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HomeMy WebLinkAbout1118 PHINNEY'S LANE - Health 111t8TPhinney's Lane Hyannis P 273 093 f' a o TROY WILLIAMS SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 760-1819 40 Old Bass River Road South Dennis,MA 02660 Con non7weafth of MCWCChusetts Executive Office of EnWonn-erttal Affairs Ax Department of & ' • Environmental Protection David&Sitrutm SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A // CERTIFICATION Property Address: 1119 Qh,rn H Gr.S Cc—�-w✓I- il— Address of Owner. C e k_, 14o tnJ e.1 f Date of Inspection: 3/// /y G Of different) / Name of Inspector-- o (J o, c:'U r) -S�- /r�7y�W t �r a.vL.5 Company Name,Address 9d Telephone Number. / 2 S S / ', MCA-. —Se (-I-6auG, TU . 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 inspection..The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes _ Needs Further Evaluation By the local Approving Authority Fails Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C, or D: Al SYSTEM PASSES: have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. Ill SYSTEM CONDITIONALLY PASSES://� One or more system cornponents need to be replaced or repaired. The system, upon eortmpletlon of the mplacensem or repair, passes inspection. Indicate yes, no, or not determined (Y, N, a ND) Describe basis of dete*minnion in all instances. If'not determined', explain why noo The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 118 �� s^e y S Owner: '1 G/f Date of Inspection: 31/( 1? 6 BJ SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four 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 C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: lW4, Conditions exist whic h require further evaluation b the Board y oa d of Health in order to determine if th e e system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFE TY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system nas a septic tank ano soli aosorpuon system and is within 100 feel to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The systen, has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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 S ppm- D) SYSTEM FAILS: /-//A I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an 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 :evised 8/15/95) 2 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: /�` Date of Inspection: n w It- DI SYSTEM FAILS (continued): _ 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to dogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 11 LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 0/15/95) 3 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: W �) Date of Inspection: 3111 Check if the following have been done: t/Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. /1/�/ As built plans have been obtained and examined. Note if they are not available with WA. ✓/The facility or dwelling was inspected for signs of sewage back-up. VThe system does not receive non-sanitary or industrial waste flow V_*The site was inspected for signs of breakout. ,ZAll system components, excluding the Soil Absorption System, have been located on the site. N119 The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. _L/The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owns, (a-d occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 6/15/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: .I l l r 1^0 e-y S Owner: Date of Inspection: 7u 3 /i f /96 FLOW CONDITIONS RESIDENTIAL: Design flow: aZ O allons Number of bedrooms: Number of current residents: a Garbage grinder (yes or no):_,&� Laundry connected to system (yes or no):�5 Seasonal use (yes or no):_/ Water meter readings, if available: /V0 C-J u cr �, t-c,i r c« <,( c.va • (, /< /fiJ� �,� Jy v 1_Al, v< <u —0- t Last date of occupancy: L/1 (- -Lj �- /c� ✓ - COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: aallons/day Grease trap present: (yes or no)_ industrial Waste Holding Tank present: (yes or no)_ 'ion-sanitary waste discharged to the Title S system: (yes or no)_ Water meter readings, if available: ast date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source olff inf rmatio a- j2 System pumped as pan of inspection: (yes or no) NO If yes, volume pumped fallons 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) Other (explain) APPROXIMATE AGE of all components, date installed"(if known) and source of information: �'�•'f'`� T� �i�,., L 43�, f c( Sewage odors detected when arriving at the site: (yes or no) A/0 ,revised 8/15/9S) $ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: Date of Inspection: SEPTIC TANK:,L,//,Y (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: 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: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) GREASE TRAP:IVO (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP _other(ezplain) Dimensions: scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom or .<rti— I- hottnm of ouuP! tee or bafle Comments: .recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, et(.) revised a/is/951 6 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: P4;``h e-y s Owner. A/ Date of Inspection: 3 A 17� TIGHT OR HOLDING TANK: N//9 (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Capacity: gallons Design flow: aallons/day .alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:/Vb-7 (locate on site plan) Depth of liquid level above outlet invert: Comments: mote if level and distribution, is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER:—/,//fJ (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc) (revised 8/15/95) 7 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: I/f %L.,,,e S Owner: A4W L Inspection: //Date of In 3 Air /y� SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) if not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Opt 6 XS- '6Jtr / Comments: (note condition of soil, signs of hydraulifailure, level of ponding, condition of vegetation,etc.) -5.- � ���,,gA ,/fl h� j N l c' -s: s5s o ;eJ('-a� �; � ;� ; /%ja—G . CESSPOOLS: ;locate on site plan) tiumber and configuration:_p ti e_ h+c,; r•• C_ c o v l Depth-top of liquid to inlet invert: 6 . "g- ( Depth of solids layer: 1,10,A//_ Depth of scum layer: N0Nr Dimensions of cesspool:_ �S'' ,�, igil Materials of construction: ,ndication of groundwater: A/ E inflow (cesspool must be pumped as part of inspection) 5- s s 42s,a f „vac Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) C'1_51 o�., c c S / c f,c C'X s 00 / r.J G-c1-L ` ✓y o c� /h c h e_ G7 o �. PRIVY: i9 ilocate 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.) revised 8/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C // SYSTEM INFORMATION (continued) Property Address: Z Date of Inspection: STD v✓� SKETCH OF SEWAGE DISPOSAL SYSTEM:- include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 1 /tj C�ssp,� l G.csSpo� I . DEPTH TO GROUNDWATER Depth to groundwater: `— feet adjusted high groundwater level method of determi tion or approximation: .. a( J z A 4✓ ,1 0 (revised 6/15/95) 9 r TOWN OF BARNSTABLE LOCATION 1 Pk'aners LN SEWAGE # d001- 319 VILLAGE &- IAYA'V N'5 ASSESSOR'S MAP & L0T�73 - 53 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /3-00 GA-L LEACHING FACIL=: (type) o?X Sbo G ft ��1wc (size) /3 NO.OF BEDROOM . BUU.DER OR r fZaere ld PERMITDATE: Co" aS+ o y COMPLIANCE DATE: 7- 7- oN 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 c .�� c5� �'\ c' t � � � c� � `r' � Q �- -s �- �► ----��-- No. a �' y `31 q Fee$5 0.0 0 ,THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Mitpool *pttem Construction Vertnit Application for a Permit to Construct( . )Repair(X )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 1 1 1 8 Ph i nney s Lane Owner's Name,Address and Tel.No. 7 9 0— -N' - ' ' = 'OVARN1 Barbara Fitzgerald Assessor'sMap/Parcel -- 1118 Phinneys Ln, Centerville 273/93 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.3 9 8—8 31 1 Wm E Robinson Sr Septic Craig Short PO Box 1.089, Centerville PO Box 1044, S. Dennis Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinderto Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install new Title 5 septic system to plans of Craig Short, #1 -1019. 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 bee issued by this-Board f Health. fined Date Application Approv Date Application Disapproved for the following reasons Permit No. ;2(!0q 31 Q1 Date Issued 6 1561.0 --------------------------------------- J No. .VV 3/� ,� r.1 Fee $50.1 H14E QOMMO�NWEALTH OF MASSACHUSETTS nter"ed in computer: Yes I' PUBLIC HEALTH DIVISION -TOWN OF BARNSTAB E.,MASSACHUSETTS 01pprtcation for Migpooal bpotem�Con.5truction Permit Application for a Permit to Construct( Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot 1118 Phinneys Lane No.. Owner's Name,Address and Tel.No. 7 9 0—6 9 7 3 . a ; I44e OVAON J Barbara Fitzgerald Assessor'sMap/Parcel _--.'t--,t—_ �273/93 1118 Phinneys Ln, Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.3 9 8—8 31 1 Wm \,E Robinson Sr Septic Craig Short PO Box 1089, Centerville PO Box 1044, S. Dennis Type of Building: . Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder:(io ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S., Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install new Title 5 septic system to plans of Craig Short, #1-1019. 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 aoardgf Health. (t'gned \� Date ''O�J'��� Application Approved`b Y Date Application Disapproved for the following reasons Permit No. Date Issued (nfG --- - - - -- - . . - ---- - - - ---- - - - -- - ---- - ---- ------ ----- THE COMMONWEALTH OF MASSACHUSETTS -Fitzgerald r BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by trim F Robin-,on Sr_ Sentic Service at' 1118 Phi nriev' s Lane, Centerville has been constrruc m ccordance with the provi ions of[Ti�tle 5 and the for Disposal System Construction Permit No: ��dated f n Installer Designer �'2�', r4--- The issuance f this permit shall not be construed as a guarantee that the systemfunction as designed. Date (1N Inspector ---------------- ---------------------- No. Q.cz `-1 ' 3j I Fee%5 0.0 0 Fitzgerald THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Miopooar *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) Systemlocatedat 1118 Phinnev' s Lane, Centerville and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date off this Date: U , 5l `f Approved by TOWN OF BARNSTABLE LOCATION 1 1 g A�t���c s L� SEWAGE # a00 y- 3 j 9 r VILLAGE �ta�erv��tt. ASSESSOR'S MAP & L0 7.3 ' 93 INSTALLER'S NAME&PHONE NO. w^^.c = Asa*+ �sPla�c>Strsh�.c '77S-grj� SEPTIC TANK CAPACITY J (- -L 3 x 07S'x LEACHING FACILITY: (type) 2?e Sao G�►'L (size) / w NO.OF BEDROO x 0 BUILDER OR fz 4er-e PERMTTDATE: & - dg ' °y COMPLIANCE DATE: 7- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by f 3� A"0 1 i Town of Barnstable Regulatory Services Thomas F. Geiler, Director BARNSTABLE, MASS. Public Health Division i6S9• ♦0 ATep 39- N, Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: o Designer: Craig Short Installer: Wm F Robinson Sr Address: PO Box 1044 Address: PO Box 1089 S. Dennis Centerville On Wm Robinson Septic was issued a permit to install a (date) (installer) septic system at 1 1 1 8 Phinney' s Ln, Centerville based on a design drawn by (address) Craig Short dated 06-22-04 (designer) ✓ I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. o CRAKt3 SHOW (Installer's Signature) ' 27 H Bea.2783 62 Ea�o�� r s�aNAt (D gner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 235 Greal Western Road CRAIG R . SHORT, P . E . � P O. Box 1044 Telephone (508)398-8311 South Dennis, MA 02660 Fax (508)398-3063 PROFESSIONAL CIVIL ENGINEER. SOIL EVALUATOR, SEPTIC INSPECTOR SEPTIC SYSTEM DESIGNS, COASTAL & 1311;LP!NG DI SIGNS SEPTIC DESIGN PROPOSAL PAGE 2 PIZOI'l;ll"1'1' lilt�'l';l' �lND FLOOR PLAN tibJi-'11'(.11 Please till out this lornl, irrc•111(filr>;the Lour jdail sl etc•h, and return to us V,it11 th, signelt III oposal and Iet-,)100 This infornralion is necess:n-N lu properly prepal-c poll-Septic tiystcol Design IF 1'011-1 ARE PLANNING AN AUDITION I'l-EASE INCI.CIDE 'E11A]' INFOIt111A•I'ION ALONG W1111 THE FOIINDA1,I0N DIMENSIONS AND LOCA'I'ION FOR I'lIE NEW AD01110N. i Total /1 of Roiln s Yea: Round I Ionle `- ascmal 1 Ionic -- -_t)I;ncr l_1_cupierl �Vltrntul -� II 13Cdrlll1111S �` I allllly Roo m/D Room ell I.isi — / Room H Hathroonts 1 1�1111I1`� _ //«'asher/Dryer N-0Dishwasher srbabe Disposal Gas Service - -_-_V //_Ii,wn 1Vater n-ground Electric Wires` ��n-Ground Oil tank* t e V— ll- sound Spril+klel —In-ground Gas Pipes Please note on sketch where located. Civig R. Shwt, I'.I . assumes no responsi ;ility if in-ground Components are d;1111 IgCd during Soil Testings, lnsptxtions. 1_0cations ofand/or Installalion of'New Septic Syslenl. Cellar // l ull artial (Crawl) _ Slab Wells: Main Use noalion Only (lrleaselrrovid lucatiatr mall bells) PlFASE, USL TI IE SPACE 13ELOW ;AND 1*1 IF IIS Sl II:I.`I Tc7 PROVIDF !iS WI"I II A R011G11 Slil;"I•CII OF -I•IIE EXIS"PING FLOOR PLAN (ALL Ir1..001tS). Also include any items That should he avoided, IF FEAS1111,E, i.e. shl-nhs, Trees, patios,electric lines,tanks, etc. IF }'U[t;1REI'/ANNING.IN;11. DITION•, 111.F NI- 1'/rUl'll)ETHET,UC.•1171)N;IA'/) IOUNI)..l7'IONI)lAILN.4/OrV,1•. samples J-16� Ms Barbara E Fitzgerald ) r) 0 -4 TOWN OF BARNSTABLE LOCATION SEWAGE # i VILLAGE T7 LI �-'4ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY o� C.LS S ODn � S. LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER I ?Myy PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 --I : I C,e,N.. -) z /y4 �?- 1 .,. , e_ BENCHMARTOP OF K KION 20 FT. MINIMUM FROM CELLAR SOIL TEST 100.00 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE SOIL DONE TEST ELEV. _ �_�_ CLEAN SAND ,, rr AI , R��FIORT P.E� ASSUMED LGGM�: WITNESSED BY ---1�d._R41>�ll M1_ (ASSUMED) COVERS LOAM AND SEED EXISTING SPOT ELEVATION x0.0 OBSERVATION HOLE 1 ELEV.=_95.60_ 4" SCHEDULE 40 PVC PIPE EXISTING CONTOUR ----00---- T MIN. PITCH 1/8" PER FT. 2" LAYER OF FINAL SPOT ELEVATION . . . © PERCOLATION RATE <_2- MIN./INCH AT _ 64-86*INCHES 1 1/8" TO 1/2" FINAL CONTOUR --{]RD- Tp DEPTH HORIZ TEXTURE COLOR MOTT. OTHER WASHED STONE SOIL TEST LOCATION . . . . 34" 4" CAST IRON PIPE 96.25 MAX. 95.25 UTILITY POLE . . . . `Q) (OR EQUAL) MINIMUM TOWN WATER -W W PITCH 1/4" PER FT. a z CATCH BASIN . . . .,& A WAMY SAND 10 i NO ZABEL FILTER GAS LINE G -G FLOW LINE 93.25 a� GAS METER . . . . ELEV. = 97.17 10" ❑ ❑ ❑ ❑ ❑ O ❑ ❑ ❑ El GAS VALVE . . . . 6-36' B LOAMY SAND 10YR5 8 NO ELEV. 92.8 MIN. o o CESSPOOL . . . . . . . . Q ELEV. _ _93.75 LEVEL °EL o ° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CLEANOUT . . ----C.O. ELEV. _ _94._Q_ GAS ELEV. _ _93_00 -� 6" SUMP ELEv. _ _92.80_ o 0 0 ° ELECTRIC BOX . . . . Ml BAFFLE ° o 710000000 ❑ ❑ ❑ ° 2' o ELECTRIC LINE . . E-E-E 3d� o ° ° COARSE GRAVELED DISTRIBUTION 10YR6/4 NO ELEV. _ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 90.50 o ° o ELECTRIC MANHOLE . . . . . ® C LIQUID OUTLET BOX �� ° o° o ° ° ° ELEV. _ _--_-_ ELECTRIC METER . . . . .® r 4 FEET 14 INCHES DEPTH TEE (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED FLAGPOLE . . . . . . . . . . . . . I -ice. 5 FEET 19 INCHES IF MORE THAN ONE OUTLET 2-500 GALLON DRYWELLS WITH STONE HYDRANT 6 FEET 24 INCHES 1500 GALLON IN AN 13' x 25' x 2` TRENCH FORMATION Z ,WELL N/A LIGHTPOST NO WATER ENCOUNTERED AT __12_._ ELEV. 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) 8 FEET 34 INCHES SEPTIC TANK � 6 90 ZONE IN/A MANHOLE O 3/4" TO 1 1/2" CLEAN SOIL ABSORPTION INDEX SEW WELL . .� DOUBLE WASHED STONE ADJUS� SEWER LINE. . -s -S -s - DESIGN CALCULATIONS FREE OF FINES & SILT SYSTEM (SAS) SEWER MANHOLE JS NUMBER OF BEDROOMS _-2A 3 MIN DESIGN USGS PROBABLE WATER TABLE ELEV. _ TELEPHONE BOX . m_ + GARBAGE DISPOSAL UNIT NO, NOI-ALLOWED A- SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. = A WATER SHUT-OFF . . . . & TOTAL ESTIMATED FLOW _ WATER VALVE . . . (110 GAL/�t./bIAY X . 3 _ BR.) - UQ- GAL./DAY NOT TO SCALE BOTTOM OF ST HOLE ELEV �Q_ REQUIRED SEPTIC TANK CAPACITY _1500 GAL. ACTUAL SEPTIC TANK CAPACITY _150D- GAL. SOIL CLASSIFICATION DESIGN PERCOLATION RATE _ 5 MIN./INCH EFFLUENT LOADING RATE 0.74 GAL./DAY/S.F. LEACHING AREA -477 SO. FT- (1 3'x25-)+(76'x2') LEACHING CAPACITY _352_ GAL./DAY 477 X 0.74 �T RESERVE LEACHING CAPACITY _NZA- GAL./DAY l�O m: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. 100.3 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF / DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED / LOT 1 IN PLACE. 17,898.9 f S.F, 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR \V / ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. �( 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR IS TO 100.0 CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE. / 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE �(� / si• CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER IMMEDIATELY. 8. PARCEL IS IN FLOOD ZONE 9. LOT IS SHOWN ON ASSESSORS MAP �] - AS PARCEL 93__. Q / • 98.6 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND FOR A 97.7 MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM, AND BE / v REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) (I.E. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVERT. / 6.3 11. EXISTING SEPTIC SYSTEM TO BE PUMPED AND FILLED WITH SAND OR REMOVED, 12. A ZABEL A1800 FILTER IS TO BE INSTALLED. CRAl+L SPACE 13. CONTRACTOR TO PROVIDE SHORING AS NEEDED TO PROTECT BUILDING AND 99.0 / SHED i PROPERTY LINE. 9.9 � / 96.2 ,q,t4.gl \ I / 96.4 tl llf M x 98.4 / EXISTING IN" 95.8 Cf;AIG 9.8 xkr Gap. APPROX/MA TE / DWELLING BH. �9, SHORT r, 1--- 6` LocATroNs / Q CIVIL N' ` '` APPROVE BOARD OF HEALTH /99.6 \ �\ / 97� 96. No. 2°a33 % A'. 0 C / 99.1 r ... c ��e op C.P. 95.1 .._._ t e J#2635 PATE AGENT \ B/T-DRIVE " ti 100.0 le z \ 99.4 98.8 PROPOSED SEPTIC DESIGN 99.9 97.$ �g8 0 99. 95.6 p �1�� //113. E. R JIN, ©N �ITZG �ALD 97.6 B J `yr I O ----- --,..__�_- 98.61 98.5 LOC. j 718 PHIXiVEY'S1 �( 97.5 98.3 CENTER VILLE, AfA EARNSTA# 9 96.0 5 16j>2 • 96.2 95.4 CRAI"G R. SHORT, 1 P. E. 4 35 GREAT WEST ;5.1 ERN ROAc L OCUS off P. 0. BOX 1044 f 6 508.J98.8J11 SOU TH DENNIS, MASS 02660 508.J9e Job.:T aATE Jt�11� ,c'2, 2004 � SCALE SITS PLAN 95.1 20 REV. SCALE - INCH = 20 FEET BARNSTABLE (CENTERI/ILLE), MASS. i Joe No. 1-1019 WrATION MIf.AP�1 REV, a SHEET-1 of 1 j _ 01-1019 R Fitzgerald. �wg - ')2004 CRAIG R. SHORT, P.E.