HomeMy WebLinkAbout0834 PHINNEY'S LANE - Health 834 Phinney's Lane
Centerville
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Commonwealth of Massachusetts aS/ " lo3
_ Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
h
M 834 Phinneys Lane
Property Address
r
Richard Blackburn
iv
Owner Owner's Name /
information is Centerville �/ Ma 02632 3/11/2016 2
required for every
page. Citylrown State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When filling out forms A. General Information
on the computer, -/
use only the tab 1. Inspector:
key to move your
cursor-do not Sean M. Jones
use the return Name of Inspector
key.
S.M.Jones Title V Septic Inspection
Company Name
74 Beldan Ln.
Centerville Ma 02632
City/Town State Zip Code
774-2484850 smjonestitle5@gmail.com SI4522
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000).The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
7 ��� 3/11/2016
Inspector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****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.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
4M 5 834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® 1 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:
The dwelling located at 834 Phinney's Lane Centerville is served by a Title V septic system consisting
of a 1500 gallon septic tank, distribution box and 2 500 gallon leaching chambers. The system was
found to be in proper working condition at the time of inspection.
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.
Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes (cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
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
t5ins-31113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
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 fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than Y2 day flow
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. Cityfrown State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® 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 fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ 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.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. Cityrrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no" as to each of the following:
Yes No
❑ ® Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined?(If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS)on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms(design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 349 gpd
provided
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M ' 834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 2
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, if available(last 2 years usage(gpd)):
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: currentDate
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information:
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped:
gallons
How was quantity pumped determined?
Reason for pumping:
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology.Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
4 - Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 834 PhinneY s Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known)and source of information:
system installed 8/2/2007 per town records
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 2.5
feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Joint were ok, no leaks, vented through the roof
Septic Tank(locate on site plan):
Depth below grade: 2
feet
Material of construction:
® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 1500 gallons
Sludge depth:
6"
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
3"
Scum thickness
3"
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 determined? opened covers, took
measurements
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tank does not need to be cleaned now but should be done soon and again every 2 years for proper
maintenance. water level was even with outlet, tank was not leaking and was structurally sound. Inlet
cover on riser.
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain):
Dimensions:
Capacity: gallons
Design Flow:
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments(condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
G1M ,•�''p 834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert
0"
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Distribution box was in good condition, no rot, water level was even with outlet invert. Cover on riser,
18"
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No"
Alarms in working order: ❑ Yes ❑ No*
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leaching chambers number: 2
❑ 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.):
s.a.s. consists of 2 precast 500 gallon leaching chambers in a 13'x25'x2' trench. system showed no
signs of past hydraulic overloading.
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•3113 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
GM 834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is
required for every Centerville Ma 02632 3/11/2016
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
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t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 12'+
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: 7/30/07
Date
❑ Observed site(abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health -explain:
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Design plan dated 7/30/07 states that no groundwater was encountered at 126"and system is
designed to have 5'seperation between bottom of s.a.s. and adjusted high water elevation.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
I
Commonwealth of Massachusetts
w W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
834 Phinneys Lane
Property Address
Richard Blackburn
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2016
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed
® System Information—Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
II
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17
TOWN OF BARNSTABLE
I.GCATION !Rag Pk;ngcc.S �n1 SEWAGE# 900'7-330
VILLAGE`(-tc,A",''r yi )I c ASSESSOR'S MAP&PARCEL �Sl • /03
INSTALLERS NAME&PHONE NO. EXCA /A7Xp1 / Y7,7 - OG SS
SEPTIC TANK CAPACITY 1_Soo go.)JO/%
LEACHING FACILITY: (type) Sop Qa i e H a,n S (size) 13 x cpS :1.
NO.OF BEDROOMS .3
OWNER a
PERMIT DATE: g - J - n-7 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
A)- � ' z
131 -Y6
AZ REAR .0WELL�Nb
Ba 34 `
.63. 3-YV
cs 16. w NJ
j3q 11,5`
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C
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S O 3
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No. )�OC - 30 Fee 16-0 /
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Zfppltratton for Miopooal 6potem COn$truction Permit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 3 4 Ph 1 n n G ys L4 nt, Owner's Name,Address and Tel.No.
Cen+Gru Ale- Rlkq Mt.l4nsoo 1.,"
Assessor's Map/Parcel ' 0 751 9 3`{ P h i n n e S La nP Ce-n 4e V 1 I t e
staller's Name,Address,and Tel.No. 17-06 3 Designer's Name,Address and Tel.No. 0$3 6 a 45 L4
beer Ci I Leo 13 Exc,vatton�_Tac �0wn Capp,En in-euir19
I�t r burr 9 39 A10 1 n 5+ ct(rnt� r-�
Type of Building: j
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other 'Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design now 3 3 gallons per day. Calculated daily flow gallons.
Plan Date 7T,36167 Number of sheets Revision Date
Title T+1C S S i fe lan
Size of Septic Tank 15 Qn Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of Health. ''nn
Signed Date
Application Approved by Date
Application Disapproved for the follo g reasons
Permit No. d Date Issued f —U
No. 2-00 - y 30 i' Fee
THE COMMONWEALTH OF MASSACHUSETTS i Ent rred in computer:
t J
Yes
PUBLIC HEALTH DIVISION =1TOWN OF BARNSTABLE, MASSACSETTS
pprication for ligpogal *pgtem Congtruction lVermi-t
Tom`` Upgrade )Abandon( ) ❑Complete S stemt's ❑Individ al Components
Application for a Pernut to Construct( . )Repair( )Upg ( ) p y Po
Location Address or Lot No. 3`i h h�n n e y 5 l n n t Owner's Name,Address and Tel.No.
Centerville 1�' 1dc, )-IelonsUn
Assessor's Map/Parcel
0?51 ►� Q 39 ThIO(ie ys L anP. (it, n-ler u11 Ic'
-Installer's Name,,Address,and Tel.No. 5 D g `1 7 7 U6�L3 Designer's Name,Address and Tel.No.
1�UhP.r�T 61ILFUy�-bi Q XLnvc,Itl_,n -TNC -DOwr`1 CctP.Q eq infer o
I -re-gberr ry I TUfe51CIC- Ie q3 t mckln sf clrrv1UU-V'(,pz �
r ,
Type of Building: ,
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other TI pe of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design.Flow 3 3 U gallons perday. Calculated daily flow 3 t� t gallons.
Plan Date 7 3 U )7 Number of sheets I Revision Date
Title T,-1 1 C. 5 S I i P P1 n n \
Size of Septic Tank 15 UC) Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
0
Agreement:
_ The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate'of Compliance has been issued by this Board of Health.
Signed ) Date 7 �'�P La-7
Application Approved by Date 9
Applicatign Disapproved for the follo{ ng reasons }
-Permit No. 9t;)d'7=3 -- .��..�_..�. Date Issued— g
,�
-- -- --
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 -1 Q ` K ct v cd i U f1 "_RL,V 21 6"1 L F& �11 _
at �3 Li 11, n n e y S L(-LOP t P F)A P( \l I 1 e, has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 9007-3 3 D dated �- 1 07
Installer TUhP1Z.1 &7 1 1--1 (.`1 Designer 'it) s)o f a C- , 4 I i"-1 Pe.(
The issuance of this permit shall jtrbe construed as a guarantee that the s stem wr fu 'o as designed.
Date Inspector
- - - - No. 000 7 — 7 30---------------------------Fee /Lo.0__
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Migpogaf *pgtem Congtruction Permit
Permission is hereby ranted to-C--onstruct( )Repair({ _)Upgrade( )Abandon
i�h I r) ( )
System located at 3 1 f (1�L'( 't f I (-e
J
n a described in the above Application for Disposal System Construction Permit. The applicant re nizes his/her duty to
and s pp p y pp S Y
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
SDate:_ � Approved by
k
t
FROM :down cza=,e angineering inc FAX 'NO. :15083629880 Aug. 02 2007 02:oePM F:1
T® of$ar.stable
RegalatorY Services
✓; `' ,
� Thomas F. �ciler, Dg�ec$®r
MM,
�.
"�°��""� :� Public Health. Di`islon
�IAI�tS �E
` bomas McKean, Director
..., 200 1UAn Street 11�'Stn�2S. MA,a26a1
Fax_ 50S-790-6'.
Inctalter D.esi mer'Cert-ifi=ti"M Form
Z�Q g Sewage Permit
3.35esessorts Map\Parcelc
drevs �aar�sse df �2e
e� e �..�.:-
issued a Dermiz to install a
(in. lier.)
r
/ `—�:,^� based On 2 design drawn by
30L_
01
(_
e;r',i' ' that the septic s��stem referenced above u'� installed substantiall}- accoraing to
,,.he design; which may in
minor approved changes such zs lateral relocarion of the
d bution box and-ior septic tank,
cert.f}, Tnat the septic s ,stem referenced above wasinstalled unth major changes (i.e.
than l0° lateral relocation of the SAS or. any vertical relocation of any component
or th-e. septic system) but in accordance vti�itl, State Local Regulations. Plan revision or
c_rtified 2.S-built by designer to follow,'.
�L'(N CJF 1A,g5s '
1. ARNE H 9CyGt+
QJALA '�
. �Iei's�SisT�UT CIVIL y
No. 30792.
GrSTER �o
— — — (affix Designer's Stamp Here)
(D'asigner's . _nawre)
1�I.E_+�f;;E ETURN TO ]6AIt1lSTAI3L-E PUBLIC_ 14r.A, ..TI.1 DRnSION. CERTIFICATE 0��
r ;r? !�PLInrdC �VTLL NOT BE ISSUER UNTIL$OTH THIS FORM AND AS-BUILT.CARDARI'o
:Cd.'>r cF:,l,Vt 3Y�1 I�IIi:BA.PNSTABI-r PUBLIC HVAI TH DI'VISION. THANK YOU.
'1 =::.a :hl;cuiic/D:es;anerCenificationForm3-26-04.doc
�� gS 210' 1�rPDaratson of f lens anQ Jpecmcazlu�as r7 ,u•• r - r r.- • . +•- r� �. -� t•r�• - r � • -
r
The plans and specifications .for every on-site system shall be prepared as follows:
(1) -Every system shall be designed by a Massachusetts Registered Professional Engineer
or a Massachusetts Registered Sanitarian provided that such Sanitarian shall not-design a.
system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203.
Any other-agent of the owner..rnay prepare-plans for the repair of a system.designed to
discharge not more.than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided
they are reviewed by:a Massachusetts Registered Sanitarian and approved by the approving
authority;
tz(2). .Every. ,plan submitted for approval must be dated and bear the stamp and signature of -
-the designer,
(3) Every plan for a new system or plan for the upgrade or expansion of an CXistingsystemi
which requires a variance to a property line setback distance,mustsalsa reference'a plan
/ which bears the stamp and signature of a Massaciidsetu; Licensed Land Surveyor in
!y accordance with M.Q.L. c: 112,
(4) Every plan for a system shall be of suitable scale(onc inch=40 feet or fewer for plot
plans and one inch 20 feet or fewer for details of system.oamponents). 4gtd shall include. :
doicti.on of: '
V(a) the legal boundaries of the facility to be served;
t/ (b) the holder and location of any casements appurtenant to or which could impact the -
%c) the locatiorrof�ha ell dwelliag(s)or buildings) existing and proposed on the facility ;
nd identifrea:i r of those to be served by the system; "
dj ""the.i-acation of 6dstiiig on` proposed irnpervous a ces; including:-driveways and
parldng areas' _.
.M.. .
-.-:--(a) location and-dimensions of th'a system (including reserve area ;
AXc
f)• •systtim design calculations, including design daily sewage flow, scp.tic tank capacity
uired and provided); soil absorption system capacity (required and provided); and -
Nether system is designed for garbage grinder,
(g) North arrow and existing and proposed contours;
.location'and log of deep'observation hole tests including the date of test, existing
ride elevations -marked on each test, and he narnes of the representativc of he
proving authority and soil evaluator,
(i) location and ressIts of percolation tests including the aate of test and iha names of
the representative of the approving authority and soil evaluator; .
} name and certificatio ti number-of tht-Soil Evaluator of record;
(k) location .of every water supply,public and'private,
1. within 400 feet of the proposed system local is the case of su.*face avatar
supplies'and gravel packed public water supply wells,
2. within 250 feet of the proposed system location in the case;of tubular public
water supply wells, and
NL 3. within 130 feet of the proposed system,location iri the case of private water
supply wells;
1) ated
location of-anp surface waters of the Cc' 'nonwealrh; elvers, bar, velocity onq,
wetlands, sale marshes, inland or coastal banks, regulatory floodway, velocity eons, :
surface water supplies, tributaries to surface water supplies,certified vernalpools,pwells, `
water supplies or-suctiati lines, gravel packed or tubular public water Supply wells, ' ..
subsurface drains, leaching catch basins, or dry wells; and the location of any nitrogen
sensitive area identified'in 310 CNS 15.215 within which poitioas of the proposed
ern are located.
( location of water lines and-other subsurface utilities on the facili ty;
(n abscrved and adjusted ground-water elevation in the vicinity of the system;
o a complete prof.Ie of the system;
•a note on the plan listing all variances to the provisions of 310 Club 15.000 sought
i conjunction with the plan;
. the location and•elevation of one ber:chuaark.w thin 50 to 7S feet of the facility
which is not sabjcct to dislocation or loss.diarrg consirucrion on the facility,
(r) when dosing is propascd, 'complete design an Specification~of the.dosing system
r -proposcd ineluding.but hot limi ed to dosing,eharnber capacity (required and'provide3),'
imp curves and specifications, number .of d'osizg cycles and depth per.cycle;
(s) when a Rccirculatinrg Sand Filter or equivalent altcznative technology is required or
N, oposcd, a complete
plan and specification for the system,including a hydraulic profile;
(fir locus plan,to show the location of the facility including the nearest existing street,
( the street nirnb(ir and lot number, if any, of the facility; and
v) the rnater'als of constvction.and the specifications of the system.
L,0CATION y SEWAGE PERMIT NO.
'VILLAGE
I N S T A LLER'S/� NAME i ADDRESS
B U I L D E R OR OWN
DATE PERMIT ISSUED ����
A ` I E
DAT E C0MPLI NCE SSU 0
:F
3
U ;
n �
C �
F�s... .c�...00.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF, HEALTH
...................T.oWA...........OF........Barn e t abl e.--....................----._........--•----•----
ApplirFa#ion for Disposal Works Ton,itrur#iun ramit
Application is hereby made for a Permit to Construct ( ) or Repair (W an Individual Sewage Disposal
System at:
.83..4..Phinney..':e... s... ex� �r�rille,---ma, .....-----•••-----------------------------------------------------------------------------
Location-Address or Lot No.
_Joseph Melanson ................................. 834 Phinney'D_:. , -Ma,
A & B C e s 8 Q Q], -Owner Address
w P S�'ervice . 12$._BZshop ... a 3� �� tanzai�s s Maw_.
..
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............4.............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ............................ No. of persons............4...
............ Showers — Cafeteria
Q' Other fixtures -------------------------------- .
w Design Flow.............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x 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 ( )
aPercolation Test Results Performed by...................:....................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
fT Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
------------•-----------------------------------------••-------------..........---.._....----------.........................................................
.0 Description of Soil......................Sand.......................------•------••--•-•-••-------------••------•---••-•-•--••--••••••••---••••......••-••--••--•-••---._...._.-----
x
w
-- -- --- - - -- - - --- ------------
---- ----------------------- - --- ------------
U N ture of Re a'rs lterat'ons—An wer wh a 1'cable..........8 8 lation o a 1_,000 gallon
stone pa�ce� each pit overlc �i�,
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TL IME 5 of the State Sanitary Code—The undersigned f er rees not to place the system in
operation until a Certificate of Compliance has:been i sued b bo o ie th.
riSig d.. ... . .. ............................... ..71...9/7.9.........
Date
Application Approved By....... �. • �1� •l�����s•------------- ----------71 9/79.........
Date
Application Disapproved for the following reasons:..............................................................................................................
---------------------------------•-•-------------------------.....--•---•-------------.........-••-------
Date
rPermit No..?ar................................................ Issued............ ......................
Date
FEs..$.5:.00.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
QWR...........OF.......Aarnstabl
Appliratiun for Disposal Works Tonstrttrtion .eranit
Application is hereby made for a Permit to Construct ( ) or Repair #X) an Individual Sewage Disposal
System at:
8 4 Phinne Is µ'
.....�......------..._......�.......::�,.n...,..._0e nt�xXi11 e.,.._.�Ia. ...........................................................................................=......
Location-Address or Lot No.
.Joseph__Me l an s on ............................................... 83.4.... hinn ey!a-:.La.......fl en ter-vill-e.,..Xa.
Owner ' Address
A B Cesspool...Service-------------------••------•••--• 128..E s_hot?$...' e ra.c.e......Hy-anni.s....... ..--
Installer Address
Type of Building Size Lot............................Sq. feet
V Dwelling—No. of Bedrooms...........4..............................Expansion Attic ( ) Garbage Grinder ( )
`PL,L Other—T e of BuildingNo. of persons...........4.............. Showers — Cafeteria
p.l Other fixtures -------------------•---.............-••--•....
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid'capacity....._......gallons Length................ Width................ Diameter................ Depth................
x 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 ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................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........................
9 ........................-....................................................................................................................................
0 Description of Soil.....................Sana........................................................................................................................................
x
U .....•-•-••--•----•-••-•--•-•--••-•--•-•...................••---..........•--•-••-•••------•---•••••-••-•--•----------••••-••-----•-•••-•--••--.....•-••••-••-••-••--•--••••-----•-----•................
w
-------------------------------------------------------------------•---- ------•---•-•-••••--•---••------------•-------•--•--...----•-•--------•-•-••-•••----•-------••-•----•••-•••------•••-•---•-••-
�xj N ture of Rep 'rs r ltera 'ons—An wer wh a cable-..Installation of a 1,000 gallon
stone packed each pit �over�.o�'�'.
.................
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 issue t ealp.
e 1 Sig .._. . ........... .... .......................................... --7_/... 17 9..........
Date
Application Approved By----- "., .. , ....... --------------- I/-- 9/79--•--.....
Application Disapproved for the following reasons:................
.............................. Date---•-•--...._
.................................................• --•----•--•---------.----------------------------------------------------------------------------------------•--------
Date
Permit No.79................•=.........................�.-.. Issued_-----...--?f'--9f 79.....---------•--...._.
Date
THE:COMMONWEALTH OF MASSACHUSETTS
j' ,, BOARD OF HEALTH
t,
.................Towh:..a......oF.............. 3arras. abl..e...........:,.......................
Trrtifiratr of Toutplianrr,'
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X )
by.A.&....3.. eajapooI...S.e����,��i2a--Bishn �errace�-- r�yannie......0260-1............. ------
r Installer
at...g34...phlnney'.e...Ln-4-4..Center lle.s._.Ma. 02632...--_•Melane on
t has been installed in accordance with the provisions of TIT LE C of t to Sanitary Cod as described in the
r'" application for Disposal Works Construction Permit No............7 -=.--.7 .. dated--.... -9//-._ 79
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISOACTORY.
�- 79/ ...................................... Inspector--.• --:_-_-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Al ........................TOW:R.....OF.Barnstable......•--:-............-•--.... $5.00
N..� FEE........................
'Disposal Morks Tonutrurtion rranit
Permission is hereby granted....L.A..B...O.asspoLaLl-..SHry.i.c.e.,...128...Bi haps...lem....Hyal i s
to Construct ( ) or Repair (X ) an Individual Sewage Disposal System
at No...8.3.4•-lhinney.f_&...I••-*---Centervillep...•----Melansan•..........-.....................................................
Street
as shown on the application for Disposal Works Construction P it N 41� ated___71...917-9..................
�,r•+-?.., ! ....... Board of Health
DATE.---- -- ----....(-•-- --t--••---•--•---•....................:
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
SYSTEM PROFILE NOTES
TOP FNDN. AT EL. 76.4'
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TD SCAM APPROXIMATE
ACCESS COVER (WATERTIGHT) TO ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS
oc�
WITHIN s' OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING
74.0' MINIMUM .75' OF COVER OVER PRECAST 2X SLOPE REQUIRED OVER SYSTEM
*A=73.2' RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
*B=73.2't FOR FIRST 2' OR GEOTE)MLE FABRIC
PROPOSED 1500 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO
72.2' IL
GALLON SEPTIC 71.95' s" 72.28' H- 10 OCUS r
TANK (H- 10 )
BAFFLE 71.T VX1.53 p p p p O p p p 5. PIPE JOINTS TO BE MADE WATERTIGHT.
0 71.48' p p p p p p p p N
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITHMIN.( 2 X SLOPE) �6" CRUSHED STONE OR MECHANICAL p p p p p p p p MASS. ENVIRONMENTAL CODE TITLE V.
COMPACTION. (15.221 [2p ' d 69.48'
DEPTH OF FLOW '4' 2 p p p p p p p `p C' o
4" TO 1 1/2" DOUBLE WASHED 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO o i_
TEE slzEs: 3 STONE o�
/ BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE.
INLET DEPTH = 10"
OUTLET DEPTH = 14" ( 1 x SLOPE) ( 1 X SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. a r
Q.
A=48' LEACHING 5.48' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED
FOUNDATION B=49' SEPTIC TANK 25 D BOX 71
FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION LOCUS MAP
OBTAINED FROM BOARD OF HEALTH.
SCALE: 1" = 2,000'f
10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
DIGSAFE (1`-888-344-7233) AND VERIFYING THE LOCATION ASSESSORS MAP 251 PARCEL 103
BOTTOM TH-1 EL. 64.0' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. LOCUS IS WITHIN GP OVERLAY DISTRICT
`J
LEGEND 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND
/ REMOVED OR PUMPED AND FILLED WITH CLEAN SAND.
100.0 PROPOSED SPOT ELEVATION
\c 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
/ \ \ REMOVED 5 BENEATH AND AROUND THE PROPOSED
+100.00 EXISTING SPOT ELEVATION Gs / o c LEACHING FACILITY.
10 PROPOSED CONTOUR
�' � G�'�ti c SYSTEM DESIGN:
100 EXISTING CONTOUR v / �- w w �S Fqp��
y
� � \�w� �c '� x 484>> GARBAGE DISPOSER IS NOT ALLOWED
A \ W____� BENCH MARK - CORNER OF
/ >C / CONC. POOL APRON EL.= 74.6' DESIGN FLOW. 3 BEDROOMS ® 110 GPD = 330 GPD
x USE A 330 GPD DESIGN FLOW
o k
R
--,x _ SEPTIC TANK: 330 GPD (2) = 660 _
EwsTim- a OR �x_x USE A 1500 GAL. 'SEPTIC TANK
DWELUNG
EST HOLE LOGS / �76 'oN LEACHING: -
T ` POOL g SIDES: 2 (25 + 12.83) 2 (.74) 112 GPD
DAVID FLAHERTY R.S. ` 'o BOTTOM 25 x 12.83 (.74) = 237 GPD
ENGINEER: LOT 21 t A •o
TOTAL:- 472 S.F. 349 GPD
WITNESS: DON DESMARAIS, R.S. / 17,829t SF w
DATE: JULY 30, 2007 / 0.4f AC. I DECK a; USE (2) 500 GAL LEACHING CHAMBERS (ACME OR EQUAL)
PERC. RATE _ < 2 MIN/INCH ` ` •0' O O P 85, WITH 4' STONE ALL AROUND
CLASS I SOILS P# 11887 B
I
ELEV. ELEV. I r MA cS _.,. APPROVED DATE BOARD OF HEALTH
0" 74.5' 0" 74.3' oo- CP
A A \ PAVED DRIVE
/ 273' o TITLE 5 SITE PLAN
LS LS Fop /
" 10YR 3/2 10YR 3/2 �'' GARAGE :�w. 1p 1' o OF
10 73.7' 6" 73.8' f,
B B /. ,� 4= 834 PHINNEY'S LANE
LS LS CCENTERVILLE� BARNSTABLE, MA
10YR 5/6 71 7' 10YR 5/6 '�
27" 72.0' / PREPARED FOR
33"
TH- 0 '•4 •Ar
x�X\k �TH 1 B & B EXC./
PERC C yY�s �X\X RITA MELANSON
MS MFS DATE: JULY 30, 2007
met
2.5Y 7/3 2.5Y 7/3
5% COBBLES 5% COBBLES �A OF A14 �tN of MqS off 508-362-4541
fax 508 362-9880 AOJALA ��� °��� ARNE �cy�
N
126" 64.0' 120" a CIVIL o ALA t down ca e engineering,eerie inc.
64.3 No. 307 2 2 P g g'
A v Cl VqL ENGINEERS
NO GROUNDWATER...ENCOUNTERED Scals:1"= 20' F SGo s �G` q V LAND SURVEYORS
939 Main Street - YARMOU THPOR T, MASS.
0 10 20 30 40 50 FEET DATE ARNE H. OJALA, P.E., P.L.S.
DCE #07-185
07-185 B&BJvI ELAN SON.DWG (DDF)
SYSTEM PROFILE NOTES
TOP FNDN. AT EL. 76.4'
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (WT TO APPROXIMATE
ACCESS COVER (WATERTIGHT) TO ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS
WITHIN 6" OF FIN. GRADE EXISTING
74.0 MINIMUM .75 OF COVER OVER PRECAST /� 2. MUNICIPAL WATER IS
., 2x SLOPE REQUIRED OVER SYSTEM
*\ A=73.2' RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
`*8-73.2'f FOR FIRST 2' OR GEOTEXTILE FABRIC
PROPOSED 1500 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO
72.2' GALLON SEPTIC17\71.95' H- 10 LOCUS
TANK (H- 10 ) G
72.28'AFFLE 71.7' 71.53 0 0 0 0 O 0 0 a o 5. PIPE JOINTS TO BE MADE WATERTIGHT. 3 N
0 - al71.48 0 0 0 E3 E3 0 m O m6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH
MIN.(-2 x SLOPE) CRUSHED STONE OR MECHANICAL 0 0 00 0 0 0 0 L MASS. ENVIRONMENTAL CODE TITLE V.
ES
COMPACTION. (15.221 [2]) 2' 0 0 0 0 0 a 0 0 13 69.48'
DEPTH FLOW = 4 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
INLET D i_
TEE ET D � 3/4" TO 1 1/2� DOUBLE WASHED STONE BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE.
DEPTH = _ - �a 0 �h
OU•� DEPTH g 14" ( 1 x SLOPE) ( 1 x SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Q,r
FOUNDATION B_49• SEPTIC TANK 25' D' BOX 7' FACILITY G 5.48' 9.WITHOUTONENTS NOT INSPECTION BY BE BOARD OFLLED OR HEALTH AND CONCEALED
PERM SSION LOCUS MAP
OBTAINED FROM BOARD OF HEALTH.
SCALE: 1" = 2,000't
10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ASSESSORS MAP 251 PARCEL 103
BOTTOM TH-1 EL. 64.0' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. LOCUS IS WITHIN GP OVERLAY DISTRICT
LEGEND 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND
/ REMOVED OR PUMPED AND FILLED WITH CLEAN SAND.
100.0 PROPOSED SPOT ELEVATION \� 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
+100.00 EXISTING SPOT ELEVATION
REMOVED 5 BENEATH AND AROUND THE PROPOSED
/ � \ � LEACHING FACILITY.
100 PROPOSED CONTOUR O
100 EXISTING CONTOUR / �. �W w s yFq�� SYSTEM DESIGN.
\� '� 48 GARBAGE DISPOSER IS NOT ALLOWED
BENCH MARK - CORNER OF
CONC. POOL APRON EL.= 74.6' DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD
� W x USE A 330 GPD DESIGN FLOW
SEPTIC TANK: 330 GPD (2) = 660
EwsTINc 3 BRx x USE A 1500 GAL. SEPTIC TANK
/ DWELLING
/ \ TO OF FNDN _� ) \ LEACHING:
TEST HOLE LOGS POOL SIDES. 2 (25 + 12.83) 2 (.74) = 112 GPD
ENGINEER: DAVID FLAHERTY, R.S. / LOT 21 A 'o = BOTTOM 25 x 12.83 (.74) = 237 GPD
/ ' �WITNESS. DON DESMARAIS, R.S. 17,829t SF TOTAL: 472 S.F. 349 GPD
a
DULY 30 2007 0.4t AC. t ` DECK �,
DATE: � / \ USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
PERC. RATE _ < 2 MIN/INCH / 1 •0' O O P Aso WITH 4' STONE ALL AROUND
CLASS I SOILS P# 11887 /
ELEV. ELEV. I cr ' MA
f;I M I I oo ss, ry�O CP
A APPROVED DATE BOARD OF HEALTH
p "�' 74.5 p V 74.3 \
A / PAVED DRIVE " /
/ 273.
LS LS o TITLE 5 SITE PLAN
\p / o
10" 10YR 3/2 10YR 3/2 GARAGEx 1 )' o
73.7' 6" / '..
73.8' / tt•`
B B - 834 PHINNEY S LANE
Ls LS
(CENTERVILLE) BARNSTABLE, MA
33„ 10YR 5/6 71.7' 27" 10YR 5/6 72.0' / k "'• - PREPARED FOR
TH-2
�.k B & BEXC./
PERC C C �k� TH-1 RITA MELANSON
MS MFS s � DATE: JULY 30, 2007
e ee#
2.5Y 7/3 2.5Y 7/3
5% COBBLES 5! COBBLES �A�RNE Hs���c �� �,of MAs�cti fax 5 off �o8s 36 s 81
OJALA ° ARI. a�
0 CIVIL 126" 64.0 120 64.3 ANo. 2 OJALA
` down cape engineering, in c.
" ° A 2
c Cl VL ENGINEERS
Scale:1 = 20' �NO GROUNDWATER ENCOUNTERED 8/0
LAND SURVEYORS
� RV
939 Main Street - YARMOUTHPORT, MASS.
DCE #07-185 0 10 20 30 40 50 FEET DATE ARNE H. OJALA, P.E., P.L.S.
07-185 B&B_MELANSON.DWG (DDF)