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HomeMy WebLinkAbout0235 NYES NECK ROAD - Health 235 1yec,,,Road Centerville A=233 0 i I 0No.----- ---- - Fee---- =- ---------- BOARD OF HEALTH TOWN OF BARNSTABLE ApplicationforlVeri Congtructionpermit Ap lication is hereby made for ape it to Construct ( 14' Alter ( o R pair ( )an individual Well at: Location — Address Assessors M6p and Parcel Owner G\ —-- ---- —--- ` Address o Installer — Driller _ Address Type of Building Dwelling- 2S1 'e � Other - Type of Building----__—__— No. of Persons-- Type of Well---��-- ----_-_-_ Capacity---_--------_--_--- Purpose of Well- Agreement. The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate.of Compliance has been issued by the Board of Health. Signedell _ _Application Approved By t date Application Disapproved for the following reasons: date Permit No. -- Issued----_ _-_— _________ I d to BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS RIS TO CERTIFY, That he Individu�i1 Well Constructed (kT, Altered ( ), or Repaired ( ) by installer —-- --_— _--------- at--Oi.3J A) eS ( .Q aeTe i °�---- - --- - ------ --- --- - has been insuffed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------Dated—---------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------_-- __ Inspector Fee ---------- i�BOARD OF HEALTH TOWN -OF BARNSTABLE x �Q Zipplicat ion ArWell Con.5tructionpermit Application is hereby made fora permit to Construct ( k Alter ( �1 o Repair ( )an individual Well at: Location — Address Assessors'MaP and Parcel Owner Address 1 Installer — Drillei Address Type of Building Dwelling Other - Type of Building- No, of Type of Well Purpose of Well-- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate.of Compliance has been issued by the Board of Health. Signed Application Approved B l / C%.✓i�f/`! 1I'/!�. ; _—. !' to A _ PP PP Y �- _ ' t / date i Application Disapproved for the following reasons: } 1a� date Permit No. 1 — __ --- Issued----y-Idite /�!_____—___.____._------- y BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (v)-, Altered ( ), or Repaired ( ) by-- ---_— - '— -------------------------------_-.----------_________.__---- Installer --- has been inst edll in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ----------------Dated--_-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL'FUNCTION SATISFACTORY. DATE--—--- -- Inspector-------- - BOARD OF HEALTH - ((JJ � a. TOWN OF BARNSTABLE lVell Congtruct ion Permit No. Fee- Permission is hereby granted __..� to Constru Alt e ( ), or Rewir.V anilndivi 1r 1.. e I at - ------------------------------- r Street as shown o`n�jhe pplication f,.or�,a Well Construction Permit No._ I / - �------ Dated- /�, --r ------; ---�=__-----C----------------- --- - -- — -- — -� � --------- ._.._...Bp-a�rd'/of Qalth I DATE �. No. r9z J0 —3 6 1 S Fee JHE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYicatiou for Dfgpogal *p5tem Cougtruct[ou permit Application for a Permit to Construct(,,"Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No.7,35 i`/ M /Jt-CoC`Yc6n Owner's Name,Address,and Tel.No. Chi U-LG- 123 Assessor's Map/Parcel ��'�_p�, ?k0\A DtfAAL aZ�U(e Installer's Nag,Address and Tel No. _ Desi ner's Name,Address and Tel.No. Jr wc-e �lQ,ca ��.sl�� . SSaS' S.n�►VAu ��u6vtr�F0.�K�v +NL KGkAoo/'%Au� $0, 8",L?0n4 Type of Building: Dwelling No.of Bedrooms '!1 Lot Size +35 Ngtcz, sq. ft. Garbage Grinder (�(� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) LN 0 gpd Design flow provided y( gpd Plan Date kky ?�'TZ010 Number of sheets , Revision Date Title Pro®cstA �hnJCy�evr.cy�1s Size of Septic Tank OO f., uu Z t1 Type of S.A.S. �Qd 64 �c��}�� 1 1 �� R" YP y- r C ti1ari. Q ►r: 17 x�G Description of Soil WC IZB `f O-S (APA---% low4 Z C dLu,^y LPNG& -Z�" a t_ay b 6 ud- &D S wl 4me 6aaQJ-+si0Ale 101 o" (Z (.I-tCkz,Sy 61'-') Nature of Repairs or Alterations(Answer when applicable) NCO SiN.OD 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 a d not to place the system in operation until a Certificate of Compliance has been issued by this Bo d of Health. c Si ned Date c5-- Application Approved b Date vd—1 w Application Disapproved by: Date for the following reasons i Permit No. C)0/0 —3 tO Date Issued * No. cQ6 IQ _. 3 6 Fee �U r t r -4 - THEE COMMONWEALTH OF MASSACHUSETTS Entered is computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS �- Zipplication for Bigogar *pgtem Co'waructio �Pe mit Application for a Permit to Construct(1j''Repair( ) Upgrade( )'t`Nbando (�)n Complete System p\ �Individual Components ;, ."4 Location Address or Lot No. Z3S `!YC NKllr '��� Owner!s Nam4;e;Address,and Tel.No: IZ3` .P , 1, Assessor's Map/Parcel �3'�_Q 01 PROVOr—AA t s-c 5NVr6 Installer's Name,Address,and Tel.No. � Designer's Name,Address and Tel.No. `l �J'vt c C�'1C,.��_�[ �.1✓r _'�.�t C�.1\tIVIA� rN6plreF NC® �N� p�°��, a�x 6sS (- may, `l 1C� ,i r \llcr_c�'. '1 V � � Soy -`In-J)1{ 1 : Type of Building: Dwelling No.of Bedrooms L Lot Size J.3'5 /N(2CZ> sq,;`ft7)Garbage Grinder W(� Other Type of Building No.of Persons C.r__ Showers( ) Cafeteria( ) j Other Fixtures tu Design Flow(min.required) yy C) gpd Design flow provided jy X gpd Elan Date h �� 7 �10 Number of sheets Revision Date Title' S�� �k�� Pco��S-C� t m✓rilJ-(w..�V��1 �� •• Size of Septic Tank DU 6_1 Type of S.A.S. y. �'00 6a` (�, CA Description of Soil L 4- ( ��( O j cofaW jnk4& (OA-M n in M1 1` 60 �MD wl 5j4* (,,QNt' L+,5g-0Ale 10-( 0" LZ CN`C`I Z,Sy 6/l i Nature of Repairs or Alterations(Answer when applicable) b✓IC J S �. 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 Certifica e of Compliance has been issued by this Board of Health. Si ned 1v111 Date Application Approved b v Date Application Disapproved by: Date i for the following reasons Permit No. U 0 I t0 9 Date Issued U THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS „ { Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed Repaired ( ) Upgraded ( ) Abandoned(- )by NS.tl.r c. ,. CU at 'Z.�jS Nyr<, NeC K (06 7 � (Z`� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. :�.-,C,JG 3 b5 dated 9 ' -t 1 6 Installer-��;.%�� c < V �C_(c_ t',�tr` Designer #bedrooms Approved design flow 1 gpd The issuance of this permit shall not be con trued as a guarantee that the system will fun:t n as designed. Date 5/9,3 , Inspecforr__ No. C�o 1 tJ 3(�9- --- -- -�------- - - - , •-- --—————= Fee •� � THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS Digogal *pgtem Congtruction Permit Permission is hereby granted to Construct ( ---�—Repair ( ) Upgrade ( ) Abandon ( ) System located at Z,��S Njl(�turn 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 f this p Date 'Q Approved by r Town of Barnstable . Regulatory Services Thomas F.Geiler,Director s�ievsXsz�. g Public Health Division Efl i Thomas McKean,Director 200 Main Street,Hyannis,Mi A 02b01 Office: 508-862-4644 Fax: 508-790-6304 Installer & DesiEnCr Certification.Form Date: ks-1 .. ... . _ Designer: SA ILL En,`[n�_�n Installer: lZr,c? �1 a,ocz Address: a, ex Address: On q- a — \O �r u c c C1 a.c4L.11.s was issued a permit to install a (date) (installer) septic system at ?�?-7 N�P� IUc (C fo,_A based on a design drawn by (address) w,_ dated designerY certify that-the septic system referenced above was installed substantially according to the design, which may include minor.approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical.relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. H OF Ass9 o� c JOHN C. tiG nT s � CIVIL (Installer's Signature) No.48168 Cn 9oF�FGIST ER��\��``� SS/ONAL ENG (Designer's Signature) (Affix Designer's Stanm Here) ?LEASE RETURN TO BARNSTA.BLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COtiIPLLANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORti1 AIND AS- BUILT CARD ARE RECEIVED BY THE B_4RNSTABLE PUBLIC HEALTH DIVISION. TH.kK YOU. Q:Health/Septic/Designer Certification Form PAUL F.WEBER - \} ARCHITECT,LLC. 1 220 Bd—Ave 111''' - NeWFDA.RI D T.h o,Ai"m Fee MI-el& 7 I 1 I I I I 1 I I I 1 I I I ■ --- A- r - - r-r r , -' ----------- , I---------------------- - ----------------- ---�J I I Ll�jI I I I I I m' I Ia ua.ao'-a- I I I I I I I S 1 1 I I I 1 1 I 1 fnelVtKV'-e• I.a XRILMp'- ' ; 1 ia�'w.�ao'-e• I.alult-OY-0 I I r-11 I e ----- - e'PM—roll 12P I I 1 I r I 1WA - - --- ® e�I i ;1 - - w ; ® I � L____ ____J 11 It 8 1 I I I ® I Fr r_____ ______ I I caluu.m•-o• �5®�L7ly i I q I i i I i i I � 1�I w o f 1 1 4 I I I I I I 1 I I 1 I I I L.H Ur I A 1 I 1 1 I I I � 1 I CED Foil I valau-m•-a 1 I � i � J i i ' I 1 I 1 I I I ❑ II 1 I I 1 g y I 14 I I S ! I I I 1 .I 1 l M ABASEMENT FLOOR FLAN Al 00 SCALE:IU A I'-0" PAUL F,WEBER —— I ARCHITECr,LLC. __ nly� Irx]• rt]• Auaroln BuMNp •� — ,\�/-ta��/L I ffi9 B60—Are Te1:401d,G.M90 Fac 001�098339] --------------- I i ❑ - � _ - I _ I ---------- _ - i _ i xra.plwercMeotaom I _ _ _ _ - - - ------ ® ❑� i r s I i � uanol i .l LD I mvm , CD EKI , 51 - j I 1.. — °^ - ---- 1. I ll a V I is l fz- rw -j I.. � I W m To �; ,a � l i I i � �,. I t CJO a I IAI=yt # Ikcdr f '�c B: ''I II!_II.S..n II II II L11.. B .,I n 1. ) (LI,11I i �' I►��y� ,./ -IT L 93] y Ii li II it ._il_ i it ii li it it 41 tl Ili.III IIIII IH0,11 � �OPA I'lll I f\ w l = r—T I Iqq 1 II 11 II III II 1III III II I II Ml[Nq 1 LWL V/ y i �§`} c 1 1 _--1 11 Il II IT I_II^J II ue II .ii ° lil II ul Iqh aIII lli j11,:11 'll I�Ii rill LJ:I 1�-II a-_u, n II HTI 11 III I h.L, I 1.I L I ' I I 1 I II I I I IL-1L ll__IL_11 ll IL_.tl n ff-Tf IT n IT-71 f III II ' II j I'I°�°N I" iq iI ii li ii ii ii ii ii IT 1il 111 i III AlbII ILL_11 II u n i IT II 11i 'I ; II .. it IIIII ,,il,,, II 11_II I- iL n lu_Iii_In II 'II'jlill' .Ill II III,; i — r-u- n n u -n II n it _ ® iln II 11 Ir u n u n n u n n a I, 1 # l _ j r r rr.�L ® e _ ------------ i l II - 11 II II II1 III ill , I _. .. I i l lilill ill III' — I u u u u ;u I IFM ® !�Il lllMi.11 —. L ! III! I I� mIF IIIII I' fillll III IQ it f I qlu� 141)----'L^U L 1 II l _ O lil III II II I � I I t I Illhl I ® ® ® ® ® I Mew ®CK ® o PB9iFL00RPLAN Al 01 I � I I 1 I I ® ® I — I L Cib F 7"lit! All ❑ ____ a II L ___ n __ a d I MOM R ® H MM © a .I �! IR.-Ij I!�L 111 I .Er, a ® I If if f l 14 I - r y, ® © GD gap OD El Cm (ED — I = I ! I ■ 1 L,.a — OYBZO yen-M ou Mwo-F,oy ■ I � .Exs .�,.., .Ere .'�'YI'1J311HJNY I aae�nn•d�nva I ,— PAUL F.WEBER .1 ARCHITECT,LLC ■ :i A�llBe� Mn 229 Eallarvo Are He401 N 02&0 Terl: 401-3]397 a3s7 Fax<01� •ww.plwuCNlecLcom I Et ®a ®❑ EEO W a a I x � I I I r--- I I I . I ===rT; I I I I I I A101 GARAGE 09/01/2010 13:48 FAA )U6 655 0441D ..----.-. ENVIROTECH LABORATORIES,INC. ' MA CERT.NO.:M-MA 063 8 Jan Sebastian Drive Unk 12 Sandwich,MA 02563 (S08)888-6460 1-800-339-6460 FAX(503)888-6446 Client Name Scannell Well Drilling Location Hirsch,235 Nyes Ned`Rd. Address 2366 Rte.28 Cerderviile,IAA 1 Sample Dante 08/31/10 Collected By PA Scannell Sample Time NA Sample Type New Well Dale Received o8/31/10 Lab Ordef Number oW-1025s8_ Well Specs 13' ---- - .: Bute Ci3lRhcl�?rC T1nie CoTGe'�ted - �� Locatlolr,Solaar4 '` CO Analysis Requested Units Recommemkii Limits Analysis Result I Method jDate AfifflyZeal Analyzed By Total Colifonn /100ml 0 __0----5M9222B. .8131/2010 RS __.... ..............---- H pH units 6.5-8.5 5.81 SM45004i-8 8/3112010 --- Specft Conductancen umhos/cm 500 109 EPA 120.1 8/31/2010 LL .....-.._.._...._ N- ------ -—...---- gam- ---------- ._... -- 1.00 c0.004 EPA 300.0 8/3112010 LL Nitrate-N mg/L . 10.0 0.06 EPA 30Q 0 8131/2010- LL Sodium mg/L 20.0 14.8 EPA 200.7 Total Iron mg/L 0.3 3.79 EPA 200.7 8/31/2010 MC ..........._.. - - - ------ .._....- -------------= ..._..:.- ......-.... - -- _._._....__.._..__._..._._.._ _._...------ -----:..---- Manganesen mg/L 0.05 0.028 EPA 200.7 8131/2010 - MC._...__.. _..._..............__..._..._._._......_ Comments: Iron level is not a health hazard,but may cause taste and staining problems. Low pH indicates high cormsive characteristics. Water meets EPA standards a suitable for drinking for parametem tested. Date U Ronal .S Laboratory rector ' I BRL=Below Reportable Limits *See Anacbad Page 1 of 1 aCerttfrcadon is not aratlable for this analyle for non-potable water samples,. TOWN OF BARNSTABLE .LOCATION A4-e, 4 SEWAGE# 010,40-.3Z 9 VILLAGE �r�yTFy1v�IIE ASSESSOR'S MAP&PARCEL d 33 — co/ INSTALLER'S NAME&PHONE NO. rJ LC-c—SI �SoB-yap-�SSd 4 SEPTIC TANK CAPACITY /S60a LEACHING FACILITY: (type) SaQ ad CV,#A" C 4' (size) u Ha NO.OF BEDROOMS l OWNER )�- off i�' 4/,R_.scN 1` PERMIT DATE: 9- J—/0 COMPLIANCE DATE: i l 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 ,1�10 r2'�1 o'er gowc C � C'A soon avT C C2, A � i9 ' 3'4 V 3 o y LI . a A TOWN OF BARNSTABLE �► LOCATION 5;135� n���S AC Gk Q . SEWAGE # VILLAGE Cen1�.N��� ASSESSOR'S MAP & LOT 00 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY cQ'SsPw1 LEACHING FACILITY: (type) US sp QQ I (size) NO,OF BEDROOMS a` BUILDER OR OWNER Ro�60 " PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist 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 J-4; rag- I nn Fron Q\ ' .. n � �� � a �� �8 � Town of Barnstable P# 2 Department of Regulatory Services . +s Publie Health Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled L J 0 T Time 0: Fee Pd. l Soil Suitability Assessment for Sewage isposal Performed By: .J�+`�1i����� Witnessed BY: v ` �s �r LOCATION&GENERAL INFORMATION Location Address Zn j Ny2S.Nel�� �o Owner's Name NV\clYe%-,j 5 t\.(5l1'N) Q4A_ Address dv�cler\� � `, a Z (P Assessor's Map/Patcel: Z�3_V o r Engineer's Name 5.,V� -.\ �^,rAU� NEW CONSTRUCTION '� REPAIR Telephone# SO'� % Land Use e- I ^ll l c. Slopes(%) I� d Surface.Stones 1�)t�V4� 1 Distances from: Open Water Body 300 R Possible Wet Area (CO ft Drinking��/Water Well ft Drainage Way AZA- ft Property Line {�` ft Other ,/t/ ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) ' Wz=02001 # Z m to Z in o � � 233001 ' #236 � 232077 #247 Parent material(geologic) Lct�l,C•� Depth to Bedrock 3�O Depth to Groundwater: Standing Water in-Hole: c� � Weeping from Pit Face fir LP 1 4- Estimated Seasonal High Groundwater rZ WC 3Z.S-('oA�Y��(eG� DETERMINATION FOR SEASONAL HIGH wATER'TABLE Method Used: Pyle SC-e Ab+>� Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION.TEST Date Time L Q' Observation Hole# �_ Time at 9" Depth of Perc '• Time at 6" r Start Pre-soak Time® Z S 6A\ Time(9 6 ) End Pre-soak •s w.^ Rate Min./InchC Site Suitability Assessment: Site Passe& �� Site Failed: Additional Testing Needed(Y/N) original: Public Health Division` Observation Hole Data To Be Completed on Back----------- 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:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG: Hole# 1 Depth from Soil Horizon Soft Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) �j- ZS ZS 9O �Q Z"/- DEEP OBSERVATION HOLE LOG Hole#LZ�L Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) ` 'DEEP OBSERVATION HOLE LOG Hole# "S Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Graven DEEP OBSERVATION HOLE LOG Hole# 1 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) j I Flood Insurance Rate.May: . Above 500 year flood boundary No Yes Within 500 year boundary No! Yes - Within 100 year flood boundary No Yes -De nth of Naturally Occurrm" Pervious Material Does at least four feet of natura Jy occurring pe ious material exist in all areas observed throughout the area proposed for the soil abso tion system? '� If not,what is the depth of natt-ally occurring pbrvious material? Certification I certify that on (date),I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,e 'ertise end experience described in 310 CMR 15.017. Signature F'I VIA Date ec`.1 Q:\SEPTIC\PERCFORM.DOC • COMMONWEALTH OF MASSACHUSETT'S EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION . TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION _ ,- i / Property Address: 235 Nves Neck Road Centerville. MA 02632 Owner's Name: Peter Robart Owner's Address: 19 Curtis Road Hampton Falls,NH 03844 Date of Inspection: June 12, 2006 Name of Inspector: (Please Print) James M.Ford `v Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 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 CAM 15.000). The system: ✓ Passes Conditionally Passes Nee s Further Evaluation by the Local Approving Authority Fai s Inspector's Signature: Date: June27, 2006 The system inspector shall subs 't 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. Notes and Comments **"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. Title 5 Inspection Form 6/15/2000 page I Page 2 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 235 Nves Neck Road Centerville, MA Owner: Peter Robart Date of Inspection: June 12, 2006 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: 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 detennined(Y,N,ND)in the for the following statements. If"not detennined",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 inuninent. 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 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: 2 • Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 235 Nves Neck Road Centerville, MA Owner: Peter Robart Date of Inspection: June 12, 2006 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. 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 colifonn 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. 3. Other: 3 I Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 235 Nves Neck Road Centerville, MA Owner: Peter Robart Date of Inspection: June 12, 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ 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 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.] No (Yes/No)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 System: To be considered a large system the system must serve a facility with a design 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 criteria above) Yes No the system is within 400 feet of a surface drinking water supply 'I the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 i Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 235 Nves Neck Road Centerville, MA Owner: Peter Robart Date of Inspection: June 12, 2006 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: Yes No ✓ 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 i Page 6 of 1 I OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 235 Nves Neck Road Centerville, MA Owner: Peter Robart Date of Inspection: June 12, 2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): n/a [if.yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): Yes Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): pd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped detennineO 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 co py of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: Original system -approximately 1960s(per owner) Were sewage odors detected when arriving at the site(yes or no): No 6 i Page 7 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 235 Nves Neck Road Centerville, MA Owner: Peter Robart Date of Inspection: June 12, 2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments (on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) (Cesspool acting as a septic tank) Depth below grade: 12" Material of construction: concrete _metal _fiberglass _polyethylene ✓ other(explain) Cesspool block If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 5'W x 5'T x 6.5'bottom to grade Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: -- Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: -- Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Measuring stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The cesspool had 2'of liquid on the bottom. Pressure treated boards were being used as a cover for the cesspool Discussed with the owner and the owner is going to replace the boards with a cement cover. GREASE TRAP: None (locate on site plan) Depth below grade: 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 235 Nves Neck Road Centerville, MA Owner: Peter Robart Date of Inspection: June 12, 2006 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alann present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Commments(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.): PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 i c Page 9 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 235 Nves Neck Road Centerville, MA Owner: Peter Robart Date of Inspection: June 12, 2006 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 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.): The overflow cesspool was S'W x 7'T x 8.S'bottom to grade and was dry, The scup: line was approximately 2'up from the bottom. There did not appear to be any signs of failure. CESSPOOLS: None (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 or no): Commments (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (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.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 235 Nves Neck Road Centerville, MA Owner: Peter Robart Date of Inspection: June 12, 2006 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. 1'f0h1 B\ A, oil V 10 r a > Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 235 Nves Neck Road Centerville, AM Owner: Peter Robart Date of Inspection: June 12, 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 17+/- feet Please indicate(check)all methods used to determine the high ground water 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: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using•_Barnstable topographic and water contours snaps, the maps were showing approximately 17'+/-to Around water at this site. This report has been prepared only for the septic system and components described herein. This septic system was inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 i ASSESSORS REF.: OVERLAY DISTRICT Map 233, Parcel 001 GP - Groundwater Protection District g � " w ZONE: ls�ar,a FLOOD ZONE: RD-1 Zone B & C (see plan) Area (min.) 87,120 SF (RPOD) �< Community Panel No. Frontage (min) 125 �gz v #250001 0005 C Width (min) no August 19, 1985 Setbacks: Fron t 30' �� . ' • costr � � ': Side 10' tlslsnd Rear 10'. O LOCATION MAP CO FEMA Zone Line °� � 1"=2 000±' as Shown on FIRM Panel # 250001 0005 C Lot 1 NIF se We// Abbe Beth Young • ✓ / ` a / f ( \ \ 7083/185 t ,� � � w\�ll CB/DH { •• t 9 V" 1 f�-of Slope D N86 09'30„W Fnd � / ••/ { � /` -- ...� � \ � \ O PROPOSED f�00F�DRAINAGE NAGE fr`• ` rr= 21 f � 6Q0 GAL. DRY WEL • / ( �' i_ � _ - y 4I OFICR SH /� _ \\ \ \ , _ s \� PROP \ OSED D?IVEWA Y \ )DRAINAGE - C IVE BASIN o \ ( l J f ; N86 09'30"W \ O 0y 600 GAL. RYWEL _. .._._ .._ ,r _ '�v r 3 1 j 1 {{ / / I ti ` 326.03' `` OF CRUS ED STOL w/ ' ;• I n, I { 1-• _ _ _ ce D • r l / 4-.- Fnd 1 1 { 0 1 1 {{ - -- -------- -- -- --=t0' Setback \ - o- - - _ • S86 09 30"E__o \ Hedge { I - _ _ -- ohw--_ -- -- 34x6 '\ f j i t ' �' -•. «. ..� � ®- ,•.„...- C7 / .,,•. ,r• � Fnd i 1 j 1 t 1 \ 34x7CU � { { ,,.`a., �"` \ ` � =:°= __ - --•-- '-.__• ✓ I { / W \ PO Exlst�:ng 46.1 s i ✓ -, r 1 ZI Edge of Lake (05/MAY/06) \ Hedge ( ( r { { •� Sep tics ✓ ! I✓ I I / j j � E1=34.0' NGVD \ \ { j { / • ( \ RPE3jQ BE ` ✓ I j, f'' `GUILDING \e TH-1 REMOVED ~ PROPOSED ELF 49.20 \ DRfC/EWA y " I 34x7 i Cl 1 Q \\ F. EL• 5'n 50 °', Lot 44 _Exis tin ✓ 34x7 t¢ \ \ � QPO PO wilding I DEMOLISHED,/ / / ! r5x' cti34x8 0 ,,,m' J y• PROPOSE N.�I j 1 =i o o �PA TIO 49.00 \ 4 PROPOSE C_ BUILDING 1 W � � j ( , ( 1�� � i' � ,.� � � T.O.F. EL. 45175 M1 Nto �a�'o f { lj jj { o ti ,#13n� I ROP T -3 i SLAB EL. , 43. 0 �J� B ding;. i POR of E 9� /� 0 1 I 45x5 / �I e�f o T • t / 34x8 ✓ N rt, "5 { t { Luwn 1 _ 1 • ` f j J �y a / PROPOSED \ Q�� { i ' I E L HE' lu i / [ ° t _ o �y I ' , '°#-° �n WELL 34x8 l / m f / I Lawn v i PROF? TH- W t� t _ 1 i / O�o,o O \ AVI 10y / t O p I BUILQI 36 �� ~ � • � \ \ \ e._..__m. 1 5 t j /• i O i �a. � T O.F. E Q � \ 5 f a I A'a 4)l t Dr ve 05 7l _ i 0 B �P�� a Extst'n -1-- 100' 1 30�. _ / ) I J ( �'-- - _ _. _'z�� �MQV. g ��- ~1C30 ---_--- - �! _ mm rive i 50 1 R 10'Setb �Ck'-- ' -05 ✓ �/ 16.16 \ / / --'-�R�gld -• �Qpr,nx;_" EO_.-- \ 1 1 N } / / / P y�EN '� � i PR�pTIG ... -�Q --•- - _._ � � �.+ ; 1 � e � �F-o s 1 C,o Goo k A 1 cec 1 ,no`9�s ,�q�0 ��C3 Fnd �� O PERC TEST: 12,894 Lot 2 •• PERFORM D BY:JOHN O'DEA,PS- SULLIVAN ENGINEERING N/F TBM Top of a , SOIL EVALUATOR NO.2911 CBC EI+41.1' o WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTA13LE Barry J Alperin '1592123 APRIL 15,2010 / SITE PASSES P h NO ADDITIONAL TESTING REQUIRED TEST HOLE- 1 EL.44.5 TEST HOLE-2 EL.45.5 DESIGN DATA :........:LOAM'.losrxa/z.:...............:....... .'. LOAM.losrxa/z.'..:'''':':':':':':': SEPTIC NOTES r�Axi: uixiii'axowN.'.'••'•'.'.' iiArri Single Family 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours 5" :•':•I OAMYS AND'•'•'•'•'•'•'•'•'•'•'•'•'• ".1 5" 45.1 -4 Bedroom @ 110 GPD Prior to Any Excavation For This Project the Contractor Shall Make B'T Al ER.10YR5/6.'.......:.:....:.:.: '.'.'.B'LAYER.I.0YR5J6.'.:.:.:.:.:.:....... LOWISH.BRQV�?N:.':.':.':.':. '.':.YEI LOWISH.BROVC. .'.'.'.'.'.'.'.'.. No Garbage Grinder the Required Notification to Dig Safe(1-888-344-7233). Total Dail Flow=440 GPD Vent - Final Locatotion to be 25" •'•'•'•'•'•'•'•'•'•'•'LOAMY.TSNE.SAND.'.'.'.'.'.'.'.'.'.' 42.4 25" •':•':•':•':•'•'•'LOAMY.'FIN"E.SAND.'.'.'.'.'.'.'.'.': 43.4 Y 2.The Contractor is Required to Secure Appropriate Permits From Town Determined at Time of Installation so Cl LAYER 10YR5/6 Cl LAYER 10YR5/6 Use a 1500 Gal Septic Tank Agencies For Construction Defined by This Plan. as to be as Inconspicuous as Possible YELLOWISH BROWN YELLOWISH BROWN 3.Wherever Sewer Lines Must Cross Water Supply Linea Both Lines Shall MED.SAND MED.SAND LEACHING AREA Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to SOME GRAVEL&STONE SOME GRAVEL&STONE 440 GPD/0.74(LTAR)=595 SF Required Assure Watertightness. In General,Water Lines Shall be Constructed in See Note 6 (typ.) 47" PERC TEST 41.6 30 Sidewall=2(12'+36')2'=192 SF Coordination With 248 CMR 1.00-7.00&310 CMR 15.00. F.G. EL. 44.25 F.G. EL. 44.75 25 GALLONS IN MIN.A SEC. F.G. EL. 43.8 - 45.8 4 90" 37.0 go-, PERC RATE<2 MIN/IN(LTAR=0.74) 38.0 4.A Minimum of 9"of Cover is Required for All Components. SLAB "ca Perforated PVC Inspection Port W/Screw C2 LAYER 2.5 Y 6/4 C2 LAYER 2.5 Y 6/4 Bottom Area= x 36')=432 SF 5.All Structures Buried Three Feet or More or Subject EL. 43.00 (Garage) Fhw Equalizers Cap Placed Vertically Down LIGHT YELLOWISH BROWN LIGHT YELLOWISH BROWN 624 SF Total Provided to Vehicular Traffic to be H-20 Loading.It is the En er's EL. 45.25 North House As Required Into Stone To Soil Below b'� ( ) 4 LEACHING CHAMBER DESIGN Recommendation that H-20 Always be Used. EL. 44.50 (South House) 120" 34.5 120" MED.SAND 35.5 MED.SAND Accessible To Within 3" of NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED Installer To EL. 42.75 1500 Gallon Finshed Grade Finish Grade 6.Install Watertight Risers and Covers to Within 6"of Finished Grade Confirm Prior EL. 42.50 All Pipes to be Schedule 40. Use Over Septic Tank Inlet and Outlet,D-Box and One LeachingChamber. To An Work H-20 EL. H-20 T�?p EL. 42.8 Septic Tank D Box EL. I2.03 3' Max. - r 7f 4-500 Gal.Leaching Chambers in a 7.Septic System to be Installed in Accordance With 310 CMR 15.00& ry i,i i E ail.k 7.0 7.0 asked tone Field as Shown. 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable , :; H-20 ''' 9' Min Compacted Fill - EL.4 - EL.4 EL. 41.80 Filter TEST HOLE 3 TEST HOLE 4 12 x 36 W S Leaching Fabric ......._.....LOAM'. . Lf7AM'.1OYRA/2•'.'•'•'.'•'.'.'•'.'•'.'• To Be Installed On :� - Chamber And Or �. "' """"' Board of Health Regulations. s Stable oZ�Ie ose / DANK LJRAYISH'BROWN'•'•'•'•'•'•'•' tiAKI;GRAYISIiBKOWN'•'•'•'•'•'•'•' P ch.40 PVC. 8.All Piping to be S C P g / / 5. :.I OAM11 SAND'.':.':.':.':.':.':. 46.6 5" L•OAM7�SAND'•'•'•'•'•'•'•'•'•'•'•'•'• 46.6 Beddit ,"T"s, . Pea Stone 9 .......... .......... 9.D-Box Shall Have a Minimum Inside Dimension of 12,and a Minimum r Inspection Port, ;'.?2 ; riitikrert:'72ania: c:;f2pliac ?; _ BLAYER.LOYR5J6.......'.'.'.'.' :.'.'.'.'.'.'.':.'.B'LAYER.l0YR5/6:.':.':.':.'.'.'.' Sum of 6" &:Ef ffels dfl tltx5uikaL+le 9M #�iYfiltr �' a H 20 3/4 - 1 1/2 ........... P as Per Title 5 :; :: :: ":a' :::. :: `n LEACHING Double Washed :::''':':.YEILOWISH.B . YEILOWISH.BRQVI!N•'•'•'•'•'•'.'•'.'. 10.The Separation Distance Between the Septic Tank and Tank Inlets and 3F+e..Octter..P..efim�kar:.. ...ih�..8 tern. ....................... ........ P eP Stone 25" •'•'•'•'•'•'•'•'•'•'•'L'OA1o1Y'FJNE.SAND.'.'.'.'.'.'.'.'.'.' 44.9 25" .':.':.'.'.'.'.':.'LOAAIS TIIVE.SAND.':.':.'.'.':.': 44.9 CHAMBER Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend C 1 LAYER 1 OYR 5/6 C l LAYER 1 OYR 5/6 q eP Legend: a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" EL. 34.8 Estimated High Groundwater � YELLOWISH BROWN YELLOWISH BROWN Below the Flow Line,and Shall be Equiped With a Gas Baffle for the Septic 4' - 10"� ASH OF l�j Per Board of Health Standards I P �ss9 MED.SAND MED.SAND 12' O SOME GRAVEL&STONE SOME GRAVEL&STONE DEVELOPED PROFILE OF SYSTEM o ,I V y 47" PERC TEST 43.1 Tank. t A m 25 GALLONS IN 4 MIN.30 SEC. Deciduous Tree NOT TO SCALE CROSS SECTION OF CHAMBER 4, 890" PERC RATE<2 MIN/IN(LTAR=0.74) 39s901, 39.5 C2 LAYER 2.5 Y 614 C2 LAYER 2.5 Y 6/4 NOT TO SCALE �� /STER�� �`� LIGHT YELLOWISH BROWN LIGHT YELLOWISH BROWN �G��� 120" MED.SAND 37.0 120" MED.SAND 37.0 Coniferous Tree cis/CAL NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED i> Wetland Flag © Water Gate p Water NOTES: PREPARED FOR: PREPARED BY. TITLE Site Plan Guy ) property Mrs Hope Hirsch Inc. CapeSury Proposed Improvements Utility Pole 1. Theline information shown was Sullivan Engineering, I 1" I" compiled from available record information. ---OHw Over Head Wires 123 Prott Street PO Box 659 7 Parker Road � 2.) The topographic information was obtained Providence, RI 02906 Osterville, MA 02655 Osterville MA 02655 At p Light Post from an on the ground survey performed on Qs Cesspool (per Inspection Report- 6/12/06) (508)428-3344 (508)428-9617 fax (508) 420-3994 (5sur 4copecod. fax 235 Nyes Neck Road or between 24�MAY�06 and 14�JUN�06. capesurv6�opecod.net 1� • Holly Tree 3. Barnstable (Centerville) Mass w The datum used is NGVD 29, a fixed mean Draft: JOD Field: WHK/JPM/CAM W sea level datum. 20 0 10 20 40 80 Review: Ps comp.: WHK/RRL DATE: August 25 2010 SCALE: 1 „=20' Project: 26020 Drawing # C676G1