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Home My WebLink About0027 ALICIA ROAD - Health p O UY �''�74 1.U, �,�� .�d27fAlic a�Road�, ��.z"'c+''t s�}a•''�AS� ��, f', _ , i� t -0r. y rx _`� �tl�'• )T. T ,y:•:,,�iv{. '"''Y�'ir�:Qa d7�'c+ t y•. t i*1„•��.�r�..r'_+�� N��[ + .0 - .. r., � ..i>J •'� � A ;"'� a ti .r � Q ,j ..,r -_ v. .. .�y t� I'�.y-i J,� - �.. �' YFf:'�,�lj•'t�., 9� �a�.,y :'ASP-. ram. ay G v it u'o a`�' r .. �" .. � O 9'rJ a ry , q� G ID G a Y4Y 8 !i TOWN OF BARNSTABLE LOCATION S Zl G%X SEWAGE ViLLAGE,4�j4'�'��f' ASSESSOR'S MAP&PARCEL-2 INSTALLERS NAME&PHONL,,NO. SEPTIC TANK CAPACITY t!5ei_r,;W ~ 'f v LEACHING FACILITY:(type) dZ (size) NO.OF BEDROOMS �GU Gi q Gn r✓l�� trsJDa OWNER ¢j�' �j��i�✓J (/a ab . PERMIT DATE: //''�� o ' �� 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) .T Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) i Feet FURNISHED BY L-f r 7 S h M Ot on Town of Barnstable P# Department of Regulatory Services Public Health Division Date 16i9.6� 200 Main Street,Hyannis MA 02601 f0 MAt Date Scheduled_ �� Time 11 z d Fee Pd., Soil Suitability Assessment for Sewage Di sal Zvi w Performed By: Witnessed.By. • LOCATION& GENERAL INFORMATION S�hA��,�5 Location Address ' . /� Owner's Name .�-, � ny 'O� . yQ)w7 7l S 9 h Address Assessor's Map/Parcel: / }� tl" Engineer's Name NEW CONSTRUCTION REPAIR t/ Telephone# land Use Slopes(95) y Surface Stones Distances from: Open Water Body It' Possible Wet Area . . ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands¢n proximity to holes) V O C7 -�CD O G N to > 3:1'. � co �9 ca cn r— rn . ✓� 1 .n11C�/ l oParent material(geologic) Depth to Bedrock Depth to Groundwater Standing Water in Hole: /" Weeping from Pit Face Estimated Seasonal High Groundwater _ DETERMINATION.FOR SEASONAI.,HIGH-WATER TABLE. Method Used: Depth Observed standing in obs.hole: In. Depth to soil mottles: In, Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level--_--...� Adj,factor. �,� Adj. roue water level 7. PERCOLATION TEST bate Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time 'time(9"-G") End Pre-soak /`V h�xw Rate Min,%ch � Site Suitability Assessment: Site Passed Site-Failed': Additional Testing Needed(Y/N) e 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 Conseli•vation Division at least one(1)week prior to beginning. Q:SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil• Other Surface(im) (USDA) (Munsell) Mottling (Structure.Stones;Boulders. Confistency, ravel 41 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. hh �" 9 5 Consistency,% Z V �J , -.'1)2 92 �5 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cnitec Gravel) r DEEP•OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consisten Flood Insurance Rate Map: Above 500 year flood boundary No_ 'Yes Within 500 year boundary No V' es Within 100 year flood boundary No— Yes Depth of Naturally Occurring Pervious Material . Does at least four feet of naturally occurring perv'o &inaterial exist in all areas observed throughout,the area proposed for the soil absorption system? �. If not,what is the depth of naturally occurring pervious material? Certi_ fic_ation I certify,that on �C/. (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was perfo ed b me consistent with . the required training,expertise and x ience described in 310 Clv 15.017. } Signatur Date Q:\SFFrrr\pEkcFORM.DOC �' - Town of Barnstable F THE Regulatory Services sexrrsrnai s Thomas F. Geiler, Director 9�A MASS. Public Health Division rED MA'S A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 27, 2006 Mr Gorden H. Demartin 27 Alicia Road Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located at 27 Alicia Road, Hyannis, MA was last inspected November 2nd 2006 by, David B. Mason, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: System is in hydraulic Failure You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE 7ALTH DEPARTMENT qTo mas A. McKean, R.S., C.H.O. Agent of the Board of Health COMMONWEALTH OF MASSACHUSETTS z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION a" 5' David B.Mason,R.S,Certified Title V Inspector,508-833-2177 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION — 3� 4 u^ •'.r Property Address: 27 Alicia Road,Hyannis,MA o { Owner's Name: Demartin; Cordsn J4U3� Owner's Address:,27 Alicia Road,Hyannis,MA € Date of Inspection:November 2,2006 C) ' Name of Inspector (pl'ease'print)David 13..Mason Company Name: N.A.. E? cc o Mailing Address:4 Glacier Path East Sandwich,MA 02537 ,+ Telephone Number: 508-833-2177 ; 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 Further Evaluation by the Local Ap oving ZAuthority X Fails Inspector's Signatur . 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. Notes and Comments: System as inspected appears to be hydraulically failed. Tank should be pumped as a matter of maintenance. The information as identified represents only the condition of the system on November 2,2006 at 8:00 AM. ****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 6/15/2006 page 1 I Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 27 Alisia Road Owner:Demartin Date of Inspection: November 2,2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: Parking area should be defined to prevent parking on septic tank and pump chamber. B. System Conditionally Passes: F One or more-system components as described iri the"Conditional Pass.."section need to be replaced or,, i repaired'.The system,upon completion of the replacemerit or repau,as approved by the Board'of Health wi 11 ass. . p Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. _N_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: _N_ 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: _N_ 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: OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles S Tnenartinn Fnr All 2 I Page 3 of 11 PART A CERTIFICATION(continued) Property Address: 17 Alisia Drive Owner: Dacosta Date of Inspection: November 1,2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CNM 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. .-Sysiem_will.fail.unless-the Board of Health-(and-Public-Water-Supplier;if any)d"etermine's 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and r the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 m provided that no other failure criteria are triggered.A co pp ' gg copy of the analysis must be attached to this form. 3. Other: i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A Title 5 Tnenartinn Fnrm ail�i�nnn 3 Page 4 of 11 CERTIFICATION(continued) Property Address: 27 Alisia Road Owner: Demartin Date of Inspection: November 2,2006 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool —X_ _ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool —NA_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool NA_ Liquid depth in cesspool is less than 6"below invert or available volume is less than% day flow —X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,.cesspool or privy is below high ground water elevation'. —X Any;portion of cesspool or privy is within 100 feet of a,surface water supply or tributary to a surface water supply; X Anyportion of a cesspool;or privy.is.within a Zone:l of a public well. —X Any portion of a cesspool or privy is within 50 feet of a private water supply well. —X 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 pprr,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 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• 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 II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed.The owner or operator,of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Titles S Tnenvrtinn Fnrm r,il v,)nnn 4 i Page 5 of 11 I _ Property Address: 27 Alisia Road Owner: Demartin Date of Inspection: November 2,2006 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _X — Pumping information was provided by the owner, occupant, or Board of Health X Were any of the system components pumped out in the previous two weeks? - - - -X — Has the system received normal flows in the previous two week period? _X Have large volumes of water been introduced to the system recently or as part of this inspection? —X — Were as built plans of the system obtained and examined?(If they were not available note as N/A) —X — Was the facility or dwelling inspected for signs of sewage back up —X— — Was the site inspected for signs of break out —X — Were all system components,excluding the SAS,located on site?(INCLUDING THE SAS) _X_ — 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? _X - — 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 —X— — Existing information.For example,a plan at the Board of Health. _X_ — 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)] OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles S Tnenartinn Fnrm 4/1 Si,)nnn 5 Page 6 of 11 PART C SYSTEM INFORMATION Property Address: 27 Alisia Road Owner: Demartin Date of Inspection: November 2,2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 2_ Number of bedrooms(actual):2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents:_1_ Does residence have a garbage grinder(yes or no):NO(Not Allowed) Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no):NA Seasonal use: (yes or no):NO Water meter readings,if available(last 2 years usage(gpd)):2005;23000gpd 2006;29,000gpd Sump pump(yes or no):NO Last date of occupancy: Current COMMERCULANDUSTRLU Type of establishment:- Design flow(based on 3.10 CMR 15.103): 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 information: Mashpee Board of Health 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:Maintenance pumping conducted after inspection TYPE OF SYSTEM _X 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): With pump chamber Approximate age of all components, date installed(if known)and source of information: approx. 25 years Were sewage odors detected when arriving at the site(yes or no): yes OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Tifla C TncnPnf;nn Fnrm All 6 i Page 7 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 27 Alisia Road Owner:Demartin Date of Inspection: November 2,2006 BUILDING SEWER(locate on site plan) Depth below grade: Approx. 12 Inches Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line:_NA Comments(on condition of joints,venting,evidence of leakage, etc.): Appears in good condition. i SEPTIC TANK: N.A.(locate on site plan) Depth below grade: 8 Inches Material of construction:_X_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: Typical 1000 gal. Sludge depth: 4 inches Distance from top of sludge to bottom of outlet tee or baffle: 28inches Scum thickness: variable 0 inches to 6 inches Distance from top of scum to top of outlet tee or baffle: 0 inches Distance from bottom of scum to bottom of outlet tee or baffle:Not applicable no scum at outlet tee How were dimensions determined:actual 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.)inlet tee is PVC.Outlet tee is PVC and appears in good condition. No evidence of leakage. Structure of tank appears adequate.Effluent level with outlet tee. Maintenance pumping is required. GREASE TRAP: N.A. 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.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titip ';Tnenartinn Fnrm /,ii,;i7nnn 7 Page 8 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 27 Alisia Road Owner:Demartin .Date of Inspection: November 2,2006 TIGHT or HOLDING TANK:—N.A.—(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.): i k DISTRIBUTION BOX:_NO_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Level with 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.): There is no indication of solids carryover,dbox is in good condition. Dbox is 9 inches below grade to risers. PUMP CHAMBER_(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.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM T;tIP S Tncnartinn Fnrm �n�i�nnn 8 i Page 9 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 27 Alisia Road Owner: Demartin Date of Inspection: November 2,2006 SOIL ABSORPTION SYSTEM(SAS):—X_(locate on site plan,excavation not required). If SAS not located explain why: Type —X_leaching pits,number: 1 Pit; 6 foot depth leach pit with approx. 2 feet stone. leaching chambers,number:_ _leaching galleries,number: leaching trenches,number,length: leaching fields,number, dimensions_: i 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 vegetaiioli, etc.): leaching is 48 inches below grade. Riser is not present.Chambers are an H10 rate pit. No indication of ponding nor increase growth of vegetation. CESSPOOLS:_NA (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:—N.A._(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.): I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C TiNP G Tnenartinn Fnrm (./1 ;/1000 9 Page 10 of 11 SYSTEM INFORMATION(continued) Property Address: 27 Alisia Road Owner:Demartin Date of Inspection: November 2,2006 SKETCH OF SEWAGE DISPOSAL SYSTEM - Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building. I • Water Gas A JB 1 A-1 22' B-1 24' A-2 33' 2 B-2 34' Title Tnenartinn Pnrm 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 27 Alisia Road Owner: Demartin Date of Inspection: November 1,2006 SITE EXAM Slope Surface water Check cellar (crawl space) Shallow wells Estimated depth to ground water 20 feet Please,indicate.(check)all methods used to'determine.the high'ground>water elevation; _X Obtamed from system design plans on`record-If checked,date of design planreviewed' a _X Observed site(abuttuig.property%observation hole within 150 feet o£SAS) ' X_Checked with local Board of Health-explain: Recent Test Holes, Existing engineer records with BOH _X_Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Utilized existing site design information on file with the Board of Health. Additionally,existing site and abutting site topography does not indicate ground water to be within 4 feet of bottom of leaching facility. Test holes in the area on file do not indicate ground water within 20 feet of grade. Tifla C Tnenvrtinn Fnrm F/1 S/,)M/l 11 Postal QCERTIFIED MAILT. RECEIPT (Domestic For delivery information visit our website at 0 n UFF ICE :Postage $ 3 C/ 0 CeMffed Fee M Return Receipt Fee Postmark O (Endon ement Required) a �V Here C3 ResMcted Delivery Fee �D (Endorsement Required) Total Postage&FeesLn oE3 Sen¢To +¢ � -y Mrs ao--d o g N id c ct-e c� Street,' L No.. _r.7.----------------- ........... -- -- or PO Bo No. / ��/C:/R.� Rc,0-t cny stare,_7JPf4 � �,I,g oa G O PS Form :00 June 2002 i Certified Mail Provides: (esranea)aooa e�nr'ooae w,o�sd ■ A mailing receipt _ ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE'IS•PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for' a dulicpl to return receipt,a USPS®postmark on your Certified Mail receipt is ■ For an additional fee, delivery may be restricted to the addressee or' addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail, receipt is not needed,detach and affix label with postage and mail.t1 IMPORTANT:Save this receipt and present it when making an inquiry. , Internet access to delivery information is not available on mail addressed to APO,and FPOs. `j_ i Town of Barnstable o Regulatory Services sSrABLE Thomas F. Geiler,Director 9�A ` Qa •e� Public Health Division rEn Mai a Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 27, 2006 Mr Gorden H. Demartin 27 Alicia Road Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located at 27 Alicia Road, Hyannis, MA was last inspected November 2nd 2006 by, David B. Mason, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: System is in hydraulic Failure You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE 5EALTH DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health k c co 0 0 po IAN N �� t �� a �Oa �t N d 4.C I co N 0 r V UD CD N D�1 0 CD 1Nn e o 0 D y R x0 1 m O v � 3 c U D 0ow5a33 � 3 3 n CDc �m .. m �m m w 'w 0m IDl � a 'a0 m ''3 2 m g Sc j ai t w m � w �3apry ` m m JCD w �Cr RL 0, NS W 14 f y a OEr Ca y (0.V (((��]]�� m (n 0 � N m 0 CD CD CD a Q O ��■ o = o Q l o C. cv �. CD 0 o m m - �, m L U E j M a c r° m m W m c C3 (D Q � , ma n m c CD2 n m ra L ti >' m t r. L� p 3 m ID cr n m n c � CN i L < m n � m can b Ir m < �. . O O n m CL C3 C3 nl O m Cl 3 , oCD x' v 3 m p m w o co Nu N Q' N 7 y 0 a CD 3 crI ID y �. (,DOm 0 •> b — ------------------- i Q y O 1f ct••�� ' a r Fee No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ..PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpphration for �Di4pooal *p!6tem Con5truction permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑ Complete System l Individual Components Location Address or Lot No.oT7 -4Z/Zr,1404i> /Ky Owner's Name�Adddress,and Tel.No. Assessor'sMaplParcel �.� �"� " "�� ~ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building �.� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3. � gpd Design flow provided '' gpd Plan Date -oO/ 3 �0 6- Number of sheets Revision Date Title Size of Septic Tank �X��'��f 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 Certificate of Compliance has been issued by this Boa of Uealth. _r S ned Date Application Approved.by ..Date NNazob Application-Disapproved by: Date 4:forthe following-reasons Permit No. '— Date Issued _"`""'.,y„�►.�bA'a�4y:.<<tW�dilwf�`�•' .\�"C*.A.'6�y�►—�v £:3 ' •��<Yd'+"`«'�; N'.r7w•e'7"d..�"•<y`y�,`;:s•:.r•w -,J+-v<:.:s.,.:a•r,:.,^z---�p+n. ...:� -`^' �..;.yy. ....:. .. No. CWF(O /�l Sao a � Fee 9 x THE COMMONWEALTH OF MASSACHUSETTS Entered in'computer: p'' ,_ o..:.-.-sa '� ' jYes PUBLIC HEALTH DIVISION -`TOWN OF BARNSTABLE MASSACHUSETTS',i 11ppUation for Mt.5po!9aY 4 $tem Con.5trUcttoll Vermtt Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑ Complete System U Individual Components Location Address or Lot No.J.7 /��/��/�� /��! Owner's Name, Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building f No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3y47 gpd Design flow provided sr-C' gpd Plan Date >/— / 1`0 6• Number of sheets '� Revision Date 'r Title Size of Septic Tank �x�J'T'^ma`s /� v e Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Boa f ealth. Si ned Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. C f - Date Issued ' THE COMMONWEALTH OF MASSACHUSETTS j BARNSTABLE, MASSACHUSETTS f ` Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ') Upgraded ( ) Abandoned( )by at '"2- has been constructed in accordance l J I with the provisions of`T Pitle 5 and th for Disposal System Construction Permit No. � qq� dated I / p Installer C, e 1J`l7 Designer y�Q�Ske�v� #bedrooms Approved design(�w 3 gpd The issuance of this permit tthall not be construed as a guarantee that the system willctio/h as d signed. Date 1 1 %Z V 10 Inspector No. C 9 . Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS lwizpool 6p.5tem Cor truction Verna Permission is hereby granted to nstruct ( ) Rep ai ( ) Upgrade ( ) Abandon ( ) I System located at D--7 A A C 1' , Q>1►1 1 S 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: Construction must be completed within three years of the dal of tthi p i Date �'ao Approved`by Nov 21 06 04: 45p p. l _ '.I'ow n of Barnstable Regulatory Services H Thomas F.Geiler,Director Public Health Division _ Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Jnstaller & Designer Certification Form Date: Installer: Address: . T� � Address: A- 007t351 OnLWZ _�b 'y I f'� _ as i ssued a permit to instill a (date-- -' (installer) septic system at IU A.� `'t'" V" _ _based on a design drawn by " (address) dated �V Ib ZD0 0 (d�fper) — I certify that the septic system referenced above was installed substantially according'to ;4zfhe design, which may include mirloi� approved changes such as latl�?tI relocltiou of the distribution box and/or septic tank. I certify that the septic system referenced above was inst4 with major changes greater Oim 10' lateral relocation of the SAS or any vcrtical-relocation of any component of the sept dc� tem) but accordance with State &Local Regulations. Plan rcvisior,or certified as-bikt�'b. - igner to follow. oF�gs� . (ingUR s S - afore) MASON Na 1066 9�GISTS XI s4NiTARX esi 's Signature) _ ^(Affix gner's Stamp Here) PLEASE RETURN TO BARNST'ABLE PUBLIC HEALTH DIVISION CERTI ICA'1'C OF COMPIJANCE WILL NOT ATE ISSUED-UNT11., BOTH -THUS )WORM AND AS BUILT CARD ARE RECEIVED ENV THE BART STABLE;PUBLIC KF, L' 1)7iV>SION 11.1ANK YOU. , Q: Etcnldh/Scpdc/Ucsigttar C'crtilico-ttiuu Form ' v WIN rrUf" /17 IC r, - r-W LPvP MAC", t%%J The plans and specifications for every on-site system shall be prepared as follows: (1) Every system shall be designed by a Massachusetts Registered Arofe:ssional Engineer or a Massghucens Rego Sanitarian provided that such Sanitarian shall not design a system dmdped to&=mW mom than 2NO galtoas Per day Posaaant to 310 CMR 15.203. Any other agent of the owner may prepare Puns for do repair of a system designed to discharge not more than than 2.000 p1lons per day pursuant to 310 CMR 152M provided they an ate reviewed by a aria teetCs Registered Sanitaem and appraved by the approving authority. (2) Every plan submitted for approval must be dated and beat the stamp and signature of the designer, (3) Every plan ft a anew syst n or pin for the upgrade or cgwsWn of an existing systen which requires a vases to a pmpcM]race setbaclt t6saaoe, mot aim-A,-tee a plan which bears the stamp and signature of a--Massachusetts. Licensed Land Surveyor in accwdm=with boLG L c. 112. 1 BID. (4) Every plan for a System shall be of suitable scale(one inch=40 feet or fewer for plot plans and one inch a 20 feat or fewer for details of system components)and shall include depiction of. (v a) the legal boundaries of the facility to be served: + ' (b) the holder mid location of any easements appurtenant to or which could impact the IVVVVV/ somr, (c) the We afim eaf doe all dwefng(s)or building(s)existing and proposed on the:facility . and idenadragdon of those to be served by the systems �( g� of misting of proposed impervious was. inducting driveways and padde) lawn and&"Md ns of the symn Cnnduding nm ve amk (f) system design calculations,utdadmg design daily sewage flow.septic tank capacity l , (ro W-M and paovidad): seta abs;apion syst�a e�aetity(topguired aed and ybedor syscan is dt ifew d farFtdW Older. ( North prow and cxgM ag and proposed contours: / (h) . loeadoon and log of Bleep'obowmion hole teats including the date of test,ea i Ming ✓/ grade devathoaos t lifted on t;acb wet. and dic tamp of the mpreseatative of the approving audwft rand so11 ewdudot: '71Vl CI) location w d U=j s of pcmobdoa rusts bedading the am of test and the names of the reptesm-na ofdjCgppWg vabonity and still evaWatm name and eedficadmt aamber of eba Soil EvalaWar of r000teL location of t vsry Wars'SOMY.Pavia and Prorate. ( L - whiles 4W tea of this pavpetsed spsoan lineation in *0 ease of sud=water IlJ► supMtlas"d gtavd;pad®d publo wom supply wel1r• Z.' widen 250 feet of the proposed system location in the case:of atbuLu public wow supply wells,and / 3. whbin-10 feet of the proposed system location in the can of private water; WGatiOn of MW;ihc&ex wtnas of tte C7otttoteowesaltk fiver9, bosdering VegCta ibd wellands, sah mats::Leland or coastal brooks tegolatmy floodway. velodtY .~ Mzf ice vaaoes rvppTtes. to 4at6 water suppfim ard&d vernal pock private vvaser suppEm or suedma Hoes, »d paelmd, at tubular public vval3er: y.wells. sabsutface dMns leaching catch basins.or dry Wells:and the location ot:asy:taittogen sc addve-arra k aadfict in 310 CMW LS v Mdu% which peeeBe►as;trf` proposed Umm ffiO located. en) lawo'ioat of water Ines and otbe i Wwathm aa'1Wes an the.fee:lit.J. tt) ob=wt;d turd a4unw -wad Ckvition W the vici"the system-- o a ooeapift p WRO of dies tiystewa: (p) a ttoft;on flee phm fisting all vaziao=to dwprovisions of:310 CMR 1g.000 sxtgitt in conjtmcdaaa O d e plow; _ (q) the hteatioa wwd dearation esf one 6t�ittnaik'wu6in-50 Ito-.7�_he of the Y:. - � . wWch is not to didoexaun or loss daft construction od'diirfacility: W when dosing is-gtoposed.atamapte w design 40 specifieanan of the doting systettt ]proposed including but trot Iutlited to doing daa apaGity(teagtiaie .. pomp carves etttd •nntteber of do>tiog egeks aced d &pea. (s) when a Retdtcwladrtg Srand Filter cret vaknCaltuta ve scclittology la .Or _. rnpe>sed.a exsattpkre plea aatd i fear rite;sysee%uacladitag hg*m9iC pro6let. - t st 1ae.�s pfen.to show rbe It>caorin of the fa�tj►-ieaclad�g the aratestadStiaE:site�_ .= -: . (n) the slicer amaiber and lot nmw6e7.if any.of e-twity. and No.......(_._.__ _ rF THE COMMONWEALTH OF MASSACHUSETTS 3�' BOAR® OF H �AL•TH- `- • . V ........................................ Appliratilant far Elan usa parks Tanstrurtion rrr' it Application is hereby made for a Permit to Construct,()or Repair ( ) an Individual Sewage Disposal lion-Addres or Lot Aro. U _ t 4 - 7 -= . ---- W Owl Address. Installer Address Q '..Type of Build;ne Size Lot./11._ ..Sq. feet U Dwelling'�O—No. of Bedrooms_______.... ................Expansion Attic ( - ) Grbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers (. ) — Cafeteria ( ) QOther fixtures -------------------------------------------- ----------------------------------------------------------------------------------- W Design Flow. ......................... -.__._ gallons per person per day. Total daily flow............................................gallons.• �. Septic Tank Liquid capacityl .gallons Length................ Width.___._........_. Diameter.........__.____ Depth.......... W x, .A Disposal Trench—No.____________________ Wid _-_...._.._.�___ �_ Tota en . __ ._-_ Total leaching area.................... ft. 1 Seepage Pit No.-)--------- Diameter.. ..`!73eptFi tfelow in e .................... Total leaching area...,.3..e_ sq. ft. Z Other Distribution box ( ) Dosing tank ,( ) s W Percolation Test Results Performed by................--•--•-•-----•••----•••--••••-----•--•-----•---•-•-•----- Date-------------------------------•- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water__.________________._. fM4 Test Pit No. 2................minutes pejilh -Depth of Test Pit___.............___. Depth to ground water..__..:......._.__-____.---------------- ...... --------- ODescription of Soil--------_- "-t-------------- - ---- - . - - W .--•----------••-•--••-------------•--•--••-•------••-•---••------•-•--•--••••-•-•••--••••••••-•-•......-----••-----•---•----•--•-••--=----•-••-----•-----••-......------------•-------••.------------ x •----•-----••-------------------------------•------------••......--•--•--•-•••---••---•-•-••••-•-•-•---••-••------------•••----••••------------------•----•-------•----•.....-•-...._..-•------------- U Nature of Repairs or Alterations—Answer when applicable..........:.........................:.......................................................... Agreement: , The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigne further agrees not to place the system in operation until a Certificate of4Compliance has be i s by the bo d ealth. 6y �j Sign ----------- -------------- ----- --------------------- - ----------------------------- /Dal� Application Approved BY --••••-•--•------ 7 1 f�� Application Disapproved for the following reasons---------------"-"-•-----•---•-....-----"---------------"----------"----•------------...........•----....._------ •-----......-•-----•—•-•--•--••------------------•........•---•-•-•---•--••••---------•--'-•"•---------•-•--•-••-•-------------••••—•----•-•-•-----......---••------....---------.•-•-----•---•--__.--- �d Date PermitNo......................................................... Issued..............`......................................... �(-------------------------------Date----------------- THE COMMONWEALTH OF MASSACHUSETTS BOARDAOF HEALTH Appliratinn for Piiposal 10orkfi Tonitrurtion Prrutil Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Syst- ............................................. ,� Location-Addressr 67"� or Lot No. , / o / J ......... . s_.,t...�'�� !r�rH:�_�G�� --............................ 1"��—��= ��?�y.��a.� �.;� f�4f' � l. S Owri Address W � 99� ,Jvl .......... -s- _ �---------------------------- --------------------•••---................:._......•.. '• . .—Installer Address---•--•-••-•-•- - rf----------- ----- f r d Type of Building Size Lot_ _. -...:::C_�-:---Sq. feet U Dwelling—No. of..Bedrooms........-.. .....Expansion Attic drba e Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria..'( ) dQ' Other fixtures -_4r,................ ... -- ------------------ ----- = W Design Flow. ..........................S t .....gallons per person per day. Total daily flow----- WSeptic 1':uilc Liquid capacity/__gallons Length................ Width................ Diameter.......:-------- Depili................ xDisposal Trench—No_____________________ Wid i.._..._____.. ....= Tot. ,en h..l._..___....._.. Total leachingarea-____�............s ft. See a e Pit No._ Diameter._._.i_ .._ eptli"lie w inhet____________________ Total leaching area: y�_. sq. ft. Pg 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:.______:,____--_----_ .Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water___________.-.--_---_._. W ............... •, J o Description of Soil w�"' -" s� Q-------- `=--- O -------------- V :.......••••••••---•----.......-••••••••--•..............•----.......•-• === =--.-•------------••----------------•••-......................... •---••------•------------------------------------------------------••-•-••--•--------•-•---••--------...----•--•------...-•----.-------------------------- ------------------------ ................... U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------------------_------- ....---•-•••---------•--••-•---•---------------------•---••-•--•---------------------------•-••-••••---------•-------------------------_...•-•--------------•--------------------------....:......_..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned.further agrees not to place the system in operation until a Certificate of Compliance has be n issupd,by the bad 6ealth. b Sign - '- --- Da Application Approved BY C4"''- •. -•-- � t �" `................... 'S` - Date Application Disapproved for the following reasons:---...............•--------------•------..........._:..------.....---•-------=---•••-•••-----•--•.....-- ------- Date ' PermitNo........................................................ Issued.............::•--------•-- -----•-••-•••-•----------. . f 'Date _ THE COMMONWEALTH OF MASSACHUSETTS `+ BOARD OE HEALTH' ve— �' . ...............O F.....:...... ........................... .. .. ..............:............ (Irrtifirate of Tompliance T I S TO CIERTIFY That the ndividual Sewage Disposal System constructed (/ or.Repaired ( ) ' by = ,!e'K ^.��- r - --------- .... at-------gip: 1...... �` t .=E......` ° 4 � :• T_he has been installed in accordance with the provisions of Article XI oftState Sanitary Code as rs j ed in the :...... dated -- -----application for Disposal Works Construction Permit No._.:........... .._ ��....��_ -.••-_•.._- THE ISSUANCE-O.F THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. , O DATE `�a o�-.�-�� --------•---•--•................•---•--. Inspector ........................ ' 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �j No. .40.1-•--••--- r .t FEs rypolpt for; _ �$r tion rrgnit i i -� S Perm 'ission s ereby granted ... .-- - --_------------- r-----••-- ......•-•-••-- to Constj#tL r Repa'r ( ) Individual ewake.Dip a1 :System at•No.. dt �� '-: :. r L,w:.0�t ..... 1.....' �_r... . as shown on the application for.Disposal Works•Construction mit No ' '... Date ............ J a` Board of Health ' DATE......... .. .........................----------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS e ASSESSORS MAP: `t.�Z9 Z TEST HOLE LOGS NOTES: - '�•'� Z PARCEL: 4Z3 _ — 2, �_ c? FLOOD ZONE: 1,16-1 � SOIL EVALUATOR: -- —- / WITNESS: 1) The installation shall comply with Title V and Town of Barnstable Board of REFERENCE: C�+2.77 f?CL:) Sj' ' jj"K- a DATE VVF / Health Regulations. Q PERCOL T•LON RATE: G Z. M/ f / 2) The installer shall verify the location of utilities, sewer inverts and septic U1} ,� �� 3 components prior to installation and setting base elevations. 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"_per foot. The first TH- 1 TH-2 two feet out of the dbox to the leaching shall be level. � M �� 4) This plan is not to be utilized for property line determination nor any other b 5 1 3 purpose other than the proposed system installation. uS J � l 5) All septic components must meet Title V specifications. 6) Parking shall not be constructed over H10 septic components. LOCATION MAP 7) The property is bounded by property corners and property lines. � �J � 8) The property owner shall review design considerations to approve of total "� design flow and number of bedrooms to be considered for design. Receipt of payment for the plan and installation based on the plan shall be deemed approval of the design flow by the owner. 9) The existing leaching or cesspools shall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall be k1� I �, - removed along with contaminated soil and replaced with clean washed sand o Q, _ G� per Title V specs. 10)System components to be 10 feet from water line. Sewer lines crossing the water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if k SEPT I C SYSTEM DESIGN applicable. l 11) If a garbage grinder exists it is to be removed and is the responsibility of the I' owner to ensure such. FLOW EST i MATE 12 The installer is to take caution in excavation around the- � ) gas line if applicable. BEDROOMS AT GAL/DAY/BEDROOM - ZZQ,AL/DAY I�. SEPTIC TANK w. N � KIr 'GALfDAY x 2 DAYS - USF,/GYi GALLON SEPTIC TANK t�l 677,k4/r r ►� 4 SOIL ABSORPTION SYSTEM S 1 DE AREA:- Z Y, !� �f ZY X 2 Y BOTTOM AREA: 3r 0'f7 PTIC SYSTEM SECTION �ZAV � �` c..5 J11jZ' GAL 7100CEE�l �� SEPTIC TANK t' �-r2j.' o? DAVID c' C MASON m to 40 9��'.toePe o �y . fi 3 irT►AM� SITE AND SEWAGE PLAN LOCATION 121 goigv PREPARED FOR : 41 (, V^ i M / SCALE: s DAV I D B . MASON DATE: /� f DBC ENVIRONMENTAL DESIGNS DATE HE EAST SANDWICH . MA WEALTH AGENT t5081 833- 2177