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HomeMy WebLinkAbout0165 LEWIS POND ROAD - Health 165 Lewis Pond Road Cotuit — - A= 020-055 b I, III 42A 165 Lewis Pond Road Cotuit A= 020-055 j I i I i i I i I I �I No.10339 smead.com • Made in USA Health Master Detail Page 1 of 1 slyr�Y, '" ,!PaM ?a ' c`-!•f/t7'lydlT/rYlq/d .� w'.EdeS.�,,..... - .:y"r- . 3 Logged In AS: TOWN\health Heathit� ��1.I Master Detail Monday,January 9 2017 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 020-055 Location: 165 LEWIS POND ROAD,Cotuit Owner: HELMAN, JEFFREY& BLANTER, MARINA Business name: Business phone: Rental property: ❑ Deed restricted: ❑ Number of bedrooms : 0' Contaminant released: ElFuel storage tank permit: ❑ Save Parcel Changes L Return to Lookup Parcel Info Parcel ID: 020-055 Developer lot:LOT 23 Location:165 LEWIS POND ROAD Primary frontage: 156 Secondary road: Secondary frontage: village:Cotuit Fire district:COTUIT Town sewer exists at this address: No Road index:0888 Interactive map: PR µ Town zone of contribution:AP (Aquifer Protection Overlay.District) State zone of contribution:OUT Owner Info owner: HELMAN, JEFFREY& BLANTER; MARINA Go-owner: Streeti:34 COTTAGE STREET Street2: city:CAMBRIDGE State:MA zip: 02139 country: Deed date:8/20/2015 Deed reference:29087/98 Land Info Acres: 0.70. use: Single Fam MDL-01 zoning:RF Neighborhood: 0109 Topography: Rolling Road:,Paved Utilities:Public Water,Gas,Septic - Location:Lake/Pond Front,Water View Construction Info BuiHin N edr BWI Gross Area Uvin Are Bedrooms Bathrooms 1 1952 075 061 3 Bedroom 3 Full-0 Half 1 _. 1990 075 061 2 Bedroom 3'Full-0 Half Buildings value:$135,200.00 Extra features: $34,600.00 Land value: $277,100.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=020055 1/9/2017 04tjL) nsuuEuwv� J:;�,3v�tiiS� c�ce �., �ew Pm`r4r aa-) tam h� c:paTQ-4 �d, +, ;all rn�taY �fiz� a r TOWN OF BARNSTABLE *THE TO OFFICE OF »ST.n : BOARD OF HEALTH ■AM f639'M�1e' 367 MAIN STREET 0 Ri HYANNIS,MASS.02601 October 5, 1994 Elaine Giniewiez 165 Lewis Pond Road Cotuit, MA 02635 Dear Ms. Giniewiez: Thank you for appearing at the Board of Health meeting held on Tuesday'October 4, 1994. The Board of Health is in receipt of your letter on September 28, 1994 requesting permission to continue the use of your existing onsite sewage disposal system at 165 Lewis Pond Road, Cotuit. You stated that you decided to utilize a room on the main floor of the house instead of the basement as an office. You testified that the basement will not be utilized for habitation. The Board of Health believes the existing onsite sewage disposal system, with a design capacity of 549 gallons, would be of sufficient capacity for this proposed use. Therefore, no variances are needed and you are granted permission to utilize the existing onsite sewage disposal system. If, in the future, you wish to utilize the basement as an office or for other habitation uses, you shall first consult with the Health Department to d@termine what steps are necessary to comply with 310 CMR 15.00, the State Environmental Code, Title 5 and all Town of Barnstable Board of Health Regulations. Sincerely yours, oseph C. Snow, M.D. Acting Chairman Board of Health Town of Barnstable JCS/bcs cc: Ralph Crossen giniewicz4 a 1 r /N vm n� -TOWN OF,BARNSTABLE ' 4 F THE T } ;'OFFICE OF Z HA"STs>n i BOARD OF HEALTH.. i639- RFD MPY�•� - t : 36 7 MAIN STREET HYANNIS MASS:_026 0ta'" September 21, 1994 `� �� � - �, Elaine M. Giniewicz 41 ° 165 Lewis Pond Road Cotuit,MA 02635 , Dear Ms. Giniewicz. Your request to convert,a basement area into an office aat your„home located at 165 Lewis Pond Road, . ` E Cotuit,without first installing a second leaching pit was not granted: The Board of Health reviewed your request at the regularly scheduled meeting held"on September 20, 1994. You testified that there are three(3)bedrooms and a basement room existing in-the dwelling. You.- stated the basement room will be converted into an office where patientstclients will be seen. Y " The Board of Health requirements dated August•31, 1977; specifically states `.`a.1250 gallon septic`tank plus a distribution box and two 6 .x'°8ft. leaching pits::...Iis required at all single family dwellings consisting of four,bedrooms. Office rooms'.study rooms, dens, finished basements, sleeping lofts, and.: similar type rooms are considered as bedrooms according to the MA-Department-of Environmental Protection..: Your dwelling will contain three bedrooms and an office,:the;.office is considered.'as a` bedroom. .Therefore,two leaching pits are required. .'t 4. You shall hire a licensed septic installer`,to upgrade your septic,system before you:utilizeYthe;basement space as an office._A disposal works construction permit must be obtained at the Health Division Office, ; located at the 3 rd. floor,Town Hall, 367 Main Street,Hyannis. A_ J�s rely yours 'N x h C. row, D Acti g Chairmant- h Board of Health Town of Barnstable 4 w,. nrl bo i � t ry f.. _ y . a M1 4 9 ! r P " �.! et)•,}6 +��,e,•ffE ,y r "� -ti )' ,, J� r 4 , - n> n 3 gmiewicz 4 McKean Thomas From: McKean Thomas To: Geller Tom Subject: FW: Board of Health Meeting/Sept 20/Site Plan Issue Date: Monday, September 19, 1994 3:23PM The memo already sent to you below was corrected as follows: 100 gallon septic tank was changed to 1000 gallon septic tank. From: McKean Thomas To: Geller Tom Subject: Board of Health Meeting/Sept 20/Site Plan Issue Date: Monday, September 19, 1994 2:50PM As discussed during our site plan review meeting last week, there will be a Board of Health meeting on Tuesday September 20, 1994 at approximately 7:50 p.m. regarding the request to add an office at 165 Lewis Pond Road Cotuit, for your information. This is the property which contained three bedrooms and the applicant requested permission to convert a basement into an office room as discussed at the site plan review meeting. Presently, there is a 1000 gallon septic tank and a leaching pit. A second leaching pit is required for the fourth room (the proposed office) per the August 1977 Board of Health requirements. In 1990, Charles Mandell obtained a permit to construct an addition at this property-to add two rooms and a basement. At that time, Health Inspector Edward Barry was told the basement was not habitable. Therefore, due to the fact that only a total of three bedrooms would be constructed, only one leaching pit was installed and approved. This information was not presented to me at the site plan review meeting. , If you should have any comments regarding this issue, please give me a call. Thank you. Page 1 S Isn��� lcl � e �Plk�'Vl. q 3Cu`1`�.uti 1 p nbr� 1994 Ad � ���tb�loOl '� ''�"M°�cl - S �+ &fi-- ,-aoK cd-- q 4 -3 0a�o� aty � +MAO..- h �g�, J ��rrc h4,v /�,at,1,��LL.L►ltr_�r1.l �!1N� M1 Zoning District _ Old *King' s HighwaV District L 0--- or Listed in N atlonal and/or State Register of Historic Places Perimeter set backs+ Front Side Rear Lot Coverage _ Tupe of Use ( zoning) Flood Plain zone n Elevation Number of Floors Floor Area, 1st 2nd Other (Specify) \ c� Parking Requirements, Required Provided Handicapped Spaces Are there accessory buildings' 00 • Accessory Buildings Floor Area S t (Vi 5 i'!R S S�ZS? Q ' �c? CQtiQ i j PLEASE PROVIDE A BRIE ,I DESCRIPTION Of YOUR PROPOSf�D PROJECT. Ct.Cner i� C1 LiCk��iSrC C11 �� lo C Tf I i assert that I have completed ( thcaused to be eon tpletbacked) of th thea9e. Site Plan Review Application a placation and that, to the best of my knowledget the Information P submitted here is true. (si nature) ( ate) . 6 r � .-—__----------- -- - - N Y1 S NU Dlvlslon of Land is this a division of fifty (50) acres or more of bind which was In comniun owncrship ns of 1/1/88? Is this a dlvlsiun of fifteen (15) acres or niore of land which was In common ownership as of 1/1/88 and which was the result of an earlier subdivision within ilic last seven (7) years? land III Is wnership Into thirty 130)l or more residentlnloses to , �t op units? ( I ( I Is this a development which prolioscs to divide 1anc1 in canulioii I I ownership into tell (10) or more business, office or Industrial preriiiscs? Creation of more than 30 dwelling units is tills a development, tiichidfrig (lie of existing ( I developments. that is planned to create or icconmmod itc more than 30 dwelling units? Commercial Construction • Will the development create retail or wholesale business; office or industrial dcvclopnicnl; private, health, recre.-itlonal, or educatioiiai dcvciopmcnt • with a floor area as follows: 11 New construction greater than 10.000 squarc feel? i 1 2).Addition or auxillary buildings greater than /4C00sg%wre feet? ( 1 ( 1 3) Outdoor conuncrclai space greater than 40.000 square feet? I 1 l 4) Use:ch;uigr,�t which Have a ftuvr are, treater trait 10,(M uluarc feel? 1 I I 1 Fac111tles for Transportation to or from Barnstable County Will the development construct or expauid factltttis for trunsportution to or from Danislablc County? i Access To Vie Coast Or A Great Pond is tills developmen( n brklge, road or driveway providing direct vehicular acecsti to life c(gist or a great pond? Historic structures N ' Will (lie deveiopiiieril deniolish or substanti;illy tiller an I11slorie structure listed with the National or Massachusetts Register of Ifislorle Places, outside a municipal historic district or mitside tlic Old Kings fllghway historic District? (Note: Repairs, upgradcs. changes. alterations or extensions to n single f;imily home are exempt from Commission review unless the proposed repair, upgrn.dc. change. n1tcritloii, or extension is greater than 25%of the floor area of llie existing dweltilig.) 17 � AYpL!CA7'J`uN f Uk SITE FLAN KEV J tW fu1! oFr'1rE ustDATE RECEIVED • ACTION DUB BY LOr-gT10N �6� Q20 44 Legal Description+ Planning Board Subdivision Number+ Assessor' s Hap and Parcel, Number a Property Address+ OWNER OF PROPE TY APPLICANT Names Names Address+ Address+ D I Phones — Phones ENGINEER AGENT( interest owner or applicant; Names Yame+ Address+ Address: P Phones Phone: c © i1T1LITIE'S 'ZONING CLASSIFICATION. STOF.Ai E TANK(:1 District+ -� :1/S-T1Nu FROFOSED Sewer Public— - N�,,,ber; ----Flood Hazards fun Nunoeri © Groundwater Overlays Size:_ Frsvate LC Above Groz:nds_____ Above Grounds____ fire Districts LOTAREAS sf ljj:deroroands__ Undergrounds 7atet•s C'ontentss_ Contents Publio Privates_ NUMBER OF BUILDINGS Fire Protections____ Existfngr f �AR}_ING �'PA3CES � CT tlRB CUTS Proposed+ . 4 c�lreQs Eristings i Electricals Demolitfons 0 .rovideds�_ Proposeds � Under. TOTAL FLOOR AREA (in )n Sstes�_ To Closes Undergrounds_ 'tf Sites _Q Total I— Gast Resfdentials Naturals Offices r5 t JN_R1570kICAL f��STRIC .:(yes)` (V x.. Propane;__. Redfcal Offices y Commercials IN AgA .uF_CRI7ICAL ENYIROShEN7AL (specify use) CONCUR (E.O.E.A. 1s (yes)_ (W),,X. Rholesale FF.OJECT PITHIN 100' OF uETLAND RESOURCE ARM (yes)_ (no)� Institutionals —— Industrials Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 165 LEWIS POND RD Property Address r.• CHUCKRAN Owner Owner's Name .Q1 information is CO required MA 7-8-15 required for every page. City/Town State Zip Code Date of Inspection Via, 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 A. General Information forms on the computer,use 1. Inspector: . only the tab key to move your DOUGLAS A BROWN - cursor-do not Name of Inspector use the return key. D.A.BROWN INC Company Name P.O. BOX 145 Company Address CENTERVILLE' MA 02632 fe°0" City/Town State Zip Code ' 508-420-4534 . S14297 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 ❑µFails ❑ Needs Further Evaluation by the Local Approving Authority ' 7-8-15 In or lgnature Date w 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. - VS t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•(Page I'd 17 Commonwealth of Massachusetts t . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 165 LEWIS POND RD Property Address CHUCKRAN ' Owner Owner's Name information is COTUIT MA 7-8-15 required for s • every 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: SYSTEM MET ALL MINIMUM PASSING REQUIREMENTS AT TIME•OF INSPECTION. THERE WAS ABOUT 13 INCHES OF USABLE SPACE LEFT IN THE LEACH PIT. THIS REPORT DOES NOT PREDICT FUTURE USE UNDER THE SAME OR INCREASED USE. 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): , V F i t5ins r 3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 k Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 165 LEWIS POND RD Property Address CHUCKRAN Owner Owners Name - information is COTUIT MA - .7-8-15 required for � , every page. City/Town State Zip Code 'Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms'not operational. Systemwill pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cunt.): ❑ 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 , ❑r Y ❑ W :❑' 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 El 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 i Commonwealth of Massachusetts ' ' .r Title 5 Official Inspection Form r Subsurface Sewage Disposal.System Form -Not for Voluntary Assessments M 165 LEWIS POND RD Property Address CHUCKRAN • .;. Owner Owner's Name •' information is required for COTUIT MA: 7-8-15 every 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 form. 3. Other: D) System Failure Criteria Applicable to All Systems: . b , You must indicate"Yes" or"No"to each of the following for all inspections: Yes No' El ® 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 Y2 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 165 LEWIS POND RD - Property Address , CHUCKRAN Owner Owner's Name a information is required for COTUIT MA 1 7-8-15 every page. City/Town State. Zip Code Date of Inspection B. Certification (cont.) Yes No El fi 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'o-r 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 senie'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. ` t5in§•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form J Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 165 LEWIS POND RD Property Address CHUCKRAN Owner Owner's Name information is COTUIT r MA 7-8-15 required for ' every page. City/Town 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? El ® 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 backup? ® ❑ : 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? ® 0, Was the facility owner(and occupants if different from of 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): 330 t5ins-3/13 `. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17'- Commonwealth of Massachusetts ' Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 't 165 LEWIS POND RD Property Address CHUCKRAN Owner Owner's Name information is required for COTUIT 'MA 7-8-15 , every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: SYSTEM CONSISTS OF A SEPTIC TANK D-BOX AND LEACH PIT Number of current residents: . 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry'on a separate sewage system? (Include laundry systerh inspection. information in this report.) ❑•Yes ® No Laundry system.inspected? ❑ Yes ® No Seasonal use? - ® Yes ❑ No Water meter readings, if available (last 2 years usage(gpd))r, Detail: Sump Pump? F ❑ Yes ❑ No Last date of occupancy: PART TIME 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? El Yes ❑ No Water meter readings, if available: t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official ,Inspection Form , 4 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 165 LEWIS POND RD Property Address CHUCKRAN Owner Owner's Name e information is required for COTUIT MA 7-8-15 • every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below):. General Information Pumping Records: Source of information:A .DEBARROS SEPTIC. Was system pumped as part of the inspection? ® Yes ❑.« No If yes, volume pumped: 1500 ^ gallons How was quantity pumped determined? Reason for pumping: MAINTENANCE p p g Type of System: - ® P Septic tank, distribution box, soil absorption system ❑ s Single cesspool ❑ :Overflow cesspool ❑ Privy; El Shared system(yes or no) (if yes, attach previous inspection records, if any) El 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•3113 Tille 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of-Massachusetts . Title 5 Official Inspection Form, '. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 165 LEWIS POND RD Property Address CHUCKRAN Owner Owner's Name information is required for COTUIT MA ";.*7-8-15 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information`.. 1990 OFF PLAN AND AS BUILT ' Were sewage odors detected when arriving at the site? z •❑" Yes ® No Building Sewer(locate on site plan): Depth below grade: feet l• i 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.): ' n Septic Tank(locate on site plan)` Depth below'gmde; feet Material of construction: ® concrete ❑ metal' ❑fiberglass ❑ polyethylene . ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes-❑ 'No Dimensions: PLAN SHOWS 1000 BUT DEBARROS THINKS 1500 Sludge depth: HEAVY t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of,1T- Commonwealth of Massachusetts a Title 5 Official Inspection Forrri - Subsurface Sewage Disposal System Form-Not for Voluntary'Assessments ., �M 165 LEWIS POND RD Property Address CHUCKRAN w, Owner Owner's Name information is required for COTUIT MA V ' .7-8-15 every page. Cityfrown State Zip Code Date of Inspection- D. System Information (cont.) -. Septic Tank(cont.) µ Distance from top of sludge to bottom of outlet tee or baffle Scum thickness HEAVY Distance from top of scum to top of outlet tee For baffle -fir Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): TANK WAS PUMPED AT TIME OF INSPECTION FOR MAINTENANCE PLAN SHOWS 1000 GALLON BUT OWNER AND DEBARROS THINK IT IS A 1500 GALLON p Grease Trap(locate on site plan): Depth below:grade:. ' feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass El polyethylene ❑ other(explain): a .. '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•3/13 .> Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 165 LEWIS POND RD k .. Property Address CHUCKRAN ' Owner Owner's Name information is required for COTUIT MA -• 7-8-15 every page. CitylTown 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.): Tight or Holding Tank(tank must be pumped at time of inspection)'(locate on site plan): Depth below grade: T a Material of construction: ❑ concrete ❑ metal. ❑fberglass.' ❑ 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: q Date t Comments(condition of alarm and float switches, etc.): • ' Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 .r Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form , -' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 165 LEWIS POND RD Property Address p CHUCKRAN Owner Owner's Name information is COTUIT `' MA 7-8-15 required for _ every 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 0" 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.): r „ Pump Chamber(locate on site plan): Pumps in working order:- a ❑ Yes ❑ No* Alarms in working order. ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc): * If pumps or alarms are not in working order; system is a conditional pass. -Soil Absorption System (SAS) (locate on site plan, excavation not t required): If SAS not located, explain why: • t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4 M , 165 LEWIS POND RD _ • " Property Address CHUCKRAN Owner Owner's Name information is COTUIT MA 7-8-15 required for , every page. Cityrrown State Zip Code ' Date of Inspection D. System Information (cont.) Type ® leaching pits number- ' ❑ ", leaching chambers r number: ❑ leaching galleries number: + ❑ leaching trenches s number, length: El 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.): PIT HAD ABOUT 13 INCHES OF USABLE SPACE AT TIME OF'INSPECTION.WITH NO CLEAR SIGNS THAT IT HAD EVER BEEN HIGHER : Cesspools (cesspool must be pumped as parf 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 165 LEWIS POND RD Property Address CHUCKRAN Owner Owner's Name information is required for COTUIT MA- 7-8-15 every page. Citylrown 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.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids r Comments(note condition.of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): _ q t5ins 3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ' 165 LEWIS POND RD Property Address CHUCKRAN . . Owner Owner's Name - information is required for COTUIT *' MA 7-8-15 every page. Cityfrown 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 r t5ins-3/13 Title 5 Official Inspection Foam:Subsurface Sewage Disposal System•Page 15 of 17 " t " • Commonwealth of Massachusetts W Title 5 Official Inspection Fora , ' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 165 LEWIS POND RD ' Property Address ' CHUCKRAN Owner Owners Name . information is required for COTUIT MA 7-8-15 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ' ® Check Slope ® Surface water ® Check cellar , ® Shallow wells' GREATER THAN 5 ' Estimated depth to high groundwater 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:- ATTACHED Date r ❑' 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: 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 4 r Commonwealth of Massachusetts Title 5 Official Inspection Form* Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 165 LEWIS POND RD Property Address CHUCKRAN Owner Owner's Name. information is required for COTUIT MA, 7-8-15 every 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' ® Sketch of Sewage Disposal System either drawn on page 15 or attached.in.separate file zi t5ins-3/13 ^a Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17` - r p TOWN OF BARNSTABLE LOCATION n/ 2y `F_.c�� �c� (�<� . FWAGL # LLD . VILLAGE C'�> 1 }T ASSESSOR'S MAP & LOTS-� INSTALLER'S NAME & PHONE NO. �j rV?- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) C 1-\ size) N.O.:..OF BEDROOMS PRIVATE WELL OR PUBLIC WATER ?y 13�.1 C BUILDER OR OViTiLl2 f"N 1 lb pU Lc������ DATE PERMIT ISSUED: . i DATE COMPLIANCE ISSUED: VA'ItIANCE GRANTED: Yes No r Y 33��o` 11-77Ivk4,IA , _1 L TOWN OF AARN.gTkBLE LOCATION NSF WAGE # VILLAGEASSESSORS MAP & LOT �C' •LaT/ INSTALLER'S NAME +ta PHONE 140.. L l L_ l'r,✓���F ��57�' 3 t ��"E SEPTIC TANK CAPACITY U CMG LEACHING FACILITY:itype) (j �:AC lA It>1� `-(size) } Uc C NO. OF BEDROOMS PRIVATE WELL.OR PUBLIC WATER BUILDER OR=.CS`�1t�1-y`t�`����U 1 ` ) 1 .�1 � _ � �A�►ll :��. DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ZZ, VARIANCE GRANTED: Yes No �.5' 30•6•` `3 0 ' rc f it 5 kqC ESSORS MAP NO: - -- - /.�- " PARCELNO: No _ Fps............._.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE �X App iratiun for Diupu 41 Workii Tonstrnrtiun 11amit Application is hereby made for a Permit to Construct ( . ) or Repair ( ) an Individual Sewage Disposal System at: Jfw/,5 AM 9D `�yy, L, o...... r sg-s_ ,, to,- � .-•---•..--•or Lot No. Own Address W --- .. 07- nstaller Address P7 pp� d Type of Building Size Lot.... feet U Dwelling—No. of Bedrooms__ ____________________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons______,2�_________________ Showers — Cafeteria Other - ----• gallons per person �r d�jy. Total d�il �iow--------�---------- gallons.o �t W Design Flow............-6� -. f�----- WSeptic Tank—Liquid capacity -..gallons Length._ ___: Width �..._ Diameter............... Depth...sJ...__7 x Disposal Trench Width-- . Total Length --- Total leaching area ..---.....sq. ft. Seepage Pit No______________� Diameter....... ._____ Depth below inlet__.__ .......... Total leaching ar;N Ysq. ft. z Other Distribution box ( ) Dosing to ( ) , W Percolation Test Result Performed by- ---_ �_L. f4 b----� -•-._.. Date_.__.__. ___� _ _______. . d} O a Test Pit No. l________________minutes per inch Depth of Test Pit..__l__.________.__ Depth to ground water......VV.... Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ rf O + - -....----•-•---•------ �� -__ Description of Soil......� ( J ..... ®f }j�, ... �. 1 �-------------M3 ----- l...(_ � ----•-•------------------•--------FL-X.1i L.?! -fSl -------F�-- lY:s�-----------------•--------------------------------------....-----•-------•---------------- U --•------••----------- ----•------------------------------------------------------------------•--------------•-=•-------------•-----------------------------------•-----................................... U Nature of Repairs or Alterations—Answer when applicable._-R__ Izow�t----0_1Z. Via` ,l��d _.._ A21lyZ_/(��- d!!/a!� ........... 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. P Signed - ------ ------ t 2� Date ' ...APPlication Approve % -- t1 Date Application Disapproved for the following reasons- ................................. ----------------------------- = --------------------------------------------------------- -----------------------------------------------.---------------------------............................................................ ........................................ Date Permit No. ---- ` . Issued `' �� Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ApplirFatiun for Dispus/Fal Warks Tonstrnr#iun omit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: L3 �fw/5 pmn 9D f- � y A . "E ' r.l ovation:Address ---•-_------..-.or o.•Lot N �' � 10A,�v l�� Own Address a �✓� Instalkr Address (� 1. .� Type of Building Size Lot____.......�. ..Sq. feet U Dwelling—No. of Bedrooms... ...........................Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ............................ No. of persons.......47 ............... Showers ( ) — Cafeteria ( ) Q' Other fixtures ........................... ----- - ----- w Design Flow............. `��----------/c t gpllons per person or d4y. Total daily flow .............7----dons. �l WSeptic Tank—Liquid"capacity gallons Length.! .__ Width__' .�... Diameter------- --_- Depth_._,�_ -7 x Disposal Trench—X................. Width...._ ....... Total Length___--------.- ---__- Total leaching area.__._______......._sq. ft.Seepage Pit No.___ __�. Diameter-___•-__��t___. Depth below inlet......G......... Total leaching ar;a_. _Vsq.,ft. z Other Distribution.box ( ) Dosing tank `-' Percolation Test Results Performed by__.__._ �.. __ ' t?F_._Sum ._.. Date....___./ /® ! ...... .- a Test Pit No. I......�-----minutes per inch Depth of Test Pit....�__� .... Depth to ground water--__--0.1 .v........jl�0 L14 Test Pit No. 2---------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil ®~= ..................; .. ��1- �� / 4. e qn� :.. 1-V-�------5---------...•----------------------------------------------------•----•--------------•-----••--...---------------••-------- w -- ------------ U Nature of Repairs or Alterations—Answer when applicable___ .. % ___ - `_`._ �:A 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`che system in operation until a Certificate of Compliance h.as been issued by the board of health. t --� • � R ...�.� Signed .-------- --- �.------- ---- --- - -� �t-- --=----------------------------- --.....-.....---- � � -Date Application Approved B dot/r3 - --------------. ------------------------------------------------ --- PP pp Y Date Application Disapproved for the following reasons: .................................t.....---------- -----------------. ...-----------......-----------......---...----- ............................................./..---------------------------------------.....-...........-----------'---------------------------------......................................................... ---.--.--------Date.................... Permit No. ....... 4-f - ,'� Issued ...... - 9 Date J • 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE r CEe>r#ifira a of C antylianoe THIS IS TO CERTIF ,,That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Y ............. ...... ------- ..........................................................--.........----- Installer -_..-------'---------.....-'------...- at -..44.T....::.. /� µ '��.....�. ------------------------------------------------ ---------- -------------- has been installed in accordance withYhe provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ...-_�l7. :7 �.----.---.- dated ----- -- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �J s�• DATE........... A`F�--y-I- pd- � h�.I%�/ -------------------------------------------- Inspector= THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No...�r�....'.f�' FEE._.j �`�: Diupuua1 arks Tonutr iu_n nmit Permission is hereby granted.......... r_o_�!__k..4 9-- �,�- _ to Construct ({�) or Repair ( ) an Individual Sewage Dispasal'�System at No.-- `_, ✓d.� /_e `�?� t*'.� .,.s.• ..--�---'f19;................... -r! a � ...i/-..-- ••------•-- Street .. �� as shown on the application for Disposal Works Construction Permit No.__.l_ _ Dated..... �/�.../.__v.. . .._.... ----.......� � �9' �/1—..... ------------------------ • of Heal « DATE............. (s1••--•-----•----•---•-----------•---- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS I di,` � YHE t0 3ssor's office (1st Floor): �.�.,.,• o assor's map and lot number___ ��',_':AL ED IN C®MPL • f DASl9?EDGE i :rd of Health (3rd floor):�� �. �/ _ M TITLE$ 6} wC ONMENTAL COT) ' '3o gage Permit nurnber, 1 fineering Department(3rd floor){: f `'OWN REGdlLATiON, use number. r 19 finitive Plan Approved by Planning Board 2:00 P.M.only f � N(',Q( ($$�ON A.M.;and 1:00- �PLICATIONS PROCESSE[ID839t0�93130 n . ` •Q A T A�`� ����� • ,ry o O F. b.MA UM ING INSPECTOR Signed � 65/l7 APPLICATION FOR PERMIT TO / on TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following infor ion: Location Proposed Use E Cy - - �— Fire District Zoning.District_— I i L J �� G S L°L� Address `T Name of Owner t 1 i Address Name of Builder. Address Name of Architect �, KD01lAS Foundation Number of Rooms Roofing Exterior UU 0—L) Interior Floors Pj«Tll Plumbing 1, C- dU !dealing__ �3�" Approximate Cost Fireplace ' Area Fee © � Diagram of Lot and Building with Dimensions ^� QL�� l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS in the above construction. I here`:;. agree to conform to all the Rules and Regulations of the Town of Barnstable regarding Name Construction Supervisor's License d _5 SY M BE Assessor's map and: lot number ........ ..•••••••••••• d MUST z COl`r'OLIr?I CE n ;'t t,i 7 TE Y ;_ ZIA Sewage Permit number ...... > <: 11.Y -CODE AND TOWN FTHE r :T rJ; R TOWN OF:• BARNS X i BAgx9TADLE INSPECTOR ` 1639-MI3� ; DUILDING s. 4M r G: CJ'W \„•M' •�. •••••• •••T••••i••�•��I•i Y•'•C:•..••• •.••• .••.•.. 1 .. • v 1 '< AP.PLICATION FOR-PERMIT TO: . `'� �Z?.... .r.......... lL t TYPE OF CONSTR C , a u ,TION .. '1 ... ' ...... ........................................................................... TO THE INSPECTOR OF BUILDINGS. 'y+ The undersigned hereby applies for a permit according to the following information: 4,,�W S 1�Q�? .......... ......................�N?.�� ...`... .t or?=........... ....................... i. Location ........... {, ProposedUse ....(ONO...:,.... Y............ r/..( G'...................................................................... . ............. ... Zoning District ...........Fire District ........................... .....:............................................. Name of Owner , ••Y••�r .h'...........Address .WES�f�.4 .1,. .. .�!�t�r ;.. ..................... ........................(... �� � Z� ..................Address Name of Builder : ........ Nameof Architect ....................................... Address .................................................................................... Number of Rooms Foundation .....SI........ .... Exterior ..'v .......�, �° ... .........Roofing ............ !' .P HAI ................................................. Floors ......1.���'�14....10..... �.G . ...(:��i�,�: 'M . ..... ..Interior ........... '.� ..`�... t �� .. r =, : .Plumbing . ......................... ' Heating ... � ... :. Fireplace ....... UU . Approximate Cost .... ....l�if�. �.0. ). . . ... ........ .. ..... . Definitive Plan Approved by Planning Board --------------------------------19-------- . Area 0.9c)..... ......•• Diagram of Lot and Building with Dimensions Fee ..........f. .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 � 1 o \ DEc i i f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �^ `... r�. .............. t Name .... . �4- � :t1 A j rLL f�h- Lewis -TcnJ '-RoacL Y�eun SF'�oo� Ewa- Leuei 71 o �, `� una�,r- 1 ILA mom) �a Sf9u w F o� i T ---- 4 OfproX a8'5 s.-Pt. leas a se , cart rear ��c� W ltt YW E R E A1A/AV , FOR ©ATE �- TIME 1` 'AM. P.M. M [OF P;HflNEf3 °: 09TU9NED PHONE "t i"` YOURCfi AREA CODE NUMBER EXTENSION MESSAGE PLEASE CAt� irSFI�NTS Tfl SSE YbL1 SIGNED �niversad' 4soo2 NOTES l 1?0141) SEWAGE SYSTEM PROFILE & DETAILS el� %�`` TOP 4 FOUNDATION 42.18 F.F.=43.18 L �pGE FINISH GRADE- 41.2 FINISH GRADE FINISH"GRADE FINISH GRADE S 9a OVER TANK- 40.0 OVER D"BOX= 40.0 OVER LEACH PIT= 39.4 18 }�- r,/ " CLEAN BACKFILL i� -20 I I USE CONCRETE RISERS TO I I �3 PEASTONE I-I I 22 - WITHIN 12" OF FINISH GRADE _III - _-._.-.. 10"TEE i. T� T - LOT 23 INV. �4"TEE � 000000000000I 24 38.3 38.25 - \38.0 i 1 (- 30,800± sq. ft. 3 40 -- - 37.75 o00000000000 LIQUID D I - I T 26 LEVEL 37.92 DISTRIBUTION BIOBXTION 36.9 24" o 0 0 0 0 0 0 0 0 0 0 0 l 24" (_ W W 28 1000 GALLON SEPTIC TANK ( o 000000000000 W I(I -30 4�� SET LEVLEVEL--*' o 1000000000000 It xl'u I � ' NLW 1000000000000 32 BOTTOM 30.9 4 I 4xu Iwrtc�;r, OF PIT - OOOO 100000OOOI 3 (SEE NOTE #8) . !) I I- II 31.80 LONG 6QO�'` REDS �-n I_ -I - - � 4.81 S�'0� �` 11 --I I I-I ( I LOT 24 N 35.01 N LOT 22 ' �I 'R =1 I 1=TR cc USE A 6X6 PIT WITH 24" + 34.01 3F.10 X�s�NG 40 OF STONE ALL G 25.8, PROP ' o .�$rt, 5 AROUND F., .Po°,� •°' i Wn 10 DESIGN CRITERIA 3 SOILS LOGS NUMBER OF BEDROOMS 39.11 PERSONS PER BEDROOM 2 o» 39.1 PIT •1 PIT 2 DAILY FLOW PER PERSON 55 LEACHING REQUIRED 330 G.P.D. TOP & � RES. LEACHING PROVIDED 549.7G.P.D. " 36.6 SUBSOIL h CALCULATIONS 30 Q 39.41 42.91 BOTTOM = 0.785 D2 K 78.5 WELL SIDE = 3.14 D H K 471.2 3Q I GALLONS PER DAY = 549.7 GRADED c� MEDIUM 1.81 GENERAL NOTES Ld 1. ALL ELEVATIONS SHOWN ARE SAND L_ MEAN SEA LEVEL. 7 4 138" 27.6 NO WATER ' 2. ALL PIPES IN THE SYSTEM TO BE R;302 . �4 '�` CAST IRON OR SCHEDULE 40 P.V.C. PERCOLATION RATE = 2 MIN./INCH 3. REMOVE ALL UNSUITABLE MATERIAL OBSERVATIONS BY. ED BERRY BENEATH THE INVERT ELEVATION O��`]� FOR A RADIUS OF N/A AND BACKFILL DATE TESTED: 1 10,�90 "` �L W/ CLEAN COARSE GRANULAR MATERIAL. ROAD 4. ALL CAPE SURVEY CONSULTANT MUST BE NOTIFIED WHEN THE SYSTEM IS INSTALLED PRIOR TO APPLICANT: CHARLES MANDEL BACKFILLING FOR INSPECTION. 5. UNLESS OTHERWISE NOTED ALL PROPOSED ADDITION LOCATION SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH PROPOSED SEWAGE SYSTEM LOCATION MASSACHUSETTS TITLE V SANITARY SEWER CODE AND LOCAL RULES WHICH MAY BE APPLICABLE. LOT 23-- i'JEWIS POND ROAD --,6. THIS LOT IS NOT IN THE FLOOD PLAIN. 7. A GARBAGE GRINDER WILL NOT BE ,. INSTALLED ON THE SYSTEM. B A R N S TA B L E, ) MASS. "p0 � 74S jH OF COTUIT PLAN VIEW Y 9cy�, ��``�� M�ss��° 8. A 4' DEEP HAND EXCAVATED TEST HOLE l RiSTOPHER �� yG . „ � � , � �, SHALL BE DUG BENEATH THE BOTTOM SCALE: AS NOTE DATE. �1 /11 /90 DWG. NO.. SCALE: 1 = 30 Para BI ELEVATION OF THE LEACHING PIT TO LEGEND 1Vo 4 VERIFY UNDERLYING SOIL CONDITION. DRAWN BY: J.A.B. CHECKED BY: C.C. JOB NO.: �� EXIST. SPOT ELEV. = 39.11 '.; EXIST CONTOUR ALL CAPE SURVEY CONSULTANT ASSESSORS MAP # 20 SECTION #NZ PARCEL #55 LOT # 23 REVISED: 1/17/90 ROUTE 28 - SUITE 301 SUMMERFIELD PARK - MASHPEE, MASS.