HomeMy WebLinkAbout0139 SHEAFFER ROAD - Health 139 Sheaffer Road
Centerville—F_ .
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i A = 171 059
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UII �/J J�OYCLED
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UPC 12543
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HASTINGS.MN
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TOWN OF BARNSTABLE
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,OCATION 54gAP r, (QDf},J SEWAGE# 020o'7 O
.VILLAGE ('CN��2 U t I tE ASSESSOR'S MAP&PARCEL 171 -- S9
.'INSTALLERS NAME&PHONE NO. JU ,J Sa 0 ,t .SFp�1'( S'09-77S 8 776
SEPTIC TANK CAPACITY 1,000 LEACHING FACILITY: (type) 2 &4Af, CAIICQ4 (size) 21Y� 10 XC`Z
NO. OF BEDROOMS 3
OWNER �ov�E���o� �caF�z ci A t (v1ASSa(,-,i)sC-yS
PERMIT DATE: ��3�O� COMPLIANCE DATE: 55 laq 10-7 ,7
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
�far� o� NUu�C�
14
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3 a�� y
,� t r
No. Fj
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
11�PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZIpplicatton for �Bigogo.Y *pgtem Con!Oructton Permit
Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 1 71 /5 9 Owner's Name,Address,and Tel.No.
Assessorlslappaffer Rd, Centerville Household BenQficialMass
Elaine Morals
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4
Wm E Robinson Sr Septic Eco-Tech
PO Box 1089 Centerville 43 Triangle Cir; Sandwich
'lope of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder (n�j
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach
system to plans of co- ec , -
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signe v ' O Date
Application Approved by Date
Application Disapproved by: Date
for the following reasons
Permit No. - 91 Date Issued
-r•:..... .. � , -. k... ,sv,,,,r„y,.,.,'ri.+'S- w. "'� ^,.....sn+r')3^"�^: .r.7'°'�a.r+.w-.�+--•-. _.-.ry
�/ r ....,,i•,...+.r q•y,r-�„rayy.•�-.,=rl"rt+F.•.r�.�..•.•6.j'aJ"+� •;�^'Ts - _"��� a.'�'
No. . '/� Fe
1< $ n0-.p0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
jj` PUBLIC HEALTH DIVISION -.TOWN OF BARNSTABLE, MASSACHUSETTS Yes
i
I 2pprfcation for -Mis;p.os;al *pgtem Construction Permit
Application for a Permit to Construct( ) Repair(C) Upgrade( ) Abandon O ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No.
171 /59
Assessor1 :�p §h�affer Rd, Centerville Household Ben�ficialMass
Elaine Morals
Installer's Name,Address,and Tel.No. 7 7 5-8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4
Wm E Robinson Sr Septic Eco-Tech
PO Box 1089 Centerville 43 Triangle Cir, Sandwich
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size ` sq. ft. Garbage Grinder (no)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
a Size of Septic Tank . Type of S.A.S.
;e
i
Description of Soil
I
�l d
Nature of Repairs or Alterations(Answer why applicable) Install a new Title 5 leach
system to p ans of r.co-' 'ec , NTE-2 t)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. _
Signed f7 0 I r �__. Date S "ov'
^--,Application Approved b Date
1 Application Disapproved by: l�� Date ( -
for the following reasons
Permit No. 1190 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
household Beneficia(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ?,( ) Upgraded ( )
Abandoned( )by Wm E Robinson Sr Septic
139 Sheaffe.r Road Centerville
at � has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer e
#bedrooms �� Approved design-tl1 ( and
The issuance of this permit
/s'h'TJIQt,f� f be o str ed as a guarantee that the system wil unction as
designed.
Date /� �� Inspector
————————————————————
0
No. `. 9 ` eye 0 0.0 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
Household Beneficial
wigpogat *p!gtem Construction Permit
Permission is hereby ranted to Construct ( ) Repair ( X) Upgrade ( ) Abandon ( )
System located at `. - 39 Sheaffer Road, Centerville
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Constructionortust,be completed within three years of the date of thisr'permit. "
Date a� � Approved by i
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
MANS AB
. Public'Health Division
%6;9•' ♦�
TFo r � Thomas McKean,Director
200 Main.Street,Hyannis,MA 02601.
Office: 508-862-4644 Fax_ 508-790-6304
Installer&Designer Certification Form
Date: 5 aN fe, 7 Sewage Permit# a ob7 •--;IAO Assessor's Map\Parcel 171 /59
Designer Eco-Tech Installer: Wm E Robinson Sr Septic
. .Address: 43 Triangle Cir Address: PO Box 1089
Sandwich Centerville
OiiJa3 �:'7 wm _E Robinson Sr Septis issued a permit to install a
(date) (installer)
septic system at 139 Sheaf f er Rd, Centerville.. based on a design drawn by
(address)
Eco.-Tech dated 05-1 1 -07
(designer)
I certify.that the'sep`ic 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.& Focal Regulations. Plan revision or
certified as-built by designer to follow.
OF Afq
e moo`' DAVID GN
gD.
��.✓ ��� � N
(Installers Signature) COUGHANOWR
No. 1093
GISTEF'�O
v / SgNITAR\
(Designers Signature) (Affix Designer's Stamp Here)
..PLEASE I2ETURN. TO BARNSTABLE PUBLIC HEALTH.'DIVISION. .. . CERTIFICATE 'OF
COMPLIANCE WELL.NOT.BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE
RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU.
Q:Health/Septic/Designer Certification Form 3-26-04.doc
r
FAILED INSPECTION 52� '
COMMONWEALTH OF MASSACHUSETTS T f Ui BAkINSTABLE
EXECUTIVE OFFICE OF ENVIRONMENTAL AF I- 27 PM 12: O]
DEPARTMENT OF E OTECTION
REC'EIV D
MAY 3 12005
TOWN OF BARNSTABLE
HEALTH UEPT.
TI
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A -�
CERTIFICATION
Property Address: 139 Sheaffer Road 9^r�
Centerville, MA 02632
Owner's Name: Jeffrey Morais
Owner's Address:
Date of Inspection: May 13, 2005
Name of Inspector: (Please Print) James M. Ford
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 CMR 15.000). The system:
Passes
Conditionally Passes
Needs F rther Evaluation by the Local Approving Authority
✓ Fails
Inspector's Signature: Date: May 18, 2005
The system inspector shall.sub 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
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: 139 Sheaffer Road
Centerville, MA
Owner: Jeffrey Morais
Date of Inspection: May 13, 2005
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 determined",please
explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
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: 139 Sheaffer Road
Centerville, MA
Owner: Jeffrey Morais
Date of Inspection: May 13, 2005
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 coliforn
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
Page 4 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 139 Sheaffer Road
Centerville, MA
Owner: Jemmy Morais
Date of Inspection: May 13, 2005
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'/z day flow
✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
of times pumped
✓ Any portion of the SAS,cesspool or privy is below high ground water elevation.
_ ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
✓ Any portion of a cesspool or privy is within a Zone 1 of a public 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.]
Yes (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
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 11 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
Page 5 of 1 I
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE WAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 139 Shea�(fer Road
Centerville, MA
Owner: Jeffrey Morais
Date of Inspection: May 13, 2005
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
Page 6 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 139 Shea
ffer Road
Centerville, MA
Owner: Jeffrey Morais
Date of Inspection: Me 13, 2005
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: 6
Does residence have a garbage grinder(yes or no): Yes
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): No
Water meter readings, if available(last 2 years usage(gpd)): Unavailable
Sump Pump(yes or no): No
Last date of occupancy: Currently occupied
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
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 infonnation: Pumped 2 years ago-per owner
Was system pumped as.part of the inspection(yes or no): No
If yes,volume pumped: _gallons--How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
✓ Septic tank,distribution box,soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system(yes or no) (if yes,attach previous inspection records,if any)
Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Tight Tank Attach a copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of infonnation:
Installed on 1 011 6185-per as built card
Were sewage odors detected when arriving at the site(yes or no): No
6
Page 7 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 139 Sheaffer Road
Centerville, MA
Owner: Jeffrey Morais
Date of Inspection: May 13, 2005
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)
Depth below grade: 2'
Material of construction: ✓ concrete _metal _fiberglass _polyethylene
other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions: 1000 Qal.
Sludge depth: 2"
Distance from top of sludge to bottom.of outlet tee or baffle: 30"
Scum thickness: 5"
Distance from top of scum to top of outlet tee or baffle: 6"
Distance from bottom of scum to bottom of outlet tee or baffle: 10"
How were dimensions detennined: 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.):
Cement tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage
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 I 1
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 139 Sheaffer Road
Centerville, MA
Owner: Jeffrey Morals
Date of Inspection: Ma
v 13, 2005
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
Alarm 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:
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of
leakage into or out of box,etc.):
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
c
Page 9 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 139 Sheaffer Road
Centerville, MA
Owner: Jeffrey Morais
Date of Inspection: May 13, 2005
SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required)
If SAS not located explain why:
P Y
Type
✓ leaching pits,number: 2-6'x 6'(1000 gal.)
leaching chambers,number:
leaching galleries,number:
leaching trenches,number,length:
leaching fields,number,dimensions:
overflow cesspool,number:
Innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.):
The leach nits were full. Liquid was un into the risers The bottoms to grade were 10.5. The covers were 16"below zrade.
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):
Comments (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:
Commments(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: 139 Sheaffer Road
Centerville, MA
Owner: Jeffrey Morais
Date of Inspection: Mav 13, 2005
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.
Jpr nT g
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3 yo s�
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10
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Page 11 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 139 Sheaffer Road
Centerville, MA
Owner: Jeffrey Morais
Date of Inspection: May 13, 2005
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 25 +/- 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[naps and water contours map, the snaps were showing approximately 25'+/-to Around water
at this site.
This report has been prepared and the system inspected and failed 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 system, the inspection and/or this report.
11
TOWN OF BARNSTABLE
LOCATION c•Az� R�• SEWAGE #
` MLAGE CJLA1%eV06— ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) t ► l S �oX� (size) low
NO. OF BEDROOMS 3 FAILED INSPECTION
BUILDER OR OWNER MOfAIS
PERMIT DATE: OMPLIANCE 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 leachi g facility) J Feet
Furnished by rn-rD I-VA1, n —S r 0/C
I
6 a
ay sa
a as vs 3 y
3 yo so
y S6 v f
AL.O CAT ION SEWAGE PERMIT NO.
VIILAG j ,�
n=Tig lL�
INS A LLER'S NAME J< ADDRESS
y
B U I L D E R OR OWN ER
DATE PERMIT ISSUED 10
DATE COMPLIANCE ISSUED
_� ,
���
�i
S � � -�� � �
��1
No................g.! I FR$.... ®C�
THE COMMONWEALTH OFMASSACHUSEETTS
BOARD F �
..........0.G �..........OF.............. .. . .0 !rl
.
Appliratioo for D opoottl Works T000trur#'ion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( P-1/an Individual Sewage Disposal
Syst at:
._..: .. _ ................ ...... --•-•----•----•------...........------.....-------•--•---•-....------................----.....
. ation-Address' or Lot No.
.... ��. Q ......... ...... ................ .............•--_..... ..---------..........-------__..............--
- .
Vwn�er �+- Address
......�... rPl!l'fJ`�'.fd�...•...�-._cl��ll t�Co .....................................•--•------------•-----•---........--•---.........---•--.
Installer Address
dType of Building/` Size Lot............................Sq. feet
U Dwelling o. of Bedrooms.....................:......................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ..................................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
A.' Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.-.................. Depth to ground water........................
- ------------- �. ...�.....�.�
..............................•........................................................................
0 Description of Soil-------- -----• •/Q. L ........................................................................................................
W --------------- ----------------------------------------------------------------------------------------------------------- ----------------------------------
114 U Nature of Repairs or Alterations—Answer when applicable_.... - ......_� �..._..4� eA ! w..........................
---------------------------------------------------------•-•---................------....------....-•---•---•-------------------------------------------------------------------------------•--------•--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with
the provisions of TITL% 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in
operation until a Certificate of Compliance hdDeeissued by Abrd health.
Signe d .......
Daat.S
Application Approved By.............. .. --• .. . ............................................ ------ .........
. .`f_�.
Date
Application Disapproved for the f o wing reasons.: `----------------------------------------------............................
---•-•---••----------•-------•-----•-----••-•------------------------------------•----..........-=------.._.....--------•------------------•------•----------------------•--------------......._.........
Date
PermitNo................. -•-------------. IssuecL.......................................................
Date
L
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
i
No......................... Fss.... _> ,
THE COMMONWEALTH OF MASSACHUSETTS
E30A RD . F H AL TH
R
r
.......... f ` ..........OF.......
.`�?f�i`✓..�'t�a.?k-
Appliration for Disposal Works Tons#rurtion Frruti#
Application is hereby made for a Permit to Construct ( ) or Repair ( •`ran Individual Sewage Disposal
Systemtat �� ?
........................................... .........................................
anon-Address ;'a _ f w .or Lot No..................-•--•••......---•••-•-•-
................ .::..... :`.. .:..9'.:..................... .. -- -•— .- -----•......... ...----- . ........- _
1 ° v ........ ............. ................
owner r Address
.......................... i s ._ .......................................... •.....•---•-•...........................-•-•-•---....-----•-----•----.........................._..
Installer Address
Type of Building �, Size Lot............................Sq. feet
,., Dwelling=`1Vo. of Bedrooms.......................:....................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers
a YP g --------•------....-•--•-••- P ( ) — Cafeteria ( )
d Other fixtures =--------------------------------------•----------••------ ...
W Design Flow............................................gallons per person per day. Total daily flow----.--------••-•-••-----.-----•---.----•---gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Dept h................
x Disposal Trench—No..................... Width.................... Total Length................:... Total leaching area....................sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date.........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
aiC" ........ ---------------------------------------------------------.-----
D Description of Soil........ ........ !...`. . .. ----------------------------------------------------------
--------------....---------------------------------------•- .---...-•-•------•----....---------.........-•----------.....--•--`. --
..... •------------.....-----•.........----.....-•------------..........
----------------------------------------------------------------------------------------------••......•.....•••-- --••••,
U Nature of Repairs or Alterations—Answer when applicable_...._8_-" irArjt�`•e••••••--••_-•-_•••-•-•_•-
........--•--......----•-•---------------------------------------------------------------------•••-••---•---_.....
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been,issued by the board of health /
Signed "" �* r fi °`f' e r'� �` Vier ...
Date
Application Approved By.............• .. ... �_.. ! ±fit•' '.--•------•----•---•-------....--------f
........................................
.•----....__.
Application Disapproved for the f oll,� 'ng reasons:•-•-••--•••-•..................•••-•--••••-••-•-•••-•••••-••----•••..............-••............--•------....._
----•-•--•------------------------------•-•-----................------•-•-•--•--•------...-•-•--------....--------------.....----•----........---•--------.......--------------------.......---......--
Date
PermitNo......................................................... Issued......................................................_
Date
THE COMMONWEALTH OF MASSACHUSETTS
,r_ BOARD OF HEALTH
.........t ..: /' ...........OF...... ....!......+Y/:......'.f:.........................................
f9rdifirate of faontpliattre
THIS IDS O CERTIFY, That the�`Ind;vidual Sewage Disposal System constructed ( ) or Repaired
p 4 F Installer f
� -R� �aw �• n s S1 r I f .r+' Y cs... ir.................................................. ...............
at • -• •••_.. .•---... •-•-•-.-•-• ••••. •••---•----
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
5-S`r.l............ dated-------------- -------•-.---
application for Disposal Works Construction Permit No.......... ..................
. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE... .............................................................. Inspector................. ..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No......................... FBE.... ..:......----•-
Dispos o o dot #rxir#io erttti
. �W
Permission > hereby granted V` ---•-----••..............•--..........-• .._.. ..............................................
to Construct ) or epajir ( ,a In ivldual ew, ge
` '
D ssal
o. ----- ------at N --- .............
Street
as shown on the application for Disposal Works Construction Pernu No...�....�`•.•• Dated...........1� _'�l... .......
--•-• --- -----------............
n Board of Health
DATE.........................C!__`. —_:a
- -•�'�.
FORM 1255 A. M. SULKIN, INC.. BOSTON -
i
Town of Barnstable P#
Depart[Ment of Regulatory Services
• W—ZF--
DAMMAM r Public Health Division � � Y �j �
&6 f Date
FO �� 200 Main Street,Hyannis MA 02601
Date Scheduled
Time �` Fee Pd.
4 Soil Suitability Assessment for Sewage Disposal
Performed By: 0 A V i� D v�r��N o k�� g posal
_ Witnessed By: 1 0" �tl'D KAN
LOCATION& GENERAL INFO
Location:e92,. ,�1 p RMATION�' �{�j}'� � Owner'sName7 ��ne (�/� sple1JTE�W1 LU: . Address L 1 5h( ' A v P4
Assessor : l �, JC�G� ;b� 5� Cyr ry 11�IEngineer's Name ,{��U'pNEW CON REPAIR ill 4 Coc��1�l�1Dwr
Telephone# 509 3'4
Land Use
Slopes(%) Surface Stones d K e
Distances from: Open Water Body t D d t ft possible Wet Area AA
l ft Drinking Water Well Ud +
(� fi _--ft
Drainage Way ft Property Line to +
—�_fit Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands?n prox
imity mity to holes)
4' �® I GROUNDWATER ADJUSTMENT
EXISTING GROUNDWATER LEVEL
i I TP-2 l I BASED ON TOWN OF BARNSTABLE
j ,\ GIS DEPARTMENT RECORDS.
"INDICATED GR- 36.m—`"—
INDEX WELL SDW-252
W ZONE D
READING DATE APRIL. 2007
�J READING 46.7
ADJUSTMENT 2.0
j ADJUSTED GW 36.0
Parent material(geologic)
Depth to Bedrock
Depth to Groundwater: Standing Water in Hole:
P g 6Q4'e KO�e
Weeping from Pit Face
Estimated Seasonal High oroundwaterSif e gi 6v
DETERMINATION FOR SEASONAL HIGH V�ATEIt TABLE
Method Used: P_P q tom^p,!P
Depth Observed standing in obs.hole:
Depth to weeping from side of obs.hole: tn, Depth to Soil mottles:
Index Well# In. Groundwater Adjustment tn.
Reading Date: Index Well level ft.
- Adi,factor Adj,groundwater Level_
PERCOLATION TEST bate H
Observation Thee OI a In 9
Hole# � --'"`�*^
Time at 91,
Depth of Perc
Time at 6". � ly
Start Pre-soak Time @
Time(9"-6")
End Pre-soak. - ®
Rate Min./Inch 2 m P/ S d
Site Suitability Assessment: Site Passed _
Site,Failed: Additional Testing Needed(Y/N) .�
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***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:ISEPTICIPERCFORM:DOC
DATE OF TEST: MAY 9. 2007
SOIL EVAL :
I SOIL TEST LOG WITNESSEDUBY:OR DONNDA DMIOROANDIAHEALRTHR DEPT.
PERC NUMBER: 11778
NO
TEST PIT I PAARENOTU MATERIAL: PROGLACIRALD OUTWASH
PERC AT 62 in - 2 MIN/INCH IN C SOILS
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
(INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING
64.00
0-9 FILL
9-13 A _ LOAMY SAND 10 YR 4/4 - NONE FRIABLE t
13-36 B LOAMY SAND 10YR 5/6 NONE FRIABLE
61.00
36-120 C MEDIUM. TO 10 YR 5/4 NONE LOOSE
COARSE SAND
54.00NO P .
TEST PIT 2 PAARENTUNDWATER MATERIAL: PROGLACI LED
OUTWASH
2 MIN/INCH IN C SOILS
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
(INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING
64.25
0-12 FILL
12-20 A LOAMY SAND 10 YR 4/4 NONE FRIABLE
60.50
20-45 B LOAMY SAND 10YR 4/6 NONE FRIABLE 1
t
45-126 C MEDIUM TO, 10 YR 5/4 NONE LOOSE
COARSE SAND
53.75
Depth from Soil Horizon Soil Texture Soil Color Soil
Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
C isten G vel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
jHgttling (Structure,Stones'.Boulders.
Surface(in.) (USDA) -- (Mansell) Consi ten I
' y
I
p Flood Insurance Rate Man:
P Above 500 year flood boundary No_ Yes . _ !
( Within 5oo year boundary No Yes
Within 100 year flood boundary No JZ Yes
Dept of Natural) -ur-r-� ervious Materi
al
Does at least four �, urring pervious material exist in all areas observed throughout the
area proposed sol)p"4ft0Drp stem?
If not,what is epth ofo)aturall urring pervious material?,,._,..._._�_..---
U Cn
COUGHANOWR
Certification
I certify that on /c �� )I have passed the soil evaluator examination approved by the
Department of Env ta tion and that the above analysis was performed by me consistent with
the required training,a ertts nd experience described in 310 CNM 15.0117.E -7�
LS Date v"
Signature
Q41--Z�m
Q:4SEpnMERCFORM.DOC
k
z CONTOURS O�pST,IG, RO 0
° \ GARBAGE GRINDER �S
>~ a / `\� ; IS NOT ALLOWED EXISTING - - - - - - - 50 N�Er oRJV
ma- , �\ MINIMAL GRADING PROPOSED E
olqui 2 o° ��\ WITH THIS DESIGN. o
�w�� �m�EL
LOT 157 °
wJw- ° w / 1525
o o\ I-J cn -' e l AREA = 15255 s F +-
a0� C oor 4- d \ Z
m(n(n m m ` LOCUS
J=pm m ` \, o N
J UZ Sri 64
<(n< /
CENTERVILL MA
O J< K_
E./ TEL L IN\ �\ ` LOCUS MAP_
(nzo cx' / \ NOT TO SCALE
F. Ln ?oo? / _�S LINE \ O
m w )<0 0 \
�, Of owm
�� w <mcD �N O + �� / GAS
�- > P GATE
U~l J z w
J u ~ U w = W w o , �� �O�- --
<
W? ow w} U —1 J / v 03 QO /
'- ?w �� � � o Qm �� () z\ 29FL x 10 Ff- x 2 Ff-
UJ e u z m `� w w < w / v0 sz�t / LEACHING GALLERY
m m� w
W lLLJ W o f (D m W / Q ~O�� X TP-2 TP-] 102 f f
th
co
:::;:;::::::
:::;::::::::
_z w J - -- - ::;_::::: - - - - - 64 ,-- m Q _ _ LEGEND
U W �` �zz X Ln ,, \ O �OJ i8-o l�� EXISTING
W W W E o O m m � � \ �(/ O / 1000 GALLON
0 zW
W W 0 o W z OB m (D `� \ l N� SEPTIC T�NK
Z = U°o� ❑ o ` �\� \ / ~ ��� D-BOX ❑
O~ U W(n Q �� / / J�
U Z dwU \ ` /
i W m=0 =i / / Q7 TEST PIT
>O X ZZJ �zLi `\
om
W? w W "F- \�� W�9 T EXISTING
J z z m co cn m 1$ \ i eR Is-o l \
W O = ozU ZSS \ , LEACH PIT O
N
3 � z r / \ \F O� TREE
W O ~3 V
Iv 0 U m 4J —�\ ` JG
ATER W -NUMBER REFERS TO
L (n (+
-iX z ATE/ DIAMETER IN INCHES.
J� (h `�O + (0D. (D j \`�\ ////�, O OAK LETTER
DENOTES TYPE.
M--MAPLE P--PINE IB-P
e W W LD
X
W w �° W PLAN
~� z SC/�LE: 1 in = 20 f t BENCH MARK SEWAGE DISPOSAL SYSTEM PLAN
z J � � � -SCALE. F ��®� �� -TO SERVE EXISTING DWELLING
J Q Z J 20 0 20 40 TOP 0 WATER GATE HOUSEHOLD BENEFICIAL
O ELEVATION = 63.20 EST.
m o Lim < BARNSTABLE GIS DATUM MASSACHUSETTS
O J � U 0 le 20 t OWNERS OF RECORD
z
L + ~ t `9
o �'' X �� 1995 �� 139 SHEAFFER ROAD
+ W cni ��`��tN OF Mq �cy ���SH OF Mgss9cy ��� 1 �� PROPERTN ADDRESSL L E. MA
m1. o DAVID G o DAVID G
s� ASSESSORS MAP 171 PARCEL 5 9
O � Ln co r o D ; D 43 TRIANGLE CIRCLE
cD „ COUGHANOWR COUGHANOWR SANDWICH MA 02563 PLAN BOOK 247 PAGE B 4
o J N �No: 1093o s �� E� 508 364-0894 DATE: MAY 11. 2007
O W x w W NOTES ���s T E�� O/< C N SO p- _ JOB #E T E-2 6 2 5 PAGE 1 OF 2 VERSION: 14
LL I- W } SqN T �Pa /
EXISTING LEACH PITS ARE TO BE PUMPED. COLLAPSrD SL THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED
AND REMOVED. REMOVE ALL ASSOCIATED CONTAMINATED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM
SOILS AND' REPLACE WITH CLEAN MEDIUM SAND. DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING
PLACEMENT OF y `l ' 2�r� OLS. OWNER
SHOULD CONSULT WITH OASMASSACHUSETTS REGISTERED L. SHEDS. FENCES OR SWIMMING AND AND SURVEYOR.
i
DATE OF TEST:' MAY' 9. 2007 '
SOIL TEST LOG WIITINESSEDUBY:DR DONNDA DMIORANDIAHEOALTH DEPT. DESIGN CALCULATIONS
PERC NUMBER: 11776
DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD
NO
GROTUNDDWAT AL ENCOUNTER OUTWASH SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS
TEST PIT
PERC AT 62 In - 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL
CONDITION. IF NOT, INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX.
(INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING SOIL ABSORBTION SYSTEM: A 29 Ft. x 10 Ft x 2 F t LEACHING GALLERY CAN LEACH
64.00 Abot. = ( 29 x 10 ) = 290 sf
0-9 FILL Asdw = ( 29 + 29 + 10 + 10 ) x 2 = 156 sf
At.of = 446 sF
9-13 A LOAMY SAND 10 YR 4/4 NONE FRIABLE Vt 0.74 x 446 = 330.04 GPD
13-36 B LOAMY SAND 10 YR 5/6 NONE FRIABLE USE A-29 Ft x 10 F t x 2 Ft. GALLERY. Vt = 330.04 GPO > 330 GPD REOUIRED
61.00
36-120 C MEDIUM TO 10 YR 5/4 NONE LOOSE
54.00 COARSE SAND
NO NO T TO
NDWATER
ED
LEACHING GALLERY SCALETEST PIT 2 PARENT UMATERIAL:EPROGLACRL OUTWASH USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-10 LOADING)
2 MIN/INCH IN C SOILS
CONSTRUCTION DETAIL 500 GALLON DRYWELL
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DIMENSIONS AND DETAIL
(INCHES) HORIZON TEXTURE (MUNSELU MOTTLING
64.25 USE H-10 UNIT
DRYWELL UNIT STON INSTALL ONE INSPECTION
0-12 FILL RISER TO WITHIN THREE
INCHES OF FINAL GRADE
29.0 Ft AND INDICATE LOCATION
12-20 A LOAMY SAND 10 YR 4/4 NONE FRIABLE ON AS-BUILT PLAN
m
20-45 B LOAMY SAND 10YR 4/6 NONE FRIABLE
60.50 � N
45-126 C MEDIUM TO 10 YR 5/4 NONE LOOSE m , m
53.�5 COARSE SAND m m o000 00� �3
m4 � 0000000a000
4 Ft 8.5 Ft 4 Ft 8.5 Ft 4 Ft N OaOp
29.0 Ft 10z In �g
CROSS SECTION VIEW
2 to PEASTONE 2 to PEASTONE
0 0
28 24 In
3/4 to TO EFFECTIVE 3/4 to TO 26
1n 1-1/2 1n GRAVEL DEPTH 1-1/2 In GRAVEL 1n
INSTALLER MAY ELECT
TO SUBSTITUTE AN
NOTES 31 In 58 in 31 In APPROVED E OF
FABRIC IN PLACE OF
THE 2 In. PEASTONE
120 1n LAYER SPECIFIED.
1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK.
2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED
FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE.
3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15).
4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES GROUNDWATER ADJUSTMENT SEWAGE DISPOSAL SYSTEM PLAN
BEFORE EXCAVATING FOR SYSTEM.
5) EXISTING LEACH PITS TO BE PUMPED. COLLAPSED. AND REMOVED.-, �.,�` EXISTING GROUNDWATER LEVEL -TO SERVE EXISTING DWELLING
51, 1�• BASED ON TOWN OF BARNSTABLE
6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES .AND DUST IN. PLACE. GIS DEPARTMENT RECORDS. HOUSEHOLD 13ENEFICIAL
Z) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF 'LOW,,'FLOW #FIXTURES INDICATED GW 36.0 MASSACHIJSETTS
AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. -j-; .. ;. ; INDEX WELL SDW-252
8) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR •LOADING. Do NOT ZONE D 139 SHEAFFER ROAD CENTERVILLE. MA
PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 4` ?' ''y READING DATE APRIL. 2007
READING 246.7
.0
ADJUSTMENT EEO-TECH ENVIRONMENTAL
9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO.- GRADE ON 36.0
>A LEVEL
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH ADJUSTED GW 8. 43 TRIANGLE CIRCLE SANDWICH MA 02563
SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING.
ETE-2625 MAY 11, 2007 1 12/2