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HomeMy WebLinkAbout0191 CAP'N SAMADRUS ROAD - Health 191 Cap amaalrus Road CCAL' , . - A = 038 019 TOWN OF BARNSTABLE �7 c, LOCATION ®I C AP P 5'4' A A 2 J 3 r1b SEWAGE # �►Ub`�� VILLAGE C o t v� t ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. S(uH A fLzUeY Mee-• S 6&1 SEPTIC TANK CAPACITY 1,4!�Co en� LEACHING FACILITY: (type) A-A fap. Z144 4"fa,-i (size) 'T':e,-g,V ii' A' '.SL NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: /'X- 16. V 3 COMPLIANCE DATE: 0 Separation Distance Between the: 'tllnr -7.th Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N i,4 Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) IJoiae- Feet Edge of Wetland and Leaching Facility. (If any wetlands exist within 300 feet of leaching facility) p'tojj�p— Feet Furnished by �c� + Tc ^- S _ a f� o : Qr Z' ©� ,^ . -�- :x ► � p .\ 9�, n. n r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migpool *pztem Com5truction Verna Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) NJ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address znd el.Np. A AY% A onk 5' R17. RLN pr 5o Oj Assessor'sMap/Parcel •Ot'Jf 1-o4'tL 'Acl MASjVQ§ So 60 6-7-7 8' lnstaller'� Name,Address,and Tel.No. I Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size '�d, 130 sq.ft. Garbage Grinder( ) Other Type of Building 6A.. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _ - gallons per day. Calculated daily flow 3 gallons. Plan Date 14 'a 3 - �L 00 Number of sheets ( Revision Date Title 13018 00 Size of Septic Tank I SOS a, t(c :� Type of S.A.S. �N'�"I1R/+TO:5 it Description of Soil 0 10 0/6 M--0 `'"'` .SA rtD Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed c /* `i Date 12' /E° aW Application Approved by1�4 Date /a-/r 0 3 Application Disapproved for the foll wing reasons Permit No. 2 O 0,3_ a Date Issued f ,A Nq Nc. +` ., )0� FeeTHECOMMONWEALTH MASSACHUSETTS ,� 2� Entered in computer: �t e ti Yes PUBLIC HEALTH DIVISION TOWN-OF BARNSTABLE S MASSAGHUSETTS ZIppricatiou for )Dizpozar *p.5tem Con!5tructiou Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) NNrComplete System ❑Individual Components : Location Address or Lot Nq. Owner Name, e,Ad & vN CAPu 5Mf*W%,40fZvS :0 K ss9. Assessor's Map/Pazce # Lod f p fl QQ IONA SS. 5o6 S71 -Sy � Installer' Name Address,and Tel.No. Designer's Name,Address and Tel.No., cow A -ror RQ,( swo4f Se E►� tNCEa, ,. S-totft­( -ev a35 GReRr we,g-ec✓ EAST` SArDwicl, Sod 83 38gr Type of Building: Dwelling No.of Bedrooms 3 Lot Size 20, 130 sq.ft. Garbage Grinder( ) Other' 7 pe of Building STvwit i A,-iL_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures w Design Flow.c blcm 3 b gallons per day. Calculated daily flow 3 s y gallons. Plan Date �} 3 ' �t 003 Number of sheets I Revision Date N0tiQ- Title 'Sod $G y - 00 Size of Septic Tank I �� !�a to Type of S.A.S. S�j ic'I fiar4?Of S Description of Soil 0" 10 ©/E M to i'v SA NO 10- u " & OAim e 40 5A,1 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed A- 'f Date /:1• /b• ¢0o3 Application Approved by `1.). �S Date !d-/,r-P 3 Application Disapproved for the foll7wing reasons S s Permit No. 2 00 3- a L� Date Issued rT/U 3 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 at °J �1,/n has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ;2 a 0 3 612 dated / /S/C, Installer Designer The issuance of 1his permit shall not be construed as a guarantee that the s)rstem will fulnction\ s designed. Date ��«� Inspector A / Am ----- 62L� — ---------------------Fee /UU No. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mizpool 6pitem: Con5tructiou Permit Permission is hereby granted to Construct( )Repair( )Upgrade(J )Abandon( ) System located at �' r H P S ir�i�I , r f d , and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction ust be completed within three years of the date of p rmit. Date: a G Approved by C��� E +near arv��! � 17�'q�1� �Ur S�r�U inSc ?'v✓�AL J TOWN OF BARNSTABLE (� LOCATION C:A tJ �941MA l u S r`- SEWAGE # �► "�� VILLAGE G u v �` ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SµiOff -9mu Sbr 6-�+' � SEPTIC TANK CAPACITYb e LEACHING FACILITY: (type) 4'tA, (size) Vzy-48 )� A' NO.OF BEDROOMS a BUILDER OR OWNER '`° �r-I�AnS"d PERMITDATE: N.. i6' V 3 COMPLIANCE DATE: Separation Distance Between the: "aTe flIA0 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N i,' Feet Private Water Supply Well and Leaching Facility (If any wells exist Vopk? Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) I,, �� Feet Furnished by t �ea� o I -TA r� t Y k 4 � i �Ar�c 4 Ltd'�' 1/0# 3 i s 50i 31 C" Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632. 7/9/2014 page. City(Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information ^ �J on the computer, use only the tab 1. Inspector: v key to move your cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain �y Company Name 8 John's Path Company Address South Yarmouth MA 02664 City/rown State Zip Code 508-354-9587 SI 13522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 7-9-2014 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. -7 J�5 I t5ins•3/13 Title 5 Official Inspection Form: su a e Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system contains a 1500 Gallon Concrete septic tank. And a concrete Dbox and Four high capacity infiltrators. From the inspection port at the farthest end of the leaching I could clearly see the sand was dry. The system has never been pumped and I recommend pumping at this time. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Y I f � Commonwealth of Massachusetts F Title 5 Official Inspection Fora, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy Is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes'if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this forma 3. Other: D) System Failure Criteria.Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the.surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: i ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ � the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the.facility or dwelling inspected for signs of sewage back up? Z ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 351 GPD t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system contains a 1500 Gallon Concrete septic tank. And a concrete Dbox and Four high capacity infiltrators. From the inspection port at the farthest end of the leaching I could clearly see the sand was dry. The system has never been pumped and I recommend pumping at this time. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) El Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): 2012 53,000 2013 54,000 Detail Total GPD over two years 184 GPD Sump pump? ❑ Yes ® No Last date of;occupancy: Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Currently occupied Date _Other(describe below): General Information Pumping Records: Source of information: Never pumped Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Scale on truck Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owners Name information is required for every Cotuit MA 02632 7/9/2014 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: System is Approximately 9+years old and functioning properly. Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 20"s feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): No signs of Decay or leaking. Baffles are in place. System is vented through the roof. Septic Tank(locate on site plan): Depth below grade: 12"s feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1500 gallon If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Sludge depth: 2"s t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection For a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 26"s Scum thickness 2's Distance from top of scum to top of outlet tee or baffle 5"s Distance from bottom of scum to bottom of outlet tee or baffle 18"s How were dimensions determined? Tape measure, Sludge Stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): No signs of Decay or leaking. Tee's are.in place. Tank pumped at time of inspection. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): No signs of Decay or leaking. tees are in place. Liquid levels are normal. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No -Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert No signs of decay. Liquid levels are normal Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Carry over is minimal. Level is normal. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No" Comments note condition of um chamber, condition of pumps and appurtenances, etc.): ( pump P P PP ) No um chamber pump * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: 4 High cap Infiltrators Comments (note condition of soil,_signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of carry over, Pondin Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. Cityrrown State Zip Code Date of Inspection .D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): No signs of hydrualic failure or ponding Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 acre 1 ot, I TOWN OF BARN's,rABLE LOCATION SEWAGE# VILLAGE Cc,f r ASSESSOR'S MAP&LOT;.0 f- D - INSTALLER'S NAME&PHONE NO. ( .YI I SEPTIC TANK CAPACITY Sct, —:F P f--�A�C LEACHING FACU-rFY:(zypc)-14-;k (aft (size)T??r.-c,4 If A NO.OF BEDROOMS--..._. BUILDER OR OWNER PERMITDATE: P), rV3 COMPLIANCE DATr-:— I)-./ Separation Distance Between the: ffou!e Maxi mum Adiusted Groundwater Tahle to I he.Bottom of Leachi rw Facilit v Feet Private Water Supply Well and Leaching Facility (if amy wells exist on site or within 200 feet of leaching facility} Fecl Edge of Wetland and Leaching Facility(1f any wetlands e.ust within 300 feet of leaching facility) F;V?J?-- Feet Furnished by e�.� n n�n — 31 50 3 7/8.12014 Commonwealth of Massachusetts ®Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 191 Captain Samadrus rd ^M P Property Address Ronald Anderson Owner Owner's Name information is Cotuit MA 02632 7/9/2014 required for every page. Citylfown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 +ft feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: NGE at 120"s per plan dated April 3ftl 2003 Sweetser engineering Before filing this Inspection (Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 191 Captain Samadrus rd Property Address Ronald Anderson Owner Owner's Name information is required for every Cotuit MA 02632 7/9/2014 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed System Information— Estimated depth to high groundwater Y P 9 ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 E � J . 5 5 ram' I�r r�9' y-s• � �'�• �'-� `ox V 48x <I ELEVATION CFI i wme v-,/ )4) oo"dN Ij (i PG PORQI CAr P h s r:{cD i zx b i ue4FPAY®KIMMM `s � - - - x%rm°` %x�x D A � Le .f Iw aw 1"x �x mq�rFM U`�T� i l'�rx IC IOR,Y �,� rr "y'.�, �x *v ELEVATION 5MSTR REDRMi � b � at»�CAM r-e rl Y w { W,i p1 LL v 6 Iar qb.T W I I \\ ��� a KITCHEN FLAN r.VFt-"or �� " r ELEVATION #' — V4, r-e . rx 4 sv ab w Fr a: I I i I M rxlr lP3T WR I I RBF WfE$ ray'/ T G T•v/ S SI EPPE�)CF-L b' 1CGOMo1zjF.p'C'�E PIT. aR RE TW KMW Mr. I If-5(0-1T k V.r)I I -- ,I{ 1 GREAT �M moo.at ( IP Rea�o -- ------- h 5-{U N rFmE Q:fl)a&"TO 71 x 7D'vA+rt p°f e •N h \ Y-w' -�b' z•-b' T Yam' { s-i YY to vRI cn tfm b to b �t \ Zip � y�ae i I N I IROM rlen IncaaAv bolt K EN I rime IV,pI c�rFr+b� M rx D"WR �.o� I ®�c r- 8b%\ / RR W/rx a _ _ 1 }lore';:MIND nMIlAce uo kE I i u, I Yx - - MAKE DY'jiluw Mc9ri/ 5 e'-a IAPlA( 9 ex c w y ® I \ I I I rx{al-li 16oc( r"WnRa�ns�io t- S IG' (I I WIG_\ G s'x a. I i1 J6, a-Al.Sras I Wfr'M W WXK WAY DE 14" _ I ^'1 orYxl #2 5\jp_&L FOR PC POW WZK U M TO E VATION r %vo vDVUWL TIP $ W.t, i • 7O{D d -e DE GLA TMMBW OR CaW ,P ypy 4VI aFn�` tlmE 5 ` Ir r Ab NNe V.or DU LLD m 5_F� -J, 4 [Al1M cN IS 54F 3'{IriD DFm Ham' { 9-b"I n R { Y-B" Yam' - HmE V:S-?rllbrt wD RAL y b D' RIYe Sh( '°e1 W/rx¢4 TOP R�L&rx{ ftiA �� " ' !I/rx 9 Vr MUM MR (t)rx a toR `" �j srtGe[W..rx 2\w Ell o1W51FR5_ 07OC ri4 ttm xa's PMa TYJIE W < # T_q" °� (-O' �9�•b' I Frx ix VM�IfY � 5 FEW TYfE IN (�V.Ir MR Fly +— o I _ _ �'�5 I g B + em ro m M.5 b ab Ma/ - - trx to vftm 1iiD P SL. -d �y IF-i ab tt��f I /j•« I F ria OR K FM L.W,&C.RE i (i)ri.r POA®FA BD r�,r o✓bK � I I I ri. -ALx r le �f ( bl Y{ I _ MV8RE5 tauTlaV ct=srax Pat&T I-$,per, �, e'pk4m RM id••P 1 T' ua ,I��(' PUryI:, a)�a ar,PAP rents I "�i e• ` rr d i i { 1 p W.° 'Y-o rs-r Ile { 'To V v-1' p+w PPS { s s nL wIiFDClu tirzDi �lo(p(oJs ELEVATION Y--J- (I TWO GA4Z GARAGE \ac MIR TO ads<E I �, I I I � rorD arc nE 7 04 ��� x- 3 ' fit b TMf Pat{PL." Wv.6�e F1IlL MLA I I `° $ I �1' I F L dE rbJb� P6a®Rr r ro FFts y b w °f u�Pr �5t vll ll paR�o i I h✓rg Pj ?P I l 1 aO�a 4 I DEDRM #3 °�.® ' xsmcoaHbowlFe IarlsrJc 4,0 1 , 9iue-.ti III sl N z: ca oFywca35 PPbdrrllkb�r: IeP�rPr�J+14��14e KITOHEN ELEVATIONS °? z1 �u�"'aTc�l'P ron m. - I teoc �N3q •Uz�t.r;�'P �/s-F-o� y i R r x le 0 j, a )rx�''HPR %µ 'r I r w :&-A'TM a •' !`.d'1 Wlllrbl•1 .w as ' Pu31 PNpll7rq (re TO RDbE) NOir2nH W wo FM I e w mm ABA .;rtP is Y a %4%on v b o { -- --�—�w a= { e a r d i-tr v T s• Yyd { { t I ";;. "^T��o�E 'x� time v `+ 'rig q I rx w WA cw calxt 3O PRS �9@ LlO rent QB� a 2 (8�T), or,02M 4)0 Aq-4 0 PA MD F 1- �I��r 1 i •�'.�.,_..t o 'r, p i i 1 �'. soE51 .l1 tlY/0rtd{caNfTS GDR Iffi 3 1 I, --r iJ, T n� tot a'rucwr FRAM wAr. rx i Co.-IC a K"P 1•-e Ii oG(Sr71 Id F ►G,M� o a U •t�pR' ® OIFfN PO.PCRQ19� Y Y' 4•� 2'-O' 6 1• Y-6• s'y ?Pb Rl N%Pit (�wm'f7 POD b 9flf((YP) 4 { {DRIGK ld-{ W-{ i-T Id-r 7-? {DR1CK fIRORAlS Dmtl S{TS PGO,O r OPT f5 AT ENTRY PLAN FLOOR PLAN LVM6 AFEA:(ego Nam vk a r—a AX-93304 V{-f-.e &AgAEF; 04 6ql r- FILE# 93304 DATE:09-22-93 REV:00=U0-00 JEROLD L. AXELROD, 66 HARNED ROAD r SHEET # DWN: MS &AS90MM Ail. P:G COMMACK, N.Y. 11725 MULIBENMY E 58 4 Cr 5 CHKD: JA AI CHnWM / P ANII M (516) 864— 4411 SOIL TEST ' P 1O �- ; . TOP OFF 20 FT. MINIMUM FROM CELLAR j 75 FOUNDATION PRIL 22 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE DATE OF SOIL TEST A---- 2003 -'------ ` ELEV. = ,101160_ 10 FT. MINIMUM CLEAN SAND SOIL TEST DONE BY SWEETSER ENGINE'EILING WITNESSED BY _D._aT_NTQN CONCRETE INSPECTION PORT GONERS 4" SCHEDULE 40 PVC PIPE LOAM AND SEED OBSMVATION HOLE 'I ELEV.=_ 99.30 OBSERVATION HOLE 2 ELEV.=__s9,30 MIN. PITCH 1/8" PER FT. PERCOLATION RATE _,� MIN./INCH AT __�Q_ INCHES PERCOLATION RATE <__2� MIN./INCH IN C HORIZON 2 LAYER OF 1/8" TO 1/2" DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER WASHED STONE 4" CAST IRON PIPE " 99.80 MAX. VENT 0-10 O/E MEDIUM SAND 10YR6/1 NO ROOTS 0-8 O/E MEDIUM SAND 10YR5/1 NO ROOTS 4.00 97.55 MIN. NOT REQUIRED PITCH EQUAL)/4"" PER 1 FT� ~ z 10-36 B LOAMY SAND 10YR5/8 ROOTS 8-26 B LOAMY SAND 7.5YR5/6 ROOTS 36-120 C MEDIUM SAND 10YR7 4 FLOW LINE gg,80 rn / 26-132 C MEDIUM SAND 10YR7/4 ELEV. _ 97.60 10„ Al-_.,. -T'MIN. LL o c ELEV. = 97.06 �vEL � �ELEV. = 97�31_ GAS 6S PLEV. = _96_43_ o _ 15=4 _ o ELEV. _ $5.47 BAFFLE ELEV. _ _96.70 U DISTRIBUTION ELEV. LIQPUID OUTLET �r 4 HIGH ,CAPACITY INFILTRATORS WITH OX -��=+�Q- STONE IN AN (TO BE PLACED ON FIRM BASE) 4 FEET 14 INCHES TO BE WATER TESTED 11' X 36' X 10" TRENCH FORMATION 7.17 5 FEET 19 INCHES IF MORE THAN ONE OUTLET •t 6 FEET 24 INCHES 150 GALLON NO WATER ENCOUNTERED AT _�"_ ELEV. _ $9„3p NO WATER ENCOUNTERED AT NO ELEV. 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE} SOIL' ABSORPTION WELL N A 8 FEET 34 INCHES SEPTIC TANK C �+ ZONE 3/4" TO 1 1/2" CLEAN SYSTEM (SAS) INDEX DOUBLE WASHED STONE ADJUST FREE OF FINES & SILT DESIGN CALCULATIONS �n USGS PROBABLE WATER TABLE ELEV. ._ NUMBER OF BEDROOMS 3_�` SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE { / / } ELEV. _ �� _ GARBAGE DISPOSAL UNIT _CVO NOT TO SCALE TOTAL ESTIMATED FLOW BOTTOM OF TEST HOLE ELEV. �88, Q_ LEGEND: EXISTING SPOT ELEVATION XO.O 110 GAL/BR./DAY X 3 6R.) 4_ GAL./DAY EXISTING CONTOUR ----OO- --_ REQUIRED SEPTIC TANK CAPACITY __6_6Q GAL. FINAL SPOT ELEVATION 0.0 ACTUAL SIZE OF.SEPTIC TANK _150 GAL. FINAL CONTOUR SOIL CLASSIFICATION SOIL TEST LOCATION ' DESIGN PERCOLATION RATE < 5 MIN./IN. EFFLUENT LOADING RATE _Q,7f_'GAL,/DAY/S.F. UTILITY POLE TOWN WATER -W wmm===m= LEACHING :AREA 474.33 SQ. FT. (11X36)+(47X2X1O/12) CATCH BASIN LO f LEACHING CAPACITY (AREA X RATE) -35tQQ GAL./DAY GAS LINE -- -G 474.33 X 0.74 CESSPOOL P RESERVE LEACHING CAPACITY M1.0- GAL./DAY CLEANOUT NOTES: ' (i00)' f� 1 TES' � 1. ALL WORKMANSHIP AND-MATERIALS SHALL CONFORM TO D.E.P, TITLE 5 AND THE TOWN'S RULES AND REGULATIONS FOR a THE SUBSURFACE DISPOSAL OF SEWAGE. /X ' 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO 10(1.0 '�\ '�• ��� WITHIN '6" OF FINISHED GRADE. f. 5P 3..ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF . � WITHSTANDING H-iO IOAD{NG UNLESS THEY ARE UNDER OR:.WITHIN D. BOXY` "' �� 10 FT, OF DRIVES OR "PARKING AREAS. H-20 LOADING SHALL BE ti �\ a USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE' MORTARED IN PLACE. \ .; vy yr' \// • SOIL ` `LIMITrOF - 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR.;ZONING REGULATIONS. OWNER / APPLICANT IS TO / EST 2 5 OVERDID OBTAIN SUCH DETERMINATION ;FROM :APPROPRIATE AUTHORITY. '. 10 / 4'> 6. UTILITIES SHOWN ARE.APPROXIMATE ONLY, EXCAVATION CONTRACTOR C� IS TO CALL "DIG-SAFE" AT 1-888-344--7233 AT LEAST 72`HOURS 1500 GALLON ram- PRIOR TO COMMENCING WORK ON SITE. SEPTIC TANK 4 7. CONTRACTOR,IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS x 98. SITE CONDITIONS PRIOR TO COMMENCING WORK ON ,.SITE. ANY VARIATION IS TO BE $ROUGHT_TO THE ATTENTION OF THE DESIGN ENGINEER x 10 ` y`i. IMMEDIATELY, x� \ �'I• B. PARCEL 1S IN FLOOD ZONE G s? \ 9. LOT IS SHOWN ON ASSESSORS MAP _: 47 AS PARCEL 7 ___. \ 10. ALL ;UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND FOR; A u _ _.... MINIMUM OF 5' AROUND SOIL ABSORPTION SYSTEM AND BE REPLACED LOT 29 r, WITH SAND AS SPECIFIED IN 310 CMR 15.255:{3}. ; -' AREA 20, IJO �- S.f. S 0. 98.7 J 1 cow, bawD EZFYAJJL6V= JGYAOY) \ .,,,., „� / �r���/ s�i�. ,,:r, e '.` . .� T A. At DUMAS 100.0 APPROVED: BOARD OF HE Lim 100.0 Roiw3` apt p 98.2 9-4.2/ / / / / x 84.5 DATE AGENT PROPOSED SEPTIC DESIGN � � FOR RONALD ANDERSO ' LO T G ASPTN. SA,MADRU. S RD. A 99.7 RABLE VARY . COTUTT 7 \ x 99.ry /, �� 235 GREAT WESTERN ROAD R 508- O. BOX ,7 3 f91. I �� ���s f� �. 398-3922 SOUTH DENNIS, MASS. 02660 / // locus DATE DATE APR23, 2023 sGALE 1 " 20' k,95.i 4.3 � REVISED JOS NO. H4t2'y.. ..ww...r.rw.. - LOCATION \�fA� REVISED _:_....�.,....,...._..._. -,L s I Y I SHEET 1 F 1 FB_193 C. 58 )'ROd ,5641-0© dw 5641•-OO.DWG 02003 SWEETSER ENGINEERING 'h TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR SOIL TEST P 109475 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE DATE OF SOIL TEST APRIL 22,_2003,�_ ELEV. = 101.60 10 FT. MINIMUM CLEAN SAND SOIL TEST:DONE BY SWEETSER-ENGINEERING - CONCRETE WITNESSED BY _`Q_5_j N.I4h!- COVERS INSPECTION PORT 4" SCHEDULE 40 PVC PIPE LOAM AND SEED 0113SMA110N HOLE 1 ELEV.= 99.30 OBSMVA71ON HOLE 2 ELEV.=_ 99.30 MIN. PITCH 1/8" PER FT. 2" LAYER PERCOLATION RATE __<_�2 MIN JINCH AT ___&Q INCHES PERCOLATION RATE <.„_, _ MIN,jINCH IN G HORIZON OF 1 j8" TO 1/2" DEPTH HORIZ TEXTURE COLOR MOTT.- OTHER DEPTH HORIZ >TEXTURE COLOR MOTT, OTHER A ., WASHED STONE , " " 99.80 MAX. VENT 4.00 4 CAST IRON PIPE VE 0 10 OjE MEDIUM SAND 10YR6j1 NO ROOTS 0-8 O/E MEDIUM SAND 10YR5 1 N0 ROOTS (OR EQUAL) MINIMUM 97.55 MIN. NOT REQUIRED / PITCH 1/4" PER FT. z 10-36 B LOAMY SAND 10YR5/8' ROOTS ~ C'B-26 B LOAMY SAND 7.5YR5 6 ROOTS / FLOW LINE a, 36-120 C MEDIUM SAND 10YR7/4 26-�132 C MEDIUM SAND 10YR7/4 96.80 ELEV. = 97.60 10" ------ -T M I N. 0„ ELEV. �97_06_ LEVEL ° 'Q c t0" ° _ 6" SUMP ° �� �._.,� � �� ELEV. - _95�47 , ELEV. - _97.31_ GAS ELEV. = _96.70 ELEV. _ _96.43 BAFFLE DISTRIBUTION ELEV. _ LIQUID OUTLET ,,� �. r:$�'Q_ 4 HIGH CAPACITY INFILTRATORS WITH .DEPTH TFE 4 FEET 14 INCHES (TO BE PLACED ON FIRM BASE) TO BE ® TESTED STONE N AN 5 FEET 19`INCHES IF MORE THAN ONE OUTLET 11 X 36 X 10 TRENCH FORMATION . 6_FEET 24 INCHES 1500 GALLON 7 FEET 29 INCHES n T (TO BE PLACED ON FIRM BASE) SOIL ABSORPTION WELL N A NO WATER ENCOUNTERED AT �.,2Q"_. ELEV. _ -- 39.;f0 NO WATER ENCOUNTERED AT _._.I�I� ELEV. 8 FEET 34 INCHES SEPTIC TANK 3j4" TO 1 1 j2" CLEAN ZONE INDEX DOUBLE WASHED STONE SYSTEM (SAS) ADJUST FREE OF FINES & SILT DESIGN CALCULATIONS USGS PROBABLE WATER TABLE ELEV. = yM __ NUMBER OF BEDROOMS C , AL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. _ _ GARBAGE DISPOSAL UNIT- NO SEWAGE DISPOSAL LEGEc NO'f TO SCALE BOTTOM OF TEST:HOLE ELEV. _ �; TOTAL ESTIMATED FLOW EXISTING SPOT ELEVATION xO.O ( 110 GAL./SR./DAY X 3 .SR.} . ,3,'�Q_ GAL./DAY REQUIRED SEPTIC TANK CAPACITY _:.SI�Q_ GAL., EXISTING CONTOUR ----00---�- ACTUAL SIZE OF SEPTIC TANK __1500'GAL. FINAL SPOT ELEVATION SOIL CLASSIFICATION FINAL CONTOUR OO DESIGN PERCOLATION .RATE <�_r MIN. 1N. SOIL TEST LOCATION - / �i EFFLUENT LOADING RATE _Q1-4 GAL./DAY/S.F. UTILITY POLE LEACHING AREA #74.33 SO. FT. TOWN WATER -WW _ __ I � (11 X36)-F(47X2X10/1 z) CATCH BASINS f LEACHING CAPACITY AREA X RATE) GAL. AY GAS LINE C G '" 474.33 X'0.74 CESSPOOL `...:' RESERVE LEACHING CAPACITY 35t QQ`GAL./DAY CLEANOUT -----c' C.O. /� �4a S'QIL NOTES: (100)­ TEsy"1 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO Q.E.P. TITLE 5 AND THE TO WN'S RULES:AND REGULATIONS FOR X�, a •' p �� THE SUBSURFACE DISPOSAL OF SEWAGE. p, 2. ALL COVERS TO SANITARY UNITS S14ALL BE BROUGHT TO 106.0 �� � � WITHIN 6" OF FINISHED GRADE. _�\ 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR -WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE 6 Q D. BOX USED UNDER=OR WITHIN 10 FT. OF DRIVES OR 'PARKING AREAS. 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. " 5.<NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH � SOIL ti' / `*.LIMIT OF ' �. DEEDED OR ,ZONING REGULATIONS. OWNER / APPLICANT IS TO ,ST 2 5 OVERDIG OBTAIN SUCH DETERMINATION �'RC7M APPROPRIATE,AUTHORITY. 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR . j IS TO CALL "DIG-SAFE" AT 1�-888-344-�7233 iAT,LEAST 72 HOURS' 1500 GALLON �'� PRIOR, TO COMMENCING WORK ON SITE. SEPTIC TANK 7. CONTRACTOR'IS TO -VERIFY GRADESN AND ELEVATIONS AS WELL AS x 98: SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE ,DESIGN ENGINEER IMMEDIATELY. 10 8. PARCEL IS IN FLOOD ZONE 9, LOT IS SHOWN ON ASSESSORS.MAP _ � AS PARCEL _ 7 _ \ 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND FOR: \ _ A MINIMUM OF 5'.AROUND SOIL ABSORPTION SYSTEM AND BE REPLACED -, o LOT 29 WITH SAND AS SPECIFIED 1N 310 CMR 15.255:(3). A� AREA 20, 130 f S.F. \ \ Cj� x 98.7 .» \ r \ Bam MWAS p BOARD /� HEALTH A � s c t$ 6�f / x v APPR4�I�ED: LIAR® Q EAT 100.0 \ x 100.7 1S4 / n i 9 .2j I / / // r 84.5q ..DATE AGENT PROPOSED SEPTIC DESIGN FOR N ESN . ', T :29,` CAP N. SAMABRU ' RD. 0. 99.7 / // // // �� i c�P BARNST ICE¢ . 10 f cohort {� 'EE'?'SEI' E11rJ. ' s 235 GREAT WESTERN ROAD 7 / " ss / 1 �s "a �� 508 P. 0. BOX 713 �X 91. �5`PGs. � 398--3922 SOUTH DENNIS, MASS. Q2F6t) DATE SCALE APR 23, 2( �3 1 = 20 r 1�P L /s 27 Pe REVISED JOB NO641 DD � 92.4 9411 LOCATION MAP REVISED SHEET 1 OF l - -93.5 fB9_193 C: TSB PRO✓ 5641-00 dw 5641-OO,DI4G,C2003 SWEETSER ENGINEERING Large Format Box-#- . ` . . D o-e # Irnage9 OATA i