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0455 SCUDDER AVENUE - Health
455 SCUDDER AVE., HYANNIS A= �I i i I i :P �04IHE-Tp� DATE. FEE: r s BARNSTABLE, y MASS. ma r n Q3 039•= �� REC. BY ATE°Maya Town of Barnstable SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi.Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: yS-r SCvd 1 P ti 4 Vls N v �- Assessor's Map and Parcel Number: Size of Lot: , o Z K f , Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: Phone H Q[ Did the owner of the property authorize you to represent him or her? Yes �_ No PROPERTY OWNER'S NAME CONTACT PERSON v Name: 1>1 C K \Pt CC Name: Zo be ti� I itCA K Q. P. (; Address:_ u.9-9 SCv16b�`�r AV>?NQ,2- Address: P.O . f�Q* 3QZ. FoApsian , Q qyj Phone: •-o Is Phone: 1i 1 -S� 1` —a 7 a VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 1S- , ZJI MIP/r►1,r, seal ck, W L4-,,J !n,.AA;�,q M4 ' tiAX1A SA-s LS IS,2re ►htN , 3eft3 kS'o ,,.JA�t'>N1,9:� YET-..,ts�;�� lo,®' VNK(Aj-Ge J','a4_ NATURE OF WORK: House Addition C1 House Renovation 13 Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request,application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) 1/ Signed letter stating that the property owner authorized you to represent himther for this request L, Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Juni.chi Sawayanagi REASON FOR DISAPPROVAL Paul.J.Canniff;D.M.D. C:.\cache\Temporary Internet Files\OLKAE\VARIREQ.DOC 1 - MAIL-IN REQUESTS - Please mail the completed variance application form to the address below. Also include four copies of engineering plans, house plans, authorization letter, etc. (see check-list below). In addition, please include the required fee amount (see fees at bottom of this page). Make $95.00 check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Checklist _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed,letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) $95.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/lessee only], outside dining variance renewals [same owner/lessee only ,and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, you must mail the required $95.00 fee. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. In addition, please mail four copies of engineered plans, house plans, authorization letter, etc. (see check-list below): Checklist Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by the submitting engineer or registered sanitarian Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Fulf menu submitted(for grease trap variance requests only) $95.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/lessee only], outside dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date For further.assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Pag&',�' TRANS. NO.: CITY/TOWN: NJtNIJiSP®/�l APPLICANT: ^RtC4f}-jz� + 7oyc(- VGCC1+/O�)fG ADDRESS: qSS " S C UA b&:& A V C. )494N1U1.)P13k7 DESIGN FLOW: 3 3 a gpd REVIEWED BY: DATE: N/A OK NO GENERAL Legal boundaries denoted[310 CMR 15.220(4)(a)] Street, Lot,tax parcel number and lot number noted on plan [310 CMR 15220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40'for plot.plans, 1"= 20'or fewer for components) [310 CMR 15.220(4)] Easements shown[310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]-if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] �✓ System Calculations [310 CMR 15.220(4)(f)] ✓ daily flow septic tank capacity(required and rovided) ✓ soil absorption system(required andprovided) ✓ whether system designed for garbage grinder ✓ North arrow [310 CMR 15.220(4)(g)] Existing and ro osed contours [310 CMR 15.220(4)( ] Location and log of deep observation holes (existing grade el. on each test) 310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative[310 CMR 15.220(4)(h) and(i)] ✓ Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match loading rate? [310 CMR 15.242] ,/ Certification statement by Soil Evaluator[310 CMR 15.220(4)0)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR i/ 15.220(4)(n)] Address S�� S V /�` A y O N U G Sheet 1 of 7 I �IANNISPe��-i N/A OK NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)] ✓ within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply ✓ within 250 feet of the proposed system location in the case ✓ within 150 feet of the proposed system location in the case ✓ of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located[310 CMR ti 15.220(4)(m)] (if water line cross see 310 CMR 15.211(1) 1 I Profile of system showing invert elevations of all system components and the bottom of the SAS 310 CMR15.220(4)(o)] Stamp of designer[310 CMR 15.220(1) and 310 CMR 15.220(2)] ✓ Stamp of Registered Land Surveyor(required if construction ✓ activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate(two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2)or as approved for an upgrade under LUA at 310 CMR 15.405 1 k) Test hole adequate to demonstrate four feet of suitable material? ✓ [310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] Benchmark within 50-75'of system [310 CMR 15.220(4)(g)] Materials specifications noted? [various sections of 310 CMR ✓ 15.000] System components not> 36" deep (unless Local Upgrade JApproval or LUA requested) [310 CMR 15.405 1 )] Address ys'--S SCVZ1664- AVc;rjuG Sheet 2of7 HJANNi s hA-7 N/A OK NO SEPTIC-TANK:. 5- Size OK? [310 CMR 15.223(l)] ✓ Inlet tee located ten inches below flow line [310 CMR 15.227(6)] ✓ Outlet tee 14" or 14" +5" per foot for increase ft depth[310 CMR 15.227(6)] Outlet tee with gas baffle or approved filter[310 CMR 15.227(4)] ✓ Note regarding installation on stable compacted base [310 CMR 15.228(l)] Separation between inlet and outlet tees(no less than liquid depth) [310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [310 CMR 15.405(l)(k)] Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(l) and 310 CMR 15.232(3)(0] Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" (b 7/07) 310 CMR 15.228(2)] Access to within 6 " of grade -one port for systems<I 000gpd, two fors stems>1000 gpd[310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR ✓ 15.228(2)] > 10 ft from building foundation [310 CMR 15.211 1)] Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] Multi-Compartment Tanks Required when other than single-family dwelling or flow>1000 d [310 CMR 15.223(l)(b) First compartment 200%daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and(3)] "U" pipe through or over baffle, outlet of each compartment with as baffle or approved filter[310 CMR 15.224(4)] Address L---S— . C V 1-bG/L )�V G/)o c'- Sheet 3 of 7 9 0 ovd IS-P027 N/A OK NO BUILDING SEWER�AND OTHER PIPING Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18" below water line (when water and sewer cross, see 310 CMR 15.211(1)[1]) L O - 5I9-PV A,4 Cleanouts required/provided? [310 CMR 15.222(8)] ✓ Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] ✓ Siphonproblem/(leachfield below pump chamber) ✓ Endca s or vent manifoldspecified? ✓ Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) DISTRIBUTION BOX Stable compacted base[310 CMR 15.221(2) and 310 CMR 15.2322) a ] `� Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if deeper than 9" [310 CMR 15.232(3)(0] Inside minimum dimension 12" [31.0 CMR 15.232(2)(b)] ✓ Minimum sum 6" [310 CMR 15.232(3)(e)] Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] PUMP CHAMBERS,A A'A: Capacity(emergency storage above working=design flow)? [310 CMR 231(2)] Proper setbacks [310 CMR 15.211 (same as se tic tanks)] ✓ Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5)]. Service components accessible (not too deep with piping, disconnects accessible) Alarm floats - alarm on circuit separate from pumps specified? ✓ Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and(8)] Stable Compacted Base [310 CMR 15.221(2)] ✓ Buoyancy calculations needed ? Provided? [310 CMR 15.221(8)] Address 1-f-j"S S cu"b DC-K- 14 V GN v G Sheet 4 of 7 N/A OK NO SOIL ABSORPTION SYSTEMS'(SAS)GENERAL ` Calculations correct? ✓ 4 feet of naturally occurring material demonstrated? [310 CMR ✓ 15.240(1)] Required separation togroundwater? [310 CMR 15.212 ✓ Aggregate specified as double washed 310 CMR 15.247(2)] ✓ System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] Inspection ports specified and within 3"final grade? [310 CMR ✓ 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and ✓ Guidance Document] GALLERIES,PITS,CHAMBERS 310 CMR 15.253 Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must V111 be to grade) [310 CMR 15.253(2)] Aggregate I'minimum-4'maximum. [310 CMR 15.253 1 (b)] 2' sidewall credit maximum [310 CMR 15.253(1)(a)] c/ In bed configuration, inlet every 40 s . ft. [310 CMR 15.253(6)] ✓ TRENCHES 310,CMR15251, M,a " Width 2'minimum 3'maximum [310 CMR 15.251(1)(b) ✓ 100 feet-maximum length[310 CMR 15.251(1)(a)] ✓ Minimum separation 2x effective depth or width whichever greater(3x if reserve between trenches) [310 CMR 251 1 (d)] Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] BED SAS'(Maximum size of bed or field 5000 gpd) minimum 2 distribution lines [310 CMR 15.252(2)(a)] ✓' Maximum separation between lines 6' [310 CM RI5.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 ✓ CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6"minimum, 12" maximum. [310 CMR 15.252(2)( )] Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] Bottom area used in calculations only [310 CMR 15.252(2)(i)] Address 0L'/V L16; Sheet 5 of 7 N/A OK NO DID THE PLAN INVOLVE Pressure Dosed System ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] If used in gravelless system -make sure jet is directed as not to ✓ scour soil interface[Guidance Document] Inspections once per year(systems<2000 gpd)or quarterly f (>2000g d) good to note on plan [310 CMR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall? Guidance Document] Impervious barrier installation must be supervised by designer[310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer[310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? 310 CMR 15.255(2)] Breakout requirements met? [3.10 CMR 15.252(2) and Guidance Document] ✓ At least 5 ft. from impervious barrier to edge of SAS (10 ft. ✓ recommended) [310 CMR 15.255 2)(e)] Gravelless System[I/A Approval Letters] Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Alternative Septic System[IIA Approval Letters] Was DEP Approval Letter.provided and/or have you ✓ reviewed the letter for conditions? Is the technology being properly applied and does it meet all ✓ DEP Approval Conditions? Is there a note on the plan regarding the requirement for ✓ perpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance Variances Are the variances listed on the plan? [310 CMR 15.220 (4)( )] RLS Stamp necessary on plan if a component is within five feet of property line[310 CMR 15.412(4)] New construction or increased flow proposed- [Refer to 310 CMR 15.4141 Address ys-S~ ,SCVD �G'� I/(�G'ii/(> Sheet 6 of 7 hf JA��Is�0'rL-7 N/A OK NO Nitro en-Sensitive Areas � ,x Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216- also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] Miscellaneous Pumping to septic tank? [ 310 CMR 15.229 ✓' Shared System [310 CMR 15.290] Address Y-Sy SC V A h 6 A V(5N C/P Sheet 7 of 7 I�J�N�rsna�e� w� l I V RCJ ENGINEERING ENVIRONMETAL ENGINEERS SEPTIC SYSTEM DESIGN July 8, 2011 Thomas McKean Director Town of Barnstable—Health Division 200 Main Street Hyannis, MA 02601 Dear Mr. McKean: To assist in the determination if the existing room located above the at 455 Scudder garage Avenue in Hyannisport should be considered a bedroom in the septic flow calculations septic upgrade design, section 105 CMR 410.401, Ceiling Height of the Massach s Building Code, states the following: �PSdw ' (A)No room shall be considered habitable if more than 3/ of its floor area has a floor-to- ceiling height of less than seven feet. (B) In computing total floor area for the purpose of determining maximum permissible occupancy, that part of the floor area where the ceiling height is less than five feet shall not be considered. The existing room has a sloping ceiling. On July 1, 20111 measured the room's square footage at five foot and seven foot ceiling elevations and determined the following footages: Room's approx. area at five foot ceiling height: 242.25 sq. ft. Room's approx. area at seven foot ceiling height: 158.18 sq. ft. In accordance to paragraph(A) above the ratio of 158.18/242.25 is equal to approx 65%which is less than the required 75%required to be considered habitable. Therefore, I recor3iniend that- this room should not be considered a bedroom for septic flow calculations. Sincerely, w Robert A. Drake, P.E. RCJ Engineering P.O. Box 302 Forestdale, MA 02644 Phone: 508-477-5048 e-mail: drake59@comcast.net June 24, 2011 Dear Board of Health Department: I hereby authorize Robert A Drake to represent me and speak on my behalf for the septic upgrade plan for 455 Scudder Avenue, Hyannisport. Sincerely, Richard Vecchione Home Owner 455 Scudder Avenue Hyannisport, Ma. F-�,Q 1--)��ZA)CRI c r� 1 @ Co N e�- C4°�� i My� A t Y low .10 r J moist 71 jo 06 r K 4 � 1� Lc b �F L ' CSV a cr Fj �Cs�rr, 4✓�!� wo , . AV 1ti WLA- 1 a I I d � G• u+a — J'� i. —�;, rim — { •1jiG �i; . L J� �•r.3 ? � �s7 ,o t q 4 r� P TOWN OF BARNSTABLE LOCATION 4 :5,5e �ew Q7"®eTL A-) SEWAGE# VILLAGE JA, PIDl-T —ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. Vtk -Z-0 ~0 '® SEPTIC TANK CAPACITY 'S"X(40 00® LEACHING FACILITY:(type) ()C-JZ e f1 ?6 (size) NO.OF BEDROOMS OWNER PERMIT DATE: r a COMPLIANCE DATE: Separation Distance Between.the: Maximum Adjusted Groundwater Table to.the Bottom of Leaching Facility L4A Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) I Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility)" 00 A' Feet ' FURNISHED BY e Gs ` v,S j 1 w .r- amu 1vo. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered n computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for his osai *pstem Construction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. L��� SC Vpb gM A/V- Ownneerr's ame,Addrrs 01j Assessor's Map/Parcel &fs,5' S ewD j> °/i;� Installer's Name,Address,and Tel.No. I+d u ot+SO 0 Designer's Name,Address,and Tel.No. M, 0• boys. �0� MAr o 1P 2� 1 MI" -Sm2- -rb Arm Type of Building: a y;� , Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building m No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 1NO gpd Design flow provided 3 gpd Plan Date 9°q a 41 Number of sheets I Revision Date Title -PORo PO$lb 51FP' - '�� $"VM O Pe kArb Cev p Size of Septic Tank 1000 C Type of S.A.S._ ?�ZF-° r i 1p65: Description of Soil S645 /?-5C0 A-b Nature of Repairs or Alterations(Answer when applicable) N ek.) Sq-I> 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 Co a and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ealth. Sig Date Application Approved by. Date Application Disapproved by Date for the following reasons i Permit No. O l I— 2 �577 Date Issued _ --- ---- --- - - - ���.� No. 2 n' / ..l.µ- Fee /GU THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposil 6pBtem Construction Permit' Application for a Permit to Construct( ) Repair(/p mder(f -f Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. 45-5 SGtinb M )kV1r Owner's Name,Address,and Tel.No. RI C'4 4zit v e cr_4!O 1-1 l.S Assessor's Map/Parcel Z gg +f — _ ,�;, 1 S"S S C U D p 67'L J Installer's 91e)men Address,and Tel.No. I{o�Eri2-� t#jJ �" $Deligner's Name,Address,and Tel.No. X '76z g. gyp, 02- p 11Z GT 'GkJ6tUt=`1=`1Zl 06 M S M I LLS 1, Met a F.o. 0 3 o z Fro -r x L-C- xn 1),pe of Building: f_P r f. r, + Dwelling No.of Bedrooms 3 Lot Size / f_Y d.y sq.f[. fl L a�r age Grinder( ) Other Type of Building Z�S No.of Persons Showers( ) Cafeteria( ) Other Fixtures "-� 1) - ;fir y, -7o 7, Design Flow(min.required) 3 3'o gpd Design flow provided 3 3 3 g.d Date Plan ► 1 Number f sheets l Ao.Mtvtst on iate'i' "` t � Title Ppw Po S SFP'-T C .S -1 S"t C►v1 U P6.&A S%S e of,Se'piic Tank r Qa (p er,Jtl,t Type of S.A.S. F15_Xf. Pt Z 1•a .... Description of Soil _SEA ON /Za=�"i Nature of Repairs or Alterations(Answer when applicable) N FZJ LC-A-C44 C')LPL,> 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 Co e and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ealth. Sig Date Application Approved by Date-- --7—I Application Disapproved by Date for the following reasons t � p Per�trt�t No�„r °^+.�••^-' Date Issued f 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 -{-o L4,E7t.._ t' �o t� CV►J S-r. CO. uG at Lf,5 A✓E has been constructed in accordance with the provFlkv of Title 5 the for Disposal System Construction Permit No. )0/��2S_7 dated Installer t'� Designer ��� 15W 6I K)E��j k)G #bedrooms 3ll� tfJVI�Vf Approved design flow 33 o gpd The issuance of this permit shall no be cotstr ed as a guarantee'that the system ifl-fixn i des'gned. Date OQ I/ ! Inspector No—)d 11 2 S 7 Fee () ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstrm Construction Permit Permission is hereby granted to Construct( ) Repair N ) Upgrade( ) Abandon( ) System located at 4j�rS S C urb m P�-V F and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 of this permit. Date —J Approved by DG l -� rt wL ` L'--JUL.13.2011`V10:1GAMARNSM ADVERTISING 15087906304 To:508771Q-4 314 P.2 p_1,2 Bk 25 561 Ps22 I3S3eS;� 25—7 07---13----2011 c) 1.2=28P N0710E: The Town of Bamstab(a .reootamwaxt+at the epplkaat: aeek legal advka to prepare A propmriywarded dead ICWden document. • t DEED RESTRICTION WHERE 8, _ 1ChC1� �U�C e U��rh1GrIC of . ,j ` er's T 0 MA , address) cs the owner of f_ �e� -PUMV-f— located (eddnss9 at t� t119t 1 � 7� MA (hereinafter referred to as • ks- Se_Ud0 ee-- ,P , and being shown on a plan entitled "SubdiVISIO of Land in W"I'1 61..S _kf MA, Property of 107& ! fi aC:�J 0 �erchlc .e et al, _ duly recorded in Barnstable County Registry Of Deeds In Pfan Book 15](09 Page o?3 a ; Or on Land Court Plan Number WHEREAS, (_CJ'6Kd'f 2W as the owner of said lot has . (owner:$arne) agreed with the Town of Samstabie Board of Health to a restriction as to the number of bedrooms which can be included In any home built on said lot as a pre-condition to'obtaining' a disposal works construc[fon permit In compliance with 310 CMR 15..000 State E=nrvironmental Code, Title V, Minimum Requirements for fha Subsurface Disposal of Sanitaty sewage; WHEREAS, the Town of Bamstable Board of Health, as a pre-condition-to granting a disposal'works construction permit for a septic system in compllanee with 310 CMft 15.200, State Environmental Code,7'rfle V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the 0nnstruction of a-single family home on this property, is requiring that the agreement for the:restriction on tiie number of bedrooms In any house constructed on the lot be put on record with the ' Barnstable County Registry of Deeds by recording this document, aaodt r Bk 25561 Pg 23 #35368 TUL-JUL.13.20114910:IGAMSRNSJ&D•A.DVERTISING 150ST9063Q4 To:59B7Ti0 '?,i`'' P.a i2 NOW, THEREFORE, f ° `/does hereby place the (owners name) Following restriction on his above-referenced land in accordance with his a$.reE±mPn E lad#hfhe... ;W.—, ,W iefrs�taft run with the-land and be binding upon all.successors in title: _5m e( may have constructed , (addrasa) upon the lot a�.liouse Forltaining no more than r e (3) bedrooms. ... V Mf agrees that this shall be-permanent dead (ow e�'s name) r restriction affecting located onKS- SCuaIa^t j U A, and . being shown on the plan recorded in Plan Book /31(a K , Paged 623�Z , Or on Land Court Plan titl For e of {SS SCwael &_ see the following deed: Sook 3) (Pe , Page 3a . Or Land Court Certificate of Title Number Ekecc�t as a sealed Instrument 1_�day of Where signatur O n signature Owner's signature COMMONWEALTH OF MASSACHUSI~Ti"S 7U 1 Then personally appe red the abo"-named CWC)Q11M [mown to me to be the person who executed the foregoing Instrument-and d acknowle ed the same to b ' Cz free act and deed, before me, Notary Public • �,` •sg,o• �- '%; My commission expires: E51 29 IZO ly E. BRYDEN w; Notary Public QCOr$ NWEALTH OF MASSACH UHnS O'yG �\� - BAR REGIS EE Commisslon Expires U!/;rq 7Y t'� �O August 29, 2014 Town of Barnstable �tN Regulatory Services �• Thomas F. Geiler,Director WSTM1E. ; Public Health Division 9A t659.A`�' � Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 r Date: �" �� Sewage Permit#�011-r;- Assessor's Map/Parcel 2.�� 11A 1 -Q- i Installer & Designer Certification Form Designer: 1ZC 7 G N( 1 N V?T-1 N Installer: PC Address: P o c e 9v,f, 1a 2 Address: 1 �D, 72iv y -7o y Fo11 sAAC-) . Mid 14L6 4'A uit.LS 4 oZk`-'5 Q On .JkWLe& was issued a permit to install a (date) (installer) septic system at y XY Sc JA k r�_ Nt 0 t)N y is?o n."j based on a design drawn by (address) datedt i - it ( rcylse.� (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. Stripout (if required) was inspected and the soils were found satisfactory. 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. Stripout (if req ' spected and the soils were found sati factory. P�� k4s RORERTA. � CE,AK! rn 0 ( staller's Signature) 01 .9 No.411- 2 a 1 S " (Designer'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. gAoffice formsWesignercertification form.doc u" sr Permit Number: 0 Date: 114 Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: Lot No. e3 Owner: 11, lC k v eCC'N 1,4 Address: SAvti,%— Contractor: S�eve "IN Q\1 (P Address: 7— Notes: 1 STEP 1 Measure depth to water table to nearest 1/10 ft. .......................... ........ .Date 10' month day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: Z� OAppropriate index well.................................. M*� OB Water-level range zone —� ............................................ �{ STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well ................ ........... • � mon h/year STEP .4 Using Table of Water-level Adjustments -for index well (STEP 2A), current depth to water level for'index well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment ............... Z ........... STEP 5 Estimate depth to high water by subtracting the water. level adjustment (STEP 4) from measured depth to water level at site (STEP 1) ................ S 5 5 + � Permit Number: i 3 2-1.1 Date: -5--11 `11 Completed by: S %10 L� HIGH GROUND-WATER LEVEL COMPUTATION Site Location: SC J'h D6 Z 4 L/6 }/U4v1 S�a�vT Lot No. ly 1 —.3 d Owner: l i c-k VC C C j f i a t4 Address: SCAM L_' Contractor: S(Pve -ho Y12 Address: 9. L CAo7yk_./V&,, t Notes: # STEP 1 Measure depth to water table to nearest 1/10 ft. ........................ .................... .Date I i I i r Z month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: q A� Appropriate index well.................... inI W" Z © Water-level range zone .................... STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well j I • !y • mo th/year STEP .4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for'index well (STEP 3), and water-level zone (STEP 28) determine water-level adjustment ....................... 0 STEP 5 Estimate depth to high water by subtracting the water. level adjustment (STEP 4) from measured depth to water level at site (STEP 1 1 ....................................................................................................... .. f r USGS Home Contact USGS . Search USGS National Water Information System: Web Interface Data.Category._._....._......; Geogra,phic_Area,_.__„ USGS Water Resources ..........." Groundwater United States GO ........._..........._ ...................................------.__...._.._.......___.._...... News updated April, 2011 Groundwater levels for the Nation Search Results -- 1 sites found Search Criteria Agency code = usgs site—no list = • 413525070291904 Minimum number of levels = 1 Date range = 07/01/2010 . 07/01/2011 Save file of selected sites to local disk for future upload USGS 413525070291904 MA-MIW 29 MASHPEE, MA Barnstable County, Massachusetts Latitude 41035'25", Longitude 70029'19" NAD27 Land-surface elevation 15.78 feet above NGVD29 Output formats The depth of the well is 40.0 feet below land Table of data surface. Tab-separated data The depth of the hole is 449 feet below land surface. Graph of data This well is completed in the Sand and gravel Reselect period aquifers (glaciated regions) (N100GLCIAL) national aquifer. This well is completed in the Stratified Deposits, Undifferentiated (112SRFD) local aquifer. Water Water level, level, Date Time feet Status Pi Measuring Date Time feet Pil Status Measuring below Agency below Agency land land surface I surface 112010-07-3010:30 g,01 USGS 2010-12-3016:00 g,36 USGS EDT EST 2 110-08-31 10:40 g 67 USGS 2011-01-31 12.20 8.18 USGS EDT EST 13:40 2010-09-29 EDT 8.88 USGS 2011-02-28 EST 7.68 USGS 2 110-10-29 14:00 g,54 USGS 2011-03-29 10:35 7 75 USGS EDT EDT 14:001 13:00 201 -11-29 EST 8.24 USGS 2011-05-06 ' EDT 7.14 USGS 2011-05-27 12'00 7 23 USGS EST 12:55 2011-06-22 EDT[:::7::6:5 USGS Explanation Section Code Description Status The reported water-level measurement represents a static level Measuring Agency USGS US GEOLOGICAL SURVEY Questions about sites/data? Data Tips Feedback on this web site Explanation of terms Automated retrievals Subscribe for system changes H2Ip News Accessibility Plug-Ins FOIA Privacy Policies and Notices U.S. Department of the Interior I U.S. Geological Survey 4 Title: Groundwater for USA: Water Levels --- - URL: http://waterdata.usgs.gov/nwis/gwievels? � TaK4 P'i490a iraQME�iCA Page Contact Information: USGS Water Data Support Team Page Last Modified: 2011-07-12 10:45:53 EDT 0.3 0.31 nadwwOl • ,, ,•,__ �/ 1 Chi`/ � Supplement Table.5.. Potential water-level rise,in feet,for use'with index well Mashpee MIW-29 WATER ZONE A ZONE B ZONE C ZONE D LEVEL 5.7 0.0 0.0 0.0 0.0 5.8 0.1 •0.1 0.1 0.2. 5.9 6.1 0.2 0.3 0.3 _ 6.0 0.2 0.3 0.4 0.5 ' 6".1• 0.3 0.4 0.5 0.7 6.2 0.3 0.5 0.7 0.8 6.3 0;4 0.6 0.8 1;0 6.4 0.5 .0.7 0.9 1 .2 6.5 0.5 0.8 1 .1 1.3 6.6 0.6 0.9 1 .2 1:5 6.7 0.7 1 .0 1.3 .1.7 6.8 0.7 1 .1 •1.5 1.8 6.9 0.8 1 .2 1 .6 2.0 7.0 0,9� 1 .3 1.7 2.2 7A �0.9 1 .4 1.9 .2.3 7.2 1.0 1 .5 .2.0 2.5 7..3 1.1 �1 .6. 2.1 2.7 7..4 1.1 ' 1 .7 2.3 2.8 .7:5 1.2 1 .8 2.4 3.0 7.6 1.3 1 .9 2.5 3.2 7.7 1.3 2:0. 2.7 3.3 7.8 .1,4 2.1 2.8 3.5 7.9 1.5 2.2 2.9 3..7 8.0 1.5 2.3 3.1 •3.8 8.1 1.6 '2.4 3.2 4.0 8.2 1.7 2.5 3.3 4.2 8:3 1.7 2.6 3.5 4.3 8.4 1.8 2.7 3.6 4.5 8.5 1.9 2.8 3.7 4.7 8.6 1.9 2.9 3.9 4.8 8.7 2.0 3.0 4.0 5.0 8.8 2.1 3'.1 4.1 5.2 8.9 2.1 3.2 4.3 5.3 9.0 2.2 3.3 4.4 5.5 I Town of Barnstable P# 13 1 O/ Department of Regulatory Services i „�,, , i Public Health Division Date 200 Main Street,Hyannis MA 02601 J OMKt� Date Scheduled 6 f o Time Fee Pd. /U Soil Suitability Assessment for SewagefjA isposal k f r Performed By: ^�R UD�'e Witnessed By: ✓ 1 • LOCATION& GENERAL INFORMATION Location Address 41s r s C V cl a e.1C A v tN V Y Owner's Name MANN15Fal;-1 Address Assessor's Map✓Pareel: )y 1 — 1 Engineer's Name C2S► ��- Q e STRUCTION REPAIR ��" S, - 44-1,3 NEW CON NV �_ Telephone# yo 1 — o Land Use s Slopes(%)4 Z Ae Surface Stones h_� Distances from: Open Water Body L \00 ft Possible Wet Area L D ft Drinking Water Well ft Drainage Way O ft Property line } \D ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) A t3 LAst � � $ -T P y(,' 3� 1P+� Z. "nil M o ilil RI Parent material(geologic) b Y\ Depth to Bedrock I Depth to Groundwater. Standing Water in Hole: '7j 5 Weeping from Pit Face 7 Estimated Seasonal High Groundwater 4 -'!' r try-.t. 5 %y - t r✓: DETERAIINATION FOR SEASONAL HIGH WATER TABLE Method Used: - i-1 S U 5 Depth Observed standing in obs.hole: 7, in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: Z (n, Oroundwater Adjustment 2jA 1t�• Index Well#1:411N Rcading Date: Index Well level $„ Adj.thctor.. 1— Adj.Groundwater level PERCOLATION TEST We 10-1A TIM01114 Observation Hole# Time at 4" Depth of Perc �.�_ Time at 6" Start Pre-soak Time @ l 0:1 Time(9"-6") End Pre-soak 1 I:O Rate MinJlnch Z- Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEP ILC PERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Shcl Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. ConsistencL C ravell �/ �Sot4t4 C-Ot-APlAw.,, r I 4/b lt t Z It DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C-a tencL M S� 5L �o� �/� o s sty ►-��D. o 3(0 1'j,J C. - �, v Z � (0 4 �� Loo�r c� s►7 - DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% :l) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other t S Boul ers. Surface(in.) (USDA) (Munsell) Mottling (Structure, topes, d Flood Insurance Rate May: Above 500 year flood boundary No_ Yes Within 500 year boundary No= Yes Within 100 year flood boundary No— Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervjqus material exist in all areas observed throughout the area proposed for the soil absorption system? V If not,what is the depth of naturally occurring pe ious material? Certification / I certify that on 3'`V (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expe ' e and experience described in 310 CN1R 15.017. Signature Date o �''�l D Q:\SEv=?ERCFORM.DOC Town of Barnstable P# / 3 e -71 T Department of Regulatory Services ALPublic Health D' 1V1S10I1 Date c l 163t} 6�� — 200 Main Street,Hyannis MA 02601 ED MK't Date Scheduled �1 ` Time Fee Pd. Soiill ,Suitability Assessment for Se age Disposal Performed By: J-<i— 6ar%A-A � m.!1 -- Witnessed By: LOCATION& GENERAL INFORMATION Location Address q-.-` `�v�,�z 4 V ,NU'Z Owner's Name i �1 A is U< v J Address Assessor's Map/Parcel: L f y - Engineer's Name NEW CONSTRUCTION REPAIR _ Telephone# t-1 Y f S`1 S - 0 ) (� Land Use' s S�'9 taw v4�cL t-r Slopes M ,L Z Al,1685 Surface Stones Distances from: Open Water Body Possible Wet Area ft Drinking Water Well a ft Drainage Way SC ft Property Line �i eo ft Other f[ SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) G CvJJ %� V'0 Parent material(geologic) C b ra Depth to Bedrock f ...... Depth to Groundwater. Standing Water in Hole: 3.7 _ Weeping from Pit Face - i Estimated Seasonal High Groundwater c„• I DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: U S c.S Depth Observed standing in obs.hole: -4.`c In. Depth to soil mottles: In, Depth to weeping from side of obs.hole: 8.• in, Groundwater Adjustment �•a fc. Index Well#Ent W z9 Reading Date: :�r-g--i! Index Well level '7•z Adj.thctor,{;�, Adj.Groundwater Level_Q.t PERCOLATION TEST bete- Tune G Observation Hole# �_ Time at 4" _....__� Depth of Pero Time at 6" Start Pre-soak Time t; Time 41) End Pre-soak i l' t b� �`� e�a�.• l a-t 1 aE m W 1-k/st�1-fc 'P �A•tL,1gA•�j Rate Min./Inch L '� Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conservation Division at least one (1)week prior to beginning. Q:\.SEPTICtPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# t Depth from Soil Horizon Soil Texture .Sdil Color Soil then Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,,Boulders. Consistenia,%Gravel) f..0 eKFaC. A 23-,31a "�w L.S \oK R '4�(,, )€ `�'tt,•arst..r�, M•=�. Yt� Loos*- SA"T7 / t Cars rrG DEEP OBSERVATION HOLE LOG Hole# z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. .t Consistency.% v 0 ` � SL 1 O'/V 1/7a .1 1\ CeFgPA4 Y! REV. o LoOS�E S�t7 3(.- 1tCv t►rr'G DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil.Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. CcmsistencL DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o i .r Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No= Yes,. Within 100 year flood boundary No._Z Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Y � If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertis and experience described in 310 CMR 15.017. Signature Date o - Q:\S EPTICIPERCFORM.DOC TROY WILLIAMS — r SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive qY 'pie South Dennis, MA 02660 I rod `�Q ' i 00 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY CORE Secretary ARGEO PAUL CELLUCCI DAVID B. STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A t, CERTIFICATION Property Address: 9S.5 S c u cT d c r A L)G. Name of Owner /?0 6 `.d ij/or,c� sip er Address of owner_ ,Sie .9.f ��.,. A-1 e-. Ago/- 3A Date of Inspection: S /00 Oc.ec�.� &Plodc /���• 0�7756 Name of Inspector:(Please Print) TrayVlfillinms , 1 am a DEP approved system inspector pursuant to Section 15.340 of T-rtle 5(310 CMR 15.000) CornPainy Name: Tro- 111filliams So tic Inapections Mailing Address: 19 Hummel Drive. So. Dennis. MA 02560 Telephone Number: (508) 385-1300 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: _V/ Passes _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signataue: G.J ,,,.._ Date: -5 ��7 A0, The System Inspector shall submit a copy of this inspection report to the Approving,Authority (Board of Health or DEP)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. NOTES AND COMMENTS Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition of system,piping or components. This inspection represents the conditions of the system on the Date of Inspection noted above. revised 9/2/98 Page IofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: Data of inspection. 455 Scudder Avenue,Hyannisport, MA Robert&Gloria Spiller INSPECTION SUMMAFIMay 15)eN0A, B, C, or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health, will pass. Indicate yes,no,or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank, whether or not metal, is 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 complying septic tank as approved by the Board of Health. 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 revised 9/2/9.8 Page 2ofIt l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:. Owner: 455 Scudder Avenue,Hyannisport,MA Date of Inspection: Robert&Gloria Spiller May 17, 2000 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:/✓�i9 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING W A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well.. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water.supply well. The system has a septic tank and soil absorption system and the SAS 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 5 ppm. Method used to determine.distance (approximation not valid). 3) OTHER revised 9/2/98 Page 3ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 455 Scudder Avenue,Hyannisport,MA Owner: Robert&Gloria Spiller Date of Inspection: May 17,2000 D. SYSTEM FAILS: N��9 You must indicate either "Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described 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. Yes No 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. 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 clogged 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 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. 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. E. LARGE SYSTEM FAILS:Al�.9 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: The system serves a facility with a design flow of 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: 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) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: 455 Scudder Avenue,Hyannisport,MA Dace of k-pecti—: Robert&Gloria Spiller May 17, 2000 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No _ Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped•forat least two weeks and-the system has been-receivingimrmal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this / inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. Y _ The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. Y _ 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. The size and location of the Soil Absorption System on the site has been determined based on: ✓ _ Existing information. For example, Plan at B.O.H. L _ Determined in the field Of any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable! 115.302(3)(b)) - _ The facility owner(and occupants,if different from owner)were.provided with information on tha. SubSurface Disposal Systems. pt°permaintenaace�f revised 9/2/98 Page 5oru SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: Date of inspection: 455 Scudder Avenue,Hyannisport,MA Robert&Gloria Spiller RESIDENTIAL: May 17, 2000 FLOW CONDMONS Design flow: //O g.p.d./bedroom. Number of bedrooms(design): Number of bedrooms(actual): 3 Total DESIGN flow ;1'3C — Number of current residents: Garbage grinder(yes or no):�QV Laundry(separate system) (yes or no):IVo; If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use(yes or no): NU Water meter readings,if available(last two year's usage(gpd): 99 ' /8�600 Sump Pump(yes or no): AID Last date of occupancy: 0 c—c,V ig, e,d . COMMERCIAUINDUSTRIAL: N/A Type of establishment: Design flow: opd ( Based on 15.203) Basis of design flow 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: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: 1� 7 System pumped as part of inspection:(yes or no) /VO If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM _V1 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed Hf known)and source of information: /1�6 Lr qS — Sewage odors detected when arriving at the site: (yes or no) /Vo revised 9/2/98 Page 6ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner. Date of Inspection: 455 Scudder Avenue,Hyannisport, MA Robert&Gloria Spiller BUILDING SEWER: May 17, 2000 (Locate on site plan) Depth below grade: "4 Material of construction:_cast iron-�,/40 PVC Zother(explain) 1 I In_1- fil + r'y Distance,from private water.supply well or suction line Diameter Ll 11 Comments: (condition of joints, venting, evidence of leakage,etc.) �n�-_1 c r� �t�'..n�l t � �..f- -F 1,� -fi vi.,1 ., �' i'r�c �.��•s.. _. SEPTIC TANK: (locate on site plan) Depth below grader Material of construction: concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age_ ls.age confirmed by Certificate of Compliance_(Yes/No) Dimensions:_ Sludge depth: 91, Distance from top of sludge to bottom of outlet tee or baffler" Scum thickness:--,;. Distance from top of scum to top of outlet tee or baffle: G Distance from bottom of scum to bottom of outlet tee or baffle: /Y" How dimensions were determined: P✓r,16.4- . Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structurel-integrity, evidence of leakage,etc.) LC t hJC✓t w u it h c U /lib Q / N te a- 1" Ae GREASE TRAP-._A/Z'9 (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass _Polyethylene—other(explain) Dimensions Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (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.) revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: 455 Scudder Avenue,Hyannisport,MA Robert&Gloria Spitler May 17, 2900 TIGHT OR HOLDING TANK: All(Tank must be pumped prior to, or 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 Alarm level: Alarm in working order:Yes_ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches,etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: �,,„'d. Comments: (note if level and distribution is equal,evidence of solids carryover, evidence of leakage into or out of box,etc.) ,JC ck r✓ .C s, c f— C vrr.L v.� iNf�p•c G�,S%�. PUMP CHAMBER:/VN/ (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.) revised 9/2/98 page sorii I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: 455 Scudder Avenue,Hyannisport,MA Robert&Gloria Spiller SOIL ABSORPTION (locate on site plan, if possible;excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits, number:_ leaching chambers,number:_ leaching galleries,number:_ leaching trenches,number,length: ,? — a X�y �k / C t_�J, (� , leaching fields, number, dimensions: overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydra lic failure, level of pondin , damp soil, condition of vegetation, etc.) �0 G✓r�x ra J �. Jr 74, rah 47/ rns 0p JJ, t ha G ✓�r �. �t 1 CESSPOOLS:_LV ,,9 (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(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY:_.&/ 9 (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.) revised 9/2/98 Page 9ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: 455 Scudder Avenue,Hyannis port,MA Robert&Gloria Spiller May 17, 2000 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) / �y lyr 214 fvo� y�.ltow yZ revised 9/2/98 Page 10 ofII SUBSURFACE SEWAGE DISPOSAh SYSTEM INSPECTION FORM PART C SYSTUM INFORMATION(cwtinred) Property Address: Owner: Date of Inspection: 455 Scudder Avenue,Hyannisport,MA Robert&Gloria Spiller May 17,2000 NRCS Report name ^//9 Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater 7 "Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record ✓ Observed Site JAbutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers 1�Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) �� t_c.< o.. p /cty /s �., ..c_ok &..�.�. r A G.- -Y /• 0 /. U S C✓'U�.-}, ti Ci'� S �'�. S 0 c..J c H o W w;1'-4- 1� Cti 4- c, C / `� ca �. t l i./ r a .c i h �./ h, ^� /e c� fircr, c � s «rc �o � « � c v�. G�✓�.J� wu l—�✓cti �J✓ S+ p.r-c, rti .c_. U it S/Ot C—'7S 0 i � ti revised 9/2/98 Page 11 of11 VV No........ ,F�$.........J................. t f, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1...®.mil ...............OF...- KIB /.'BLE ......................... Applira#ilan for Biipniial Workii Tnntitrurtiun tirrmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage`Disposal ystem at: ........ ....._ ... .-----�..�..-...__........... L.0 ' . .. ...... ._..---La tion-Address � .................•------•--•--or Lot No. .., . .� -------------------------- ----------- ----.----------------------------------------.------- r/ -.------Address r� � Instal.er Address U Type of Building Size Lot._.__SQQ i ---S feet Dwelling—No. of Bedrooms-__. __________________________________Expansion Attic ( ) Garbage Grinder (V-Zo 44'4 Other—Type of Building ..... No. of persons............................ Showers — Cafeteria Q' Other fixtures ...................................................................................................................................................... W Design Flow................57.5 ••............gallons per person per day. Total daily fi5 .___.. ...................... lons. WSeptic Tank—Liquid capacity!OO gallons Lengthia:-�a_• Width_.. . iameter................ Depth_ :_ .. x Disposal Trench—No.....?........... Width.... .s........... Total Length..52.-."... Total leaching area-t_9:2 ._...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.EJ4) .._ELIG.......CO........ Date......... I-�� ....... Test Pit No. 1................minutes per inch Depth of Test. Pit.......6......... Depth to ground water........7............... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04x ------------------- ...................... •-�-•• --• •--•- -•-�—-•--• ... - ... �--/-....�.•--/..�./.............-!- ...,-----+...... .O Description of Soil...0." N.._..... .- --------- : G 0 U W - ! -- J �y $iOL;ERPAUL G Nature of Repairs or Alterations—Answer when a licable U P PP - wlCz -•--------------------------------------------------------------------•--•--•-----...................-•----....----------------------•---•-•--------•-•••----•--••-••••-•-•-•-..e=`.._ 1k4:.30420 x; CIVIL Q Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System n a g the provisions of TIT 5 of the State Sanitary Code— The undersigned further agrees not to operation until a Certificate of Compliance has been issued by the board of health. �J.. Signed --- •---- ,, `0...& .......:........ ................................ / Date------..Application Approved BY•--••-----------------�_� ---� �-•......................... ................... Date Application Disapproved for the following reasons:................................................................................................................ ....................................................... .................................................--••••••-•--••••-•-----•----...--•-•---•-•-•••••-••••--•--••-......••--.... •••---•--••--- Date PermitNo......................................................... Issued-....................................................... Date i Aw No...,O.k..A...... Fmc............................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF...V�AKIQSTA13Le. J...0 ............... ....................................................................................... Aplifiration for Bifqposal Works Tomitrurtion Vamit Application is hereby made fora t Construct ,�,.ermit 'o or Repair an Individual Sewage Disposal System at scUrm.-r.. Ave L 0"T j .... ............................................ .................................................................................................. jeocation*-bcjdress or Lot No. .......... .......... ............................. ............................................ ........ .......................................... Address-` .......... Installer .............................................Address'"' Type of Building 500 U Size Lot........V................Sq. ,40 Dwelling—No. of Bedrooms.............................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................. Shower's Cafeteria OtherEsturra................................................................................................. Design Flow.................5. _._..gallons per pers%qer6a�. Totajl�A .......................k9,411011 0 �)�.................... Septic Tank—Liquid capacity! gallon, ............. Wicu�_24.r..... Diameter I ---------------- ---------------I W 40 Disposal Trench—No....... .......... Width.....____........... Total Length...._.._....:....... Total leaching area....................sq. f t. Seepage Pit No..................... Diameter.._............_..... Depth below inlet.............._.._.. Total leaching area..................sq. f t. Other Distribution box DosiniL tank L M C.- Percolation 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.....................* Degth,,to ground water.___. Description of Soil ............. 0 ........ ...... OF 00� ,----st----(5� '95M I , M ..................... -- ------- ....... ........ . ..... ROGER,........................ ........ ......................_ ..9r* ...... ............. ........ ............... ................. ...... MCHWE CZ No".3042 U Nature of Repairs or Alterations—Answer when applicable.....;___________________..........................4..... ......... . ..........C'VIL ........................................................................................................................................................................ ... Agreement: The undersigned agrees to install the aforedescribed Individual.,Sewage Disposal Syste i cor nc the provisions of T..'IT.1 5 of the State Sanitary Code—The undersigned further agrees not t p e the Sys in operation until a Certificate of Compliance 4as been is oy,��fhej4Trh.___— it&ibutheC of he 021 7 Signed..............................#--------t...................................i�........ ............Da.te........ Application Approved By..... .......................... ........... ........... --------------------- 7 Date Application Disapproved for the following reasons:............ ly .....................................f ........ ............................... ......................................................................................................... ----------------............. ..................... ................................ Date PermitNo......................................I.................. N Issued...................................................... Date Sr THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH" ..........................................OF.................... ......................................... TatifiraIr of Tompliaurr THIS IS TO CERTIFY,,'�?�ftdividual Sewage Disposal System constructed or Repaired by....................................It...... .Inst....................... ------........;---------------------------------------------------- at...................... ":;Z .........................................................................................................................7......................................... has been installed in accordance with the provisions of TITLk0_o;,;[_ �eApate Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated_'.....Z ..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL,FU CTION SATISFACTORY. DATE............ .................................. 7 yj ............. Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................0 F.................................................................................... No......................... FEE........................ Permissionis hereby granted......................................................... .................................................................................... to Construct an Ind' al Se a ispos� s atNo.................... .....................................................................--------\ Street ,Permit XV ......... Dated.......................................... as shown on the application for Disposal Works Construction. i ..........................................................................k........ DATE. . Boardrof Health ........................................r1V....................... FORM 1255 14OBBS & WARREN, INC.. PUBLISHERS pf f Transmittal r Cape Coat Survey Consultant* 3261 Main Street RoutBarns e Village MA 02630 817 362 8133 ;+ The BSC Group To BA 0 i L Date `We are sending you LA-1 I Project No / ,A Enclosed ❑ Under separate cover �Project I SCE'-via ❑ Direct from printer ❑ Taxi ❑ Other �iMessenger ❑ Mail the following items k Shop Original Prints ❑ Sepias ❑ Tracings ❑ Reports ❑ Drawings ❑ Drawings ❑ Mylar ❑ Linen ❑ Specifications ❑ Photocopies ❑ Samples ❑ Other I Copies Date/Drawing No Last Revision Description t r rr 20 For your information ❑ Approved.as submitted ❑ Resubmit_copies for approval ❑ Unchecked ❑ Approved as noted ❑ Return _corrected prints ❑ Preliminary ❑ Disapproved ❑ Submit —copies for distribution ❑ Revised ❑ Returned for corrections ❑ Final Plans ❑ For your review and comment Remarks 1 Signed ..C. d Copy to y � If enclosures are not as noted,please contact us immediately C-2-11/85 I _ 3261 Main Street Route 6A - ` Barnstable Village MA 02630 =B sc January 2, 1986 Banstable Board of Health Town Hall 617 362 8133 367 Main Street Hyannis, MA 02601 RE: Septic System Construction Lot 1, Scudder Avenue Hyannisport, Mass 03-1451.01 Members of the Board: This letter is to inform you that the repair at the above referenced location has been constructed in substantial compliance with 'the following plans: Sewage Disposal System Design, Lot 1, Scudder Ave Barnstable (Hyannisport) Mass, dated November 21, 1984 revised December 21, 1984 and November 18, 1985 If you have any questions or comments, please do not hesitate to contact this office. Very Truly Yours, Engineers Surveyors BSC/Cape Cod Sury y Consultants Scientists t. Architects fR ?rrP. M1Ch leW1CZ, P.ELandscape Architects Project Manager Planners SAW/tla �pN 2 PAID cc: D. Williams Cape Cod Survey Consultants APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS 'JCATION L y i '/ S Cv d(I.Pie/ ! °r! _ NO. ;.3 LLLAGE A I5 �?3'/ r" _ DATE lv/ ? I?PLICANT �ov��95 �.u7�L1_�✓�m� FEE _ DDRESS I$G SQL- �� - wA�� Tv►/1 TELEPHONE NO. oZ,�-,3,S6o? (Non-refundable) NGINEER �' r1TE SCHEDULED D tT- !(o. l y .�261 _�--L ' (Applicant' s signature) o . 000 . . . . . . o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 . � . . . . . . SOIL LOG UB-DIVISION NAME DATE_ 646?r, _TIME XPANSION AREA: YES r! NO _ ��� UGC ENGINEER 'AWN WATER V PRIVATE WELL /Zf//✓�Z 7 Vol Ito BOARD OF HEALTH J6N� ��rG7-y EXCAVATOR �,E,TCH: (Street name, etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity . to test holes ) NOTES: r :. 7V57 V) p^� �V oo� KarJSr✓ °, o,RCOLATION RATE -� Z- [;iST,.HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: . 2 - sv�ssd 1L - -- 2 - 3 3 — 4 / 4 --- 6 6 7 7 10 10 12 12 -- - 13 ��� r 14 -- 14 . 15 15 16 _ _ 16 'JITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS__ LEACHING TRENCHES , 11SUITABLE FOR SUB-SURFACE SEWAGE . REASONS: `JTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION RIGINAL: COMPLETED IN ENTIRETY BY P . E. AND RETURNED TO BOARD OF HEALTH 7py: RETAINED BY APPLICANT i LU AT ION SEWAGE PERMIT NO. �HILLAGE 41-A k-LA M &CKH ASMICE& A D;D 1.R E SL SO B.ACKHOE SERVICE 150 ,Walnut_ ca[P _ W�10-'wt c,. got We Barnstable, Mass. 02668 West Barnstable,, Mass.. 026.68 8 U1LDER OR OWNER DATE PERMIT ISSUED J2_jbr DATE COMPLIANCE ISSUED LT--Pc>I\JT 1 � I REVISIONS: TEST PIT DA TA DATE UF" TEST/NG: to - 34- _ PERC. TEST DATA : SEPTI C TANK DETAIL : sIzE- _� o 00 GAL. DIST. BOX DETAIL : LEACHING F,4CILITY DETAIL' NO DATE TEST BY: R, ELj)R 6V_ Added do - -7 re\rj" 11vvS)4.04 10 TANK TO CONFORM TO TITLE 5 REOUIREMENTS. TO CONFORM TO TITLE 5 REOUIREMENTS T P fn� WITNESSED BY: �,C�►���,�.�� -[- M c K DATE OF TEST/NG,_>�f..t -�-� ------- `i TEST BY. _ R• F•Unp.i.•n� ------- - ---- NO. OF OUTLETS] ---� SEvr SIE0 Loc-4N-1 io�,) tj p EVTIC 12 �I i� 1,. At' .,a,. .�. ai LOAM W/TNESSED BY, '- � t_Iv1 G X- 2 r ,�r�T i .i�ii �i - - ----- - £MoV£ASL E COVER /2' ��MANHOL BROUGHT TO R "Ya'' `� ,/� )) >•.� :.,. .� ,,..• . .� .. .:.• ..>•..•,•. FINISH GRADE. t'G"IYl 11J ' ' 1�E'.�1'a`1'l►r'K 12�MIiJ I d' '5V® OtL 1_t:_ c.: .• , i o ee • 4 !e •. '. 3 CLEA44-0 R • 3 CLEAR ---- -- - - : r, y•1"�� OUTLET PIPES e e F ILL PILL 6"MIN. 3"MIN. 6"M/N AS REQUIRED\ MG s�r� DEPTH � TEST _ _ i BAN RATE: �- 2 Mt�a I � ����•�, --- - - — INLET II j — 4550miz INLET TEE lO"MIN _ ���t (� I �` 5C11r 4 D/ST. 3/j�`- r'/�,,► _� •`� VG� L o. OUTLET TEE llll _ ( a y�ASHCi INLET AND OUTLET 4 O" MINIMUM PVC BOX c./. tout L �� OUTLET TEE DEPTH- 2 ;e CA GAL. ` /4 AT L/OUID DEPTH OF* 4' _, 6" SEPTIC TANK l Gt, TEES TO BE CAST ;' L/OU/D DEPTH /9„ " " " " 5' 1' CONCRETE F_FFfGCYIYt: __-� - - --- - -- IRON, SCHED. 40 i • �% O DEPTH OF TEST: --- __-_- — P.V.C. OR CAST IN 24" " " 6' s m o .. CONSTRUCTION / �A w .-t ra- 5.� „ RATE PLACE CONCRETE CONCRETE 29 • ° ���� 4•�� -_ _ _.-_-_ __ _----_ _ - _ -- -- 34 " " " " B' BOTTOM ON LEVEL STABLEBASE CONSTRUCTION -- - -- - ----- ------ - — -- ► (WATERTIGHT) � •:,• r, ` •••• •+ . - v, o. INLET TEE PROVIDED WHERE SLOPE FOUNDATION - OR " �=---• ' ' '--- -:-' ,�►�c TANK TO BE ABLE TO WITHSTAND OF INLET PIPE EXCEEDS 0.08 % • BOTTOM OF TANK ON LEVEL STABLE BASE /N A PUMPED SYSTEM. 20 MIN. 1 — ___- H-IOLOAD/NG UNLESS UNDER ' - PAVEMENT OR IN DRIVE.H-20 -- -- - 44' L OA DING UNDER PAVEMENT OR Lr--J GIA) A6 DRIVE. a NOTES : PLAN VIEW INVERT ELEVATIONS -- /. THIS PLAN/S FOR THE DESIGN AND CONSTRUCT/ON OF THE SEWAGE DISPOSAL FAC/L/T Y ONL Y. SCALE INV. AT BUILDING �. ALL CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO J �'� /NV. AT SEPTIC TANK(IN) MASS. D.EQ.E. TITLE 5 AND THE SARA1,T,A/"�k BOARD OF gN�, �LEV l3•�� HEALTH REGUL A TONS. ►- w _ IN AT SEPTIC TANK(OUT) 1�_? n_ T9 C-,t~ F'.t4. FAIL . ASiE PLAA/ �1Alb 7OPOEIRAPH`f' i.0OAIPA END FIc'Ol�''i P 4,AA) FRF-PARI.I sy e_L UrZE_ZG E E-A/G/V64,k'AfG CO /IVG rG,ERTJG) � _�'/NV. AT DIST. BOX(IN) 14 PLn'7 T' AA/, L!) r 1 SCc 1 7� Av,EAIUG, HYAAJNI>PJp r /A/ ,�" ,J T --4. ; •* a r~^ 17 r3AxA/.57AR1,IE MASS'' PA'7E-A r9 - ?33 /teV)S�t> 11- 4 - 83 +�" �;_/NV. ATD/S:. BOX(OUT) �� •41 � ��� " 4, Sc,"e-DULE 40 PVC PIP4 6H/4a JS& US41> ,657"WCEAI 7*Z /' 0-v '� � / Ott AT LEACHING FACILITY• 5EPTJO 7AA X AA/,tj 7HA �� " AOX r �. ,,� Vol n r: BOSTON, MASS. WORCESTER, MASS. �<< �e '� 0 ._ /NV AT &EG I V� AJ,:� 1 4 ' .3 HALIFAX, MASS. NORWELL, MASS. MASS. c) „�, l�,• / BEDFORD, MASS. LEXINGTON, �A/V l lv 1 4 m 2 NLL 0MSL!ktTq�;LE $CIL `Hk)LL 13,E. P.�.M:?u�Tj �1N'C� Pit. RE;PLA,C'pw 1 ,�`t! 04,,� -,U ,,+ HYANNIS, MASS. MANSFIELD, MASS. n P" p' "� .w •�' '°� CRANSTON, R.I. DERRY, N.H. w1114 CLEAN C}k,ANVLAIQ_ �1Li. vJiT1`}i� A �5 FT W1�F- Znl. �r' Q 57 ,t �~° SI �7" 1 3,r7 i' O TR +lL ! l2.2,5 .. A9,00�'O TUf-. L•ZACHt►, C- R�ASt.M> `.� CEP- "Tt7L'EM . G . 1F L C�.0 Ca T� 1.tJ "i L l ►�3't t.. G.G�"t V_'o en%j "5 VA fly. G P 6 U#"4 D �,', l� �r" � --,, � .•-- �` •s � �� �� k ,� �f"- ,,, � X/ �'S7� @ �� h ��C> i, �►�,�-� 4 v,/o�.K r c��g� NBC- N)Aw TA.t tjt,'D Ar LtAS`�" Z O F1 '� � � � � � 'F RAN'` L 1 `1' or- .'v At-%,jD 1+� T L R �..�1',� . / �,,, I (/ �;� �,�' Q�k , f, 4 x t 5 D B C1 �v /� ice -- F , her � S�°� �a� `�' � ,�* ► DESIGN DA TA : � � � � �, ��a' � � �I •��.,�... ��g ''� �� � �tit •7^'�' � � � h�F. 1"�`�� o �° �[ �' r p_� ��" "'�1'1 i�`� Y�,1'�''�1• � ,' `.�• DESIGN FLOW 1__o T 3 ' -- f r - �1► ,ZG,,�C�p G 5� w LA �s T+•`a �°� ~ � `� x `� r `a F L�� "`� /�, REQUIRED SEPTIC TANK x? 49 5 _ GAL, SEPTIC TANK PROVIDED GAL. CAPE COD SURVEY CONSULTANTS I ' C�; ♦ /� REQUIRED S/ZE LEACHING FACIL ITY: r. 11 1 Q) -- -- - ----- --- 3261 Main Street: Route 6A — Barnstable Village, Massachusetts 02630 -GOB g Number. (617)362-8133 xo ` --- ------------- DIVISION OF a7 f'.Y"- to oT �`,� � ' t� ,✓ BOSTON SURVEY CONSULTANTS INC. ,., S/ZE QF LEACH/NG_FAC/L/TYPROV/DED ENGINEERING + SUAVEYING • PLANNING � ± .�'' TW� -T Rt►JG�1�,'� TYPE-OF SYSTEM • TITLE: k3t�-r N) =5F/L F k 3 2 k 1, n / s IF GTID SEWAGE DISPOSAL SYSTEM �° ,p _�T a �. = �9?. --- DESIGN ell �9 L t_ I ` ! j� L OCUS PLAN 12 — I x1e6TIt'l (.CAN_TOOR15 �El 11 FOR: xx�xxnX k �c hX� I DC7' V<,0W-N JE.bGE, F- R\jjLLL BE .,, �a scw�t)o sf �}©l�Ls( AS r, :,.� ,l ,.�,. /� SCALE: AS SHOWN j L(X.Va METERS � - t�} ►j►-11S FEET 0 DATE: I ► /'21/8 4 ` . ± COMP./DESIGN: FWM N A,Va'T t_)(A<_E.T �:�'��.,�►�.>T,7 CHECK: f' DATUM' DRAWN: FIELD.- FILE — iRt-,P► i C A L T)AT O N1 NO: DWG. NO: �, JOB NO: i 4 51 - 1 . E.LE.V AM)a1J5 � M 5 L ` 0 t' K E L."� E E�..IC- t►s -R.t►JG G.c� . SHEET: I OF: I �C -rtSp'Y x,/O P 3 -7 S ,. ... F . REVISIONS: DATE of rEST/NG� 10,E-7/44- _ PERC. TEST DATA : SEPTI C TANK DETAIL : sIzE- :_ o0 __-_GAL. DIET. BOX DETAIL : LEACHING FACILITY DETAIL *• NO. DATE TEST PIT DA TA �. Added "o Jw- z mvt rES r B Y: R E i"�I~,iG C3 G�. TO CONFORM TO T/T4 E 5 REOU/REMENTS N o r y. j vt 1I�� E""yr�' % T. P. WITNESSED BY-- �•�-IF�er�I� T McKe,�+..a DATE OF TESTING _1� 7 _�L� _ TANK ro CONFORM r0 TITLE 5 REQUIREMENTS L rEsr er _ t��1 4.� r. __ NO. OF OMETS f � —_ T`ti i✓L I q.� G.?, i ` ., — �X \,a. REMOVERBLE COVER r L �, j Z C k�.1M_T. -. I t P ----- --- -__._ _-- -- WITNESSED B � F�-nrz.lu . `f, L,— . ._ .� .��,�! .�'�r��'- •..�',�•�.��...r:.�,,. LOAM /2 MANHOLE BROUGHT TO I^L M I IJ t$rraV�P� ��L _l 1: .,'` ..;• . FINISH GRADE _ 1L1, y I GILL EAR 3 CLEAR' a - . • • U 1 e ° OUTLET PIPES a ---• •- �- -- -� ----- _.. �1 AS REQUIRED �:: - N� sVm DEPTH OF TEST -- 6„M/N_�-3 M/N 6„M/N INLET I d v-- T- I II� e_� A `OC.NE-'T1 qj D/ST. - A i�?t*� RATE: �- 2 M11.2 IfJ�}� INLET TEE � IO MIN. OUTLET TEE , � � i (� i i �„ r, PV'G Piff I BOX - Wit. vSC;a C �- fi -- tiJgS>iCff °, o�. ° / 7 �i`./. 14_'�v� GAL, I �• � i1,/1J IV INLET AND OUTLET 4'0" MINIMUM : OUTLET rEE DEPTHSEPTIC TANK L IOUID DEPTH „ �2 16" j TEES TO BE CAST l4 AT L/pUID DEPTH OF 4' °. iI CONCRETE !�F�Lt� cc• . 19�� ,5� .r •.. I/,�t — - --- — — DEPTH OF TEST IRON, SCHED.40 r pq" „ „ 6' , ` . ' d• o. ..P CONSTRUCT/ON - `6"i ti! 1 �j,9�? --- --- PVC. OR CAST IN 29 „ �' M/N. ° u . .• .. .. -D . ... . RATE PLACE CONCRETE BOTTOM ON LEVEL STA8LEBASE ., CONCRETE CONSTRUCTION 34 B I� �EA5Y9N . '/ ' - - ; (WATERTIGHT) INLET TEE PROVIDED WHERE SLOPE FOUNDRY/ON a . :.s.','.. ,•. ., .., . ....• .. , ,• .. :,..., ..,. ... OF INLET PIPE EXCEEDS 0.08 / OR �-- - s= CIF TANK TO BEABLE TO WITHSTAND ' BO TTOM OF TANK ON LEVEL STABLE BASE H-10 LOADING UNLESS UNDER /N A PUMPED SYSTEM. `^ 20 M/N. - ��4",i/� �0� PAVEMENT OR IN DRIVE.H-20 LOAD/NG UNDER PAVEMENTOR DRIVE. "T ,UG1rl - NOTES • PLAN VIEW : INVERT ELE•VAT/ONS: /. THIS PLAN/S FOR ME DESIGN AND CONSTRUCTION OF THE SEWAGE DISPOSAL FACIL/T Y ONL Y. SCALE , rr u r, — - t`� � / = Z� �,`�` ��� INV. AT BUILD/NG i 5 �� `��or�A� N v A F M N1 2. ALL CONSTRUCTION METHODS AND MATERIALS SH LL CON OR TO � �C) �/NV. AT SEPTIC TANK(IN) ____ t5. �5 __ 1 .F,.�Nf --s — INV. AT SEPTIC TANK(OUT) t 5_' anti. MASS. D.E.Q.E. TITLE 5 AND THE F�A8A15TA451-t_"_ BOARD OF 6M r_LF_V t3 . r s t.,wrad ,•�;E;x . .ct Ike i 4+669 v : �s "av 3t1�2t� HEALTH REGULATIONS. Tn9 n� P•16. NAIL ��r • ► rtvI 3. SA5� PL_AAJ A,VU MPOGRAPH ,r (.:.(?/"'�f'&Et> 09ROAM1 f CAAJ RXaPARtt. � ,tY ^ a , INV. AT D/ST. BOX(/N) 14__ ` r ' B Y E•L,�>1�'E.AC�.!�. E-JV G/IV,EF,,I�/nr t"s CO //V�, T!TL�.L7 C r-R.T•I l�t�� �►' �' � PLr� t G T ' uX t,�1 lC. RvEnlu ,H YAN/at)SPt7IZT /A! INV. AT D/ST BOX(OUT) __L�.4-1 Gf y to 7 R. *)ASSr, 1?A7 - 19 . t � tSIE /1- 4 - f3 1C3 le,�J� ,r9 G>E �E.D � � � �.0 U 3 -10 AT LEACHING FACILITY 4. SCHE,D U L9 40 PVC PIP,- 5HR LG 8& USE.p R E T W E�N 7,94 `Pik � BOSTON, MASS. WORCESTER, MASS. 4OX 0�v ''' /' n _4'_ /A/V A7 86G IV J I"6 14 . F HALIFAX, MASS. NORWELL, MASS. ki � �� 1 (`� > ,+ �,z'j BEDFORD, MASS. LEXINGTON, MASS. AID 4. HYANNIS, MASS. MANSFIELD, MASS. c l ' ' ,� �'" �� CRANSTON, R.I. DERRY, N.H. 5, ALL UIQII- t Tp�Fj�- 5C5 t 1. a Hl l�L l B I� P,E M�Ju T7 h7'[? Tl� R� P L AC C. ? -1 �' ,C .w v t'7 1 L,25 W1 -TH CLE.A+.) C�R,AIQW-AiL. FILL w1THtr.� A 'ZJ F'i' W1TJ� Z03ti�� '�` 4 Q -4 ew-15t" ' ..' 0 } A7 30777 M C�F7" Cu t\R C)V t, jo -r U �O`'�r �, co . r l_AG Gf� �v Y� ata� =}r� Lra c A 1•c. ems , °� s C R r u�,l a � �' } t 'E A*►� t%'T C� L�v Ll0. R t71a 5 to 1..i I /t 9/44 AS F�.A SGV_t? AQ `�A11`.'I�° U AT o "t p a .� .- l °ems-x 4 VA �/ C'� � O � � \ p�fi t<, _> o � _..�_- x 1 � � ' -,: 20.E g 'F Rv l..I t,N t'T' c7 F v 1F..C-�tic.`T A`r VT) Vv ST L A t...�T,) • ( ,� I rL Q ��a � ,.�. `�- �� �►� ., .r r �� 2� i I �2' 'K ' Ake i M / eo - `t�t �, / 4T* �. ,��wirt� a � � } ' � '� '' �� 4 :: DESIGN DA TA ( ?S' �� •% '� - c 1 '-- a� xa� "`' 'a '-'' � DESIGN FLOW: -� ------ L � :��» ;�. ` ti ij,, ./ t F3, �a C' �'/, REQUIRED SEPTIC TANK r.>�.,M� GAL. .J SEPTIC TANK PROVIDED = !Q�t� GAL. CAPE COD SURVEY *. ,Irk 1 ^`. ...._ � � "� - / CONSULTANTS REQUIRED SIZE LEACHING FACILITY ___- --- --- —= 3261 Main Street Route 6A t1r _ --- �- — Barnstable Village, Massachusetts 02630 x / ---- -------____-- -- ---__-__ Number: (617)362-8133 � ; __ -- ---- --- ----------- BOSTON SURVEY COONSSULTANTS INC. � SIZE OF LEACHING FACILITY PROVIDED: �ENGINEERING • SURVEYING • PLANNING \ X TYPE OF SYSTEM ,114 TITLE: ,i f 'Aj SEWAGE DISPOSAL SYSTEM s x >� S "9 2, sS U) DESIGN 4,o /r, `, — ---- '5 U 3} lc R 1/E I S; �' ----------- — --- J A LOCUS PL AN• Iplu� 4 --�-- p�o VA V-,o cut> 1-0 u;19,5 �} � Q 1 � F O R � I c1z�� �ttLf 8E ; x��acxnx x Eck 10D ' f .o>� b� v ,,� XP Vt/-,v_`fJR'Sivv, w>�`�L a;»V O �-� •;� /t.✓o • - .. - 0 I �' i( _.VA SCALE: AS SHOWN METERS tNl� FEET 0 DATE: k �, :,.>` • wC? '� /!! CA,LL T ± COMP./DESIGN: RFM _ CHECK: SAt�.//C F-W ET DRAWN: DRIP�A � J HC t , r 0 FIELD: FILE NO: pp per., } «+ pp e B NO:ate)/ N JO DWG O' 5 , • . .• >' '`' ka E.TZ �..L.,�"`�1� }•:sG�.. E►J�4►•.} '�..'.l�L.�„1 k}+Ca Cr•Q , . SHEET: i OF: MIN. FINISHED GRADE OVER LEACHING FIELD = 12.68' SLOPE 0 2% MIN. OVER SYSTEM VARIANCES GENERAL NOTES 2" OF 1/8" TO 1/2" DOUBLE WASHED STONE TOP OF FOUNDATION ) 3/4" TO 1-1/2" DOUBLE WASHED STONE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND 20" MIN. ACCESS COVER TO CROWN OF PIPE 1. 15.211 MINIMUM SETBACK DISTANCES: (E1=15.30') (TYPICAL OF 3) CONSTRUCTION METHODS SHALL BE IN ACCORDANCE FINISHED GRADE FINISHED GRADE OVER 4"Pvc PERFORATED PIPE MINIMUM SETBACK DISTANCE FROM CB TO SAS FIELD OVER TANK EL. = 13.75' t DISTRIBUTION BOX =13.55' t SLOPE AT .5^r. IS 25 FEET. A 8.2 FOOT VARIANCE IS REQUESTED. WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND- ANY APPLICABLE LOCAL RULES. 9"MIN.,1 36"MAX. - REMOVABLE COVER 36"MA COVERS WITHIN 9" IN j 3" + - LL s" OF GRADE END CAPS TOP OF S.A.S. = 11s3' 3s" Ax. 2.) 15.211 MINIMUM SETBACK DISTANCES: __ EXISTING 4" PIPE I � 4" PVC IN FROM 4" PVC OUT FROM MINIMUM SETBACK DISTANCE FROM CB TO SAS FIELD 2.) ANY.CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD SCHEDULE 40 PVC _ �-�"', t ��" SEPTIC TANK Y LEACHING FACILITY. s"EFFEcrIVE OF HEALTH AND THE DESIGN ENGINEER. MIN. SLOPE E� 2% 3" MINIMUM SLOPE 1i o 0 4 0 0 0 0 0 0 0 0 0 o ti o o a o 0 0 - IS 25 FEET, A 3.2 FOOT VARIANCE IS REQUESTED. - - DEPTH 13.00't 1 12.00'# I I I I 3.) 15.212 DEPTH TO GROUNDWATER: 3.) 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 11.72't �z' 11.55't 11.43 11.30 FOUNDATION WALL OUTLET TEE BOTTOM OF TRENCH TO 10. BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. a' LIQUID LEVEL BE LEVEL EL. = 10.80' I MINIMUM VERTICAL SEPARATION FROM THE BOTTOM OF THEMINIMUM "' 2 - o --•--505'o"-j--�a'o" 4'- SAS FIELD ABOVE THE HIGH GROUND WATER ELEVATION IS TO BE RESET ON A LEVEL STABLE MN' 5 FEET, A 1 FOOT VARIANCE IS REQUESTED. 4.) 4„ SCHEDULE 40 PVC PERFORATED PVC PIPE SHALL BE USED BASE. FIRST TWO FEET OF OUTLET PIPES INSIDE LEACHING TRENCHES OR LEACHING FIELDS. _ TO BE LAID LEVEL --� S1 ADJ. GROUND WATER ELEV. = 6.8' CROSS SECTIQN VIEW sCROSS SECTION VIEW 5.) SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. EXISTING 1,000 SEPTIC TANK TO REMAIN NEW (3) OUTI ET DISTRIBUTION BOX (N•T.S.) (N.T.S.) 6.) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. BED BATH BATH 7.) LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED ROOM ROOM ROOM CLOSET PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND SEPTIC SYSTEM PROFILE OFFICE 220' READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED 2, 0' WITHOUT FIRST OBTAINING APPROVAL FROM THE BOARD OF HEALTH N.T.S. MASTER AND DESIGN ENGINEER. BED BED 8.) ELEVATIONS BASED ON HYDRANT SPINDLE ELEVATION OF 13.59' ROOM ROOM AS SHOWN ON PLAN. SURVEY OF PLAN PERFORMED BY STEPHEN J. DOYLE AND ASSOCIATES, DATED 5-25-11. 40,0' 9.) CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY SECOND FLOOR OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO • THE DESIGN ENGINEER. / SMITH ST MARS - 2s.o` - TpN ' 10.) NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES / oil, ��v AV f ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE Q\ i! � . E BATH WATER TIGHT SEALS. O� FAMILY KITCHEN ROOM 12 ROOM GARAGE 22.c�' 11.) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED y�q�, GJ� 28 0° (ON SLAB) OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH 9�, �O LANDING DETERMINATION FROM APPROPRIATE AUTHORITY. • `�%ti LIVING DINING (ON SLAB)SCHOOL 12.) ALL SEPTIC SYSTEM COMPONENTS ARE BEING INSTALLED TO 1,000 GALLON SEPTIC TANK TO REMAIN PJF- HOUSE ROOM ROOM WITHSTAND H-10 LOADING UNLESS UNDER PAVEMENT, DRIVES OR UNLESS FOUND TO BE UNDER DRIVEWAY oqp, Q 10 THEN REPLACE WITH 1,500 GAL. (H20) TANK f POND _.�. TRAVEL WAYS WHEREIN H-20 LOADING SHALL APPLY. �G 0' 1 �l - QJ� -•.,, - o.o' - - 13.) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, 5 FOOT OVERDIG WOODED �9s DUST AND FINES. (IF REQUIRED) p r `, L_ O C lJ `.�- NA A fP FIRST FLOOR 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL EXISTING D-BOX G� ,F'f AND UNSUITABLE MATERIAL BELOW AND 'FOR AN AREA 5 FT. ON ALL TO BE REMOVED SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL 8 ASSESSORS MAP 288 PARCEL 141-001 WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER INSTALL 40 MIL �c.� 10 O F� c�11 x 13 17` t / REFERENCE DEED: 1 31 68-232 UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). TEST PIT DATA POLYLINER ��� o i r (,.,..f 1 8 12 j / ZONING DISTRICT: RF-1 AUrN 10 °' OVERLAY: AP 15.) CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES O t �'' PERC. PERMIT ,NO.: 13271 FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO INSTALL VENT PIPE 10.51 000 : '11.96 FIRM PANEL: 250001 0008 D y ! -,»rr MAP REVISED: JULY 2, 1992 CONTINUATON OF WORK. AND PIPING WITNESSED BY: SON DESMARIAS ,y FLOOD ZONES "B" AND "C" �� :0:�7 a , � ✓ � 14� r��- o�° 11 si ✓ y PERFORMED BY: STEPHEN DOYLF 16.) PROPOSED PROJECT IS LOCATED WITHIN: r - r -' DATE. MAY 11 2011 ASSESSOR AP 2 88 LOT 1, 41 1 y , LAWN S M C1 10. = - k GROUND ELEV.: 12.20' t � � 17.) THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. ELEV. WATER: 7.2 FEET BELOW GROUND ELEV. THE ENGINEER WILL NOT ASSUME ANY-LIABILITY FOR THE o USE OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. PERC. RATE: < 2 MIN./IN. �`� 1 40 ��' 6 18.) BREAKOUT HAS BEEN CHECKED FOR SAS FIELD AND IS LESS THAN THE MINIMUM 3: 1 SLOPE REQUIRED. �� , ' Do" 12.2f 00" 12.2't 11.24 1 `?/� .. 14:C13 �� Qlv WETLAND LINE PER � SANDY LOAM SANDY LOAM f .39 1� V�� 1 3 k � LAN 8 �10 YR.. / --- 1.53 t 08 _....�Q )R / 1.53 t "SEWAGE SYSTEM DESIGN PLAN" o -- - 1 -2 - 1 . •. 1. F g " 19.) CONTRACTOR SHALL BE REQUIRED TO INSTALL 40 MIL POLY LINER 010. ! \ is �, T 1, SCUDDER AVE 84 I ' AS SHOWN ON THE PLANS. THE TOP ELEV SHALL BE AT APPROX. FOR LO +�, i PREPARED BY BSC DATED: 11/21/ I ELEV. 11.93' AND THE BOTTOM OF THE LINER SHALL EXTEND TO A ���� Z1 PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. MINIMUM DEPTH OF ONE FOOT BELOW EXISTING NATURALLY x 11. ? 1 / 13. p LOAMY SAND- LOAMY SAND 36 10 YR 4/6 --�9 2't 36„ - 10 YR 4/6 9 2,± OCCURRING MATERIAL PURSUANT TO 310 CMR 15.255(2). BM: HYD. SPINDLE fir'" ELEV. 13.59 / REVISIONS: ADJGROUND WATER ADJu GROUND WATER DATUM: BARNSTABLE GISt ! ` � � -- 6.0't _ -- - 6.0't 12 f USGS MAY 11 USGS MAY 11 - - LAwN a,J,,r s ...��.__.•�'' WOODED LOWLAND • ' u u REVISIONS DATED 7 19 11 PROPOSED 18'x 25' LEACHING >- LAWN 86" _ GROUND WATER 5.0't 86" - GROUND WATER 5.0't 1.) SAS FIELD RELOCATED TO ORIGINAL LOCATION UNDER TURNOUT IN DRIVEWAY. FIELD WITH 3/4"-1 1/2"STONE 2.) WATER LEVEL RANGE ZONE IS ZONE "A". C: MEDIUM/FINE C: MEDIUM/FINE 3.) ADDED ROOM OPENINGS TO FLOOR PLAN. PIPE INV. (IN) = 11.43° 8 4.) REQUESTED HIGH GROUND WATER TO SAS VARIANCE. O SAND SAND 2.5 YR 7/4 2.5 YR 7/4 I�STA .3 f;{' �, ,.a \ 5.) REQUESTED CB TO SAS VARIANCE. 12 ,., � 126"r_ -____.. 1.T 126" 1.T / E OBSERVED OBSERVED REVISIONS DATED 8-1-11: PROP. (3 HOLE) D-BOX ! t TP#1 TP#2 1.) ADJUSTED GROUNDWATER AND 4' VARIANCE BASED ON 10-1-10 PERC. TEST. 2.) ADD GAS MAIN. WOODED 3.) REVISED SEPTIC SYSTEM ELEVATIONS. TEST PIT DATA PROPOSED SEPTIC SYSTEM UPGRADE ,0' PERC. PERMIT NO.: 13101 xx 10 ti o / rya' WITNESSED BY: DAVID STANTON R.S. � PREPARED FOR: a�: o WOODED o PERFORMED BY: STEPHEN DOYLE, : ��'����r- ssq� R�C�HARD AND JOYCE VECCHIONE F � � P L A f`J L_E G E IV � ® � �c �,qF�` ti� � DATE: OCTOBl�R 1_2010 ° � STEPHEN m � EXISTING HYDRANT GROUND ELEV. 12.20' t : J ccv E " ® a 9 DESIGN DATA: 8 / WOODED LOWLAND s,P 0 ELEV. WATER: 7.5 FEET BELOW GROUND ELEV. EXISTING DRAINAGE STRUCTURE LOCATED AT: / WITH FRAME AND GRATE PERC. RATE: < 2 MIN./IN. `<;� ^URvO 3 BEDROOM DWELLING OVA 455 SCUDDER AVENUE DESIGN FLOW: 110 GPD PER BEDROOM ('\ EXISTING DRAINAGE STRUCTURE 00" 12.2't Do" 12.2't v „ HYANNISPORT, MA. 02647 110 X 3.0 = 330 GPD ��✓ �,I WITH METAL COVER TO GRADE SANDY LOAMY SANDY LOAM 08" 10 �'R:37!2 11.53't 09" A10 YR 32_- 11.45't eW EXISTING UTILITY POLE E`AO IN FI D LtACHIN \FIELD L�AMY�SAND' 10.8't BOTTOM SEPTIC TANK: OF LEACHING w:10 R 4/6- \ 10.8 t BOTTOM Bw:10 R 4 8 s OF LEACHING FIELD LOAMY aND SCALE: AS SHOWN DATE: 07-9-11 330 GAL X 240% = 660 GALS. DESIGN CAPACITY -'' -�- - -a 1 �-- FOLD Q 20 aO so FEET 14 EXISTING CONTOUR 36" 9.2't 36" - 9.2't ��� 4F A444J9 USE EXISTING 1,000 GALLON SEPTIC TANK Rom RT A. REQUIRED LEACHING AREA: 6 ''W-_ EXISTING WATER LINE _ADJ. GROUND WATER 68't ADJ GROUND WATER 68'± Ce, PREPARED BY: USGS SEP. 10 - USGS SEP. 10 1Va 41642 (330 GAL/DAY) / (0.74) = 446 SQ. FT. = T 90" GROUND WATER 4.7't 90" .--GROUND WATER 47,t A ., Q� k` RCJ ENGINEERING 0 20, 40' SA MEDIUM/FINE SAND DIUM/FINE P.O. BOA 302 LEACHING FIELD PROVIDED. 2.5 YR 7/4 ! 2.5 YR 7/4Moog FORESTDALE MA 02644 LEACHING FIELD PROVIDED: 18'X25' = 450 SQ. FT. 120'`------- - 2.2' 120" � • 2.2' t OBSERVED OBSERVED 450 S.F. PROVIDED > 446 REQUIRED TP#1 TP#2 TEL. NO. 508 477 5048 CELL, NO, 401 595 0736 Drawn By: Designed By Checked By. JOB No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MIN. FINISHED GRADE OVER LEACHING FIELD = 13.00' SLOPE 0 2% MIIN. OVER SYSTEM VARIANCES GENERAL NOTES TOP OF FOUNDATION 2- OF 1/0- TO 1/2- IDOUBLE WASHED STONE 1.) 15.211 MINIMUM SETBACK DISTANCES: 20' MIN. ACCESS COVER - 3/4" TO 1-1/2" DOUBLE WASHED STONE MINIMUM SETBACK FROM FOUNDATION WALL TO 1.) UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND (TYPICAL FINISHED GRADE FINISHED GRADE OVER 4"PVC PERFORATED PIPE SAS FIELD IS 20, FEET. A 10 FOOT VARIANCE IS REQUESTED. CONSTRUCTION METHODS SHALL BE IN ACCORDANCE FINISHED TANK EL 13,75' /-DISTRIBUTION BOX =13.50' SLOPE AT .5% WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY (EL=15.30') OF 3) TO CROWN OF PIPE I- _ REMOVABLE COVER IN2.) 15.211 MINIMUM SETBACK DISTANCES: APPLICABLE LOCAL RULES. 9"MIN.. 36"MAX. A - COVERS WITHIN END CAPS TOP OF S.A.S. 12.25-\ 9" -qi 1 1 71-6- OF GRADE 36"MAX. MINIMUM SETBACK DISTANCE FROM WETLAND TO SAS FIELD EXISTING 4" PIPE 9. 4" PVC IN FROM 4" PVC OUT FROM IS 100 FEET. A 17.4 FOOT VARIANCE IS REQUESTED. 2.) ANY CHANCES TO THIS PLAN MUST BE APPROVED BY THE BOARD SEPTIC TANK LEACHING FACILITY.SCHEDULE 40 PVC 6"EFFECTIVE OF HEALTH AND THE DESIGN ENGINEER. MIN. SLOPE 0 2% C MINIMUM SLOPE 0 1% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 F DEPTH 0 y 3.) 15.211 MINIMUM SETBACK DISTANCES: _j I14" 12.00± 3 FOUNDATION WALL 13.00 OUTLET TEE 11.97'± 11.60, 1 1 MINIMUM SETBACK DISTANCE FROM CB TO SAS FIELD 3.) 4- SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 4' LIQUID LEVEL BOTTOM OF TRENCH TO IS 25 FEET, A 8.2 FOOT VARIANCE IS REQUESTED. BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. BE LEVEL EL. = It.10' 1 1 11.10, L MINIMUM -3'6" 10. 5'_ TO BE RESET ON A LEVEL STABLE MIN. 4.) 15.211 MINIMUM SETBACK DISTANCES: 4.) 4- SCHEDULE 40 PVC PERFORATED PVC PIPE SHALL BE USED BASE. FIRST TWO FEET OF OUTLET PIPES TO BE LAID LEVEL MINIMUM SETBACK DISTANCE FROM WATER SERVICE TO INSIDE LEACHING TRENCHES OR LEACHING FIELDS. ,77-= ADJ. GROUND WATER ELEV.TTT��_l SAS FIELD IS 10 FEET, A 5 FOOT VARIANCE IS REQUESTED. CROSS SECTION VIEW CROSS SECTION VIEW 5.) SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. EXISTING 1.000 SEPTIC TANK TO REMAIN NEW (3) OUTLET DISTRIBUTION BOX (N.T.S.) (N.T.S.) 6.) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. BED BATH BATH 7.) LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED ROOM ROOM ROOM PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND SEPTIC SYSTEM PROFILE r--1 OFFICE 2 0' READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED N.T.S. WITHOUT FIRST OBTAINING APPROVAL FROM THE BOARD OF HEALTH MASTER AND DESIGN ENGINEER. BED BED ROOM ROOM 8.) ELEVATIONS BASED ON HYDRANT SPINDLE ELEVATION OF 13.59' AS SHOWN ON PLAN. SURVEY OF PLAN PERFORMED BY STEPHEN J. DOYLE AND ASSOCIATES, DATED 5-25-11. 9.) CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY SECOND FLOOR OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER. SMITH ST A4ARS-ro/V 10.) NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES RELOCATE EXISTING 1/0TER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE tl�, ATER TIGHT SEALS. WATER SERVICE WITH SLEEVE AVEA VE BATH AS REQUIRED FAMILY KITCHEN ROOM ---- 12 ROOM GARAGE 22.0' 11.) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED PROPOSED 15'x 30' LEACHING 26 1 10' OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. FIELD WITH 3/4"-1 1/2"STONE LANDING1 LIVING DINING PIPE INV. IN = 11.75- 1 41- SCHOOL ROOM ROOM 12.) ALL SEPTIC SYSTEM COMPONENTS ARE BEING INSTALLED TO 10 HOUSE WITHSTAND H-10 LOADING UNLESS UNDER PAVEMENT, DRIVES OR PROP. (3 HOLE) D-BOX POND TRAVEL WAYS WHEREIN H-20 LOADING SHALL APPLY. 13.) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, WOODED DUST AND FINES. 0 FIRST FLOOR I CD CD, l_J S3 NA 4,, F=> 14.) WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL ox AND UNSUITABLE MATERIAL BELOW AND FOR AN AREA 5 FT. ON ALL EXISTING D-B TO BE ABANDONED SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL -001 WITH CLEAN. COARSE SAND FREE FROM CLAY, FINES OR OTHER 13.17 8 ASSESSORS MAP 288 PARCEL 141 0 41 1 REFERENCE DEED: 13168-232 TEST PIT DATA UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). ZONING DISTRICT: RF-1 Q 1 0 15.) CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES [INSTALL 40 MIL OVERLAY. AP PERC. PERMIT NO.: 13271 FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO FIRM PANEL: 250001 0008 D 10.51 POLY LINER CONTINUATON OF WORK. MAP REVISED: JULY 2, 1992 WITNESSED BY. DON DESMARIAS FLOOD ZONES "B" AND "C" 00 82.6' PERFORMED BY: STEPHEN DOYLE 16.) PROPOSED PROJECT IS LOCATED WITHIN: ASSESSORS MAP #288 LOT #141-1 LAWN M DATE: MAY 11, 2011 0 GROUND ELEV.: 12.20' 17.) THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. C '1? 96'9L., -.' �/` ' h7 THE ENGINEER WILL NOT ASSUME ANY LIABILITY FOR THE ELEV. WATER: -2 FEET BELOW GROUND ELEV. 2 > USE OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. < 2 MIN./IN. PERC. RATE: IRM 71,<1 �77* C, 6 18.) BREAKOUT HAS BEEN CHECKED FOR SAS FIELD AND IS LESS THAN THE MINIMUM 3: 1 SLOPE REQUIRED. 00" 12.2'± 00" 12.2'± TP 51 WETLAND LINE PER M AN IM F�'mA- "SEWAGE SYSTEM DESIGN PLAN" 08" 08" 19.) CONTRACTOR SHALL BE REQUIRED TO INSTALL 40 MIL POLY LINER 0 FOR LOT 1, SCUDDER AVE APHIN IN AS SHOWN ON THE PLANS. THE TOP ELEV SHALL BE AT APPROX. 11.1,± BOTTOM 11.1'± BOTTOM PREPARED BY BSC DATED: 11 OF LEACHING of Lr_M%,nlllflj ELEV. 12.2' AND THE BOTTOM OF THE LINER SHALL EXTEND TO A PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. V\4 LOAMY SAND FOLD LOAMY SAND FOLD 10 YR 4/6 10 YR 4/6 MINIMUM DEPTH OF ONE FOOT BELOW EXISTING NATURALLY OCCURRING MATERIAL PURSUANT TO 310 CMR 15.255(2). 36" 9.2'± 36" 9.2'± BM: HYD. SPINDLE i J USGS MAY 11 USGS MAY 11 ELEV. 13.59 TER REVISIONS: DATUM: BARNSTABLE GIS± 6.1GROUNDWATER '± -VAQJ. GROUND WA 6.1'± 12 LA ...... WOODED LOWLAND 1.) 1-8-11 ADDED 40 MIL POLY LINER ON THE NORTHERN SIDE OF SAS FIELD. EXIST. 1,000 SEPTIC TANK 86" __�F�WRD__��,�TER 5.0,± 86- =GROUND WATER I;A LAWN 5.0'± TO REMAIN 2.) -S-8-11 REQUESTED SAS TO CATCH BASIN SETBACK VARIANCE. C: MEDIUM/FINE C: MEDIUM/FINE SAND SAND 8-11:RELOCATED WATER SERVICE TO OUTSIDE SAS FIELD AREA. REQUESTED 2.5 YR 7/4 2.5 YR 7/4 A SAS TO WATER SERVICE SETBACK VARIANCE. 12 126" OBSERVED 1.7' 126" OBSERVED 1.7' 4.) 1-8-11: MINOR CHANGES TO PLANS INCLUDING ADDING DOORWAYS TO TP#1 TP#2 BEDROOMS, CHANGED SEPTIC TANK OUTLET TEE TO 14". WOODED PROPOSED SEPTIC SYSTEM UPGRADE TEST PIT DATA PREPARED FOR: 0- 10 13101 <X PERC. PERMIT NO.: ti RICHARD AND JOYCE VECCHIONE WITNESSED BY: DAVID STANTON, R.S. BUFF 00- Er PERFORMED BY: STEPHEN DOYLE T WOODED DATE: OCTOBER 1. 2010 C,-5 EXISTING HYDRANT GROUND ELEV.: 12.20' LOCATED AT: 8 WOODED LOWLAND ELEV. WATER: 7.5 FEET BELOW GROUND ELEV. DESIGN DATA: 0 EXISTING DRAINAGE STRUCTURE 4 455 SCUDDER AVENUE WITH FRAME AND GRATE PERC. RATE: < 2 MIN./IN. 3 BEDROOM DWELLING HYANNISPORT, MA. 02647 DESIGN FLOW: 110 GPD PER BEDROOM EXISTING DRAINAGE STRUCTURE 00 12.2'± 00" 12.2'± WITH METAL COVER TO GRADE SAN Y LOAM SANDY LOAM AJQ A: 10 YR 11.45'± 08 _YR 09" 3//2� -2 110 x 3.0 = 330 GPD i EXISTING UTILITY POLE LOAMY SAND LOAMY SAND SCALE: AS SHOWN DATE:06-10-11 SEPTIC TANK: Bw:10 YR 4/6 Bw:10 YR 4/6 y 210 V SO FEET 330 GAL X 200% = 660 GALS. DESIGN CAPACITY 14 EXISTING CONTOUR 36" 9.2'± 36" 9.2'± USE EXISTING 1,000 GALLON SEPTIC TANK ___VADJ GROUND WATER W__ EXISTING WATER LINE _VADJ.. GROUND WATER A44 REQUIRED LEACHING AREA: 6 E 7.8'± 7.8'± PREPARED BY: USGS SEP. 10 USGS SEP. 10 RCJSERTA. NO WATER ROUND WATER DRAKE 9n- 4.7'± 90" 4.7'± ZE RCJ ENGINEERING (330 GAL/DAY) / (0.74) = 446 SQ. FT. CTV41- C: MEDIUM/FINE C: MEDIUM/FINE C)ll�o No.41642 LEACHING FIELD PROVIDED: 0 20' 40' SAND I SAND P.O. BOX 302 2.5 YR 7/4 1 2.5 YR 7/4 LEACHING FIELD PROVIDED: 15'X30' = 450 SQ. FT. 120" OBSERVED 12.2' 120" OBSERVED 2.2' rt FORESTDALE, MA 02644 450 S.F. PROVIDED > 446 REQUIRED TP#1 TP#2 TEL. NO. 508 477 5048 CELL. NO. 401 595 0736 Drawn By. Designed By. Checked By. JOB NO. END CAPS ui 7 BOTTOM OF TRENCH H To BE LEVEL L. LOI AT ION p SEWAGE PERMIT NO. W I L L A G E y EE 1 �9c�1-ITv PA.LA�L���;�ACKHOE �/ICE� A D D R E S S JO NJ A. AALTO B,ACKHOE SERVICE 150 Walnut Strept Walpl it cUaQt West Barnstable, Mass. 02668 West Barnstable,, Massa 02668 B U I L D E R OR OWNER Doc . � /I 4 t o h m"/xB DATE PERMIT ISSUED �2_����y DATE COMPLIANCE ISSUED UPI �qr 1 i erg `d J