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0005 JUNIPER ROAD - Health
5 JUNIPER RD. CENTERVILLE A = 210 109 No. 42101/3 ORA p G)12 f-II-01Q (2),Z' 10 © O TOWN OF BARNSTABLE LOCATION _,5N\1 QQ(- o d( \ R ' SEWAGE# -U i7- drf 7 VILLAGE Cot?4e(u (`e- ASSESSOR'S MAP&PARCEL o?/0//0`/ INSTALLER'S NAME&PHONE NO. 4-)< S4e and le.4.rZ tt_ 170/tz kerrlpa SEPTIC TANK CAPACITY /4000 !a ltwt 150f-5yo-670& LEACHING FACILITY: e L1-L,elr hM9 ) 39 X' NO. OF BEDROOMS 3 OWNERS rlrwr -j2w&Jd Md-f' PERMIT DATE: 3/at f/ay i-7 COMPLIANCE DATE: / Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /U/i4 Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) N/A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) y/.9 Feet FURNISHED BY ./�} Si e Ind o�2�-fiG Ll C 1 ,?O ad., Juy�iPQ �CSC�U Ac-�� ' 13C-aI� y 6,-:-- a5 G� :,IF-31 ' 13F-3a' AC-,�2 y dG-3y �- ��,23 ° 3� AJ I. �4k-a4 6 K-f 3 b � /y 00 c. No;_�'Llg THE COMMONWEALTH OF MASSACHUSETTS FEE O� BOARD OF HEALTH OF r/tS n We— APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair (tl Upgrade ( ) Abar.Jon ( ) - ❑Complete System []Individual Components s � �ti n /o q Q ne�r's Na Map/Parcel# ptk OL63 n — )a,3 pone# Installer's Name D ner's N am P r �T F— LI 11G&4-s S Address�� f d e r nTele one# n G' 7O C� Telephone# t, 74 Type of Building: ICP's i aeti-k Lot Size 1 `/ / Sq.feet Dwelling—No.of Bedrooms 1�3 Garbage Grinder ( ) Other—Type of Building No.of persons Showers (/), Cafeteria ( ) Other fixtures Design Flow( t .�1 IX0 17 Number of sheets Revision Date req}�fired) 1J gpd Calculated design flow gpd Desig flow provided,, 2V gpd Plan: Date � � Title N-e! son Description of Soil(s) C/N ''!S-"/&'u M M6 Soil Evaluator Form No. Name of Soil Evaluator, �• C ate of Evaluation 3 1J p f DESCRIPTION OF REPAIRS OR ALTERATIONS 0- _&e4--T i ?�i n �j 00 0 (G 01C r�� The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed ' Date 3 / Inspections + O OHN I -RCal FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 cy@ Nol/ THE COMMONWEALTH OF MASSACHUSETTS FEE vV BOARD OF HEALTH i OF -6GVt� �, t��i(�_ _ 1 APPLICATION FOR DISPOSAL S�'STEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repai4,((/)Upgrade ( ) Abaiglon ( )r ❑Complete System ❑Individual Components • Loca[i— O. ner's Name i9SSeSS<n-S ,�- a lU ,/c)9 �TrM t per ( ._C��c� Map/Parcel# A., Address Z( S Gn Lot ISI #�Ls�f✓T! _,T ephone# Installer's Name vD igner's Nam iAddress Addres S� `, nTele one# !� /G( �� Telephone# 15 7Lt Type of Building: 'i(}I+i c�� Lot Size � q / Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers (�), Cafeteria ( ) Other fixtures Design Flow(VIN, eq}fired) gpd Calculated design flow gpd Desig flow provided, 'pd Plan: Date I G 7 Number of sheets 2 Revision Date n � Title / 1-►-�f S4 n d 6 5 "/2o Description of Soil(s) lom -/S /8 'arl � yb sold ream r(oS Soil Evaluator Form No. Name of Soil Evaluator J L-"i" C ate of Evaluation ,3 I'S a G DESCRIPTION OF REPAIRS OR ALTERATIONS 2 /1�PiVS �}l i S'1 e- c /j OG U The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. .� J �7 Signed Date Inspections 1 FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 ---'-No '� _.rV — THE COMMONWEALTH OF MASSACHUSETTS v FEE -o-o-o_pa-a-c &I'n-,7uA/ 5' BOARD OF HEALTH Cj::� CERTIFICATE OF COMPLIANCE Description of Work: U4ndividual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Dis osal System;Constructed( ),Repaired(k Upgraded( ),Abandoned( ) M at has been installed in accordance with the provisions of 310 C R 1 .00 (Title 5) and the approved design plans/as-built plans relating to application No / '�� dated /Approved Design Flow (}, } -(gpd) Installer S, Fn a d S ,,,.2- , 11 i 0 Designer: �. Cin S-C Pc--- Inspector e L/ The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 NoA,/ -7 7THE COMMONWEALTH OF MASSACHUSETTS FEE v� Oaf Y1�!Z),)I,e BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair (L�f Upgrade ( ) Abandon ( ) an individual sewage disposal system at ') a/Vk I (_-20yY 2-4 G( r-�,m �_ey i,i 2 as described in the application for Disposal System Construction Permit Nop-�0/7 dated / Provided: Constructio shh�all e completed within three years of the date of t/hi per � :"hoc conditions must be met. Date Board of Healt(kt FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARRENrM PUBLISHERS- BOSTON r� Town of Barnstable •�`"�' io Regulatory Services snnxn IA . Richard V. Scali,Interim Director ,6 ¢ .� public Health Division � Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 ti Installer& Designer Certification Form - G , Date: Sewage Permit# 170/-7- 1?7 Assessor's Map\Parcel 67 Designer: �%, E. ��n c�'s- i u.�av P� Installer: s4-r`1 C Si 2 Ciity Z z C. Address: �'.6 6cac ��(� y Address: � GNPs-� Fft-�mo��� n����-5�� �(� 5 �arr�4•�_ c�'�z�,1' ,�'..� �Sf FftGmGt�, !Yt a- G�-5`36 On 4 4- al d eLQ��,�& was issued a permit to install a (date) (installer) septic system at �'`" ,l"i,24a�,- Je& &mL&illIfe based on a design drawn by (address) - .F_ tatld 6ir -Cu. , { j C dated -3 1 ! /�i� (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. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State& Local Regulations. Plan revision or certified as-built b designer to follow. Strip out if required)was inspected and Y g p ( the soils q ) P were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the I1A approval letters(if applicable) OF MOP JOH (Install Signatur LAMERS- ULEY UViL No.35101 IST sig er's Signature) (A �eir� amp Here) PLEASE TURN TO BARNST L PUBLIC HEALTH DIVISION. CERTIFICATE OF .COMP IANCE WILL NOT W ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\SepticU ksigner Certification Form Rev 8-14-13.doc IMar29 17 08:48a J.E.Landers-Cauley,P.E 508 540-3344 p.2 #ibb�tts Engirwa g Corp_ CONSULTING ENGINEERS 716 County 9tree%Teu-ton MA M780 Tel.(508)822-6934 Fax.(509)280-7811 Client: J.E. Landers-Cauley,P.E. Job No. Inst.17-3814 P.O. Box 364 Date. 3/2012017 West Falmouth, MA 02574 Report No GS7075C Project 5 Juniper Road, Centerville, MA Combined Hydrometer and Sieve Anall sis Revort ASTM D-422 Dry Sieve Anahrsis Hydrometer Analysis of the Portion of the Total Sample Passinq the#10 Sieve Sieve %Pass. Size MM Sieve Size M % Pass 3.0" 100.0 76.100 No. 10 2.00000 1 00.00 10" 97.3 25.400 No.18 1.00000 82,71 1/2" 90.3 12.700 No. 35 0.50000 43.62 3/8" 88.1 9.510 No.60 0.25000 13.33 No.4 82.8 4.760 No. 140 0.10500 4.51 No. 10 74.2 2.000 No.270 0.05300 4.17 0.05099 3.40 0.03606 3.40 0.02944 3.40 0-02085 2.90 0.01475 2.90 0.01044 2.40 0.00743 1.40 0.00526 1.40 0,00373 0.90 0.00264 0.90 0.00137 0.40 Percent of Total Sample For Triangle Classification Retained on the No. 10 Sleve Based on Material passing the No. 10 Sieve % Retained(2mm) = 25.8 % Sand 95.8 % Silt 3.6 % Clay 0.6 Remarks: Philp J. Medelms Technician Christopher M.White S.E.,P.E. Laboratory Director m � N v CID > o — 00 tibbettsngkwe,in9 corp. Gralgh of Grain Size Analysis Using ASTM D422 necwae.mtmmeuoTeo TdfRmefJ1f11u.f11A6(bee3e J.E.Landers-CouleyR.E. Job No. lnet.17-3814 Date:3/20/2017 C- -G—Material Peseing#10 Sieve +Report No.:G87075C Gravel Pardon Curve. m 100 #270 #140 #00 #35 018 V O 3/8'1/2" p" ,0" 100 Q- m 90 90 - K 80 80 ��,_ 70 70 = v► 2 50 50 IE m 40 -- 40 m 2 a 30 30 a CD 0 co 20 - - 20 0 is w 10 — - -- _.. -- 10 0 0 0.001 0.010 -0.100 1,000 10.000 100.000 Grain Size in Millimeters w IMar2917 08:48a J. E.Landers-Cauley,P.E, 508 540-3344 P.1 TIBBE I'S ENGn4EERING CORP. 3090. custm❑et Avenue 716 Cont Street DATE New Bedforit Ma 02745 Taunton,Ma 02780 03120M I? (508)998-3700 (508)822-6934 JOB NO. ervhtte IibbdLwngineednsxom Inst.17-3 B14 www.ubbodwnrincering.com ATTENTION TO L E.Landers-Cadey,P.E. PB:, P.O.Box 364 5 Juniper Road CenterviEC MA West FalmoUth,MA 02574 WE ARE SENDING YOU Attached [:]Under separate cover via the following item: ❑ Shop Draawings ❑Prints ❑Plans Samples ❑ Specifications ❑ Copy of Letter ❑ Change order ® REPORT'S WPM DATE NO. DESCRIPTTO7\. 1 Combined Hydrometer and Washed Sieve Analysis w/Gra h: GS7073C THESE ARE TRANSMITTED as checked below: ❑ For approval ❑Approved as submitted ❑ Resubmit copies for approval For your use r]Approved as noted ❑ Subrnit copies for distribution ® As requested ❑Returned for corrections ❑ Return corroded prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US TYPE OF DELIVERY: ❑ UPS ❑ FEDERAL ENPRES 9 ❑ CERTIFIED MAIL PRIORITY MAEL ❑ EXPRESS MAIL ❑ FIRST CLASS MAIL ❑ HAND CARRIED PICKED UP BY CLIENT REMARKS: EMAIL TO ianri:rs:a�raai.cc•: SIGNED: Philip J.Medeiros Menclosed are not as noted,kindly notify us at once. J Town of Barnstable P#_ 15130 Departitnent of RegWatory Services i F Public Health Division nat e 3 I >„ �.6 200 Main Street,Hyannis MA 02601 Date Scheduled j 7 Time Fee Pd. t�I t . P, `y Soil Suitability Assessment for L,Se ge Disposal . Performed-By: Witnessed By: V I � LOCATION&.GENERAL INFORMATION Location Address (�jy � �R �p Owner's Name Address '�5 T i...11V fZ. -P-`p,i Assessor's Map/Parcel: ` ` 1 Z7 �5 C U Engineer's Namo ,�, NEW CONSTRUCTION REPAIR � Telephone ff �C> "�. -.• S`-�y' �.:. .'I 3 , i�Qen� a� Land Use- Slopes(4) O ^3 Surface 5tonee t Distances from: Open Water Body-z ft Posslble Wet Area 60r —ft Drinking W.Ater Well I oft. Dralhage Way vl :n+ ft Property Line ? 4 ft k Other i A SKETCHt(Street name,dimensions of lot,exact locations of test holes&Para testa,locate wetlands<'n proximity to holes) Y I. i OF AfA. i r I R FIN ter CA N0.35t01 . At Parent Parent material(geolo(geologic) t Depth to Bedrook,.. , •_\_l C4, ..�._ Depth to Groundwater. Standing Water In Hole: } Z-0 Weeping train Pit Fooe h Y i Estimated Seasonal High Groundwater } DETERMINATION FOR SEASONAL'HIGH WATER TABLE Method Used: Dc th Observed standing in obs.hole: lu, Depth to soil mottles, . Do�th to weeping from aide of oba.hole: `n � In, amundwater Adjustmont Index Well-i1 Randing Dato: Index Weit Imve Adj,•faelor, „_. ,At;.Grt .utidwatar-Level,•••_ RCOLATION TEST batdO3 \' • Observation 4, -S Hole# y Time at 9" ' •Y; Depth of Pam Time at 6" Start Pro soak Time @ f 11tno(9,141) r I ' End Pro-sonk t i y., Rate Mln./Inch • I Site Sul tability Assessment: Sltd Passed Sitp Falled: Additional Testing Now cd(Y/N) Original: Public Health Division Observtitlon Hole Data To Be Completed on ack 4_ ' i ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPPIC\PERCFORM.DOC i DEEP.OBSERVATION HOLE LOG Hole# Depth from Soli Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stonei;Boulders, nsisteney.%arival) IL-l8 � o Am ; IYi 4b f. $ ljw LOAM 1 W.' DEEP OBSERVATION HOLE LOG Hole# 7— Depth Prom Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsoll) Mottling (Structure,Stones,Boulders. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) IF(USDA) (Muusell) Mottling (Structure,Stones,Boulders.. � DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Solt Color Soil Other .Surface(In.) (USDA) (Mansell) Mottling (Structure,Slopes;Boulders, lit ' i Flood Insurance Rate Manx71 Above 500 year Mood boundary No_, Yes _ Within 500 year boundary No— Yes ' Within 100.year flood boundary No., Yes Depth of NYaturally••Occurrine Pervious MEt erlal t Does at least four feet of naturally occurring pervious mtiterlal exist:in; all areas observed thrpughout the area proposed for the soil absorption system? S ;`. If not,what Is the depth of haturally occurring pervious material? Cer'ti— fii--- ication I certify that on v` (date)I have,passed the soil evaluator examination.approved by the Department of Bnviro mental Protection and that the above analysis was performed by me consistent with . the required tral ,expertise and experience described in 10 CMR 15.017. Signature Dam o3--ZZ--1�- , Q;1SpPrnC1P1iRCPORM.DOC E�. TOWN OF BARNSTABLE LOCATION ��y�/iP�" RI) SEWAGE # VILLAGE Ce-4/,,Vl ASSESSOR'S MAP & LOT,-21e/df INSTALLER'S NAME&PHONE NO. 6y y.'�g'�V` SEPTIC TANK CAPACITY /Xwo GVL LEACHING FACILITY: (type) 4C,55®wL (size) �,000 CAG NO. OF BEDROOMS 3 BUILDER O O R 1-'eM4 PERMITDA . 9"/T'�/ COMPLLANCE DATE: (� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ISG,T. � �Q r �, � •t g3G al �7�,�y� 3q` �/(� 0 �, , . i No.�i � � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Xkgool *p!tem Conotruction Vermit Application for a Permit to Construct( )Repair(l�)Upgrade( )Abandon( ) ❑Complete System T Individual Components Location Address or Lot No. 5--Tuw ael, Owner's Name,Address and Tel.No. Assessor's Map/Parcel Celllel IIle �� /w >ee��,r Installer's Name,Address,and Tel.No. 7/ Designer's Name,Address and Tel.No. Bort�lo,�1 Cp�s�= 7 7/- a . Type of Building: g Dwelling No.of Bedrooms l/ Lot Size sq.ft. Garbage Grinder(.9✓0 Other Type of Building Ar 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 r7�®E�l�' Type of S.A.S. al 404f,.2C�s✓`� G19� Description of Soil Nature of Repairs or Alterations(Answer when applicable) e ��>� ��8 / 4r"I.; ✓`'—GAD 4' /� D ,!,- Q 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 thisJ19arq f t I Signed Date Application Approved b 4l/Z✓UG Date Application Disapproved for the following reasons Permit No. Date Issued ��'— F as.a�.c 's,x,sW L , 7 13„u••�i-s`�'�y yes VM �` 'ci'w•�,m. BARNSTABL LOCATION SEWAGE / i t VILLAGE �t�i�iryi>�C �. • ASSESSOR'S MAP & LOTo;216�dy INSTALLERS NAME&PHONE NO. T- SEPTIC TANK CAPACITY /Sdo GAC LEACHING FACILITY: (type) Z11557A,L (size) %000 C•9L . �' NO: OF BEDF��IVIS 3 BUIL.DER:O O,. R. - PERMIT UA. .—COMPLIANCE DATE: . Separation Distance Between"the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet 7, Private:°Water Supply.Well and Leaching Facility (If any wells exist j "- on site or.'within 20Q feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of°le aching facility)-: Feet I Furnished by ' - 17p' 0 No.;lr,40/`6s Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 3pprication for Migooar *pgtem Construction permit Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) O Complete System TIn'dividual Components Location Address or Lot No. + �/' Owner's Name,Address and Tel.No. Assessor's Map/Parcel Cell /,��/Ile G,,-�' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Boi-lho`/obi 7/-93 Type of Building: Dwelling No.of Bedrooms /�c/ Lot Size sq. ft. Garbage Grinder(I: Other Type of Building /L A. (�?J&29 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. ©l/�/' �4� CG'S✓` �� Description of Soil Nature of Repairs or Alterations(Answer when applicable) Re eCl? 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 thisB and of t I Signed /,� iS+�� Date Application Approved b Date F Application Disapproved for the following reasons 3 Permit No. 0,0 G/, lam:-v? Date Issued THE COMMONWEALTH OF MASSACHUSETTS ' Zx) BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIEY, that the/On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by at S ,J Gl�li L�i� G1�7�rU% ��? has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NV4441- ,-'(a'Z dated Installer Designer The issuance of thisperrrijt shall not be construed as a guarantee that the systetdwill fun6tion7as disigned. Date )O l� /o Inspector P 10, � l 6.t- .�� No. —-----—————————————— 2 A9_la� Fee---- - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5poaf *p!6tem Construction Permit Permission is hereby granted to Construct( )Repair, Upgrade( )Abandon( ) System located at YZ°J� 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 thi t. Date: Approved lif v .l FAX N0. 508 771 7626 P. 13 SEP-07-2001 FRI 09:51 AM Town of Barnstable Regulatory Services s �`F' Thomas F.Geiler,Director F$63 16 Public Health Division Thomas McKean,Director 367 Main Street, Hyannis,MA 0260I Office: 508-862-4644 Fax: 508-790-6304 August 15,2001 Saul Leeman _ __ _ _,_...-...- ,..—. _. .. -- -- —._. _.. __.... ...__... 465 Eltngrove Avenue Providence,RI 02906 RE: 5 Juniper Road Centerville, MA Dear Mr. Leeman: I have reviewed your July 18,2001,Title 5 Septic Inspection Report for the property located at 5 Juniper Road,Centerville,MA for the purpose of evaluating the existing system,as required by the regulations. Based upon conversations with Troy M. Williams, Septic Inspector that performed the septic inspection,and Glen E. Harrington,R. S.,Health Inspector,it was determined that the repairs necessary to bring the system into compliance with the removal of roots will alter the structural integrity of the main cesspool. Therefore,you are hereby ordered to install a 1,500-gallon septic tank to replace the main cesspool within two years from the date of inspection. A septic installer licensed in the Town of Barnstable must perform the repairs. A Disposal System Construction Permit($50.00 fee)must be obtained prior to' performance of the repair work. If you have any questions,please do not hesitate to contact me. Very truly yours, TV oas . McKean, C 0 . Health Agent cc: Troy Williams I 1 . ' t L _ f Q 17e,aye �FTME Tp�, Town of Barnstable Regulatory Services yBA AB MASSS. Thomas F.Geiler,Director A'E%639. Public Health Division Thomas McKean,Director 367 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 15, 2001 Saul Leeman 465 Elmgrove Avenue _ Providence, RI 02906 RE: 5 Juniper Road Centerville, MA Dear Mr. Leeman: I have reviewed your July 18, 2001, Title 5 Septic Inspection_Report for the property located at 5 Juniper Road, Centerville, MA for the purpose of evaluating the existing system, as required by the regulations. Based upon conversations with Troy M. Williams, Septic Inspector that performed the septic inspection, and Glen E. Harrington, R. S., Health Inspector, it was determined that the repairs necessary to bring the system into compliance with the removal of roots will alter the structural integrity of the main cesspool. Therefore, you are hereby ordered to install a 1,500-gallon septic tank to replace the main cesspool within two years from the date of inspection. A septic installer licensed in the Town of Barnstable must perform the repairs. A Disposal System Construction Permit ($50.00 fee) must be obtained prior to performance of the repair work. If you have any questions,please do not hesitate to contact me. Very truly yours, Thomas . McKean, C 0 Health Agent cc: Troy Williams _ i E ric //iotwj "cc) V /em,rV4, 37 s"9p-f -/,47-4 ('�frame 1 �� y'a6 owe �r,✓Y ��� k -' 3 z TROY WILLIAMS SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive South Dennis, WA 02660 �-� COMMONWEALTH OF MASSACHUSETI'S EXECUTIVE, OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TFI'LE 5 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A RECEIVED CERTIFICATION Propert% Address: 5 Juniper Road JUL 2 3 2001 Centerville,MA Owner's Name: Saul Leeman TOWN OF BARNSTABLE Owner's Address. 465 Elmgrove Avenue HEALTH DEPT. Providence,RI 02906 Date of Inspection: July 18,2001 Name of Inspector: Troy M. Williams Company Name: Troy Williams Septic Inspections Mailing Address: 19 Hummel Drive Telephone Number: South Dennis,MA 02660 (508)385-1300 CERTIFICATION STATEMENT 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 SN-,tem Passes - Conditionally Passes Needs Further Evaluation by the Local npptoving Authont� Fails Inspector's Signature: �y ,�,Q Date: 71/y /o r The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of I lealth or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition Of system,piping or components. This inspection represents the conditions of the system on the Date of Inspection noted above. ""This report only describes conditions at the time of inspection and under the conditions of use at that time. phis inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 paee I Page 2 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 5 Juniper Road Centerville,MA Owner: Saul Leeman Date of Inspection: July 18, 2001 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: 1 have not found any information which indicates tha ny of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria evaluated are indicated below. Comments: B. System Conditionally Passes: _Z— 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. Al 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 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 distribution box is leveled or replaced ND explain: Al 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 /Otitci: Cc.}}::rw.� "1tt �'� Cj► o.r.7n b✓r� etl}It4 ,.hc W4S �Mal �,cn..: ly ND explain: I �-1.4 4,-o blocr� _,A . ,41 cuss � / y 0000 r c. '� o o 1 �.►. I 1 n c b e /^�.+.o < d rC �,.w✓�S t.c � 1- 1t �' � �r"` 1�.-}'c,/i �a«. ! 1 �d W{-.� �t c..., a✓iS'�a �. �r t��, V./�'�c h .ht /0.06 .6t7 ' N^ �� 11 tntt� �' �f!ow Ltff Puu ( �145� Yip•+. i/ /+tr>f'' b-c I Ow ci c_y� � Odt,✓ 6y j+, Page 3 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 5 Juniper Road Centerville,MA Owner: Saul Leeman Date of Inspection: July 18,2001 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 m 2. System will fail unless the Board of Health(and Public Water upplier,if any)determines that the system is functioning in a manner that protects the public heal ,safety and environment: _ The system has a septic tank and soil absorption sy m(SAS)and the SAS is within 100 feet of a surface %cater supply or tributary to a surface water s ply. The system has a septic tank and SAS an e SAS is within a Zone I of a public water supply. The system has a septic tank and S and the SAS is within 50 feet of a private water supply well. _ The system has a septic tan nd SAS and the SAS is less than 100 feet but 50 feet or more front a private water supply well**. ethod used to determine distance _ "This system passes i e well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatil rganic compounds indicates that the well is free from pollution from that facility and the presence of monia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criter' are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 5 Juniper Road Property Address: Centerville,MA Saul Leeman Owner: July 18, 2001 Date of Inspection: D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than'/2 day flow v� Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. t/ Any portion of a cesspool or privy is within 50 feet of a private water supply well. t1 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. IThis system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.l No (Yes/No)The system fails. 1 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 de gn flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the crite i above) yes no _ the system is within 400 feet of a surface drinkin ater supply the system is within 200 feet of a tributary a surface drinking water supply the system is located in a nitrogen sitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water suppl ell If you have answered"yes"to any estion in Section E the system is considered a significant threat,or answered "yes"in Section D above the lar system has failed.The owner or operator of any large system considered a significant threat under Secti E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owne ould contact the appropriate regional office of the Department. 4 Page 5 of I 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B - CHECKLIST Property Address: 5 Juniper Road Centerville,MA Owner: Saul Leeman Date of Inspection: July 18,2001 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No information was provided by the owner. occupant. or Board of 1 Lahh 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? tq 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 _ N/q 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: Yes no v/ 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(3)(b)] . 5 Page 6 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 5 Juniper Road Centerville,MA Owner: Saul Leeman Date of inspection: July 18, 2001 FLOW CONDITIONS RESIDENTIAL 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: O Does residence have a garbage grinder(yes or no): '!GS Is laundn on a separate sewage system (yes or no):Nv [if}.es separate inspection required) Laundry system inspected(yes or no):w/9 Seasonal use: (yes or no): Yes Water meter readings, if available(last 2 years usage(gpd)): 00 Sump pump(yes or no): Al' �— Last date of occupancy: 0n1� �«�y;�,,..1 �f� y} f� �'�'►�� COMM ERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): zz Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):Xi Non-sanitary waste discharged to the Title 5 syste :_ Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: A/vti, Was system pumped as part of the inspection(yes or no): ^to If yes,volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box, soil absorption system Single cesspool Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation"and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe):. Approximate age of all components. date installed (if known)and source of information: 61c, 4 ; M o.t 'fu �o rev- 116 c... �4- c:,,4'0i2_Q x. s.L to v✓f !+�G a Were sewage odors detected when arriving at the site(yes or no): Al(, 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 5 Juniper Road Centerville,MA Owner: Saul Leeman Date of Inspection: July 18,2001 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_cast iron _40 PVC_Zother(explain): ra•. r' „ r Distance frorr, prate water supply well or suction line: ,y/,4 Comments(on condition of joints,venting,evidence of leakage,etc.): F!U to G r�a i S N t k A.A l;H eJ f c!-h.a T TL8.. ,�J I< <t �✓ LX C �� � j D'. 1...1 SEPTIC TANK:�A(locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyeth ne —other(explain) 1f tank is metal list age:_ Is age confirmed by a Certificate of C pliance(yes or no): _(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or Ile: Scum thickness: Distance from top of scum to top of outlet tee or af11e: _ Distance from bottom of scum to bottom of let tee or baffle: How were dimensions determined: _ Comments(on pumping recommenda ' ns, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence leakage, etc.): GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass Zyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet X Distance from bottom of scum to bottom o : Date of last pumping: Comments(on pumping recommendations or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of I age,etc.): 7 Page 8 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 5 Juniper Road Centerville,MA Owner: Saul Leeman Date of Inspection: July 18, 2001 TIGHT or HOLDING TANK: (tank must be pumped at time of pection)(locate on site plan) Depth below grade: Material of construction: concrete metal fibergla _polyethylene other(explain): Dimensions: Capacity: ga/ordeyes Design Flo%%: ga Alarm present(yes or no): Alarm level:_ Alarm in worDate of last pumping: Comments(condition of alarm and fl DISTRIBUTION BOX: (if presen/outlets te on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distri any evidence of solids carrygver, any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site/ndition Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chammps and appurtenances,etc.): 8 Page 9 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 5 Juniper Road Centerville,MA Owner: Saul Leeman Date of Inspection: July 18, 2001 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits, number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: ,/ overflow cesspool,number: 1 - S 'X S ' 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.): Sup w�.S Sc....I�y u..�.A ✓bc(c 0" (�✓H✓1 i L . ✓ yJU r �.p vti+ b 7-S .�- ,�;.�,t S y Ko �` f c. y.,c�.�+.�,� �r w4.-✓u h, , �+1 CESSPOOLS: v/ (cesspool must be pumped as part of inspection)(locate on site plant Number and configuration: ohc .•��-= h L�S��o=1I /�'`' �'f °i' a" SAC-drW✓%*- � Depth-top of liquid to inlet invert: S ' a ►- Depth of solids layer: `/" f Depth of scum layer: A/o�% Dimensions of cesspool S G`--e -7-& Materials of construction: Ge-5 seo� I Indication of groundwater inflow(yes or no): No ( «s s y,W 1 s Arr Comments(note condition of"soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): !5 v ) -. 4 f' "TC.i M.A (1L�.A � cS S.s.,�. .,✓O�i �L�✓. I... 1.�UU 4-.�:� c.✓c J1�✓. .M IBC/T ,I ,<f ""'jk pu4-1�4 1 '$ moo- k--t- o.- b.��r✓w.n� Gh �csSW�o/ o✓ A,a s/'f.✓c. y✓.h� e✓ PRIVY: (locate on site plan) w r C- Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraXhilure, evel of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 5 Juniper Road Property Address: Centerville,MA Saul Leeman Owner: July 18,2001 Date of Inspection: 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. i �I L 3y' (49 )joHo Gvzv f/o cJ 10 Page 1 I of 11 OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 5 Juniper Road Centerville,MA Owner: Saul Leeman Date of Inspection: July 18,2001 SITE EXAM Slope ✓ Surface water Check cellar ✓ Shallow wells Estimated depth to ground water 12•S Meet Adjusted high ground water elevation feet Please indicate(check)all methods used to determine the high ground eater elevation: Obtained from system design plans on record- if checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: 3e- 6. (� . Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: 14Q.- 1 duc <✓ (//no 1-� Y_0 (,-(- ..✓ C--5 fb.. 7 S t �J✓s /l K� wu-/ e✓ G-r c... G :-..n• .$�O4 w c. C i n s r� _ �..0 3Y.8 ' >cuY �Ly�b.1L�{ �f► -KL �r � l � , j � (wry �. Jl G.f..L.q.I !'"`�N" 3 /w c... -+- <-cA ti-. 'l- ,t/�G --�so+7 O r. Y 7. 33 5, AAL11 G N.•n y t ' G ✓�. y✓w + c z- -S 13o r `"� ✓f .� e.�o -s 1 C/c S s u to — �,o' �� 1 Jz.s M'�t�►� I C...t ( h `� p K.i N.0 ..t/��"�✓ .tom l..s--/�-T/�N . 11 TOWN OF BARNSTABLE LOCATION S&WAGE"# �+,s.o VILLAGE L w-!- �/i l( � . ASSESSOR'S MAP & LOT /c� AQ 5 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY o7 6—,5 f s LEACHING FACIL=: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 'f _ Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1 3 r• QUAQUET re LAKE Pt s co an LOT 88 d REA + 4 , LOT 11 Rl VENT PIPE ) �. a 50 s . all g� OB8 -014 PORTClj o 'W 01 w 18" EXISTING SEPTIC SYSTEM ;�0 6' 0OA r•�4� \ / COMPONENTS SHOWN AS OA DEPICTED ON TIE CARD AV FROM THE BARNSTABLE BOARD OF HEALTH I ��� PERMIT: SEWAGE � Gw c--- --- 31 ~ vOco \ �/ #2001-622 ® w�t���c�-$ W \ �'q\yv ro 1.10 o -- -� � „ o AREA OF TAKING ���;� 12 , �, OAK \ ham / ACCORDING TO THE I ° , 1969 TOWN OF '�lt ,� � // �AQ BARNSTABLE ROAD ° LAYOUT:. -`129.-99. S.F. ► G �w LOT 89 / ' 9�199 S.F. ; / lZ ' SITE PLAN NOTES: �� _ / PREPARED FOR Io ,a THE EXISTING PIT SHALL BE ABANDONED �, 3� - A & K SEPTIC OF PUMPED AND FILLED WITH CLEAN INERT q?, \jam ` -.- 3I ��'-- '// - 5 JUNIPER ROAD MATERIAL OR REMOVED AND DISPOSED OFq�s `\ 20.00R- 01 BARNSTABLE, MA AT A SUITABLE LANDFILL. / �"� ?�`� J.E. LANDERS-CAULEY P.E. VARIANCE REQUESTED: �`� \ u�' � . � �� CIVIL ENVIRONMENTAL ENGINEERING 310 CMR 15.211: MINIMUM SETBACK DISTANCES P.O. BOX 364 WEST FALMOUTH, MA 02574 � � r 508 540 — 7733 ph. S.A.S. TO .FOUNDATION- WALL: DOWN TO 17.0' `- - - - e �� - 508 540 — 3344 fax 7 ASS: 210 109 . - -DATE. -0,1 21 17 - - SCALE: 1 = 20'- -' -- -' -DRAWN BY- _`JDR JOB NO. 2802 SHEET: 1 OF 2 r s USE RISERS TO BRING THE USE RISERS TO BRING THE F.F. ELEV.=106.04 COVERS TO WITHIN 6" OF COVER TO WITHIN 6" OF VENT PIPE -- FINISHED GRADE FINISHED GRADE WITH 20'MIN. THREADED RODENT ELEV.= 104.4 SCREEN WITHIN 3" 'ELEV.=103_0=104.0 4" CAST IRON OR CONCRETE COVE OF GRADE SCHEDULE 40 P.V.C. OBS. PORT 4" CAST IRON OR 3" LAYER OF SCHEDULE 40 P.V.C. ,� 26.7' 12 MIN. 1/6"-1/z" DIST.__--- SLP•-0.02 SLP.=0.005 INVERT DIST.=35.5' CONCRETE COVER DIST.=19.5' WASHED STONE ELEV.=*101_60 '� FLOW LINE - SLP.= - -�INVERT o VovovovovovovovoVovo o"o"o"o"0 ., ovovovoVovoy ELEV.=101.07ELEV.= 100.1 ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° � * 10" MIN. 19" * --- _ o-o-o-o_o-o_°-°_o-° - - - Q°-gj-Ob°-Oj°��24" LAYER OF INVERTS SHALL BE FIELD ELEV. 100.82 10 __ ®®®® ®®®® o 0 0 0 0 0 0 0THE LENGTH OF ELEV.= ELEV.=__ o 0 0 0 0 ®®®�®®®®®®® o 0 0 0 0 0 0 /a" To 1-1/z" VERIFIED PRIOR TO THE D is B o 0 0 0 0 0 0 0 0 0 0 0 o c DETEPWRM BY THE 4" CAST IRON OR O O O O O .� v .. .. .. v .� .. O O O O O O O WASHED STONE PLACEMENT OF ANY � �MK USED. SCHEDULE 40 P.V.C. DISTRIBUTION, BOX o 0 0 0 0 0 0 0�0„0„0�0�0„0�0„0„0 0 0„0„0� ELEV.=98.19 SEPTIC COMPONENTS. (SEE CHART AT RIGHT) IF MORE THAN 4 OF COVER. -F- USE H-20 LOADING 3 ® 3' x 6' x 1' LEACHING CHAMBERS REUSE EXISTING_ 0 GALLON SEPTIC TANK TO BE WET TESTED IF (LC 6, LC 125 OR EQUIVALENT) 5.1' TO BE INSP CTED BY THE CONTRACTOR MORE THAN ONE OUTLET. EQUALLY SPACED IN A 38.00' x 7.00' LENGTH OF FOR SUITABILITY OF REUSE. LIQUID OUTLET TEE TO BE PLACED ON TRENCH WITH 1' OF STONE BELOW DEPTH BELOW FLOW LINE 6" OF STONE OR - - - - - - - - - - - - - - - 4 FEET.......14 INCHES - - - - - - - - 5 FEET.......19 INCHES MECHANICALLY COMPACTED SOIL BOTTOM OF TEST HOLE OR USGS PROBABLE WATER.TABLE ELEV =_ 6 FEET.......24 INCHES SOIL TEST DONE BY: J.E. LANDERS-CAULEY P.E. ALL WASHED STONE SEE 310 CMR WITNESSED BY: DAVE STANTON _-_-_-__ 15.zz7 (e) _____ IS DOUBLE WASHED PERCOLATION RATE: _-5---MIN/INCH P# 15305 TEST HOLE 1 DATE: O/15/17_ ELEV._10-1 I CERTIFY THAT I AM CURRENTLY APPROVED BY THE PROFILE OF DEPTH HORIZON TEXTURE COLOR MOTT. OTHER DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT SOIL EVALUATIONS SEWAGE DISPOSAL SYSTEM AND THAT THE ANALYSIS GIVEN HAS BEEN PERFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING, NOT TO SCALE 0"-15" HTM EXPERTISE, AND EXPERIENCE DESCRIBED IN 310 CMR 15.017. I FURTHER CERTIFY THAT THE RESULTS OF 15"-18" 0 LOAM MY SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, ARE ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.000 THROUGH 15.017. GENERAL NOTES: 18"-48" B SANDY LOAM 10YR 5/8 7'(2)(2) + 38'(2)(2) = 180.00 7' x 38' = 266.00 1. THIS PLAN IS FOR THE REPAIR OF AN EXISTING SEWAGE DISPOSAL SYSTEM. 48"-65" Cl SANDY LOAM 10YR 5/8 180.00 + 266.00 = 446.00 2. PLAN REFERENCE Bk 122 Pg 89 LOT 89 BARNSTABLE REG. OF DEEDS. 446.00 x .74 = 330.04 GPD 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM _ AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. DESIGN DATA: 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 65 -120 C2 M-C SAND 10YR 6/4 NO H2O _ TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENC-D . FOR THE SUBSURFACE DISPOSAL OF SEWAGE. TEST HOLE 2 DATE:0315/17_ ELEV._1 NUMBER OF BEDROOMS 5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 03_1___ GARBAGE DISPOSAL NONE_(0)-__-__ 6" OF THE FINISHED GRADE. DEPTH HORIZON : TEXTURE COLOR MOTT. OTHER 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW _,3Q___ GPD SAME, UNLESS NOTED BY FINAL CONTOURS. 0"-15" HTM ( 114 __ GAL./BR./DAY X -3---- BR. ) 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR 15"-18" 0 LOAM BF SEPTIC TANK CAPACITY 1-O0Q_-___ WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING o°�� Jt1HN� LEACHING AREA REQUIREMENTS AREAS UNLESS NOTED. 18 -48" B SANDY LOAM lOYR 5/8 -1 igULEY 8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL v I- A �+ SIDEWALL AREA 1aQ,QQ S.F. BE MORTARED IN PLACE. R '°35101 BOTTOM AREA 266 00 _ S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 48"-65" Cl SANDY LOAM 10YR 5/8 - DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO ' IE ��►��� 330.04 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. ��� z LEACHING CAP.(BOT. & SIDEWALL)_ GAL. 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF N ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. 65"-120" C2 M-C SAND lOYR 6/4 NO H2O RESERVE LEACHING CAPACITY _IAA __- GAL. 11. UNTIL APPROVAL FROM THE BOARD-- OF HEALTH--IS GRANTED,--THIS _.ENC D _ .__ -- - _ PLAN IS SUBJECT TO CHANGE. APPLICANT: A & K SEPTIC DATE: 03/21/17 SHEET 2 OF 2 JOB # 2802 oldy