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0156 MARINER CIRCLE - Health
15 i'Mariner Circle ! Cot lit — A = 024 131 � `Zo o� �r5 i 'f 7 No. 6 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(V Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. �_p(® f'(00_1��, dlkleCA5 Owner's Name,Address,and Tel.No. i Jc7— S(..A#Z-r �- � y g©Y(5� Assessor's Map/Parcel ®�� 13 SAW Vi r'T® ! -ICE (�9®T2� F� Installer's Name,Address,,and Tel.No. S®Y—qT7-991'7 Designer's Name,Address,and Tel.No. gfQA Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building (nJ;U71 A- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) (� � C.(A.) - �M L8 (� �il�S'Zl4C� T� 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 Certificate of Compliance has been issued by this Board of Heal Signed Date 7 O(I Application Approved by Date Application Disapproved by Date for the following reasons Permit No. � l/ Date Issued L( l� I -__ -=- _ ----- -_- _,---------_- - ---- - - ----- -- -- --- - - - �_�r_w�_�--- -- M v.,:,',i.. «wr w.*f'M c•,. ,.fir, -a, :. +✓k {r'f No.r`t _—Ald � Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplIcation for.-MispoBal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(V Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No., f 5(o ("'(00,11_45 C1R<,c.0 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 0, .14 CcStJt�"' SZ!j s' 1:j ggvy�� r W'D J=(.. Installer's Name,Address,and Tel.No. $O$-477-V 17 Designer's Name,Address,and Tel.No. dA4G0J10G- SWT.A-Sa Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building XI.A., No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil J. Nature of Repairs or Alterations(Answer when applicable) ,d,r "Lr,E 'b �}+ 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 Certificate of Compliance has been issued by this Board of Health Signed Date •.177 r.- 3-0(1 Date Application Approved by _ ,... Application Disapproved by Date " for the following reasons + Permit No.,�9 ^-- JO Date Issued 1 I" /y THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS "Z Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(x) Upgraded( ) Abandoned( )by CAP eta 14P K`7- 6 at .15(0. MAA 4X-)X_ C14. n-4c)117 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NQ, +/ iodated Installer 0W_;5QX.M_ Fir _�` p Designer #bedrooms (U A.- Approved design flow �/f/f gpd � Y� The issuance of this pemnit�shalll not be construed as a guarantee that the system will f[un cti2�, as�designed Date t *� C-/ Inspector ) `.- ,A f No. Fee —2 f THE COMMONWEALTH OF MASSACHUSETTS �T PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS \D ]Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at , kma" e/-a CD >Z2,2 ;" and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. t ' Provided:Construction mf us be co piletedd within three years of the date of this per\mit. _ Date �'7 I i 1 `I Approved by , \ # Commonwealth of Massachusetts Title 5 Official Inspection Form �l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �9 .� 156 Mariner Circle 17t1 u Property Address Fay Boyer r; Owner Owner's Na information is , required for every Cotuit MA 02635 4-26-19°. page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. vk OF Important:When filling out forms A. Inspector Information S1� (3�-0 ° � on the computer, G use only the tab James D.Sears DAMES :m key to move your Name of Inspector cursor-do not Ca ewide Enterprises use the return p p ' ke Company Name %-,�� ??5'TFT..Gj� y 153 Commercial Street �'�i�jiiffsr iN SPtE`0�`` "Q Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails __e� 4-26-19 Ins ctor's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. I� Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form -I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle u Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system is a 1000 Gal. Tank D Box and two chamber's. 2) 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): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments L 156 Mariner Circle V Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 - page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts r� Title 5 Official Ins ection Form p i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is Cotuit MA 02635 4-26-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Fl1. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in is less than 6" below invert or available volume is less than '/z day flow €AiNG ❑ ® 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 water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no" for each of the following for all inspections: 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: ® ❑ 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)] 15insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c Commonwealth of Massachusetts r Title 5 Official Inspection Form T to Subsurface Sewage Disposal System Form -Not for Voluntary Assessments tV; 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. 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 Description: 1000 Gal Tank D Box and Two Chamber's. Number of current residents: 0 , Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2017-36,000Gals g ( y g (gp ))' 2018-34,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: na Date t5insp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 f c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: - ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: Tank Na/Leaching 2005 permit#2005-052 Main Line is New 2019 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 16" feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): 4" PVC SCH -40. Main line is new 2019. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle w� Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 6" Depth below grade: 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: 1000 Gal. Precast H-10 Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 0" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 18 How were dimensions determined? Asbuilt-Plan-Tape Sludge Judge 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 at working level. Tank and covers at 6" below grade. In and outlet tee's. No sign of leakage or over loading t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts _ I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r� 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 c Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. 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.): D Box is 16"x16"-44" below grade w/two lines out. Note: Inlet tee.Box is clean and solid w/no sign of over loading or solid carry over. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 c Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ 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. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments F' 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is two 500 Gal. dry well chamber's (24'x12.5'x 2' ). Chamber's at 4' below grade. Chamber's are clean and dry. Line new. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t51nsp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form F,o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 V Commonwealth of Massachusetts Title 5 Official Inspection Form nF' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 t 15t� r n ens TOWN OF BARNSTABLE LOCATION 1 S G = l4 r t ti t=r �;,, SEWAGE N:�CY+S ASSESSOR'S MAP&LOTT �3 r_ INSTALL.EWS NAME&PHONE NO.`'`C+ c ,.`. Sl='f i J�f+-7 SF-MC TANK CAPACITY 600 LE.ACEM;G FACIL=:(type)_t� X �'u U NO.OF BEDROOMS OLM.DER oR OWNER PERbMDATE; -c7 S COMPLL4,NCE DATE: Separation Distance Belween(be; Maximum Adjusted G:oundwatetTable to the Bottom of Leaching Facility Feet iPtivate Water Supply Well and Leaching Facility (If arty wells exist cm site or withi n 2D0 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet- Famished by f I I ' \ I Q t ,i 9£'d LL6b-LLb-909 sesijdlelu3epmedeo BEV60'6l9ZJ81N • Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �o !% 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Na Estimated depth to high ground water: 12 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: 1-20-04 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health - explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: T.H. on Design plan 1-20-04 12' no G.W.. Bottom of chamber's at 6'-6" below grade. Bottom of chamber's at 5'-6"above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 c Commonwealth of Massachusetts ip Title 5 Official Inspection Form a �e Subsurface Sewage Disposal System Form -Not for Voluntary Assessments !% 156 Mariner Circle Property Address Fay Boyer Owner Owner's Name information is required for every Cotuit MA 02635 4-26-19 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included /P,4 £ TN �e/rn N° t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 � r FA100 .00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[pprication for �Bi000al *pgtem Cow6truction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No.4 2 0—91 01 M4riner Cir, Cotuit Stuart Boyer Assessor's ap arce 24 1 31 48 Currycomb Cir, W. Barnstable Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, #ETE-1900. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this o of Health. Si ned Date Application Approved b Date Application Disapproved for the following reasons Permit No. ��rY 5 Date Issued 4 © r7 a4 P`v ( �✓S �"� e:t«-* ;'� l Fee < THE COMMONWEALTKiOF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pprication for ;Digpool 6'5tem Construction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No.4 2 0—91 01 156 Mariner Cir, Cotuit Stuart Boyer Assessor'sMap/Parcel 24/131 48 Currybomb Cir, W. Barnstable a Installer's Name,Address,and Tel.No. '775— Designer's Name,Address and Tel.No. 3 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(n� Other. Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil .j Nature of Re airs or Alterations(Anser when arpplicable) Install a new Title 5 leach J system to plans o Eco—Tech, #ET6-140U. I Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has be issue ,b s o �O ��� Si ned Date d' Application Approved b _ Date oS Application Disapproved for the following reasons Permit No. �O G Date Issued i THE COMMONWEALTH OF MASSACHUSETTS Boyer BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired( X)Upgraded( ) Abandoned�(( )by Wm E Robinson Sr Septic Servicew at 156 Mar ner Circle, Cotuit has been constructed,in4ccordance with the provisio o Title 5 and the for Disposal System Construction Permit Np c��J—o 5�--- dated cl� V � 11we5 Installer s►\gcr n Designer /50A) The issuance oft s e�t shall not be construed as a guarantee that t�syst fu ction as_desi ed. Date a � /y J Inspector i -- No. o�--CCU' .�� ---- Fe 100.00 Boyer THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Dissp0.5ar *pgtem Con$truction Permit l'+ Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( ) System located at 156 Mariner Circle, Cotuit and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction ust be completed within three years of the date of this pe ` �— Date:_ y 0/ Approved'by— - Town of Barnstable ..oFt�rqs, o Regulatory Services Thomas F. Geiler, Director MASS.16Jq. Public Health Division ♦0 pIEDM'��A Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: f Designer: Eco-Tech InstallerWm E Robinson Sr Septic Service Address: 43 Triangle Circle Address: PO Box 1089 Sandwich Centerville On Wm E Robinson Sr SeptiRas issued a permit to install a (date) (installer) Service septic system at 156 Mariner Cir, Cotuit based on a design drawn by (address) Eco-Tech dated 01 -25-05 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. ZH OF�dn DAVID c (Installer's Signature) ;f°. AHfT ARP i (Designer's Signature) (AfiDesigner's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC I EALTII DIVISION CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED 13Y TBE BARNSTABLE PUBLIC HEA -1-41-DIVISION. TIL,0K YOU. Q- i-InIth/Septic/Desipnrr Ctrtific:+tim Forin TOWN OF BARNSTABLE LOCATION 5 +`�1�► r t +�'t-� _SEWAGE # L�,S� - S VILLAG ASSESSOR'S MAP&LO Y-1 3 / INSTALLER'S NAME 8c PHONE NO. SEPTIC TANK CAPACITY��. 000 6,4 5` LEACHING FACILITY: (type) 3. X �cJ 0 (size) t IS c) 41 NO.OF BEDROOMS BUILDER 0 OWNER "t Y'ill PERMITDATE: ''y c3 COMPLIANCE DATE: L - Separation Distance Between the: ridwater Table to the Bottom of Leaching Facility Feet Maximum Adjusted Grou < Leaching Facility If any wells exist Well and Lea ty Private Water Supply 8 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by (� Ji } 4 II JL L J y 7 .. .. .__.. _. _...._ .J TOWN OF BARNSTABLE _ QC�,'nON f-, ►u(-r r w SEWAGE #30)S� C S VII.1' AGE_ ' u. ui - ASSESSOR'S MAP & LOTc'� INSTALLER'S NAME&PHONE NO. 0- 'h i �/ SEPTIC TANK CAPACITY 000 C,,4! 5, LEACHING FACILITY: (type) 3L X (size) + NO. OF BEDROOMS BUILDER OK/OWNER 4 ems.a-A/ 4 ra V PERMTTDATE: s� 'yWc��. COMPLIANCE DATE: 01 - Cis 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 s x s � r r NOU... �_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE T IA�,zH xxa................................... ............O,F.... Appliration for Uhipasal Works Tomitrurtion ramit Application is hereby made for a Permit to Construct (4K_or Repair an Individual Sewage Disposal System at: &e,4 ............ ...........................................................4.20ttA .. ....... ..........�7. ............... Locati 'Yes or Lot No ............ . . .............. ... . ........... ...................... ........... ..... ... . .................... -------------------------------- 0 r r ...... .. ......... . ........ .... ........ ............Installer I er Address U Type of Building Size Lot.-'-A_...el--- ....0.....Sq. feet Dwelling—No. of Bedrooms.... ............ .......... ........ .............Expansion Attic Garbage Grinder 00 Cafeteria 04 Other—Type of Building ..... .............. . o. of persons....... ............... Showers d -.-- ___Ex 44 Other fixtures—--------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow...........S75.....................gallons per person per Iay. Total daily flow.......:330....................gallons. WSeptic Tank—Liquid capacity./ .gallons L Width.. ... Diameter................ Depth................ Disposal Trench—No. _--------------_ Width." Total otw Length.............. Total leaching area....................sq. ft. Seepage Pit No...... Dia meter. ..... D 17 T42 Depth below inlet.2..3....... Total leaching area. .......9 Other Distribution Dosing Percolation Test Results Performed by Vtz�j.41 ......... D a t e..";0, % "X............ Test Pit No. I................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-AIA-U ..................... . .•... ----------------* ----------------*...... .....................*.......*..........**--------6 --------- 0 Description of Soil..O.:7.6........i, .......................................................................................................................... .......................... . .... ...... ............................................................................................ .46 . ........ ---------- ......... Y-----_---------- -------------------------------------------------------------------------------------------- U Nature of Repaid or Alterations—Answer when applicable.................................................•.............................................. ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b bo do health. igne ...... ..................................................... Ze 4 ............... Application Approved By...... ............. ------- - �Application Disapproved for the following reasons:..................................................................................// /—Dat�7.................. ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued... ........ .......................... Date N ................. '.-- Fims. !(�................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE.A H ..................�/"r�.............0 F....... ..............................------------.......---------_..... ApplirFatiun for BhipmFal Works Cnunilrurtiun ramit Application is hereby made for a Permit to Construct (4>�_or Repair ( ) an Individual Sewage Disposal System at: ------- ,- .__....... .................................... ........ -................ Location ess Jc.....-•---... J.....................or Lot No.•--•-•--•-------•--.................---- .................................................. .•-•--•-••-----.---..._.._.......•--..-••----•................----•-•�•---..._..___.----....---- Installer Address Type of Building - - Size Lot.� ................. Sq. feet Dwelling—No. of Bedrooms.............:...........................Expansion. Attic ( ) Garbage Grinder ( ) Other—Type T e of Building cx .,4y -No. of persons �............... Showers � YP g --=`=-------==------ P (•--->--- Cafeteria ( ) dOther fixturys -----•------•---•-•-----------------------------------....--------------------•-------------------------...... ------•... W Design Flow............. .....................gallons per person per y. Total daily flow_.__... Lam.....................gallons. WSeptic Tank—Liquid capacity M.gallons Length-__.. ._.. Width......._ ... Diameter................ Depth................ x Disposal Trench—�. ........ ..... Width ............. Total'Length................... Total leaching area.................... q.. ft. 3 Seepage Pit No......:............. Diameter. r-_- ....... Depth below inlet. ._, ......... Total leaching areas'.E5� Z Other Distribution box (J ) Dosing to ( ) '-' Percolation Test Results Performed by.._ !/l 's7 � _.. ._ '��� a .................................... Date.A,/� 9 Test Pit No. I................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../�!v'�:.. . . -••-------•-••--------•--•.........---•----------------•...•-----.....-••-•-.........•--........_..............._.............-•-•----•---_...-- D Description of Soil_0_-_.(2_._.._ --. ' __ W ..�����. .. ..... ....1 ................ , UW -! `/ ----------------................... --------------------------------------------------........----------------------........----- Nature of Repairgor Alterations—Answer when applicable.....................................................................:......................... ..........................-............................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i1T..i 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance haAbeessued by `e bo rd q health. ign - ------ --------------•-••-•••---•--••-•--._............--...... 'fig .=Dte...�Application Approved BY•---- ----- -. �'_ + ' Application Disapproved for the following reasons:......................... l/"�'Da ,`j --•---•----•--•-----•-•-•--••---------------------•--------...--•----:----.....------•••.................-•-•.......----•--------------•--•---•-•---------•--------------•----------•---------.....-•--- Date PermitNo......................................................... Issued-.......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H, LT � Z -yamOF.<!�' ......................................................... G (Irdifiratr of Tuntplianrr I 11 CIF I Y,( he Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .... :................................-----....._....._...--•-..---- -- - ----------•-•------------..----•-------•-----------••- -----= �� /�� /✓� Installer �.�/ a............................ J _.l'1�� t l e�i'! ... has been installed in accordance with the provisions of Tfi�'��' 5 of The State Sanitary Code as described in the f application for Disposal Works Construction Permit 1" /7f/.......711................ dated._./ "'_._/__.~'_ .f!..._............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS ---�~ BOARD F HEAL -H �r / r....Mt---..........OF........ r - ......................... ._..... 3 d FEE........................ i ru �1 ur Tuner ilau- antit Permission is hereby granted........ ::� ...._ ...t �� ' --------------------••-•----................................... to Construct (�or Repair ( ) an Individual• Sewage Di, Sy,tem at // f. , / - Street as shown on the application for Disposal Works Construction Ve it o 4_ _',-�_�-------- Dated... ^:/..'" L .......... T-=-r ................AVe— ................... DATE...-- �••.-- �� .� Ith FORM 1255 HOBBS & WARREN, INC., PUBLISHERS r _ LO.CitT 10N (S� SEWAGE PERM N 7q V1 L11, AGE L,',-CJ T I N S T A LL R'S NAME i AD RESS d U I L 0 E R OR OWNER f� DATE PERMIT ISSUED � � DATE COMPLIANCE ISSUED X � � ,,�4L�l �,t9� ���� Pl T - . �� �xdj�u.�r�c� (� 3 o�s1 o � �:� ���� ��� �� l� d � � � DRY E ���� � FLOW PROFILE VENT / PIPE RAISE COVERS TO WITHIN TOP OF FOUNDATION 6 in OF FINAL GRADE EL 70.70 +- ONE INSPECTION RISER FOR LEACHING GALLERY 2- LAYER OF 1/8- D—B X 1/2' STONE 3" DROP m9qFLOW LINE 10'U - 14- �T7 , f, PRECAST , va- 48" GAS � 1 :" BAFFLE '' 'f ' DRYWELL ��' . STONE q:.rrrr•,r,r:': dr¢"j''''"��• BOTTOM OF �• 990 6ISTING STIONE LEACHING SOIL ABSORPTION EXISTING BASE 65.68 SYSTEM EXISTING EXISTING 65.85 65.55 GALLERY 5.00 fr EXISTING 1000 GALLON (END VIEW) 63.55 EXISTING SEPTIC TANK 26.7 (+ a) 5 fr 12.5 fr b) 14 ft ADJUSTED 38.7 SEASONAL HIGHf GROUNDWATER /?S OO �� v O r � Io m 0 oNII N O % Q' JO S Fr O N ` i A o ' F-`�� m . 0m y n (P C) r / o Z _ / U s o77 S No 9 D���iQO ry o -4�m m m � G w�c m V ;rar• � y 3 m 0 Z X \� 00 3CD CD n r Z O G' z FpG� O / o ' O R O`er G) ' �7 " ►� EM C U) iL-4 co - � s' ,o cn cn D `Cmo tOZ � r>o Cfm mUl 0m;; r mm DO m CM ---Im> � � cn Z ? I m m -0�+ m sa m (10 oT ` Q r � y S10 x <" m m op y z � C o0 In i°, mZmf, y_ C = ZQs17 o _O D � 'A �3ZM >.AQUOZ r oo 1:5 O p z 4 4owrr -p = 3 O m m� 3\� > n 3 I n m --I Sn 3 m --� r 3 m - m > > n A 00 3- N viz z C m m 3 oy r ' m 2 n ao fn m IV r- D �J Z v --- ANCHOR LANE A i SOIL TEST Loy DESIGN CALCULATIONS DATE OF TEST: JANUARY 20,2004 _ SOIL. EVALUATOR: DAVID D. COUGHANOWR, RS DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD WITNESS REQUIREMENT WAIVED - NO VARIANCES SOUGHT NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS TEST PIT - 1 PARENT MATERIAL: PROGLACIAL OUTWASH USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL ELEVATION - 69.31 +- PERC AT 78 in : 2 MIN/INCH IN C SOILS CONDITION. IF NOT, INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING SOIL ABSORBTION SYSTEM: A 24 ft x 12.5 fi x 2 ft LEACHING GALLERY CAN LEACH 0-8 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE A b o t - ( 24 x 12.5 ) - 300 s f 8-45 Bw LOAMY SAND 10 YR 5/E NONE FRIABLE A s d w - ( 24 ; 24 12.5 - 12.5 ) x 2 - 146 s f Aiot - 446 sf 45-144 C MEDIUM SAND 10 YR 6/3 NONE LOOSE V i 0.74 x 446 - 3 3 0.0 4 G P D USE A 24 ft x 12.5 fi x 2 ft GALLERY. Vi - 330.04 GPD > 330 GPD REQUIRED GROUNDWATER ADJUSTMENT EXISTING GROUNDWATER LEVEL LEACHING GALLERY BASED ON TOWN OF BARBSTABLE GIS DEPARTMENT RECORDS. CONSTRUCTION DETAIL INDICATED GW 31.00 DRYWELL UNIT INDEX WELL SDW-253 8'-5-x 4'-io'x 2'-9' STONE ZONE C 2 (i EFF. DEPTH READING DATE DEC. 2004 24.0 ft READING 51.6 ADJUSTMENT 7.7 ADJUSTED GW 38.7 NOTESN 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 3.5' 8.511 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS 24.0 ft NOT TO OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK ' ` -TO SERVE EXISTING DWELLING 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. : STUART AND FAY BOYER e.�F 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING =WORK. 156 MARINER CIRCLE COTUIT, MA 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ONTO WHICH, ECO-TECH ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN, 4SETTLING 12) SEPT1C TANK TO STRUCTURALB INTEGRITY.E PUMPED D RY AT TIME OF SYSTEM IINSTALL PVC OUTLET TEE FITTED WITH FOR BAFFLE. 43 TRIANGLE CIRCLE SANDWICH MA 02563 ` 'r ETE-1900 I JAN 25, 2004 2/2 Yi6•yf.L 4! m.�,eX.,. - - ';�'k ,rpy�z•-r-.:� [1""1-•'�°`R»••T'F - r, a.. .� �. k µiV'. __TF�s^^�•��r, µ FIL. EL.EV.= FINISH GRADE • ' > FINISH GRADE FINISH GRADE < ; TOP OF FOUND, OVER TANK z- OVER PIT ELEV. : , cHoMr£Y BLOCK 4 4 C.I. o WHERE NEEDED BACKFILI. 3,� PEASTONE IN -- V.C.' 4 V.C.I X ;. & P. O 0 O o e d G2 I e1000 • • 0 O 0 O 1/2CELLAR FLOOR 4 k ELEV. = "" ' REINFORCED GONG. i O O 0 O 0 9 ° �p CRUSHED STOIIE o O 0 p o a 0 a �! . -t;,t o o 0 DIST . R X t V 1 0 O 0 O O SEPTt TANK �- (TO BE LEVEL v q C • o O 0 O o ° \ BOTTOM OF PIT �_' AND STABLE ) %� c o O O O o ° a Q ELEV.: Y T S S EM PROFILE ( NOT TO SCALE) LEACHING PIT DESIGN CRITERIA LaT NUMBER OF BEDROOMS = '� GALLONS PER DAY �,�4 44 , GARBA6E GRINDER = K30N L M TOTAL DAILY FLOW Gk2D ►II LEACHIM6,LREA PROVIDED = ZCi5 L=-2Q # S l 01F_W,4%L" . .7 le,&, s 2 x 'Tr A-1.25 tt e,5 4-_t S cwp to IL S011.5 LOG 011 I`-l�iu,y e PIT IL a � LOT ► � PROPOSED SEWAGE Qx'�s DISPOSAL SYSTEM INSPECTED 81ft ' s• E;�,::.• 4kt�►.�c.��+ PROPOSED DWELLING DAT f. Ck ► L' 12 8_A.ki. lr�i c T !� MASS. P1EOCOLATION RATE -A. SCALE NOTED DATE oc i Z )2•-7c, ; OWNED BY i 114'r..tr1E Vi►.'TtG�rJ g �+fiJ l4"I SL p.�T'L.�M _. .�• '. .,� ._ i~:+.:..k;,_ ��:.. _. �'..� : .. , , 2 L„c)-r .5 ow N o K:D I(.'? SH EET kio �#- Fc..c t'� Pam.►.r f,,, r �; = Y.�P 4 T'F-i KlA-m.'5, °S — j�a �'�+ 5GX© NO,RMAN GROSSMAN PE., R.L S. ter F'� /► �_�a► 226 HOLLY P`OtNt ROAD '"fir " �1C 1 5"Cr �1"JNJ"t"'O t..?�„ .-....., --...�. -..•� � �` '`�,: CENTERVILLE, MASS.