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HomeMy WebLinkAbout0016 HUCKINS NECK ROAD - Health 16 Huckins Neck Road Centerville u A = 251 146 0 UPC 12534 ' No. 2�153LOR �g°o,rcoNS r HASTINGS, MN Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 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. A. General Information 1. Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name 29 Atwater Dr Company Address E. Falmouth MA 02536 City/Town State Zip Code 508-495-0905 S13971 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 11-3-10 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the,system owner and copies sent to the buyer,.if applicable, and the approving authority. s ****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. 15 ID t5insp official document-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal stem-Pa e t of Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments q° 16 Huckins Neck Rd 41M Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 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: System is in good working order with no sign of failure. 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 t5insp official document-03/08 Trtle 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 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 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. t5insp official document•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3'of 15 Y Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 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: 11 You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less than day flow ❑ ® 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. t5insp official document-03/08 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 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 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`fifes"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 ❑ E 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 CM 15.304. The system owner should contact the appropriate regional office of the Department. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 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)] t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 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 Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: 8-2010 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): t5insp official document•03/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 16 Commonwealth of Massachusetts H r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: N/A 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) 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: 2002 Were sewage odors detected when arriving at the site? ❑ Yes ® No t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 30" feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: 24 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: 16" Distance from top of sludge to bottom of outlet tee or baffle 16" 2" Scum thickness Distance from top of scum.to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape t5insp official document•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 ' City/Town State Zip Code Date of Inspection page. P P 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.): Tank is in good condition with baffles installed and no sign of leakage. 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: N 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 ❑ polyethylene ❑ other(explain): t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15 r Commonwealth of Massachusetts ° W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4„M 16 Huckins Neck Rd I j Property Address 6' Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) ` Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 page. City/Town State Zip Code Date of Inspection 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 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 chambers. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No I t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 16 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name Information is required for every Centerville MA 02632 11-2-10 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: 2-500's ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach chambers in good condition with no sign of back-up into d-box or surrounding stone. t5insp official document-03f08 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 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today. Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 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.): t5insp official document•03/08 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 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 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. 0 N" 31 F-s - 9— -61 t5insp official document-03108 Title 5 Official Inspection.Form:Subsurface Sewage Disposal System-Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Huckins Neck Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-2-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells 10, Estimated depth to high ground water: 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 11'. t5insp official document•03/08 Tittle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 McKean, Thomas From: McKean, Thomas Sent: Tuesday, August 19, 2008 5:13 PM To: Dabkowski, Cindy Subject: Amnesty Applications Hi Cindy, [RE: 16 Huckins Neck Road, Centerville, Douglas Sipiora, 508-274-7103] Please ask the applicant to submit neatly drawn plans of the proposed basement apartment. We need to receive plans that are neatly drawn with a straight edge, with all room dimensions, door locations, and any open doorway width dimensions. -FYI- just faxed to you three approvals for the following amnesty applications: - 51 Chase Street, Hyannis -323 South Street, Hyannis -63 Knotty Pine Lane, Centerville 1 �► Town of Barnstable Health Inspector �F'THE r Office Hours tia Regulatory Services 8:00-9:30 Thomas F.Geiler,Director 3:30—4:30 BARNSrABLE, Only ^� Public Health Division i639• ♦� Arfn�r s Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT QUESTIONNAIRE 1. General Information: Address: 16 Huckins Neck Rd Centerville, MA 02632 Map 251 Parcel 146 Name: Douglas C. Sipiora Phone: 508-274-7103 2. How many bedrooms exist on your property now? 2a. Please include a copy of your floor plans for the entire property. 3. Is the dwelling connected to public sewer? YES or NO If the dwelling is connected to public sewer, skip questio s 4-9 below. 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to pi ;lic 71 supply wells? S� 5. Is the dwelling connected to an ONSITE WELL or t PUBLIC WATER? 6. Is a disposal works construction permit on file? YES or NO c: 6a.If yes, how many bedrooms were approved according to this permit? ri r- Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or NO 8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9. Has the septic syste inspected by a DEP certified inspector within the last two years? YES or NO FOR OFFICE USE ONLY TO BE SIGNED BY A HEALTH INSPECTOR/AGENT ONLY .0' m cdv s,Dn3 s C r= GA---:) t-ri+ee--fv-rAt �d��S �r►`� ���i 5 P The Public Health Division has no jection to bedrooms at this property. Signed: Date: 193 /i 7/08 Inspector(Print): iN Q;/healthgwpfilesgamnestyapp M e'�l � , ����» _ � �ts��� �^%�^ i � e+ ��f" 2 -�� �=�` �- ���` l � ���.��� � �� 1 �2 �� R �, No. >�' �4"7 Fee it r,jA n— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Oiopooai Opgtem (Conotructfon joermit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) D Complete System El Individual Components Location Address or Lot No. 1 6 H U C k l n S Neck R d Owner's Name,Address and Tel.No. Centerville James Lynch Assessor's Map/Parcel / r Installer's Name,Address,and Tel.No. �y Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Craig R Short P O Box 1089, Centerville P O Box 1044 S Dennis 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 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 Nature of Repairs or Alterations(Answer when applicable) Tit 1 e—5 l e a c h G y G t em t o t-h e plans of C R Short, #1 -902, dated 2-21 -02 . ' 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 oazd f Health. I Signed Y Date 0A--;2?-0_,, J Application Approved by Date 4?�V-2�e—d Application Disapproved for the following reasons Permit No. ja Date Issued 7:-- 13 �� r _ f ij-A) \,,Z No. 4� ��—i� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS s Zipplication for �Diopogal *potem Conotruction i3ermit Application for a Permit to Construct( . )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 16 Huckins Neck Rd' Owner's Name,Address and Tel.No. entry &e James Lynch Assessor's Map/ParcelC eil! /� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Craig R Short P O Box 1089, Centerville P 0 Box 1044 S Dennis . 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 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 Nature of Repairs or Alterations(Answer when applicable) Title-5 leach system to the plans of C R Short, #1-902, dated 2-21-02. 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 oard f Health. _ Signed G6r Date 0G2 '�✓r'.©. Application Approved by Date Application Disapproved for the following reasons '.0 Permit No. :f1LJ ?� %'� Date Issued -------------------------------,—. ————— -- THE COMMONWEALTH OF'MASSACHUSETTS Lynch _.._ BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( X )Upgraded( ) Abandoned( )by Wm. E. Rob_h>lLneppSPj�tir_ Servi nP at 16 Huckins Neck Rd. , Centerville has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit V.XW., 41 7.4ated L4 -Z 4.3";;-' Installer Wm. E. Robinson Sr. Designer Craig R Short The issuance of this permit shall not be construed as a guarantee that the syste�w'if fu tction as d si�_Date a'� Inspector ; -I 4y s �.._. No.2 Fee $5 0 X THE COMMONWEALTH OF MASSACHUSETTS Lynch PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS x1i6pozal *p2tem (Con6tructfon hermit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 16 Huckins Neck rd. , Centerville 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 �•mit. Date: Approved by / // �✓�:�� .�� f t TOWN OF BARNSTABLE F LOCATION ' SEWAGE # ASSESSOR'S MAP &LOT VILLAGE INSTALLER'S NAME&PHONE NO. o SEPTIC TAt4K CAPACITY 1000i (size) �t-1 S LEACHING FACILITY: (type) NO.OF BEDROOMS BUILDER OR OWNER � L PERMIT DATE: 7-� CCOMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet. on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by 6c X� k -4- Cb � x Ca \ j 02-26-2002 10:06P. 1 FROM _;)JEEPSER EHI-3 I VEER I HC Tr 15�87'901694 F.0_ StlStfl l (� TO ICE:. This Form Is To Be Used For the Repair Of Faited Septic Systems Owv.. V RCOL,kTIOh fI E:S'1' A D SOFL EVAI_ ATION EXEMPTION : FORM ccr-[�t-y tli.it :he by me Z� CC.iic e1 : �)f _ l rl the Uperl-y ioc Cn ar a_. ._._��_-_._.-,_._.._......_ _�.........___ I:r)t.°.:t5 ii�l ;)i t(;e ,xwi ng Ctnte-,a: failt.`d C:Jrine�: to a resieel tli;} �Ilxe"liir g ,^,nl-. Tiere are no :c17:rne. :ai Or busin#-,SS uses associated with tfl° " it y '501; is r_IISS;fler as C ySS 1 aj d the perco!IiLzior -,ale is iess i}niln o� equai t0 -5 � i7 ' m .i � (2 i( Ory}UOE illS iaC' or rriiv� QC inCii. / : i Prelit't"1ltiar 'ests Site Wl llcut :I neai'lh agent present. :'leie IS <<0 n.FZa3e In i!CW afnllnr Ch `: P in use pi-oDosed ® }ier c ar no v W 3rC w5 reG lieSte:. Or • The bottom )f the pmposed 'eaciiing `acuity ,xiii 7Gt to to less ttian tcuiteen }aj fact above tIhe maximunn ad;usted grounuu/aler [.able �}e�-ariar . (Adjust the V70UndW;4(C.Z tzble using the Frmptcr ^tethod when applicable' 90. 2S— 7J", 7 Plea: ct?rrrplete the following- A) » of Crot;nd Surface Elevation ;4slrig Cii:S B; C.W. Elevurion 3c% -.+-adjust, ent forhigh G.W._..� 7 _ �.•38- 7� L73:7 DIFFERENCE BMVEEN A and B / 8. 3 SIGNE" -2 3ZLSed upon the »bone inforMation, a repair permit I.-I'd b@ 5-Sued or 3 bedrooms I - maximum, Nu additional bedrooms are aurhorized in the future without engineered r septic system plans. �• p _ - r 4;hwltb fulder,remgXMV 1 �. We'lervl TOWN OF BARNSTABLE LOCA' ONh doc SEWAGE #VILLAGE `�� ASSESSOR'S MAP&LOT INSTALLER'S NAME<&PHONE NO. SEPTIC TANK-CAPACTI'y I LEACfIING FACII.ITy: (type) �' S (size) NO.OF BEDROOMS BUDDER OR OWNER ' PERMITDATE: COMPLIANCE DATE. Separation Distance Betwden the: Maximum Adjusted.Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any yells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300€eet f leaching facilityle-1 Feet Furnished by r✓H ��/✓' i,�,p�r A � � c a , EO n g 31 Y3- 6-52` r TOWN OF BARNSTABLE F� LOCATION SEWAGE # �177.5' VILLAGE �!n n r+��� Q ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.&6Ih 5en S2 ®41 C "725-$-71 C SEPTIC TANK CAPACITY LEACHING FACILITY: (type) a r5 (size) 01 x / V t NO.OF BEDROOMS BUILDER OR OWNER fir`r k PERMTTDATE: 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 y d�C 0 k � i X 10 ' LUNATION C3F PROF"ERTY . LINES MAY NOT BE 'ACCI.JRATE -- STANDARD 1EGEND 6ROUNDY1411R RIVATIOV80WEEN 30,AND 35,ABOW SEA ffWt —� -- NOTE:um allsymbai:wivn w-a CD USER ON UNADJUSTED 1992 GROUNDMTER AWDIL �� _ �-- i �-"-�. FiOIF ftXRSE FAIRI'fi 2 _ rQ ARIS2f -�� - _ .�....-. EDSfdFttltlSEi IJI OICEYROORNURSER P_i tom Of[ORtFIRMS 41co � EDGE OF WAt{R Z t { PAVE vi .9"kort OWN _ 1 _ 4 251 7-1 F :' r Re►d71 IIMf•� 'AP-2 5 1 ,..$tna-0—"MF WNJIf (F 1 Q r ! I FOOT CONFOUR W* -m , � j ! 6`. 1•^'7 i �� '• l_ (.-�-.�• f //, ! ('� --,N►__- IG i�lpT CONTOUR(3Nf J� ,1 Al Fitvfioa lased p.N6YD: SPU1(LEMON -rokl WSJ FENCE t -J. swmtiM K6 Foot pmmy DICK � L l tUIDING/STRffTU� 1 ' �r 51 Fly son M(A �7 r f J t �l i l r".•F C i-� iL -{ lMAP. 2 �\� Y�Nf p ItltFY00Ef �- o w w p r • e r M s e i.__ _�_.__ �_._�. _ `_ _—:.._ __ _ O ►C'S7 flA6Klf I} w a t r Q • o ai r a r r i c • w o- o at Pa d . ;. w r v >4 r • ao s v w , _0 T _ +W6 �e nq e�aaagpwnr da a.RpF �+pow Fa�aa.mb— IIMA Atli . C d Gj " • r "R' �/ t •1�dr aal d e+11��w d i tW' LF pqwbT1 q Cap% I•�,1 -owom r ae Ura "v 00fore.rl r-Fv9 ° �.�e astsryeFevF�akto. stw s•ia o t!$/r'OiE o EO[TtK ttQl[ 1 ! .��� -�-al�l�il �.j j�l'J ��II..IlI. 1-i - t I:I�- � ��I�� f' '�r {it- .. .l(, li- � I �:�., ,?�.• ::il�i ►i r 1. t .I.-II- Fmc THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---------------7-t--'.V....A-.).........OF.......&!r7l; ........................................ for Dhipviial Workii Towitrurtion ramit Application is hereby made for a Permit to Construct (V/) or Repair an Individual Sewage Disposal System at: Ffvc�/Z., . /es— .................................................................... Locate n-Address or Lot No. ................ ................. ............ .............................. 9wner Address .................005�,A(W... -----1?7- �1��!.�_.�,tf��_.. Installe,Wa r *­------ --- Instail'e'r Address Type of Building�,� Size Lo tr n- -e ........Sq. feet Dwelling-,r-No. of Bedrooms----- ........................Expansion Attic Garbage Grinder (Igo) 'Other—Type of Building ............................ No. of persons_...__....._................ Showers Cafeteria Otherfixtures ......................... .............................................................................................................................. Design Flow..................................57.C__.gallons per person per day. Total daily flow.._........_._...____ A :?_.._.._gallons. 9 Septic Tank—Liquid capacityJ,',&r.v-..gallons Length................ Width---___-____--___ Diameter--.- 3 Depth................ Disposal Trench—No..................... Width..._................ Total Length.............._..... Total leaching area-------------------sq. f t. Seepage Pit No...I-0"7r------- Diameter.....8---------- Depth below inlet....6............ Total leaching area.a�.. ........sq. ft. Z Other Distribution box ( i--)- Dosing tank ( ) 0-4 Percolation Test Results Performed by....EMNAA.D.........BA.&-re_'A......................... Date..../2-/14JA.......... 14 4 Test Pit No. I........�gh....minutesperinch Depth of Test Pit_______!A........ Depth to ground ........ Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water...................__... ............................................................................................................................ -------------------------------- 0 Description of Soil....... .....5,_�2..... .......•... W U ........................................................................................................................................................................................................ ........................................................................................................................................................................................................ 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 TL I IL LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has br •. led by the board of health. ALuec Signed.l-/......ez� L.O.PL.................... ... Date Application Approved By........ . ....................................... ....... ------ Date Application Disapproved for the following reasons:-------------------------------------------------------------------------------------------------------- ................................................................................................................................................................................................... Date ZrV PermitNo--------------------------------------------------------- Issued_11."_0._,*.L2............................ Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �v,✓ 1 :,--v f ...... OF............................ ` Appliration for Disposal Works Tonstrnrtion Permit Application is hereby made for a Permit;,tb Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: . i ................__.....).• - •` Location Address........IC:...__ ......_....... - ---•••--.....••......•••---.• *--r Lot No.---.....__....... ....................... . .................Z.�.�f........}.:�;/; ,..._..'._� .`....:z=................. .........----_...._....................... .........._._........•......................_. Owner Address a ---•-•..•••_. / .:� �, ='........................................... .................................................................................................. Installer Address Type of Building Size Lot...lr�'1/ ............Sq. feet Dwelling No. of Bedrooms._ _E........._... .....Expansion Attic ( ) Garbage Grinder PO ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ---------------------------------------------- W Desigr� Flow...............................1,. ..gallons per person per day. Total daily flow-------......................................gallons. WSeptic Tank-,.-Liquid capacity.!.._:-._._gallons Length.............•.. Width................ Diameter---------------- Depth................ x Disposal Trench h-No_____________________ Wid6;--_---.-•-_---•-• Total Length...... r... Total leaching area_. . .....sq. ft. Seepage Pit Nq�......:----�`_____-• Diameter.................... Depth below inlet...._.__............ Total leaching area-•-••. ......sq. ft. Z Other Distribution bqx ( ) Dosin tank ( ) '-' Percolation Test Results Performed by..�It H ~ ..._...Z.A l.....�7 9 Date ,aa Test Pit No. 1........ .....minutes per inch Depth of Test Pit......._�........ Depth to ground water.1"61'_'r Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' •-••--•••----•-------•-•-•---•-••••..._.....•-•-••-•--••-•-•---••-•................................•......................................................... Description of Soil -•.......- !== -= ............. ..... -•---- ... . -•---- �1 ............................_..............................................................._............................................................................................................ 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 TITHE 5 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 the board of health. Signedl ! ._ ? _-�•�%!I -----------------•- .-r = r,� . 2 t; Application Approved By...:... . .. / �.. � f�lJ . Date Application Disapproved for the following reasons-------------------------•--•-•------•-----------------------•-------------•-----------------------•--•••--_-.... ..................................•-•------------------------------------••------•---..........-------•----•--•-•----••-•••---•-•-•---•-••••----•••-•-••-••••---••---•---•-----••------•-••----......... Date PermitNo......................................................... Issued---.J-24 ......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................I..................OF... .�/9 IU. /�/' . ................................ Tntifiratr of TompliFanrr T IS S TO CERTIFY��l�t�tky� Individual Sewage Disposal System constructed�) or Repaired ( ) bY....-----•--•-••--••.............•-•--•---...---............_.......•-------•-•-----••----•----•---•---------------........._ . at.. -•---....••-- ..................... . ...........•----- -- ---•-•-- --------------••••. •--•-••-•••-•----------- • -•-- has been installed in accordance with the provisions o The State Sanitary.Code as described in the application for Disposal Works Construction Permit 1T .._ .....11:... . . .............. dated................................................ .. ...:. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS.A GUARANTEE THAT THE SYSTEM WILL) UNCTION SATISFACTORY. DATE.--••-•••.--•_� ....z�.��_.._..-- -----...---•........... Inspector.•••-• ........ _ THE COMMONWEALTH,OF MASSACHUSETTS BOARD OF HEALTH'S V 5eg -74...60 ....O F...... iI 6. !.'�/V.... !r... ...... ..................................... o_•__-.....• ....----.... � FEE .............•••...... Diego al �Corks T nstr ion Trani# f /Y Permissic�s hereby granted..............................................I...........................................=...-......................................... :_.. to Construc ( or it ( ), n Individual S w a Dispos �System atNo..........................................................•---•-••--•........................_.-•••••.. ........................................................................................ Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ....................---•-------------------------------------------------------------••--------------- Board of Health - DATE............................................................................... ; FORM 1255 HOBBS & WARREN, INC., PUBLISHERS Udlt_�{ Flow = ilo 3 = 33o 6•P.17 _ - ---- - �t 1C T4lK- = 33o,r (So %. • 4-95 6. D. U Ste- l 00 -�, 4S AL . / F, 4-6 r_ / �ISPOSAt PIT - L-)St= IC>Oo GAL_. PIT � t� Ml' $c7t' AA AZSA_ r:;O 51=• Q v Sxf' l .C> Sb G.RV. O ND. to PQo \./ �enrz TOTAL �ESl6Q = 42S G.•RD. ToTA L_ �,dl L_�( FLDw = 330 6.PD. ; ►,"' n , PmrzCDLATIO L J tob, E C IL' 2-m 11J Olz :N,to J 'T?EST Tor fG 4,.5 duo Ioo.v I, Q. .�N ♦�... ♦ /♦ z,� .,�..... . rSve ppp vtst IW. 6A.L. .r 4W,pL f '8ox qZ,0 SEOTIC to IMV. T-A W oaD ,may, 111V• i• GAL. PST •: s��ivra •. • Wlru •i a�4 . wAVASo 'STOWS-- 485.Z- -) CEV-TlP%ED PI.bT F'L A." Ptzo>---t LE:-- L o GA T 1 o tJ + ►.t o S�n.L.E- 5 C1�L C I�- . Ti AT� V a: ► /C- - i 2/z4/7� Pt a� V-GpERc►.lc& ct.�IZ'T1 F--� T4-!AT T61G FoU�1DAT1�N5N�� t-1F.1,'t=s7�J 6(>V'% 'LVG W lTN TNi_ -5jDE ui- E-- OT 1 g 6- Awt> SC-Tu->ACIC �[gU10EMcuTy of TNC- -TOww O� = T�/��N ST�gL� • 1-! o L L�' po I N j' r V A T G ?.1 00 ` / t I'- )(T C tiZ �`,, 4.1�(CC ��G- • REGISttlZL-D 1-/�I.1G �UZv`Yv�S Tl�tS h�A►-! I ►JOT 064 A" osTEe�l�l G M,�SS. 11.lS'(-L:J;✓IIrW� i�UG;�/l=�{ . TILL- UFG:��<<i �1-IGWLD � \- / Alcor A��-r ASTHU2 1'YIu.-ik,,i U��Cr-' Tu i�r,-_1'(_�MI►J�- lw�T' (_Itili=�.� �� aS ►- t � � �, P n� 0CATION SEW GE PERMIT NO. VILLAGE a I N S T A LLER'S NAME i ADDRESS BUILDER OR JAB ej c. �/ V `• I A DATE PERMIT ISSUED DATE COMPLIANCE ISSUED Y — , 9 w % �hc� X2 :t SOIL TEST SOIL TEST 20 FT. MINIMUM FROM CELLAR 2 oz _ DATE OF SOIL TEST TOP OF FOUNDATION DATE OF SOIL TEST __ ---- 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE C/"�r 2 • vim' �� SOIL TEST DONE BY Srar'4 r /� • so`^L �F SOIL TEST DONE BY � �TOP _ OU•��- 10 FT. MINIMUM CLEAN SAND WITNESSED BY _-- / ------ WITNESSED BYELE (ASSUMED) CONCRETE OBSERVATION HOLE 1 ELEV.=_`L3•g_ OBSERVATION HOLE I. ELEV.= g 3 COVERS LOAM AND SEED PERCOLATION RATE __< z MIN. SL" 3 � 4" SCHEDULE 40 INCHES PVC PIPE PERCOLATION RATE _--� MIN./INCH AT -__-_ INCHES � / INCH AT MIN. PITCH 1/8" PER FT. 2" LAYER OF DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 1/8" TO 1/2" h L cct�,y . /oy2 WASHED STONE �� /9 4" CAST IRON PIPE " �• MAX. 9G,U VENT 7, 33 f '-5- 1-4 l l MIN. `j4,S NOT REQUIRED (OR EQUAL) MINIMUM z d Sa,Qr►CR y / R �/� j _ e� 7`Y` r r PITCH 1/4" PER FT. 1 CU. FT. OF A 4 B4 // 43 / CONCRETE FLOW LINE 9 3.00 ANCHOR e/ /�YR e►9 .�.� 1 Y2 ,✓/A 10. ❑ ❑ ❑ ❑ ❑ O ❑❑ ❑ ❑ ❑ /off '� :A 1 ELEV. _ _-7`-- MIN. 2,p" o o o O o $'�1.> 2.Sy it �he�a= E. Co4r.SG �L► l ELEVA74 . = 9S/� LEVEL o ° ❑ ❑ ❑ ❑ ❑❑ ❑ ❑ ❑ ❑ ❑ �e Ce LvA� 7 Z h Cale- ELEV. GAS ELEV. = 9 9 _ 6 SUMP ELEV. _ `� o o ❑ ❑ ❑ ❑ ❑ © ❑ ❑ ❑ ❑ ❑ 0 2. ° Sam►e� BAFFLE ° o CG Efy� 7 a Y� to DISTRIBUTION ELEV. -A° °°° ❑ ❑ ❑ ❑ ❑ ❑ ❑ o ❑ ❑ ❑ ° G o 0 90. z�� cZ LIQUID OUTLET .25 ° ° ELEV. _ /� sv-,dC /3z. DEPTH (TO BE PLACED -0N FIRM BASE) TO BE WBATOERC TESTED 2- 500 GALLON DRYWELLS WITH 4 FEET 14 INCHES STONE IN AN �p 3,j- ' _ AJc WATER ENCOUNTERED AT _ _ ELEV. 5 FEET 19 INCHES IF MORE THAN ONE OUTLET , VO.WATER ENCOUNTERED AT _ _ ELEV. - �_� E 6 FEET 24 INCHES 1000 GA. (EX.) (TO BE PLACED ON FIRM BASE) J3 x zsx 2 TRENCH FORMATION z WELL N A 7 FEET 29 INCHES ZONE 8 FEET 34 INCHES SEPTIC TANK 3/4" TO 1 1/2" CLEAN SOIL ABSORPTION INDEX DOUBLE WASHED STONE `� ADJUST DESIGN CALCULATIONS FREE OF FINES & SILT SYSTEM (SAS) NUMBER OF BEDROOMS USGS PROBABLE WATER TABLE ELEV. _ LEGEND. GARBAGE DISPOSAL UNIT mod_ SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. = __"_��'4 EXISTING SPOT ELEVATION 00,0 TOTAL ESTIMATED FLOW NOT TO SCALE BOTTOM OF TEST HOL!_ ELEV. = Z2.21 EXISTING CONTOUR ----00---- -_ GAL./DAY FINAL SPOT ELEVATION r00-_0l REQUIRED SEPTIC TANK CAPACITY GAL. FINAL CONTOUR 00 ACTUAL SIZE OF SEPTIC TANK L000 GAL. eresr�u Gi SOIL TEST LOCATION SOIL CLASSIFICATION r UTILITY POLE -<)-- DESIGN PERCOLATION RATE < J'" MIN./IN. 1 I TOWN WATER =W= -W EFFLUENT LOADING RATE d• '� GAL./DAY/S.F. ® I • CATCH BASIN ` j LEACHING AREA ►.3'X 2 S y 'TG 2 ` � SQ. FT. 90.4 GAS LINE 1 I I CLEAN OUT C'- LEACHING CAPACITY (AREA X RATE) 3-5 GAL./DAY I 95I9 CESSPOOL C.P. O Q77 x .2 .4 RESERVE LEACHING CAPACITY _�'`a GAL./DAY 1 106.0 06. 105.8 I I j . 90.3 NOTES. 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. I I I TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE 89.8 DISPOSAL OF SEWAGE. f I 4 / 93.1 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF \ \ ('0 � WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE \ I y 2, d 8V(8 USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 9 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL 3.6 BE MORTARED IN PLACE. 93.5 5. NO CiETERMiN�.Tii>N COMPLIANCE HAS BEEN AS �� CvMAhCE WIT;: DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO y OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. \ \ \33% µ 92 9 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR Q \� \ \ IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS j � \ \ \� ��-, \ \ I \ X s'.�.c.vo 7-r�- ;o PRIOR TO COMMENCING WORK ON SITE. U. POLE 5 ' --... \ T.QF. &WY-1 0 / _ 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS Q� �p SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION 0�/� l �\ \ \ \ \ � I. 94.3 S.A.S IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER 1 -�..�„ 98.5 _ �3.9• I �i IMMEDIATELY. C _ " 8. PARCEL IS IN FLOOD ZONE C'e a 5rea/G D4 9s.7 ___.__.._... _ _ 2SI :L \9 .n TAB/ �c , I � ( L / 9. LOT IS SHOWN ON ASSESSORS MAP ___-_ AS .PARCEL �.-- ..._._ _ 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM, \ $ \ 0WRHEA0 _ _ / � \' I I I Q96) AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) cs ,QECIC I I - (I.E. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVERT. I r NG � z 11. EXISTING SEPTIC PIT- TO BE PUMPED AND FILLED WITH SAND 1 `� 1 a w�c�,i,vCS, 1k � OR REMOVED ' FRav a io�e' ov�eH£A� \ O , .. HEALTH r, t . CH 1 �. PAR 0 k J � �� APPROVED .BOARD 0 1 108.7 xp 107.3 109.4 107.2 107.2i �1p21/ k� u�aZ DATE AGENT \l GARAGE ��k• PROPOSED SEPTIC DESIGN 109.8 107.3 FOR ` 107.3 JIM LYNCH �J r1a 8., x 10&6 LOC.LOT 185, 16 HUCENS NECK 0. ■ 110.8 C�� BARNSTABLE , MASS 111.2 111.0 111.1 CRRG R. SHORT, P.X �i tor 185 z_lz 235 GREAT WESTERN ROAD �Gb• AR£A-24257t SF 508- P. 0. BOX 1044 SOUTH DENNIS, MASS. 398-8311 02660 LOCUS , 's ( DATE FEB 21 , 2001 SCALE ,� = 20'�� E L 5 � A PNINNE� REVISED FloB NO. 1-902 I LOCATION MAP REVISED SHEET 1 OF 1 1 T C. S8 PRO✓ 2274-00 dw 2274-OO.DWC © 2001 CRAIG R. SHORT, P.E. i