved by Date for the following reasons Permit No. 100 O- Date Issued �--4 ------------------------------------------------------------'-------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(f Upgraded( ) Abandoned( )by Ab,r r, 1 r,+.�A �,r,�� .r'i tc' at��// )7 / �� �� (p,.��� (( has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. -a3 dated Installer �W441201'f-fCc4 Designer 1 X �l #bedrooms _3 Approved design flow gpd The issuance of t is p rmit shall not be construed as a guarantee that the system will ction a lsj ed. Date Inspector i V k-��J ee;>, -------------------------- ------------------------ - - ------------------------ ------------------------------------------------------- �2 No. .2a/9- 0 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal �&pstem Construction permit Permission is hereby granted to Construct( ) Repair( ,1� Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. - Provided:Construction njust be com leted within three years of the date of this permilt. Date Approved by JUL-10-2019 21:47 From: To:15087906304 Pase:1,'1 i9- �6y Town of Barnstable Regulatory Services Thomas F.Geller,Director MA W l ,aea Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 505-862.4644 Pax: 508-790.6304 Installer&'DesiLmer Certification Form �2 Date: Sewage perlmit# .)►0l9—a 3/q Assessor's Map\Parcel /53 Designer: 0 W A t 1 W4v1 Installer: Address: 93,9 Mot l Address: a,,Mo ®,It M; llf On 2y1ao19 IJor�ol��(4 was issued a permit to install a (date) (installer) septic system at Z-16 1� ✓' based on a design drawn by (ad ss a vile D ,,J d"E P1.S dated V.PU-. 3 f • de finer) - 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. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built b designer to follow. A OF DANIELA. r� OJAIA (Installer's Signature) CIVIL Cn No.46502 a (' J SS�ONAL EN v (Designer's ignatnre) I (Affix Designer's Stamp Here) PLEA F RFTURN TO BARNSTABLE PUBLIC HRALTA DIVISION. CERTIFICATE OF COMPLIANCE WILLt N T BL ISSUED UNTIL BOTH TAUS FORM AM AS-BUILT CARD ARE RECEIVED BY T BARNSTABLE PUBLIC HEALTH DIVISION. XHANIC YOU. Q;HcaltWScplic/DcsiSner CetifrcaUon Form 3-26•04.doe �r rtx:: Ivin r Bortolotti Construction Inc INVOICE PO Box 704 Marstons Mills MA 02648--070 Invoice No: 1721 (508) 428-8926 , Date:5/9/2019 Due Date:5/9/2019 Job No:G-PUMP SEPTIC PUMP Bill To: CAPE HERITAGE REHAB 37 ROUTE 6A SANDWICH MA 02563 Comment PUMPED 4000GALS FROM SEPTIC AT 37 RT 6A, SANDWICH 5/9/19 Quantity Description Unit Price Extended Price 4,000.00 PUMP SEPTIC 0.20 800.00 Subtotal 800.00 Thank You For Your Business! Sales Tax 0.00 Terms:UPON RECEIPT Amount Now Due 800.00 Commonwealth of Massachusetts r v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 216 Gleneagle Drive `—��U-7j Property Address _ Todd Nash c� Owner Owner's Name information is required for Centerville MA 02632 January12, 2008 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your David D. Coughanowr cursor-do not Name of Inspector use the return key. Eco-Tech Environmental Company Name �e 43 Triangle Circle Company Address Sandwich MA 02563 City/Town State Zip Code 508 364-0894 1328 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority January 12, 2008 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or,gjpater,the inspector and the system owner shall submit the report to the appropriate r t l of ct,ofifhe DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the-approving authority. ****This report only describgs;condition at the time of inspection and under the conditions of use at that time.This inspection AW s notNAMLess how the system will perform in the future under the same or differentGogl)1.M;•tions of use. t5-2848.doc•08/06 t'. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January12 2008 every page. City/Town 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: Inspector's Note==> A septic system is deemed to pass this Real Estate Transfer Inspection if it does not trigger any of the failure criteria listed below. The septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. 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. Answer yes, no or not determined (Y, N, ND) in the ❑ 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. ND Explain: ❑ 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 ❑ obstruction is removed t5-2848.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts W.. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January 12, 2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 ❑ obstruction is removed ND Explain: 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 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. t5-2848.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January 12, 2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑ ® 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. t5-2848.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January 12, 2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5-2848.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15 P 9 P Y 9 Commonwealth of Massachusetts u W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January 12, 2008 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5-2848.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January12 2008 every page. City/Town State Zip Code Date of Inspection 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 gpd Number of current residents: 5 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 341 gpd 9 ( Y 9 (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: currentDate Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): t5-2848.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January12, 2008 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Owner 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/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: Age: 4+years. Certificate of Compliance issued 319103(Board of Health permit#2003-621) Were sewage odors detected when arriving at the site? ❑ Yes ® No t5-2848.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is Centerville MA 02632 January 12 2008 required for rY every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 3feet 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.): No evidence of leakage or backup into dwelling was observed. Septic Tank (locate on site plan): Depth below grade: 0.5feet 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: 10.5 ft x 5 ft x 5 ft(1500 gallon) Sludge depth: 6 in Distance from top of sludge to bottom of outlet tee or baffle 28 in Scum thickness 2 in Distance from top of scum to top of outlet tee or baffle 9 in Distance from bottom of scum to bottom of outlet tee or baffle 13 in How were dimensions determined? Documentation from town offices t5-2848.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 p Commonwealth of Massachusetts x W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �^M 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January 12, 2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping not required at this time but maintenance pumping is recommended within and every two years. Tank and tees appear structurally sound and functioning as intended. No evidence of leakage in or out was observed. 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 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 El polyethylene ❑ other(explain): t5-2848.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January 12, 2008 every page. City/Town State Zip Code Date of Inspection 1 D. System Information (cont.) Tight or Holding Tank (cont.) 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 Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert At outlet invert 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 appears structurally sound with no evidence of leakage in or out. Some solids in sump. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5-2848.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January12 2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ® leaching galleries number: 1 ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Soils above leaching gallery appeared unsaturated. No evidence of surface ponding, breakout, lush vegetation, or other evidence of hydraulic failure was observed. A bucket of water was poured into the distribution box and was observed to pass through in a rapid and unobstructed manner, and could be heard splashing down into the leaching gallery. t5-2848.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January12, 2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 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.): t5-2848.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January 12, 2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. LOCATIONS A B LEACHING 1 24 f t- 37 FE GALLERY 2 26.5 F E 29.5 f E. 2F.--�, 3 33 Ft 20 f E 3 D-BOXO SEPTIC TANK B n EXISTING DWELLING # 216 W Z J w W r 3I GLENEAGLE DRIVE NOT TO SCALE t5-2848.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 216 Gleneagle Drive Property Address Todd Nash Owner Owner's Name information is required for Centerville MA 02632 January12 2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to ground water: 30+feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: 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: Barnstable GIS Department records You must describe how you established the high ground water elevation: Town of Barnstable GIS Department records indicate that the property is over 30 feet above groundwater table. t5-2848.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 i • Town of Barnstable OF 1HE 1pk ti Regulatory Services y� o*STABLE, Thomas F. Geiler,Director BARN �$ �9. ��� Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. rY' YJ Nil Fee L THE COMMONWEALTH OF MASSACHUSETTS � Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACh�ISETTS Zipprication for Migogal *potem Con!Aruction Permit Application for a Permit to Construct( . )Repair Upgrade( )Abandon( ) ❑Complete System 0 Individual Components Location Address or Lot No. Owner' me,Address and Tel.No. ?!6 GL e e A-S 1 P_ �D�Q s Name, Assessor's Map/Parcel C�"eA v t LIE— l o 6 z ,Z— —Z16 G 4_l e 1c._ d t:t✓�tJt e Installer's Name,Address,and Tel.No. '/ Designer's Name,Address and Tel.No. ICt�-.seta 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 // O gallons per day. Calculated daily flow 33 a gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil P4„i Nature of Repairs or Alterations(Answer when applicable) AP-t 6uA, "t;4/_g /ocn 6s j Date last inspected: r (( ) Agreement: T I)l �y��L� f The undersigned agrees to ensure the construction and maintenance of the afore des nb d 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. `' — o Sig nPorthe Date Application Approved by 0 Date Application Disapprovedollowing real n Permit No. Date Issued V. Fees4Q F" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: •,;` •,,, Yes °tPUBLIC HEALTH DIVISION--TOWN OF BARNSTABLE., MASSACH'USETTS. - ZIpprication for Migooar *p5tem Construction Permit Application for a Permit to Construct( . )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. W 4� GLf ije4, 1(_,. 61� /A - --r AC ssessor's Map/parcel•��C�Jrc-/,vI t 2✓G c�.��:--�<;ice. 64 c`, ,Trt v3,'/l Installer's Name,Address,and Tel.No. C 1) if yL Designer's Name,Address and Tel.No. 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 a Design Flow // 0 gallons per day. Calculated daily flow -33 a gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil D v w Q 4�o Nature of Repairs or Alterations(Answer when applicable) (6,.,t-t ou&. �x r jr..,b, ev /czr)_-s7- 1- r 1. QQ 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 j Date /?- - Application Approved by Date Ar Application Disapproved,for the following reasins/ r v Permit No. 2 ( Date Issued t ----- ---------------------V—----------- _� THE COMMONWEALTH OF MASSACHUSETTS 01 3 �u4 BARNSTABLE, MASSACHUSETTS Cerg ftcate of (.11rompliance, THIS IS TO CERTIFY, tc_ the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(KAbandoned( )by 1�►rssl.,) at 9-14 r_7 L._, Ah-,,14 Q_.,-r�tk j;11G has been constructed in accordance with the provisions of Title 5 and tote for Disposal System Construction Permit No. U� dated ! -2 3 Installer Designer j The issuance of this permit shall not be construed as a guarantee that the system will function as design ed. / Date s � 1 Inspector �� � No. �_-- --------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS h}4 PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 10i!6po5a1 *p�tem Con0truction Permit GPermission is hereby granted to Construct( )Repair( )Upgrade Abandon( ) System located at 2../C and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction mu t be completed within three years of the date of this .rn it. Date: Aroved b• 1iPP Y r I • TOWN OF BARN-STABLE L LOCATION G le-W&,i�a D 2;✓e SEWAGE # VILLAGE :�9�e l L A ASSESSOR'S MAP & LOT I S INSTALLER'S NAME&PHONE IVO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 44&,. (size) 3n'x j r*.w 2' NO.OF BEDROOMS BUILDER OR OWNER ® us,ift YV i5s 14 PERI TTDATE: /Z.— i 7— 03. COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 '�Z rh ���'?YPFI� CT—,i *Lid x e_ 0 �L�Ne.A�L� Qv'i✓� TOWN OF BARNSTABLE LOCATION, SEWAGE # I7 �-- IY 3 VILLAGE 4r�Y u i I I lc:::� ASSESSOR'S MAP & LOT i INSTALLER'S NAME&PHONE NO. IM�I —�lre�( Se D SEPTIC TANK CAPACITY LEACHING FACILITY: (type) v (size) NO.OF BEDROOMS BUILDER OR OWNER ►S PERMITDATE' 2 ! — _.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 I 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 i ii" II y el� ) rdd map- 11 -98 04: 13P . P P. 0 1`y�a e3 . I LOT 35 r ' ,� f .•?, p�--- Y. \ a 04 O Via\ '�, a'-_G}•� ._- LOT 36 (' b B�B2o � L07' f7 A RL:F ZONT RC" TOWN! ` This ?VIpRTGaGE INSPECTION plan is Fo, ��' FLOOD 1)1 ''I) 1�1;F. �.'7G:. IJI; - - _ Rrc(sTRY octiv A 1 ZONE '�•. :) I'F;. �� J�,,��� 13E!1'(.';F� TODP. ER: ;fftaf?Lt"_r 1'!��'c A' TO Ur." ('(.,:1 ( j;;�.'; ' D - -"-- .. SHOfti C (C=SDK_. h';Oj�_ ;%�I�1: , _: 1 ',:�r,�`Cl1AU:L4,-Y _.' `C ALE: N' ON THIS PLAN IS - -THA7' THE BUILDING'LOCATED ON THE GROUND AS .�'�. } :1VI�rE `�r��\•'( ISHOWN AND THAT ITS POSITION DOES TO THE ZON!N(; LAti�� SETBACK REQUlRE�tENTS OF THE `' ' . CONSULTANTS fit. CON OR�1 F IT I/?_1:5'T, DLF ;.,, 40B (Slllq' ' I) I.IF: ��I'I'fl�� '1'IfF: .�I'F:C1:11. ' .-AKD THAT ;; ; A A�' �;►Of'\ O\ 'I'1iE: If I:.I) 11: t)0U HAZARD INDUSTRY ROAD `�.I j DATED f1._.(s9< �f1-- AfAftSTONS Ml1.LS. AfA. UaG•!� 1'. C . TEL 128-0055 C'i' T'D BE USED F rEvcc�' ETC. J869 ��rl� ^ �'g No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for r3toogar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.:216- G��v�NC�tq�`2 V0� Owner's Name,Address and Tel.No. Assessor's Map/Parcel f q ['53 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 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 �3_2 O gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 1AICAncf, Description of Soil I&& cv b� Nature of Repairs or Alterations(Answer when applicable) K_fG'-_S7 acl taw cm e co LLA \-ksg*icuL_o ow SL-P-e 1 r I Y,,uct(%,-Aa0t1 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 o nviro a and n o place the system in operation until a Certifi- cate of Compliance has sued by this Bo o alth. ^���� Signed G. Date Application Approved by a Date Application Disapproved for the following reasons Permit No. — Date Issued TOWN OF BARNSTABLE LOCATION . (��n. c SEWAGE # )9�L- IY3 VILLAGE �'�l �y�l i� �o ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. V\A D — C—kPe-Se SEPTIC TANK CAPACITY 9—F i S.y f re -i LEACHING FACILITY: (type) v Gsc T %ti_, (size) NO.OF BEDROOMS BUILDER OR OWNER JJ.► l ICIS L-t PERMTTDATE: �Z _COMPLIANCE DATE: jSeparation 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 1717 No. "' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 2pprication for Mi_4pooar 6potem Cott5truction Permit Application for a Permit to Construct( )Repair( )nUpgrade(,Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.:)j Ja Owner's Name,Address and Tel.No. Gcr���-vu 1�2 Assessor's Map/Parcel �Q�I s`.J ;] a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Vv\\ q-Q. r. Q 1U fi 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 gallons per day. Calculated daily flow gallons. Plan Date: Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. t i L �Ca►'l� Description of Soil 0 S b'l CAP 1 Nature of Repairs or Alterations(Answer when applicable) O� S �� 1lSLcv Q' �U ��E' r` 1/U1U� LLA AkSya0�ti5iGP �� yi��r(1 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 o nviro de-and n to place the system in-operation until a Certifi- cate of Compliance has ssued by this Bo t o a@ lth. } Signed �\ Date'(-F'-9,F Application Approved by Date 2- k_,P Application Disapproved for the following reasons 1. it Permit No. 7 - .�r� 7 Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( Abandoned( )by k'� at Z2 C ^:T1FrNW0 has been constructed in accordance with the provisions of Title 5 and the for Disposal ystem Construction Permit No. - ,--dated Installer or 11 R,0, Designer The issuance of this permit shall not be construed as a guarantee that the system 11 function as designed. t Date Inspector No. FeeC� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Miopooar 6pztem Construction Permit Permission is hereby granted to Construct( )Re} Upgrade Abandon( ) System located at �f and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: - - Approved by I : 0 i 10/9/97 NOTICE: This Form Is To Be Used For the Repair Of..Failed Septic Systems Only: CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) lqz hereby certify that the application for disposal works construction permit signed by me dated ��l � , concerning the property located at 1y`� ��`�� Ct::P�k meets all of the foil wing criteria: • There are no wetlands located within 100 feet of the proposed leaching facilityThere are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed vl/There are no variances requested or needed. • f the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will=be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) B)Observed Groundwater Table Elevation(according to Health Division well map}�__�J l J SIGNED : DATE: `7 LICENSED SEPT SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert -. J ��v�\ •� •. s .� v i ........... No..1<... • -------- ---...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Uiipuuttl Worko Tutu rn.rtiun 1hrutit Application is hereby made for a Permit to Construct ( ) o ep p�1) an Individual Sewage Disposal System at: -- Loc tion-Address q y� Lot No. Ow r ddress M Installer Address U Type of Building Size LotS�d�JOlJ.�Sq. feet Dwelling—No. of Bedrooms............. ----Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building --��....._..... No. of persons............................ Showers — Cafeteria a yP g ------------ P ( ) ( ) Ga 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-__--mod__---__ Depth below inlet-----4�.......... Total leaching area..................sq. ft. Z Other Distribution box f>e—) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------------- •---------------•-•-•-•------•......•--••---............................. -- O Description of Soil �. � .� •�,L�S'D/ C ----- --``" . V .._..•-•------••----•••---•----••-•----••-•--------•--------•---•••••••••-••-••••••-------••••••••-••----••••••-••-•.............•-••-......•••-- W UNature of Repairs or/Alterations—Answer wen applicable---.��e_ ._c v� ---e,.-- --fir r`/� �.�CE-------------------- 61J,r..............................................•-----------------------------------....... 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 Certificat of Compliance be n issued b th and of health. Signed------- --- ......................... Application Approved By ...................------ --------------------------- ------------------------- e /z �,/----- Application Disapproved for the following reasons: ... .........................................................-----------------------------------------------e------------------ --------------------------------------------------- • -- -----.......------.---------------------- ---- ............................................................ ...................................... PermitNo. ... ............. Issued ---------------------------- ------- ---- -------------------- , �j No............. ........................... THE COMMONWEALTH OF MASSACHUSETTS - ' BOARD OF HEALTH ,F TOWN OF BARNSTABLE ppliratiou for Disposal Works Tonotrnr#iun r.ermi# r w Application is hereby made for a Permit to Construct ( ) or Repai (�<) an Individual Sewage Disposal System at:l l e'' D UGC 64— --•--- - - -...._...- ----•. .......... ...... ..... .. ......................................... option-,Address w/ ��' 1 � E � ,pr Lot No.����/�� .....................................................................lo....................•...• •V-.-.-----7--------------.---.------------ .-........._.. -... ... -7 Ownyr Address w 02`� JZ�1 �i�k i i A.�_ ��— �cJ.¢l1. ��i2�� .9 .2-�i oAjS"" lce,s ,� ------------------------------------------------•--------.......------------.....-•••••........... .....-•••--------------.._..._._.._....--•--......----•-•-••-------•-•••-•-•-•-•-•---•-----•-•-•-- Installer s' Addre d ss Type of Building Size Lot — lJOO�Sq. feet U Dwelling—No. of Bedrooms................... ..... .._..Expansion Attic ( ) Garbage Grinder ( ) `PLILI Other—T e of Building ........... No. of persons............................ Showers — Cafeteria Q' Other fixtures ----------------------------==---•----------- W Design Flow...............`_.................gallons per person per day. Total daily flow............. Q.................gallons. WSeptic Tank—Liquid capacity'.l_�gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width....... ............ Total Length............... Total leaching area.....................sq. ft. Seepage Pit No----------- Diameter...... Depth below inlet.....4.......... Total leaching area..................sq. ft. Z Other Distribution box (k) Dosing tank ( ) Percolation Test Results Performed bY.............................=............................................ Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--_________-_-_-__---_- G�, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---- ......---••- •-••---••- ---------------- Description of Soil......................""' G '� ` � �D/G ? ,� ��� n.LD � --------------------------------•---.....------------------------------•. W V ----------------••-•--••-•-----•------•••---•---•--------••-----._........------•-------------•--•......-------------------------------•--•---••-•---------------------•-----------•------••......----- W ------------------------------------------------------------------------------------------------------ -•-•---•- � idzle iwt/.��U Nature of Repairs MAlterations—Answer wen,applicable............................................................................................... 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 Y P P -.... ?�ard.of .................. h. s stem in o eration until a Certificate of Com liance been issued Signed .-- ����9� Application Approved BY Z7�--------------------------------------------t_�� --- Application ` ..... �.... Disapproved for the following reasons- .................................... ------ ....................................................... c Dace PermitNo. ...... .......................................................... Issued ---------------------------------------------- ---------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (ferttftcttte of (fontlaltttnce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x ) by .... � ���.�-o I......C%a .0 �-�o 1 Installer at . ...................... ..... ... --- has been installed in accordance with the provisions of TITLE The S ate Environmental Code as described in the application for Disposal Works Construction Permit No. .......Fv............. .. dated .-.-. fz9/............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR £6AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ...... �...h.."a..�..... - ....... Inspector ........ 1 � .. "---- --- -------------------------- ✓ J ' L P v .Z v v ..�r r.� � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �D No....................... FEE............---•---..... Disposal Works Tonstrnr#ion rrrmit Permission is hereby granted................. � � ��d'�'r.. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.............•--••--•--......-••••---••.-•`-= /Ga.-----•--. _. `? _...._T�, ..... � ......... � .......... .�/9/ Street as shown on the application for Disposal Works Construction Permit No........./ ._. Dated.._......._.�.......................... / Board of`FIealth DATE........./-/ /... .................................................. FORM 36508 H"0885 6 WARREN.INC..PUBLISHERS 97 . r (�- e, � Faa..........................._ No .1 .. /� THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH OF............ .t.. .. ...-... =. ...........-.:....-- ....................... Appliratinn -for Bii ustt1 Works Tons#rurtion Vrrutil Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal Sys at. ----...1.--�3 _ ------------ --------------------------------------------•---------------------------------------------------- ocatio Address � --' __------.. ---_.� � R --- ......... .. ------- ---------------•-• _..•-.-........_ km. O r Address Installer Address d Type of Building Size Lot...................._.......Sq. feet U Dwelling—No. of Bedrooms--______s,�...............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons_________________________ Showers ( ) — Cafeteria ( ) a' Other �ctures ------------_----------------------------------------- W Design Flow_ ____________ ____ ___________________ Al per person per day. Total daily flow_________ _:____.__________----_-__gallons. WSeptic Tank�L'iquid capacity _ __ allons Length................. Width_____.--. ._.. ameter__-------------- Depth.____-____-_--- x Disposal Trench—No- -------------------- Width-- 4NI n al leaching area--------------------sq. ft. Seepage Pit No. __.. ._.._.____. Diameter. � � _ et_____ ____-------- Total leaching ttre:l------.-------•---sq. ft. z Other Distribution box ( ) Dosing tank ( ) � ,���° 1?— 'I Percolation Test Results Performed by-------------------------------------------------------------------------- Date---------''----------------------- ,a Test Pit No. 1------------_---minutes per inch Depth of Test Pit-------------------- Depth to ground water_--_________-__-__-_-... fi Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to gro d water-_-__________-____-__- -------- "' ---- ' -- frt-------- Description of 1 � �=---•-- •-••----- -. - _� -1�--- - -- --- - 2 (xj r- �'- ------ --------------------------------- W ------------------- --------•-- ---------•- -•------------- ----------------------------------------•-------------------------------------------------------- VNature of Repairs or Alterations—Answer when applicable._-___________________________________________________________________________------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to"install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by t e health. Signe -- - - - ....... ---•---------------- ------------- -------------------------------- Date Application Approved By............ -------- -• Date Application Disapproved for the following reasons___________________________________ _____________________________________________________________________________ -------------------------•••-------._...--•------•----------•-------•------------•--•-•---•-----•-------------------------------------.._._._.•._._..--•---•--...... -----------------••--...--------••-- as Date PermitNo......................................................... Issued-�------------------ .......................... Date �.����......_ ...�_ .._ �.. ------------- --- ---- — No. •• FRs ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH Applirtttiott -for Diapaoat Works Towitrurtiou Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 4 .cation.Address ' or Lo ----• f-�F—•�.h_./ ,--- ` n..J..-._i:._. __. 7 L <s-!�-�. -�L�t..�.�,.J e h.4 ................................•-----• .._.....-�• Ow 'r n n Address WW1 --•-\..- = " a �� �. � L. --••---•- --•---- A .. Installer Address Type of Building Size Lot----------------------------Sq. feet U g— _.__.Expansion Attic ( ) Garbage Grinder ( )Dwelling No. of Bedrooms________ __________________________ — a, Other—Type of Building ---------------_---.---___ No. of persons..-___-_--_---_-__._-_--_--_ Showers ( ) Cafeteria ( ) Q, Other fixtures ...................................................... d /� W Design Flow............... f1 P P P y y - --•- ----- gallons. _ 9 Septic Tank L Liquid capacity r._______ allons Length---------------- Width------- ll'ameter................ Depcll....______._.._. W <................. Ilons per person per day. Total daily flow/.......... )__. _ �.�_____ Mons. � x Disposal Trench—No_____________________ Width---------------__ tal Lin G�..�, s Tq'tal leachmg area--------------------sq. ft. Seepage Pit No.._.....�._..-.--_-. Diameter.. `1/- l�e�t1�-�elc5w • et------/:A-----....._. Total leaching area------------------sq. 1t. Z Other Distribution box ( ) Dosing tank ( ) v � �C /a - s l Percolation Test Results Performed by--------- --------------------------------------------------------------- Date-�---L '---------------------- a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water.........--_-..._---.._. fX4 Test Pit No. 2................minutes per inch Depth of Test Pit-________--__----- Depth to ground water_-._-.-_____-_-_-__--__. P4 ----------------:---------------- i D Description of S '1 �, i li?�-rJ G'. ` ``= - .*..� 2 V -------------------fj` ��--' -- ------= ----= .4.- --- ------ -r..9` ------....: .-(./ --•-,--------------------..------------------------- ----------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------•-----------•----------------------•----•---•----------------------_---------...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been Nssued byte b health. Date Application Approved BY----------._�����..---------'-'-- - L----------,�'c'..�-•�/�-------- ---- ---- -------�--- -�--'� Date Application Disapproved for the following reasons:............................................................................:. ............. ....-- .............--•-•--------------------------•---•--------------•---.......-•----------------------------------------•--••-...-_......---•----.•---••-•------------------•--••-------....--•---------•. Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD gF HEALTH 1..............OF................................... ...�-�.......... �e�. ................... 011rrtifirttte of fJT ontplittttrr THIS IS TO, CERTIFY That fhe Individual wage Dis .sal System constructed ( v) or Repaired ( ) b --------•--•-- = ~ I�6-Iler at.--- /....... .. - `� F�!'Y� -•- -�Ci?.�= "d �� r .. _ _ --tom-------- leas been installed in accordance with the provisi s of . is ' XI o�The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__7s.__ `r ................ dated...._._ '.-"�-�- .. ......- -1"................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS C7_-5) BOARD OF HEALTH .............. ....OF....... ... ........................................... ....... . No......................... FEE--!_- ............. �i�po�tt ork,� � .��tru�#goat err it Permission is -by granted_________________________ -----��-- .................. ......... ..... . . . . ................................ to Constr c (�/ or Repair )pan Individual Se e Disposal Sys m ?'.....• Street....... ----- f......................................................J as shown on the application for Disposal Works Construction?er itNo __ _____________ Date ,.-_�..__._....._._............ Y -- ' - ••___... . ............................... DATE.... Z._S`.................................... Board of Health ------ ---------- ---- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS �J 5 14 vc a +t o-r_7 5e, e IP 7/ I // I / /(90P C l L�'�ic ��/ I•�/ /I /7 d T + /C o T ..36 � .c G� r" / � ,s� 6avvi�✓, { 01 CG /� fna's+� � tse 1-2 14� I CERTIFY THAT THIS PLAN SHOWS THE ACTUAL LOCATION OF THE STRUCTURE ON THE L_ANO AND THAT IT CONFORMS WITH THE FAY-LAWS OF THE TOWN Q I 'I ( FLAN oF—LA N D !N i cwNwo BY r ' to OF M� P`(H �FM�s� .� i i FRANK n RANI{ CONERY 5 TRENI Off i. a FRANKCONERY S CONERY �^ �U No. 6573 O N HYANNIS. MASS. MI No. 6232 O o Q� P4; �� namemwo amomm" A LAND supvrYnR Ll yn sO �� SIONALE SCALZ 1 IN azorr �u fJ 1,97-r ALL TE S SHLL SYSTEM PROFILE S MARKED WITHC MAGNETIC TTAPEA BE OR VENT W/ NOTES (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. CHARCOAL FILTER PROVIDE MIN. 20" DIAM. WATERTIGHT 1. DATUM IS NAVD 88 ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING \ TOP FOUND. EL. 73.0' FILTER FABRIC OVER STONE CONCRETE COVERS TO WITHIN 3" GRADE 2� SLOPE REQUIRED OVER SYSTEM 71 .2' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. °� CO MINIMUM .75' OF COVER OVER PRECAST .° NOTE: 2" MIN. WALL BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED Wequaq PRECAST H-10 THICKNESS REQUIRED PRECAST UNITS TO BE AASHO H-20 RISERS (TYP.) PRECAST RISERS o 68.6 4"�SCH40 PVC Q .. 6° MIN. SUMP PIPES LEVEL 1ST 2' 7 COMPONENTS INVERT IN 66.75' 5. PIPE JOINTS TO BE MADE WATERTIGHT. a o o0 12" MIN. INT. DIM. 4' (�P) 4' ENDS SIDES 67.75' ° ~ g� �t e, ewo�; 6. CONSTRUCTION DETAILS TO BE IN •�'. EXISTING y' °°°` coop' ocoo oco_ ooco 10" 14" ACCORDANCE WITH e Weddle aou� o 0000 oa�o ��� � r A 11 TEE SEPTIC TANK** TEE ° °°°g°o c c c o c c c c c c c o 0 o c o c c c c c '° ° ° 310 CP.R 15.000 TITLE 5. ° �° C Locus I 67.3 f ° ° o ° ° ° WATERTEST D'BOX o °°°°°°°o ao�� �000000 �aa0000aoa� °°°°°°o° o ° ° o o ° °° °° o000000aooa oo�000aoaoo o Lake GAS BAFFLE °��� FOR LEVELNESS N ;°000000a ����������� DoDo o������0� ;00000000 v 64.75 7. THIS PLAN IS FOR PROPOSED WORK ONLY ° 67.02' 66.85' °° AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. - 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" ** ALL AROUND PRECAST STRUCTURES (2) UNITS REQUIRED PVC. , INSTALLER.. SHALL CONFIRM MINIMUM Q�c 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' d SEPTIC TANK SIZE AT 1000 GALLONS 9. COMPONENTS NOT TO BE BACKFILLED OR aedP AND ITS SUITABILITY FOR RE-USE. COMPACTION. (15.221 [2]) C CONCEALED WITHOUT INSPECTION BY BOARD OF Greo REPLACE WITH 1500 GALLON SEPTIC HEALTH AND PERMISSION OBTAINED FROM TANK APPROPRIATE TO SITE CONDITIONS BOARD of HEALTH. IF NOT SUITABLE 59.7 BOTTOM TH-1 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP ( 1 % SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND SCALE 1"=2000'f LEACHING & OVERHEAD UTILITIES PRIOR TO FOUNDATION—EXISTING SEPTIC TANK 28' D' BOX 12' FACILITY COMMENCEMENT of WORK. ASSESSORS MAP 192 PARCEL 153 11. ANY UNSUITABLE MATERIAL ENCOUNTERED *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL SHALL BE REMOVED BENEATH AND 5' AROUND VARIANCE REQUESTED UNDER MAX. FEASIBLE UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS THE PROPOSED LEACHING FACILITY. PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM COMPLIANCE 15.405 1b: SAS TO BE > 3' BUT LEGEND- 12. EXISTING LEACHING FACILITY SHALL BE < 6' BELOW FINISH GRADE PUMPED AND REMOVED OR PUMPED AND FILLED VENT AND H20 PROVIDED WITH CLEAN SAND. ( — ) 99— EXISTING CONTOUR X 99.1 EXIST. SPOT ELEV. _ —[99]— PROPOSED CONTOUR BENCHMARK I N79°MAG 13 EL. = 70.75' s4„w SYSTEM DESIGN: �9g•4,] PROPOSED SPOT EL � TH1 GARBAGE DISPOSER IS NOT ALLOWED TEST HOLE r _ x�'_--�x 145.23' YY w SLOPE OF GROUND EL x DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD 2� � �� ' � '� _x r-� USE A 330 GPD DESIGN FLOW C7Q� UTILITY POLE PAVED N SEPTIC TANK: 330 GPD 2 — 660 FIRE. HYDRANT � q DRIVE ;;" `�:; � ) — NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING LO Z USE EXISTING 0O GAL. SEPTIC TANK co � N LEACHING: 72 PROP. VENT WITH CHARCOAL `J FILTER AND BUGSCREEN SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD TEST HOLE LOGS w I H (FINAL PLACEMENT BY w , O CONTRACTOR WITH BOTTOM 25 x 12.83 (.74) = 237 GPD w HOMEOWNER CONSULTATION) ENGINEER: DANIEL E. GONSALVES, SE #13587 )� w , �' ; 11.5' TOTAL: 472 S.F. 349 GPD WITNESS: DAVID STANTON, RS EXISTING 22r4 H2 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) DWELLING DATE: 5/31/19 H o x `` TOF = 73.0 1� WITH 4' STONE ALL AROUND v, LOT 36 1 1 L_�' PERC. RATE _ < 2 MIN/INCH oHE 15,031t S.F. /�\ �' � CLASS I SOILS p# 19-34 \OHE �r�J N ELEV. ELEV. `O PATIO \ �` MA 1 2 ` \Y % APPROVED DATE BOARD OF HEALTH O„ 4 71 .2' 0„ 71 .2' , a SL SL SWINGSET AREA 10YR 3/2 10YR 3/2 S79°13'54„E ��_` o TITLE 5 SITE PLAN OF B B x_� x SL SL 14523' , #216 GLENEAGLE DRIVE 28„ 10YR 5/4 68 9' 24„ 10YR 5/4 68 9' V — C E N T E R V I L L E, MA_ PREPARED FOR C G BORTOLOTTI CONSTRUCTION/ PERC M/CS M/CS DINN DATE: JUNE 13, 2019 2.5Y 7 4 2.5Y 7 4 �� • �j�CFM �NCFMg3 s� off 508-362-4541 c �X Sri. fax 508-362-9880 DANIELA. DAPJIEL �Nm downcape.com o C�JALP _A4 f o A. !" CIVIL�2 /� U \A N 80 v down cape engineering, inc. 138 59.7' 138" 59.7' 4 a �c �1w� \ \c �P K .o `S�,J5rF4z °�< Civil engineers NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' ` � ®\ ta� ,� 'fi .,a. �. land surveyors ,� %` 939 Main Street ( Rte 6A) C DATE DANIEL ADICE # 19- 164 . OJALA, P.E., P.L. 0 10 20 30 40 50 FEET YARMOLJTHPORT MA 02675 19-164 BASE.DWG ALL TE LL SYSTEM PROFILE MARK DS WITHC MAGNETIC TTAPEAOR BE VENT W/ NOTES (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. CHARCOAL FILTER PROVIDE MIN. 20" DIAM. WATERTIGHT 1. DATUM IS NAVD 88 ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING \ TOP FOUND. EL. 73.0' FILTER FABRIC OVER STONE CONCRETE COVERS TO WITHIN 3" GRADE \ 71 .4' 2% SLOPE REQUIRED OVER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. o� MINIMUM .75' OF COVER OVER PRECAST NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED Wequaq PRECAST H-10 THICKNESS REQUIRED BLOCKS OR PRECAST RISERS PRECAST UNITS TO"BE AASHO H-20 La ° RISERS (TYP.) , 4"OSCH40 PVC Q o r.. %6 6" MIN. SUMP PIPES LEVEL 1ST 2' MORTAR ALL INVERT IN 66.75' 5. PIPE JOINTS TO BE MADE WATERTIGHT. a o o0 COMPONENTS 12" MIN. INT. DIM. 4• (n P) 4' ENDS SIDES 67.75' 10" EXISTING 14" pa o, ,moo• 6. CO CONSTRUCTION DETAILS TO BE IN o WITH O �DOa , 0 .. Daa �OC]a o E2MO c m ° �ii�egite TEE SEPTIC TANK** TEE ;°o o 0 0 0 0 0 0 0 o o 0 0 0 0 0 o '° 310 CMR 15.000 TITLE 5.� ° C Loous 67.3 ° ° ° ° ° ° L66. EHT D'BOX o 000aoo oaa�0000�a� oaE10000momm IMMEIME=mmmm °°°°°o°o ( , o GAS BAFFLE::: °°°° EVELNESS N ' 0000000< mImmDOME2MM00 mmEEA !MM�mmMm ,oag000go v 7. THIS PLAN IS FOR PROPOSED WORK ONLY o 67.02' 5' p °°°°°°°° 64.75 AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (2) UNITS REQUIRED. PVC. ! \ e5 **INSTALLER SHALL CONFIRM MINIMUM ALL AROUND PRECAST STRUCTURES 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' d Q SEPTIC TANK SIZE AT 1000 GALLONS COMPACTION. (15.221 [2]) n 9. COMPONENTS NOT TO BE BACKFILLED OR �PdP AND ITS SUITABILITY FOR RE—USE. o� CONCEALED WITHOUT INSPECTION BY BOARD OF Greo REPLACE WITH 1500 GALLON SEPTIC HEALTH AND PERMISSION OBTAINED FROM TANK APPROPRIATE TO SITE CONDITIONS BOARD OF HEALTH. IF NOT SUITABLE 59.7 BOTTOM TH-1 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP ( 1 % SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND SCALE 1"=2000'f LEACHING & OVERHEAD UTILITIES PRIOR TO FOUNDATION—EXISTING SEPTIC TANK 28' D' BOX 12' FACILITY COMMENCEMENT OF WORK. ASSESSORS MAP 192 PARCEL 153 11. ANY UNSUITABLE MATERIAL ENCOUNTERED *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL SHALL BE REMOVED BENEATH AND 5' AROUND VARIANCE REQUESTED UNDER MAX. FEASIBLE UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS THE PROPOSED LEACHING FACILITY. PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM COMPLIANCE 15.405 1b: SAS TO BE > 3' BUT L�E G E N D 12. EXISTING LEACHING FACILITY SHALL BE < 6' BELOW FINISH GRADE PUMPED AND REMOVED OR PUMPED AND FILLED VENT AND H-20 PROVIDED WITH CLEAN SAND. ( ) 99— EXISTING CONTOUR I L X 99.1 EXIST. SPOT ELEV. _ � I [ ] PROPOSED CONTOUR BENCHMARK MAGI N79.13' 54„w,] PROPOSED SPOT EL. SYSTEM, DESIGN: TH1 TEST HOLE GARBAGE DISPOSER IS NOT ALLOWED � x_��x �45 ' YYY SLOPE OF GROUND EL x DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD 2� �, �� � x a�,^ �x — �Q, UTILITY POLE ~ 1 USE A 330 GPD DESIGN FLOW > PAVED N FIRE HYDRANT DR!VE .A, SEPTIC TANK: 330 GPD (2) = 660 NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING USE EXISTING 1000 GAL. SEPTIC TANK "' LEACHING: " �2 PROP. VENT WITH CHARCOAL v i �- FILTER AND BUGSCREEN HOLE SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD TEST LOGS W I r1 1 (FINAL PLACEMENT BY rT� `�—W �� p H CONTRACTOR WITH BOTTOM 25 x 12.83 (.74) = 237 GPD l HOMEOWNER CONSULTATION) ENGINEER: DANIEL E. GONSALVES, SE #13587 " )� W�w ,' ; > > 5' TOTAL: 472 S.F. 349 GPD 3° EXISTING � , ;�� r . DAVID STANTON, RS 2214 , H2 N USE 2 500 GAL. LEACHING CHAMBERS ACME OR EQUAL) WITNESS. r) O ( Q ) DWELLING d- DATE. 5/31/19 H �J o x . TOF = 73.0 i r ��''� ° ! WITH 4' STONE ALL AROUND PERC. RATE _ < 2 MIN/INCH LOT 36 �� 1 1 L--j \pH 15,031f S.F. CLASS I SOILS P# 19-34 E \oHE �r�J Cv MA ELEV. ELEV. ` PATIO ��\�!(, % ��� �° ,�� APPROVED DATE BOARD OF HEALTH ' 4 71 .2' „ 71 .2' '�� � I A 71 SWINGSET SL AREA 10YR 3/2 10YR 3/2 S7g°13'54"E _l-�- o TITLE 5 SITE PLAN 8„ 6„ x o OF B B 7A x� x SL SL 145 23' #216 GLENEAGLE DRIVE 281) 10YR 5/4 68 9' 10YR 5/4 24" 68.9' V - CENTERVILLE, MA PREPARED FOR PERC BORTOLOTTI CONSTRUCTION/ M/CS M/CS DINN DATE: JUNE 13, 2019 2.5Y 7/4 2.5Y 7/4 M �1�p a�/N OF Mqs 3 qss off 508-362-4541 yes DANIEL fax 508-362-9880 DA�dIELA. .' downcape.com r, A. rJJ,ALA �� , lOJALA V5 c.4"' 176WO cope engineering Inc 138" 59.7' 138" ti I 0 o5i 2 gam: a Ne.4u 4. w 59.7' _ x�� o � \ 410 • F , civil engineers „ A�� `o�sT � .�� Q ss � 9 10 NO GROUNDWATER ENCOUNTERED Scale: 1 = 20 • sL F�,� . �� �- y �r land surve ors 939 Main Street ( Rte 6A) DCE # 19- 164 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 19-164 BASEDWG