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HomeMy WebLinkAbout0048 EASTWOOD LANE - Health 48 Ea twood' Lane Co ult h =025 — 038 �I s %lip 5�r�f 4s Ea�� �� Dh F3MARNSTABLE LOC .,..0 v .�j' LJ , z _ S�E # �� � N�'LI AGE. C 0 , ASSESSOR'S MAP & LOT - Q INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: ( ) < (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: t �'o� COMPLIANCE-DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist .<•+ within 300 feet of leaching facility) Feet Furnished by :JJ— d 61 , - , ' TOWN OF BHRNS'FABLE .f�:TION / O FASrw o l /4-,k SEWAGE # w LAGE C 61�t _ ASSESSOR'S MAP & LOT Oo1S O3F� Il<1STA?LER'S NAME&PHONE NO. SEPTIC "TANK CAPAC=. �/000 LEACHING FACILTT�: (type) i" ► x�J (size) S ' NO. OF BEDROOMS BUILDER OR OWNER PERIvL'T DATE; DATE: Separation Distance Between the: Maximum Adjusted GroundwafF Tab to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachis gg facility) T Feet Furnished by ow 13 A- 6 a 3 a a� 3a 3 N� aq No . t Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for Oigo$Af *paem Construction Permit Application for a Permit to Construct( )R pair Upgrade( )Abandon( ) El Complete System Individual Components Location Address or Lot No. D Owner's Name,Address and Tel.No. Assessor's Map/Parcel clij-ry 1-T Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.N . s I - 79Cp(o Type of Building: Dwelling No. of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(,CIA Other Type of Building ��t No.of Persons 4 Showers( ✓) Cafeteria(�/) Other Fixtures LA U 4Tro It Yam.- k,-r -kr cA S tnl l—_ , LAvnIDity Design Flow 3'�O gallons per day. Calculated daily flow_ �t-50 gallons. Plan Date )�T�•�Number of sheets\ I Revision Date Title Size of Septic Tank g4ST. I.fin s2► x. ype of S.A.S. vr- !N r-i LT&4MkS ' ro Description of Sod; x _rmnCIn Nature of Repairs or Alterations(Answer when applicable) A0 P&w, Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee is Boaz�of � �- Signe n Date ` Application Approved by O Date Application Disapproved for the following reaso s Permit No. Date Issued F +� �No a�� it" Fee ` THE COMMONWEALTH OF MASSACHUSETTS Enteredin-computer: PUBLIC HEALTH DIVISION= TOWN OF BARNSTABLEs MASSACHUSETTS Yes -- Zipprication for Bigpogal *pgtem Conaruction Permit Application for a Permit to Construct( )Repair, � )Upgrade( )Abandon( ) O Complete System �Xindividual Components Location Address or Lot No. 4 Owner's Name,Address and Tel.No. Assessor's Map/Parcel 1 Q��� '� 1 ` �iU Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms ) Lot Size Q 1 . n(,, ) sq.ft. Garbage Grinder(1,)p) } Other Type of Building Pont No.of Persons Showers( ✓) Cafeteria(�/) Other Fixtures ! rl,rn-r„��_I, •T�l'r ,.} � ,.1k= (_��,ntii�s�,� 1 " Design Flow gallons per day. Calculated daily flow s I .-50 gallons Plan Date I h I 1� I r Number of sheets Revision Date, T, p Title c ��_ N �r Size of Septic Tank ny�n.n\ . Type of S.A.S. _ iN Ft LTA.A To Description of Soil �a�_,- �-�r� X Nature of Repairs or Alterations(Answer when applicable) _-RoGr A) pr,� '- - • t Date last inspected: t Agreement: t 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 beenjsW-d-hy this Board of Hea• n, Signed /X4 A Date V Application Approved by '�� v i110 r f/!� /.C_.-_ Date Application Disapproved for the following reaso 5 l Permit No. ..- Date Issued V � ����..�..._.z 9.. - >... ,.. •...._—-��.;,-�_�.� c ...ems_ - ® ..®.� .� -. .® - _:d-.. •...._:..-, ...._:.....-'___;_�._e._ _. a. �.�r�. -.ae�:e� .tea.. —.. -•�. ' ,,. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,'MASSACHUSETTS Certif irate of Compliance THIS IS TO CER ttathe On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded(�-- Abandoned( )by n �CS . at G_ _ 4Y b V' has beqD constructed in accordance with the provisions of Title 5 and the for Dispose System Construction Permit No Y) �dated /6`/ ` /S Installer Q>n -fo_ ' Designer � The issuance of this permit shall not be construed as a guarantee that the sys eV- 1Diu-n1allonasdesigned. Date 3 Inspek� . . No. A ��J�� ------------------------Fee •--"""_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Zigpont *pgtem Congtruction Verna Permission is hereby granted to Construct( )Repair( )U grade(--)Abandon( I) System located at S^tz°.i�l 01 V I 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: Cons cti n mu be completed within three years of the date of this pe Date:__ Approved by / , i 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I Ctn19'tAtt4 P�"Pjq hereby, certify that the engineered plan signed by me dated I t-,S , concerning the property located at COTU 1T meets. all of the following criteria: • This failed system is connected to a residential dwelling only. There.are.no commercial or . business uses associated with the.dwelling. • The soil is.classified as.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or.may conduct deep test holes and percolation tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variance's requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Friinptor method when applicable] Please complete the following: , A) Top of Ground Surface Elevation(using GIS information) 0. B) G.W. Elevation 3LT_+adjustment for high G.W. 39 DIFFERENCE BETWEEN A and B 4.I, ID SIGNED : DATE: a5 NOTICE Based upon the above information-,a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. qAsepnc\percexemp.doe �70-e ) 10-15 Town of Barnstable °OHE t°"y Regulatory Services ��• Thomas F. Geiler,Director �A , ► � Public Health Division Thomas McKean,Director .200 Main Street,Hyannis,MA 02601 , Office: 508-862-4644 Fax: 508-790-6304 Installer& DesiLyner Certification Form Date: 0 Designer: Shay Environmental Services, Inc. , Installer: iGa 'C Address:. P.O. Box 627 Address: East Falmouth, MA 02536 On s ( C��eC '3 C_ was issued a permit to install a (da e) (installer) septic system at tT based on a design drawn by (address) ShayEnvironmental nvironmental Services, Inc. dated LD (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed Mth,.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. -�N oF'Af4 ss CARMEN er's Sign e) o E. 0 SHAY co No. 1181 � a �G/STERFi sANI TAR�P� Designer's Signa e) Istamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION: CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:HealtWseptic/Designer Certification Form °F THE tp� Town of Barnstable BARNSTABLE, * g Regulator Services 9 MASS 1639. 10 Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 1, 2005 Ms Lynn Garcia 48 Eastwood Lane Cotuit, MA 02635 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 48 Eastwood Lane, Cotuit, MA was inspected on August 91h 2005 by James M. Ford, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has "Failed"under guidelines of 1995 TITLE 5 (310 CMR 15.00) DUE TO THE FOLLOWING: There were signs of hydraulic failure. You have two years from the date of the system inspection to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH DEPARTMENT COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 48 Eastwood Lane Cotuit, MA 02635 Owner's Name: Lynn Garcia Owner's Address: Date of Inspection: August 9. 2005 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford s Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 1 Telephone Number: (508) 862-9400 `h < t� CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported-tv below is true,accurate and complete as of the time of the inspection. The inspection was performed €ased on=my training and experience in the proper function and maintenance of on site sewage disposal systems. l am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: rT: Passes Conditionally Passes Ne s Further Evaluation by the Local Approving Authority ✓ Fai s Inspector's Signature: Date: August 13, 2005 The system inspector shall sub i a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 r } Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 48 Eastwood Lane Cotuit, MA Owner: Lynn Garcia Date of Inspection: August 9, 2005 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: 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. Answer yes,no or not determined(Y,N,ND)in the 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. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 48 Eastwood Lane Cotuit. MA Owner: Lynn Garcia Date of Inspection: August 9, 2005 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 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 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,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 48 Eastwood Lane Cotuit. MA Owner: Lynn Garcia Date of Inspection: August 9. 2005 D. System Failure Criteria applicable to all systems: You must indicate either"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 %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 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 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,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd- You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 48 Eastwood Lane Cotuit, MA Owner: Lynn Garcia Date of Inspection: August 9. 2005 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ _ Pumping information was provided by the owner, occupant, or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ _ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of-liquid,depth of sludge and depth of scum? ✓ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ _ 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(3)(b)]. 5 I Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 48 Eastwood Lane Cotuit, MA Owner: Lynn Garcia Date of Inspection: August 9, 2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 Number of current residents: 3 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary.waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: The system was pumped after the inspection for maintenance Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: 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) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Ori final tank installed in 1977: a new pit was installed in 1993-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 48 Eastwood Lane Cotuit, MA Owner: Lynn Garcia Date of Inspection: August 9, 2005 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron 40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 16" Material of construction: ✓ concrete _metal _fiberglass _polyethylene other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 ag 1 Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 8" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring 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.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage The tank was_pumped after the inspection for maintenance. The inlet cover was under the deck. GREASE TRAP: None (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(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 48 Eastwood Lane Cotuit. MA Owner: Lynn Garcia Date of Inspection: August 9. 2005 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches;etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The liquid level was normal. PUMP CHAMBER: None (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.): 8 f Page 9 of 11 ' l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 48 Eastwood Lane Cotuit, MA Owner: Lynn Garcia Date of Inspection: August 9, 2005 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 -6'x 6'(1000 gal., leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding;damp soil,condition of vegetation,etc.): The leach pit had 5.5'of liquid on the bottom. The scum line was up to the pipe. There were signs ojpast failure. The bottom to grade was 9.5. The cover was 10"below grade. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (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.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 48 Eastwood Lane Cotuit, MA Owner: Lynn Garcia Date of Inspection: August 9, 2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate w"here public water supply enters the building. BAck 13 7,A (Note 4W ' s � /A B a ac� 3a 3 (-Aa aq 10 Page 11 of I . OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 48 Eastwood Lane Cotuit, MA Owner: Lynn Garcia Date of Inspection: August 9, 2005 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 50+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps, the maps were showing pproximately 50'+/-to ground water at this site. This report has been prepared and the system inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied,relating to the system, the inspection and/or this report. 11 G � TOWN OF BARNSTABLE LOCATIONSEWAGE # � .Cf VILLAGE 'I _ �F o LLAGE �_J7-a i't ASSESSORS MAP & LOT INSTALLER'S NAME & PHONE NO. J(ji ar& SEPTIC-TANK CAPACITY 400,0 LEACHING FACILITY:(type) /!- (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNERa`;��r DATE PERMIT ISSUED: DATE. COMPLIANCE ISSUED: VARIANCE GRANTED: Yes ;No ., x ���;, ` :� -. ., _ _ � - � `r � N 4J G �� f .. � ���- ��-S`1-��..fa-act �'-"� � �C1' si No...... Fax.. ... THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH C.•,rtservation TOWN OF BARNSTABLE fined—. �lt 1Tr utfna1arks Tomitrr#innPrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: QP0 - gas- P__� ............................................_,L Location-Address or Lot No. --•---- Owner Address l ,�c_C.kJA----•-•-•-•.............................. .... n cXz ... 21..7r...1�!L4 JGp Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...............3...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures .-----•------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_fps?�A..galIons Length_a_`.a``.____ Width_..5__'b'_----- Diameter................ Depth.............. x Disposal Trench-- No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------._- ....... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ ,.� Test Pit No. I................minutes per inch Depth of Test Pit.................._. Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .....-•--•------•---••-•••---•--•---••-•-••-•-•----•-••----••••--•••-•--•-•-•--------•....................................................................... 0 Description of Soil........................................................................................................................................................................ x W -- UNature of Repairs or Alterations—Answer when applicable._. ..............ki.C.C"5........Q��CRW... '...... .. �ts..-4w ....... ,JA................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by the board of health. Signed ...... . .. .................... .$(... 3..........:...... ce Application Approved By .................. ��- .,)........................................_.... ....-...................... ..G..-..' Application Disapproved for the following reasons: _... ......... .......................... . . ............................................................................ ----- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------- ' Date Permit No. ...------.q.43.....3v.. ---_---------.- Issued .......... ..'. �6...'.���.................... Date ,,ate>.. � ..�..,;:.r...r .'..'�'^"'_.--�.,•..y.....�-v...•�.-�,......_�.....�.ir..y.6wi�".'.."..,,�:.:t�;t'd..�...r+w.:..o-....-v.....:tv��.».Cc..-r`-�:`w...:i#.....' •��.�it2"L.^.•zrrc�' �it'..`..��.�..�i`-trv��s�lt""""R'ir cc�� I 4V No...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE APPltrtt#tun for 13wpuual Wurbi Towitrnr#tun pamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - - Location-Address or Lot No. ..� -J.../4 C(..t..'y................................................... �G dt...Q_........................._•_..__._..._...._._..............__........- .... Owner Address � � f ..=-e J,�C<.C_ JA.......................................... �_t X JN 1/l t J t .....................L... --....._...---...............-----•--.......------•-- Installer Address UType of Building Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms------------__ ____________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fixtures -----------------------------------••------•-•-•----. W Dlesign Flow............................................gallons per person per day. Total daily flow............................................gallons. C4 Septic Tank—Liquid capacitv_l. _--..gallons Length_�_`t?"-._.. Width........o...... Diameter................ Depth................ Disposal Trench--No. ............... Width-------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.' Z Other Distribution box ( ) Dosing tank ( ') Percolation Test Results Performed by.......................................................................... Date........................................ 1 1.4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 -----------------------------------•---------------•-----...---------.....--•-•-•------•----•--...........-•------•-----•---•--........---........----•-.---- 0 Description of Soil........................................................................................................................................................................ W ---•--• -------•----------------•-----•----•----••-•-•----•----------•-------••'------••------•------••-----•--------•-------...•••-----•---....------•-•-----•--•--------------........--•----•.._-- U =Nature of Repairs or Alterations—Answer when applicable.......... tn. ,_�A.�r------------- ........51 J P 1. . ...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ...... ... - _--------------------------------------------------------------- .'.(/..--------------------- / ce Application Approved By ................... .P. _ � . � .... ...lam..-. _: ..r.. ... .. �............................................................................ Application Disapproved for the following reasons: ...... .................... . .. ...................... ... ..-.......................... . . ..................... ................ . . .. . ................................................................................................................................... . .................................-- Date Permit No. .. ..-- /f ................. Issued .........../.. .... .'.� Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#ifi ate of C�ontplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( V ) or Repaired ( ) 'J t Q h,t;die. at ------------------ 16-------.r,,..... _,Tv4 ._/.. �!. r � .�Lf.-.... - - � .A _...... - has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -.---- . .-3 .5�—.......... dated ..........................--------------_.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE a SYSTEM WILL FUNCTION SATISFACTORY. r; d 1 DATE...._....._...... n.l... .......1..._.,1... ..........._....... Inspector . V_.. .._.... ....................... . ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �tu�nuttl urk� �un�#r�r#uan �rrtni# Permission is hereby granted ,���.....,(?` ��.�^- � !�,ri'----....-•---------------------------•---------------................ W to Construct ( ) or Repair ( ) an Individual Sewage Dispo M System atNo.......... j .-A.=(` ............. 'v = --------- street cam, ..-., as shown on the application for Disposal Works Construction Permit No._/.'53:�,a_ Dated...................... ��..:... ,z..... Board of Hcalth DATE !' ...-Y ---------------------------•-•-- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS L0: AT10 C�(N � 7� SEWAGE PERMIT . N0. - VILLAGE I N S T A LLER'S NAME & -ADDRESS BUILDER OR OWNER_. c. DATE PERMIT ISSUED � 7 -7 DAT E COMPLIANCE ISSUED f 13a�f . 13 L. Ss r No........ ����__•__• J vim ..Fia.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® E HEALTH T ... ........._.OF.--...',�- .c`F.?...S .AyJ. ....... ............................. Apparation -fur Ui-qpuiittl Workii Tow5trurtion j rruiit Application is hereby made for a Permit to Construct ( G) or Repair ( ) an Individual Sewage Disposal System Jat: :... --- Lot Location-Add ss � Lot 1�/°'' / / l _llP_ .L2__ ?.^4�!1_f..._o�S_C2_�'...............y1 --__ d�`....... _ --_-_-_-4rPR,4 =7s'9.�14__..__--•_•---- 11' r Owner Address Installer Address Type of Building Size Lot----------------------------Sq. feet �-, Dwelling—No. of Bedrooms____________________________________.----.Expansion Attic (�j�) Garbage Grinder per, Other—Type of Building -._ !�!c°�1:�?.�.. 1V'o. of persons-------------Cam_............ Showers ( ) — Cafeteria ( ) Otherfixtures ------- ------- ------•--•--••-•--•------------------------------•------.._.. kA W Design Flow--'-------------- -------------------gallons per person per day. Total daily flow-------3-a_�--_-----.--------------gallons. WSeptic Tank—Liquid capacity�!Pr4� allons Length---------------- Width___-..__._--- Diameter---------------- Deptli.----------- O x Disposal Trench—No- -------------------- Width_______ ---------- Total Length-------------------- Total leaching area.-------------------sq. ft. Seepage Pit No---------I......... Diameter_-__ ... Depth below inlet_._}............... Total leaching areal ---------- ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by------- ----- -------- Date-­------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit._.-_-.--_---__--.. Depth to ground water... U--..-------------- (14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water......._________----__- - --- ------ f ` --------- -- ------- -- O Description of Soil------- `` F- y' " `� •--- �• ,1 w ' - --------------- --------------- - - ----- x •--------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- v Nature of Repairs or Alterations—Answer when applicable._.--------------------------------------------------------------------------------------------. ------ ---------------•--•-----------------------------------------------•----------------------•---------------•----•-------------=------------------------------------------------•------ Agreement: ---f The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the b and of health. a,— ------ZA, /ate Application Approved By----- .4441,E----- --------------- -----'-1.2--7- •�-- Application Disapproved for the following reasons:-------------------------------------------------------------------•------------------------Date-------------- Q -------------------------------------------------------------------------------------•------------------- ........ Date PermitNo........................................................... Issued...................... ................................. Date • it s �ti 1 a 40 THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F H&ALTH ...... .74,'�o.............OF_.... Xppiirtttion -for UiiipmialWorks' lark (non.0rttrtimtt Vamit Application.is hereby'made for a Permit to Construct ( 1) or Repair ( ) an Individual Sewage Disposal System at AV fiA ` .......... '•••' ............. ' .. ...... -- - ------------- -•---- 3 / Location- ... Add a �eK---- t N or ....... '1l_! �-----...---- 3.. .�P :. l .... � _ 1S.. ................ O Address ....... k .Installer Address UType of Building Size Lot..--_-_--__---------------Sq. feet �-, Dwelling—No. of Bedrooms.-_,_-�-------------'�-------_--_--.--_--___Expansion At c ( Garbage Grinder ( ! pa, Other—Type of Building ..-_�:�� ;_ _..:...: No. of ersons___________________ Pa p -.------- Showers ( ) — Cafeteria R� d Other fixtures . W Design Flow_-------------- -------_-•-......gallons per pet-son per day. Total daily flow---------,,,�`40- --_--__--__._.--__..gallons. 1:4 Septic Tank—Liquid capacity---e0O.Qallons Length---------------- Width----- .......... Diameter-------.-------- Depth---.----_------- xDisposal Trench—No.-------------------- Width/________ Total Length_---_--_----._.---.. Total leaching area--------------------sq. ft.. Seepage Pit No...........'....... Diameter._.___ - Depth below inlet...... ............. Total leahing< �-_--____-------sq. tt. z Other Distribution box (e,}, Dosing tank ( ) .,�,o ,y- d a Percolation Test Results Performed by--------- -----------------------------------------•------.---• ------ Date---------•----------- Test Pit No. 1________________minutes per in Depth of Test Pit_.---_----_---_----- Depth to ground water_._._,E -.--_-?� _. (J, Test Pit No. 2________________minutes per inch Depth of Test Pit.................... Depth to ground water------______-_----.... Description of Soil ��; �r�:" � _ " . --------------------------- ......... -- ------ ----------- -- -------- ------ -----­--------------- ---- --------. U Nature of Repairs or Alterations—Answer when applicable...----------------- -------------------- ------ Agreement: r . The undersigned agrees to install. the aforedescribed Individual Sewage Disposal System in accordance with ,the provisions of Article XI of the State Sanitary Code—The undersigned further agrees"not-to place the system in operation until a Certificate of Compliance has been issued;�by the P. o d of health. ' - -. s.... _. 'Si ed .. �' �o D e © Application Approved BY------ - = a —----z Date Application Disapproved for the following reasons:.. ................. :____--__---_---_---. _.-_Y.__ _-------_ _ ----•- -----------•-•-----------------------•-------------•------ Date PermitNo.............................. >_.:. Issued...................... .........._ - 5 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF' HEALTH W....:...! :..........O F:...... �� :........................................ Trrtifirttlr of Ti tttplittttrr 9 S IS Tha .Individual Sewage Disposal S stem constructed or Repaired?�4�RTIF ( ° ( ) --•- -- -------• ¢ W Installr a az at ---- -- s been installed in accordance with the provisions of Artic X of The State Sanitary Code as described in the plication for Disposal Works Construction Permit No------- -------- dated.........�I_'"' Z .�............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM ILL FUNCTION SATISFACTORY." r> ----------------•---• Inspector---- ------;`.------ w� DATE--- ------------- ------��---------------- ---------------------------'------ - -:- ------••----------- -. THE COMMONWEALTH OF MASSACHUSETTS. x�<..• BOARD QF HEALTH / ...to.�' ...fit...... ..OF........ p................................ to.... - FEE..... ✓ ... in ttiitt1 rhii, TTo itrurtitttt rrttttt Permission is herebyranted----------------- ------ '..•.._ .:_._. `_ _ g ----------------------------- ............... to Construct ( }'or epair ) an Indwidua Sewage Dispo System at ......................... = f a ........................... Street as shown on the application for Disposal Works Construction Permit N ed _-- / % -�" Board of Health "'"7-4 ------------ DATE.................. --c�•5��7--I-------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS LOT 15 160- (x) TEST IgOL E 33 s E XPANtua_ 1 Est„ A k e A T. PHv� MURRA14 Zrtlrc�ECT R r'S 1�•7 �4 LEAcw M' ?/ i 7 ��cISnN� lo'a�N ao,,�� 1 o �o�NL 1 ► 'yr 3.1 G1 O ?EST +gN t SEPTIC i3ox 1-4 o L F T TANK 1 - 3.5 SUBS�lL To $OTIII / PITS \.. AND CLAY LOT 1 � Q - E xlSf 3. S- 6 ' LIGk- ,ti� a ( boo " t , U-1ELL �' GRR`J E L o 1 G o•Oo ' G " !� ' C oRRsC- ` EKISTIN$ SAND W !:L L. LOT 17 :RLE 0. � F-20A/T i ti. Si DE rZF�i k? r F�20,a0 SE-D '� �BE-D�c'OoMS SE P T/C 5 y5 TEM CONS T2 UC T/ON SHA LL GONF02M TO .NA ss . DES/GN Fl-0W ELNE.✓V/�.2r EOn1M�En/T4 L CooW- Ti r,LZ Y L E A C I-/ e,4 TE a AJiN./ �lC( fiC,ARLL _ /n/CN TOP OF yEA L T.'-/ •QE C,lJL.A 7/0 A/S ,02 0,c7,0 S E D L EACAI A,2E A FO UNOAT -Sib ry i b E fiff fir a�i '. ' J -�r;+' ?•'.""`.,,� .T. ' p4 0O �t�SU��D> MANHOLE #G"o✓E� 7"O,M4 �X TEnID Tp Tp ,a2E✓ANT n/ES W/ Ts-!/N / OF F//�//5/q ED GA-'.A Dom, ,c/2On 1 /A/F/LT2.4 T/A16 )pey ""Co✓G 5 -� D/ST. STONE SRADE /2o I BOX I � Z/"rvIpG 9 % M;r; Mi.v. - 6..M,&J 4.. D/A TF.z Q Q? ~ MUn I 3"tiliN riGf+T FtOa✓ LINE Miv piTCN ',� �4"/FOOT /O'"Alin/ % Miw pi rc�i D/A. /4" 4"�Foo7 A �4 -� 2 -Y- l D DO M/nJ /� poor WASHED �4- - - /ivY�r ° Sr-O NE GALLO/�� /NVEZ7- �� y A[ L /AlVE.2T CA PA C/ TY AR0Un/O SE vT/G TA�/& E�EV 8 oTlaM OF CWATG 2T/GNT) /NI/E.QT */ (�"' piT /,vvr=A?r NO GA)28A6E G,e//vD�,E? � ', t c- -- — 20' M/NiMUA•q `-lam ✓ 6 , u ; SITE. PLA " L0CA7--/o/v C 0TQlT ((3ARNS�� ��� } M �2EFE2E/�lC� �fj/L,r.- LOT � `[ AS Sl�InL�ni TANA-� 4r,>/,S7-.Q/BU77/ON BOX F /, r;, f lc 7�A �• �5 our�Ers) An/,a LE.4C.W/,4,10 —/7- FO,� TO BE. of ,�E/�/F0.2CED COivC,2ET� Con/c'�2E TE ST,eE.VG7�J '5000 T�si M/N �E rl L E [re fu 1 r ( Rd N E ,wa - STEEL 20000 BY 20.,c.,E L Tip. }/Z-0,0 GQA�" wv �o �3'`� lam'✓/L L Ol.0 S T, �E T x•s;7:;;g�a VE WAY NOT TO BE LOCATED i'J j1 FORD �j� 0✓E2 5`�STEM UNLE 55 N- ZO NJ. r73 DES/GA/ L OA LD/A./G /S [/S,F-ZD. 4IN .a C>ATE 41E,4L77/ AGEw7- A ✓-4 - ....,.a:.,.,...� .,:�.,2..,.+a.. .. �'.� ,..-F,�. _... .i6M�•y.,L'ai-u .+AA,s.,...... ,. ...:.z�-- 'r _...i..;.. .v+:....%..-» �.;-,*pk. ..a.__ �;.,�✓ \`F:.`'�-.. -- 1 i VENT PIPE (® Least 24 Inches tall >C�AMiDA14Y4tdr �- *NOTE: AL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. Schedule 40 PVC w Chorcoai Odor�Filter SECTION A A ALL OUTLET PIPES FROM THE ; 10 min. from L / t o VIEWADDITION'_ O N DISTRIBUTION BOX SHALL BE Existing Foundation �"h. se to septic tank PROFILE I OF T LEACHING SYSTEM SET LEVEL FOR AT LEAST 2 FT. 12 CONCRETE COVER Septic tank covers must be D-BCX cover must be within 6 In. of finished grade within 6 in. of finished grade g y f.. . _ ",. . Grade oust Septic Tank - 98.50 Grade over.D-Box - 98.50 rode over SAS - 95.50 3" of 1/8" -•1/2'..Washed Peastone KNaCx OU TLET ' '^'• 2 3/4' to 1 1/2 Washed Crushed Stone / { ., ` / 5.5• 12. INLET S 0.02 3 HOLE H-20 4• PVC (CAPPED)INSPECTION PORT TO BE .. DIST. 80X 3' Maximum Cover T OF System- Elev..�95.25 INSTALLED AND TO BE WITHIN 6' OF GRADE �, / _ r O yg' EXIST. S-0.01 or Greater S- 0.010" per foot • •"�". , ' 2 � 4�E•M1�1M�lJl Asa s9x 4s#e EXIST. PIPE r^J Ln 1'000 GAL. a 30' 0" Effective Depth 15.5• 4" - SCH. 40 T.,/ L76 Y c i Cetan FROM EXIST. FOUNDATION at SEPTIC TANK c. C theAast ., H-20 oe.em. rn g PLAN SECTION CROSS-SECTION "° � CONCRETE FULL FOUNDATIO II aI 0.83' (10 inches > B 5 Units 2 6.25' = 30' rn u 3' 3' Id411tSA U e fs, Y� 6 kt.of 3/4•-1 1/2• 31.25 3 HOLE H-20 DISTRIBUTION BOX fig/ 8 ,r SYSTEM PROFILE compacted .ton. • Not to Scale c tl37,25 NOT TO SCALE 3.5' 3.5' 11 Effective Length k1 4;cc. +r`� saawrBa ,fbr'A _ JA_ -- 3 --( SOIL ABSORPTION SYSTEM (SAS) 6 in.of 3/4.-1 1/2" 0 10 GENERAL NOTES compacted stone 0 Effective width J INFILTATR❑R HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE -' 0 1. Contractor is responsible for Digsofe notification 0 5' PROVIDED m OR EQUIVALENT Not to Scale ( ) and protection of all underground utilities and pipes. t? Bottom of Test Hole 1 Elev.=86.00 NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT iS 10" 2. The septic tank ang, distribution box shall be set level on 6" 'of 3/4 -1 1/2" stone. Obs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED 3. Backf'ill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation PERCOLATION R C O LAT�0 N TEST by Carmen E. Shay - Environmental Services, Inc. C J 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: OCTOBER 13, 2005 and Local Regulations. Test Performed By: CARMEN E. SHAY, R.S. 6. If, during installation the contractor encounters any Results Witnessed By. WAIVER (per BARNSTABLE B.O.H.) soil conditions or site conditions that are different EXCAVATOR: Shay Environmental Services,lnc. from those shown on the soil log or in our design Percolation Rate: Less Than 2 MPI 0 48" ,9$ installation must halt & immediate notification be i made to Carmen E. Shay - Environmental Services, Inc. Test Hole Test Hole / 7. No vehicle or heavy machinery shall drive over the No. 1 No. 2 /�� TEST HOLE #1 135.00' septic system unless noted as H-20 septic components. DEPTH SOILS ELEV. DEPTH SOILS ELEV. f SHED ELEV.= 98.00 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. 0 Loamy 98.00 0 98.50 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. Loamy 37.25 10. All solid piping, tees & fittings shall be 4" diameter Sand Sand 96 TEST HOLE #2 Schedule 40 NSF PVC pipes with water tight joints. 10 Y 3/2 10 Y 3/2 ;fj� L`ar .., .i;�;,w,:j�t ' `>,• D-Box ELEV.= 98.50 11. Municipal Water is Connected to The Residence and Abutting A 98.00 i • • • • Properties Within 150 Feet. Loamy Loomy ��i4 .,1'M1;.1"1.�•.i9..�t „L�:wF;.i Sand Sand f2' / THE PROPERTY LINES ARE APPROXIMATE AND 10 YR 5/6 To YR 5/6 / COMPILED FROM THE SURVEY PLAN GENERATED BY 6"- 36" B" 95.00 6"- 40" Bw 95.25 GERRGE LOW, LAND SURVEYOR, ENTITLED Silt Silt "PLOT PLAN FOR LOT #16 EASTWOOD DRIVE, COTUIT, MA, Loam Loam DATED NOV. 16, 1973 and (PLAN BOOK 284, PAGE 42) 10 YR 8/6 10 YR 8/6 / & THE DEED DESCRIPTION ( BOOK 1346 PAGE 1056) 36'-48"1 C, 94.00 40"-48" c, 94.50 Failed // IT SHOULD BE USED FOR NO PURPOSE OTHER THAN Med. Mod. Leach Pit / THE SEPTIC SYSTEM INSTALLATION. Sand Sand ' PROJECT BENCH MARK 2.5 Y 7/4 2.5 Y 7/4 �/' TOP OF FOUNDATION EXISTING LEACH P!T TO EE PUMPED OUT AND FILLED IN PLACE 48"-144" C, 86.00 48"-144" Cz 86.50 i DECK ELEV. = 100.00 (ASSUtT1eCI) / NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE DECK _ - -- - _ FROM THE EXISTING LEACH.-PIT TO BE DISPOSED / OF AS PER BOARD OF HEALTH SPECIFICATIONS. / NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY / / 7JEXIST. it EXISTING GARAGE ASSESSORS MAP 25, C LOT 038 3 BEDROOM LEGEND HOUSE Perc #1 LOT #15 \ #48 DENOTES PROPOSED Depth to Perc: 48" to 66" \\\ /r' \\`9O 104X1 SPOT GRADE Perc Rote= Less Than 2 MPI Groundwater Not Observed \\� ,��� p LOT #17 X 104.46 DENOTES EXISTING No Observed ESHWT \ SPOT GRADE ADJUSTED H2O Elev. = None PL PROPERTY LINE ? 96P PROPOSED CONTOUR -Ex� ING -` LOT #16 - - - - - -97 EXISTING CONTOUR DRI ,-WAY \ 2t,600 Square Feet +/- DEEP TEST HOLE & 2-18" DIAM. ACCESS MANHOLES / a \` PERCOLATION TEST LOCATION 6 FOOT STOCKADE FENCE .'ter • ,� •"....'.'u•%'i:-'`i.'.`•�'a3u._'.',�`' •.r•:. /' / \���/ g \\ \ :I �• .�� b Cow / � �� \\ ', \ INLET / \ DU T P LOT PLAN _ • THE ACCESS COVERS FOR THE SEPTIC TANK, / / \ \ 11 DISTRIBUTION BOX AND LEACHING COMPONENT j /! 135.o o'SET DEEPER THAN 6 INCHES BELOW FINISHED ,_____________ _ _ OF PROPOSED SEPTIC SYSTEM UPGRADE ';J';+t';�..•�"„'�,•a^'^;;+'•�•(,;.;^ =',� r;• . / - GRADE SHALL BE RAISED TO WITHIN 6. OF -----_ ------ STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE. j -------- �` .\ PREPARED FOR PLAN VIEW INSTALL TUF-TITS GAS BAFFLES OR EQUALS MR . R 0 B E R T S T. O H N 3-24• REMOVABLE COVERS JLs�j S7 T' �® ®_D _D� T V Ej AT :t 4" _ .r . .��L/� #48 EASTWOOD LANE 3,min. clearance (40 FOOT RIGHT OF WAY) INLET 8" min»_j2" min. Inlet to outlet 6'min. 1'r INLET`r ' _L ,--�- Llq-Td level OUTLET C 0 T U I T, MA - 1C ti g' ''" -" g' -r Design Calculations r Et �,�,f, " 4'-0' min. PREPARED BY: bs Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) �\< Garbage Grinder: No o A N JPAIEN E A ll u A Y ,'" ''• ,• ,;� Leaching Capacity Proposed: 330 Gal./Day Iv�inimum (Min. Per Title V) o� `jc� r;' 4• ' �' •+••� '' Septic Tank - 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL. Septic Tank. 0 20 40 50 "6'-0" • 4' -To" " SHA NVIRONMENTAL SERVICES, INC. CROSS SECTION END-SECTION SOIL ABSORPTION AREA: Using percolation rate of Q min./inch o. 1 8 Bottom Area: 0.74 gal/sq. ft. x 300sq. ft. = 222.00 gallons o P.O. BOX 627 Sidewall Area: 0.74 gal./sq. ft. x 148 sq, ft. = 109.50 gallons �o/ Te EAST FALMOUTH MA 02536 TYPICAL 1000 GALLON SEPTIC TANK Providing: = 331.50 gallons „ s �TAR�P� , Use: (2) PRECAST 500-C UNITS, HAVING A 2 EFFECTIVE DEPTH, SCALE: 1 =20 TEL/FAX rJ08--53�-7g66 ' NOT To SCALE TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES AND SCALE: 1 "=20' DRAWN BY: CES DATE: OCTOBER 17, 2005 4' OF WASHED STONE ON THE ENDS. PROJECT#SD816 FILENAME: SD816PP.DWG SHEET 1 OF 1