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HomeMy WebLinkAbout0039 HITCHING POST LANE - Health 39 HITCHING POST ALANE, CENT. A=173-033 ksl ��lll �J�QECYCLFppo. UPC 12543 o- NOr R •o��n.CONSJ�� HASTINGS, MN © TOWN oP B, JRNSTAB 11 LOCA.'X'iON SBWAGIE#._.:......._..�..�...:... VIIfvLA�% ��1 ��/���P _ RiSSBSSOWS MAp LO'I WSTALI BR% NO ; c �rrl ; A' k- L1.ACIlYNQ 1P,�C)f�l.Tlf'Y:' (size); .U"BRr O'k.OWf'- PJ TiDR'x'B CbWVL-TA1T£»E DATE ... S ,twratsoa 9esta a Bstviee I rho: '• Ivimcimi 'AI.dius l Gran dw ti Tabie W I C'&ttatn of LM. .:ng t ilil}i e 1'�lvate Watcr:►idly iN4�!said ieo�l3pg p�aliry (If cady wolfs isxlst , ca p cc wltW4 20 feat a l acbin fstc�li y�): oB EclSr Wet�arid ad ll�eacbla Fac lick+'( ac�yoweiland east rlltialc► 0{!fi;e#pI Ic►ebf agrfucll3ry). +oe r � bi) a r 3 L7- - oy ' Commonwealth of Massachusetts Ira Title 5 Official Inspection Form irk Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell ' Owner Owner's Name c information is Centerville MA 02632 6-20-19 required for every page. City/Town State Zip Code Date of Inspection ,`.� Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information sly (sits)-- Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);1 have personally inspected the sewage disposal system at theproperty address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes - 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 6-20-19 I spector'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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 s Commonwealth of Massachusetts , Title 5 Official Inspection Form w: C�I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System is in good working order with no sign of failure. 2) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑N ❑ ND (Explain below): t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts - Title 5 Official Inspection Form � i Subsurface sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y El ❑ ND (Explain below): ❑ obstruction is removed ❑ Y El ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑Y ❑N ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 3 of 18 C Commonwealth of Massachusetts 1� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State . Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any). determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 I s Commonwealth of Massachusetts rill 3 Title 5 Official Inspection Form C�, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (coot.) Yes No ❑ ® 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 '/z 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. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts r� 3 Title 5 Official Inspection Form Y�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1__�, 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: 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? ® ❑ Wasthe 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)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 6-2019 Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form 1�1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,V 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is Centerville MA 02632 6-20-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: 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 below): 3. Pumping Records: Source of information: Owner---pumped 3yrs ago Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form w: Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;fo 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 2009 new field----tank 1980's Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 14" Depth below grade: feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 s Commonwealth of Massachusetts r� Title 5 Official Inspection Form w:� �i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments }� v_: 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle 26" Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakge. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form ri Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Fa;_ 39 Hitching Post Ln _ Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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.): 8. Tight or Holding Tank (tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts r� ,w Title 5 Official Inspection Form 4' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) 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 9. Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Good condition with water at working level and no sign of back-up from field. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form I� W9 �ICM Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2-500's ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i;,,i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach chambers in good condition with water level and stain line at 3" off bottom of chamber. 12. 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 c Commonwealth of Massachusetts 3, Title 5 Official Inspection Form 1�i Subsurface Sewage Disposal System Form Not for Voluntary Assessments V 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form w. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town . State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately oil. ` 43 6r� I 3, 6,j< 07, t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 !� :A Commonwealth of Massachusetts Title 5 Official Inspection Form I� w: f i' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Sri,, ,•r,> Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12'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: You must describe how you established the high ground water elevation: Original design plans show no groundwater at 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 6e, Commonwealth of Massachusetts , r� Title 5 Official Inspection Form w:� ��I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Hitching Post Ln Property Address Curtis Linnell Owner Owner's Name information is required for every Centerville MA 02632 6-20-19 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 TOWN OF BARNSTABLE LOCATION 14.is I,,;, As�- I SEWAGE# 9009 e 07 1' VILLAGE ASSESSOR'S MAP&PARCEL 173' 33 INSTALLER'S NAME&PHONE NO. 1.vM c 2J6,,gso^ 9:,P vjco .9w,"s-7,77. SEPTIC TANK CAPACITY 00 LEACHING FACILITY-(type) d X`J-D0 �ry�c//S (size) i3 A-Y X a NO.OF BEDROOMS OWNER PERMIT DATE: !�41 7LQ COMPLIANCE DATE: . ��/J/ y I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �7 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 I °s,#,,, �//"�, 3 oar"of Pc A-R- Dar- goj-w 6 1 13, a y No. w/ Fee ,1 THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer, PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppIication for Misposai *pstrm Construction permit Application for a Permit to Construct( ) Repair(�) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components LocalIt;'g,n Address o of No.. Owner's Nam ,Address,and Tel.No. j —y `3� t��r;►„r�G 0S} lLl�n C'. r�` �)1 1 (;a t,t-t S �t h ne,l Assessor's Map arcel 1`1`5 '3 � %+Uune, Installer's Name. Address,and Tel.No. --_I `��to Desi ner's Name ddress and Tel.No. 9g." w� e (ZL�,`insir��s' 5 C_ g SD$=3l�ay-Q� �1 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(A Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)0 ETC(Q_6-- n pc J— '�� 4j rCi y_1 `i o p f Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. C Date Application Approved Date Application Disapproved by Date for the following reasons Permit No. '— Date Issued 7 Entered in computer: . E'C,OMMONWEALTH OF MASSACHUSETTS p PUBLIC HEALTH.DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS „ ,Yes 4plicatlon for Bisposal Opstetn Construction Vermit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑ stem complete Sy stem y El Individual Components Location Address o of o. Owner's Nam ,Address,and Tel.No.�$_ya�_(46 39 Rk fCh'+r�C aS l�^e, �i n Hel l Assessor's Map Installer's Name,Address,and Tel.No.� „' �5, 7 Designer's Name,Address,and Tel.No.508-364--0 g9 4 ts- e (CO\0')n Sr i L G� -Te6 © V>cx I D ge� �4ekN' \k 4.3"c-t-� e_ 'rc i e . S >J')C t,, Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder A Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided - gpd Plan Date Number of sheets Revision Date r Title Size of Septic Tank Type of S.A.S. -' Description of Soil Nature of Repairs or Alterations(Answer when applicable){140kQ_ it , c>4P_� --T, �_e 1j Date last inspected: Agreement: ` The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health g Date G 7—p' Application Approved Date 9 7 9 Application Disapproved by Date for the following reasons Permit No. '—Q _ Date Issued 7 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS n ne Certificate of Compliance THIS IS TO` CERTIFY,that the On-site Sewage Disposal system Constructed(�"). Repaired(X Upgraded( ) /Abandoned( )by Ur-\ C I` bko'k�(�15�o,-\ S(Z_ ���(J l C_ at3� 01 e-W 4�U �oS+ C&A1,L l J f\\ P_C V+ ( has been constructed in accordance l with the provisions of 5 and the for Disposal System Construction Permit No L/—C79dated / 7 Installer Cj Q)' Designer #bedrooms 3 Approved design ow 3 3 4:> d gp The issuance of this permit shall not be construed as a guarantee that the system wil function as designed. �{� Date 4� 1 1 U� InspectorCd� -� - _ . -- ---- ---- --- ------ - - -- - -- - - -- --- - - --- ----=------------------------------ No. = = Fee i%l THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Oisposat bpetem Construction i3ermit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at 3 NYi�C 41 i(v l r)--,4 Z,&r�,a `1e.A y i tQ_,_, J ' 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 must be completed within three years of the date o(thispermitDate (� Appby Town of Barnstable Regulatory Services Thomas F. Geiler, Director B"NSTABiE. 9q, 6`9: ,0� Public Health Division prfD rAA�A Thomas McKean,Director 200 Main Street, Hyannis,NIA 02601 Utfice: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: % Sewage Permit# c 9�"Assessor's Map\Parcel 1 7 3 33 Designer: C-0 installer: + G I ` iInSU`\ Address: 43 1 ���'� '� � (�.cc.,l� Address: TC) �30x I01�9 On / 7 — :;,a) �ZI'&N'\I-\SO-\ was issued a permit to install a (date) (installer) septic system at 30, �G��� �1f�� -�Q based on a design drawn by (address) 2 s C-0 dated 3-a S-QC. (designer) I certify that the septic system referenced above was installed substantially g accordin 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 by designer to follow. !N� (Insta ler's Signature) _ 7 �Q S � _ (Designer's Signature) ( IX esiQ-ner" tamp Here PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FOR1I AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: HealthiSeptic/Designer Certification Form 3-26-04.doc TOWN OF BARNSTABLE A LOCATION rim ?®S% SEWAGE # VILLAGE G fer v,i I I e. ASSESSOR'S MAP & LOT 173- o 33 INSTALLER'S NAME&PHONE NO. "E". Rob;nn�o n �S +`C. 3'7 6 SEPTIC TANK CAPACITY I j im.r LEACHING FACIL=: (type) b Q f'S (size) X 9 NO.OF BEDROOMS 3 BUILDER OR OWNER 1-,/u/U t- L k PERMITDATE: 5-6®q 8 ° COMPLIANCE DATE: 157-G—9Y Separation Distance Between the: l ' 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 ' , . � �� a�'® �� `� `�, �j �� `7 $50 . 00 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: —NZ Ve� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS t R pplitation for Migpogal *pgtem Congtructiou Permit Application for a Permit to Construct( )Repair( x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 39 Hitching Post L n Owner's Name,Address and Tel.No. 4 2 8_4 6 6 9 Assessor'sMap/Parcel Centerville, 'MA Curt Linnell 39 Hitching Post L Centerville, MA 02632 Installer's Name,Address,and Tel.No. 7 7 5-8 7 7 6 Designer's Name,Address and Tel.No. W ERobinson Septic Service PO Box 1089, Centerville, MA 02632 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(no) 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. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Title 5 Leaching consisting of D-Box and two stonepacked leaching chambers. 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 Health. r Signed Date " Application Approved by Date Application Disapproved for the f wing yeas s Permit No. Date Issued - - 1AN te, No. /// j - t :Fee .$50.00` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: -1/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ""rtcation for Mioo-5al *r6tem Congtruction Permit Application for a Permit to Construct.( )Repair( x)Upgrade( ')Abandon( ) ❑Complete System ❑Individual Components LoceQVddress or Lot No. _-39 Hitching Post Ln Owner's Name,Address and Tel.No. 4 2 8'—4 6 6 9 Assessor's Map/Parcel Centerville, MA Curt Linnell 39 Hitching PostLL Centerville, MA 02632 Installer's Na e,`Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W ERobinson Septic Serk6ee PO Box 1089, Centerville, MA 02632 Type of Building: Dwelling No.of Bedrooms 3 cLot Sye sq.ft. Garbage Grinder(no) Other Type of Building Y1sTo.(�f PeAdAs 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. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Title 5 Leabbing consisting of D—Box and two stonepacked leaching chambers. Date last inspected: 4 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 Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board Health. � ,.f M Signed t 1 / Date Application Approved by Date --- Application Disapproved for We f ing yeasks > i r a i i Permit No. Date Issued _ ——————— - fj — ------------ f 1 �-.-T1'E-GO'11 MO"EALTH OF MASSACHUSETTS r Linnell BARNSTABLE, MASSACHUSETTS Certificate of Compliance � THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (xx) Upgraded( ) Abandoned( )by at 39 Hitching Post Ln Centerville has a constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ed Installer W E Robinson Setltie Sry Designer. The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date 1r— i Inspector `• ( ' - No. --- i ---��-{ — v3 —1 ----------=--Fee 4',5ff,o0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Linnell Mi.5po.5al *pztem Conmruction Permit Permission is hereby granted to Construct( )Repair(x )Upgrade( )Abandon( ) System located at 39 Hitching Post Lane Centerville, MA _ Installer: W E Robinson Septic Service" and as described4n 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 st b co ted within three years of the date of ,p rmit. ( ` Date: Approved by C� ;. - f NOTICE: This Form Is To Be Used For the Repair Of Failed Septic systems-Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTR-UCTION PERMIT (WITHOUT ENGINEERED-PLANS) I, William E. Robinson, Sr. ,hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at 39 Hitching Post Ln. Centerville, meets all of the following criteria: * There are no wetlands within 100 feet of the proposed leaching facility, * There are no private wells within 150 feet of the proposed septic system. * There is no increase in flow and/or change in use proposed. * There are no variances requested or needed. * If the,proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will not 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.1.S. map) a B)Observed Groundwater Table Evaluation(according to Health Division well map) -SIGNED: Gi, r b e DATE, LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 20-1998 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). V V`' 1 Opp r `� 4z- U) �dc � TOWN OF BARNSTABLE LOCATION 39 4C. no t7®s" SEWAGE# 83 :' ,. LAGE (2e0fe'r Vs Ile. ASSESSOR'S MAP&LOT 173- o 33 INSTALLER'S NAME&PHONE NO. 1 1.E. Ro b i nso n 5ep�-L SEPTIC TANK CAPACITY 11000 07 LEACHING FACILITY: (type) cA CL1otm b Q C.S (size) 5 u w. NO.OF BEDROOMS BUILDER OR OWNER L;iuiy e L `PERMTTDATE: '� �i� 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 Weiland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by k LOCATION SEWAGE PERMIT NO. ' � VILLAGE �P 01 INSTA LLEIR� 'S NAME i ADDRESS ��u _ ■ -,sri-w rii� P t OR OWNER DATE PERMIT ISSUED DAT E COM_PLIANCE ISSUED �_�� � �j4,✓K CONTOURS 0 EXISTING - - - - - - - 50 6 yfchlNc °os z BENCH MARK MINIMAL GRADING PROPOSED (Q6, Locus W o PAINT SPOT - TOP OF ' vTjOoST ° w CONCRETE BULKHEAD � ; °Z> ELEVATION = 66.45 COACH oiw + BARNSTABLE GIS DATUM -/�- �\ ST�oF,po ROAD mJ0 m 1 / I/ 65� J \ 'V / � \` \ CENTERVILLE. MA U .,% LOCUS MAP J \ > / ti I m = :s::s: �� J I ` \y NOT TO SCALE 0 z .:;;::;;: z o U.. r::.;_ w LOT 2�a I w 63 .,� LEGEND J ;;;;;;;;,;;,;: w 3 AREA = 1 70 79 f+- Z o '.Do o ° w z o w w w� � FILU<-() � > o� EXISTING . �- I z❑ z w o � 1000 GALLON \ SEPTIC TANK �� ���� T W W z � �0ww } U _j > ° �� \ \ P� UTILITY POLE $ Lq E / � U) m ``X IL❑ Oz ~ ~ ° 1 \ APPROX / / �R \WA rER\m TEST PIT® D-BOX ❑ I— (,.l W W w % \ JEO GATE � c� "� (� `J ° % EXISTING PP E p Wi U o =< `. w \ LEACHING / ER LIN \� O HYDRANT � DRAIN 99 W U w >°3ss� ` \ DECIDUOUS CONIFEROUS ,:•:,:. 1 C7 w 0 crctc+ ; 1 n--mm—L \ p V TREE �q�0� TREE O J , \ O \ d�b I2-M *2-P 24'W O J /� T� 4 h Cn -NUMBER REFERS TO DIAMETER IN �L . LETTER DENOTES TYPE LL LL Q O m \ O \ \ Cn O OAKINCHES M MAPLE P--PINE C--CEDAR e ° Z m un in- % \ u GAS \ Z p C3 Ul w W Q1 GATE Z E— U (r o a` V O UW Z WZ Z O \ z co \ TP-2 �. p C) 3 LE TV �� x o= FCDW \ Z / CABJ z u U JU o'oz w \ G \ U z w e0 F~ Ulm 1 \ k> 3 ZZ �65 � GARBAGE GRINDER W� o = � ` \ � -' _ IS NOT ALLOWED (� - WITH THIS DESIGN. W UJ Ul o 3 + 'I (n w B N m d �I5-O /--/ J U (0 X ` \ —_� f t e W U w 1 ""o C�O _ /— _64 LLI w z � _ — ®> Tee SEWAGE DISPOSAL SYSTEM PLAN I w z \ - �� �y -TO SERVE EXISTING DWELLING 'f H ? L B3 24 f t x 125 f t x 2 f t J MLL z J �_-/ L€ACHING GALLERY EST. CDRTIS & GLENDA LINNELL �Q 0 J (�m 00 < U - OWNERS OF RECORD ►--q �o T LANE o � li� m I--- 9 HITCHING POST � W � n s.116 MgSs tNOFn�s ® CENTERVILLE, MA I W .� 9�, �� �iq�, `�ONVe�� PROPERTY ADDRESS z + e (n FLAN } �o`� DAVID ���� o�' DAVID �a co J' ASSESSORS MAP 1 3 PARCEL 3 3 D. -� a 43 TRIANGLE CIRCLE � COUGHANOWR D. N SANDWICH MA 02563 LAND COURT PLAN 3 2 B 51-B 0 W SCALE: t i n = 20 -f COUGHANOWR No. 1093 �, z 50B 364-0694 DATE, MARCH 26. 2009 J N w ZB Z0 40 �FG►S TEEN �O��10EN SEP 0Q" JOB #E T E-312 0 PAGE I OF 2 VERSION: w w 0 70 20 . ITA VA THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING I�q 10` ZC6 L 2a(�% PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER f SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. u I `LOG DATE OF TEST: " MARCH 2009 SOILTEST DESIGN CALCULATIONS5 APPROVED SOIL EVALUATOR: DAVID D.. COUGHANOWR. #461 WITNESSED BY: DONNA 5`4IORANDI, HEALTH DEFT. PERC NUMBER: 12514 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD TEST PIT 1 NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 330 GPD X 2 DAYS 660 GALLONS REOUIRED PARENT MATERIAL: PROGLACIAL OUTWASH USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL PERC AT 66 in - 2 MIN/INCH IN C SOILS CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET O-BOX. 63.00 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING SOIL ABSORBTION SYSTEM: A 24 f t x 12.5 f t x 2 ft LEACHING GALLERY CAN LEACH 0-2 O LOAM 10 YR 2/1 NONE FRIABLE Abot = ( 24 x 12.5 ) = 300 sf Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf 2-6 A SANDY LOAM 10 YR 3/2 NONE FRIABLE A t o t = 446 s f 60.00 6-36 B LOAMY SAND 10 YR 4/6 NONE FRIABLE Vt 0.74 x 446 = 330.04 GPD 36-136 C MEDIUM SAND 10 YR 6/3 NONE LOOSE USE A 24 Ft. x 12.5 ft x 2 ft GALLERY. Vt = 330.04 GPD > 330 GPD REOUIRED 51.50 NO TEST PIT 2 PAARENOTU MATERIAL: PROGLACIRAL OUTWASH 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER L EA CHING GA L L ER Y DISTRIBUTION BOX 1000 GALLON SEPTIC TEAK DIMENSIONS AND DETAIL DIMENSIONS AND DETAIL NO T TO 63.15 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING USE SHOREY PRECAST 500 GALLON NOT TO USE SHLIREY OB-3 H-10 0-4 O LOAM 10 YR 2/1 NONE FRIABLE LEACHING DRYWELL (H-10 LOADING) SCALE USE EXISTING H-10 UNIT SCALE 4-8 A SANDY LOAM 10 YR 3/2 NONE FRIABLE CONSTRUCTION DETAIL SEPTIC TANK IS TO BE PUMPED DRY NOT TO AT TIME OF INSTALLATION AND IS TO DRYWELL UNIT 8-38 B LOAMY SAND 10 YR 4/6 NONE FRIABLE STON SCALE BE EXAMINED FOR STRUCTURAL 59.98 24.0 f t INTEGRITY. INSTALL NEW PVC OUTLET 38-144 C MEDIUM SAND 10 YR 6/3 NONE LOOSE O TEE EOUIPPED WITH A GAS BAFFLE. 51.15 m 4J O 11n co TAPER N m� Ll7 . ML GROUNDWATER ADJUSTMENT EXISTING GROUNDWATER LEVEL 1j o BASED ON TOWN OF BARNSTABLE s.5 Ft 8.5 Ft 8.5 f't 4. GIS DEPARTMENT RECORDS. 24.0 ft =`A`"`=°"°in 12 In Ln INDICATED GW 38.00 MIN INDEX WELL SDW-252 —► ZONE C 500 GALLON DRYWELL FROM '1 READING DATE F E B R U A R Y, 2009 DIMENSIONS AND DETAIL TANK < ;s TO 6 F£_6 READING 47.0 ;3 sns In A ADJUSTMENT 2.2 USE H-10 WIT rr.<aurur;-:ate-e; (= INSTALL ONE INSPECTION ADJUSTED GW 40.2 RISER TO WITHIN THREE ® INLET OUTLET INCHES OF FINAL GRADE 6 in STONE BASE COVER COVER AND INDICATE LOCATION ON AS-BUILT PLAN CROSS SECTION VIEW /l 3 IN DROP FLOW LINE N O T E S FROM 10 to 14 -BOX p 33 BUILDING T 1„ ��O D00 in 48 in c::] :,j0�0 �0o pO�Qp L ED GAS 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 00000aoa000 BAFFLE 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED �1� FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. I021„ 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS CROSS SECTION VIEW OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). CROSS SECTION VIEW 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. - 21n PEASTONE 2 in PEASTONE 5) EXISTING LEACHING GALLERY TO BE PUMPED. COLL'PSED.�'AND REMOVE°.:,:_ SEWAGE DISPOSAL SYSTEM PLAN OR ABANDONED IN PLACE. �,':;�' ;-t,'r'1 1 � / \ 28 314mTO EFFECTIVE 4,nTo 26 6) ALL STONE TO BE DOUBLE WASHED AND FREE'OF IRON. FINES AND DUST IN. PLACE. In -112-0M� �T" I-V2 'CRA In -TO SERVE EXISTING DWELLING 7) ECO-TECH ENVIRONMENTAL RECOMMENDS THE I3NSTAL,LAITIs,N #DF LOW FLOW FIXTURES CURTIS & GLENDA LINNELL AND APPLIANCES. AND BIANNUAL PUMPING OF., THE 'SEPTIC TANK. : .`. . IV', 46 In 58 In 46 In in 39 HITCHING POST LANE CENTERVILLE, MA LL L`81 SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICUAR;• OXO NG. DO--,NOT INSTALLER MAY SUBSTITUTE I A� APPROVED GEOTEXTILE PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. -,„ FABRIC IN PLACE OF THE 2 u,. PEASTONE LAYER SPECIFIED. ECO-TECH ENVIRONMENTAL 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. ETE-3120 I MARCH 28. 2009 1272