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HomeMy WebLinkAbout0979 OLD POST ROAD (CT & MM) - Health 979 Old'Post A=074-003-005 { 9a ty I� II r MAR-02-2011 12:17 From:BORTOLOTTI CONST 5084289399 j t To:15087906:04 - 03/02/2011 13:46 5084289617 SULLIVAN ENG XNC PAGE 01 Town of Barnstable Regulatory Services Thomas F. Geiler,Director 'Publie Healtbl Division oNCOThomas McKeen,Director - 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 50&794.6304 pate: _LLZ7 D Sewage Permiit# Z4I0 CP Assessor's MapMRrrel°07Y-061 '0T4 vo�ao.rp Installer&DeakmerCeartifllcstlen atm Designer: �?Au6n E�> AA(, Installer. &6z)� ((yu Address: O,' $K Sq Address: �0 -'to4 w On (date) was,i,ssued a permit to install e installer? septic System atCc94" based on a design Jdrawn by addz M) . v w n dated ..� µ '�-�, 1014 (designer) _Z) certify that the septic system rct'f3 nccd above was installed substantial) according to the design, which may include minor approved changes such as lateral relocation of the distribution box azdlor septic tknk_ Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was'installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any verkal relocation of any component of the septic system) but in accordance with State &Local ,Regulmions, Plan rovision or certif;cd as- u,t by desiper to follow., Stripout (if requit ectcd ar�d the soils were tisfactory: OF JOWN C, A staller's Slgnaturo +va ae liA ee ISTEq� w� sti.gner s �gnature) x Destga s tamp Here PLEAS JRETURN TO BARNWAIRTR PTrnT.TrT1E rsnnQzj%V rqvnrr1rTnr4AqMI7, QZ 0MCA ��ff SU I� T FO LT xH N. . q,bifiaa focmaldcfigntederfiRp*tlact fbtm.doC AN ' 54/�p Y D No. 3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: r�0 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ves Application for dig ogal * gtem Congtructi�� � p on permit Application for a Permit to Construct Repair r, pp p ( ) Upgrade( ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. , Owner's Name,Address,a d Tel.No 97� OI�C �osf ��r 9 79 ®id �os/ APote ,�;�.G e Assessor's Map/ arcel -60 0d �D Tie Qr1�'S��✓S i F/AB/, DES I;�✓1fi7 7� Inst ler's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �IC'v�� G6�sT ►� { — `5[.et 1 j Yam') L-h��n�J"� Ys"yAo QF" 44 ,A.M"L9 1.399 *0, 0.6 a,t ��1, rJ��/,�'eje-, 09*v 10c_, A 0,1&9 Type of Building: Dwelling No.of Bedrooms _ Lot Size 6 9 A, 0.3 0 sq. ft. Garbage Grinder (A10 Other Type of-B i No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 9,30 gpd Design flow provided �?j ® gpd Plan Date U -+- Q 5, c2016 Number of sheets / Revision Date Title J)9�c 10l41h rcpoCce..sl.. .Z7ripl» + t Size of Septic Tank /506 gal]AV Type of S.A.S. > 1 (6,1064121lN9 Description of Soil Tes7- 4"-�D %e- M er _41a _Ycrly Aroin sa.n / / 04 6 1qj4e_r lo t.4 Naturebf Repa pairs or Alterations Answer when appli�ab euh £/'7�DLLl'LfeP Date last inspected: Agreement: The undersigned agrees to ensure the con ct' nand maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 opt e En ro-n al Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo d of H th. Si e Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued No. \_ L Fee r �.✓V •t/ THE COMMONWEAUTH..OF MASSACHUSETTS Entered in eimput �i PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ° Yes I �J H plication for Migo al *p!gtem Congtruction Permit Application fora Permit to Construct V Repair( ) Upgrade Abandon ! pg ( ) ( ) ❑Complete]System ❑individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No ll! Ya47 PC. A6Q&-0M KA , AA •/'^4 139�j !' �' '3 a�l 61, '� Type of Building: "j ja Dwelling No.of Bedrooms Lot Size c? (3,3Q sq.ft. Garbage Y"nder (MO Other Type of Bulfli t j No.of Persons Showers( ) Cafeteria( ) Other Fixtures f- Design Flow(min.required) ' ,� U gpd Design flow provide gpd \` Plan Date G o1 dQr 6 Number of sheets Revision Date Title Size of Septic Tank 1,s (06 Gj'Qr'/f y� Type of S.A.S. edC4 f j V Description of Soil TeL�- Hv i� - —Q D /GjQ /G J "" N P er o!' •�/c�? vrm r _ da o-K am4ith '6f oo n 'Sa n,Le 7 /oa e - a C•� / a 6r,5.l ��s ^^ aP o s •s Nature�ofpRdepai s or Alterations�A(Answer whapplic�abl��eguh �-^ h( (�l����� ' t Date last inspected: Agreement: The undersigned agrees to ensure the construcTon and maintenance of the'afore described on-site sewagerdisposal system in accordance with the provisions of Title 5 o the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ed Date Application Approved by / Date Application Disapproved by: Date for the following reasons Permit No. ;. Date Issued A(u 5f oir y THE COMMONWEALTH OF MASSACHUSETTS ' ff BARNSTABLE, MASSACHUSETTS 0/1 Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( �) Repaired ( ) Upgraded ( ) Abandoned( )by p at l / p S 7t U�d (,V 1U!4 has been construct e in ac ordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated h - �a p Vo . Installer f3G M-Q w ,A �/U+�► i eJ Designer #bedrooms L� aQ cA W Approved design fl�w 330 gpd The issuance of this peF,2i t sh 11 not be construed as a guarantee that the system 41l functJion as designed. Date )S. Inspector ;,).,) ,l Inspector_,,,).,) , -_- _- --_- - 00— No. U- I � Fee/ THE COMMONWEALTH OF MASSACHUSETTS- PUBLIC HEALTH DIVISION = BARNSTABLE, MASSACHUSETTS Digogal 46pgtem Congtruction Permit Permission is hereby granted to Construct (1/) Repair (p ) Upgrade ( ) Abandon ( ) System located at % Q /�Os /I(/Gf'w, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction mhst be 7c'mpleted within three years of the date of this p" Date �}� Approved by r f/ TOWN OF BARN/TABLE A� y LOCATION SEWAGE# ' ocS' to ILLAGE &, AAIA�tSSS�OR'S MAP&PARCED a 7 L/-00 3INSTALLER'S NAME&PHONE NO. � ���, ' / %J%e7 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) - %. � �� l (size) �— 1 NO.OF BEDROOMS OWNER a PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 3 7 g \r1 O 'MWN OF BAP.NSTAHLE / N�C i.00A - . t�o SEwwG� vniA,c ,_ ASSES MS MAP lj,�T WSTALIMCS.NME&FAONE NO. s me'PLANK cApAcrzy con r.EActmvc FAgt.t1Y:( ) 1 t#wt) No.ov BEDRO' OMS I BUILDER OR OWNfB SeP"Ou Dino=Betwom ft. Modmum Adjuaad Gmotmdw*W TWO ad scum otLe MS Fftlly _..___.,_.fit Privm Waw SM*WOU and Leacb*Fad* of m y w ous aw on sort cz witlslo 3QQ faa of 1 Via? ., Et PAP Of Wsdaw and Leaelon,Faeihw tit any"WaNk emv ; widrin 300 Poet of ISAG iog fmtiMty) Peet Tvruidied br M H .L M fi O Cot ' r . Cam= 3�' $►r d i t 4 n. 0 � (� ,1��II. I (,��II �� S �� G�it p `?S� •' S[9'i ��� � P.�/N 7, f 4�c�f II � _ — _ _ i f y r 4 I ' a f / -- /. r 11 As AA — T I I j \ r zz- RY T FEB.28.2002 2:12PM BAYSIDE BUILDING C0.5087750155 N0.734 P.3r3 f� 1 TOWN CM STAB �- 8AR1!T LE , LOCAIL C 1 A SEWAGE# VIILAG � ASSFSSMS MAP iAT o II�S"fAU ER'S NAI�s&PROMNO. P'C'' SE.P=TANK CAPAC,CI'Y PS n I LEIICFIDIYG FAC1[.TtY: (qpa) f�120 NO.(w JSW PFRs Mnl)A?Pr DA'Cir; .., S or w oyon Oise no""60. ItilMmnnt Adjuslod Ommadma Tob)a and 8mt of LeacM,pnl ly t Pdv=Watete SW*WOR ad Lawbin F.fy (If any webs exist 04 life or witWo 200 fm of loacid"fac tjty) t �of WsdwW and LmadnS Ft+ettitr(If aqy"dgM c eaisV within 300 feet of lm"g facility) F-M Tvsaished by R Mouse- . A . o . o H E 'd Esce SOL SOS T T1IH SI9ONS * A31WH was :sa 20 02 qoj _ ,tom • Town of Barnstable P# {P/3 /(1v Department of Regulatory Services e ; i Public Health Division Date Mt/6 N,ura. i� 200 Main Street,Hyannis MA 02601 t Date Scheduled :11c ZZ „cam-+-' /�• Time [D Fee Pd. Soil Suitability Assessment for Sewage isposal Performed BY: 5 t�a,w� C h YKarv� Witnessed By: L W- S a!I ' LOCATION&'GENERAL INFORMATION Location Address q-2.l �� o �d Ri� Owners Name l� 'e g�ayck i C Address lh "`iterw �'�• St`` r�o°r Yoe �N�fp. c21otj Assessor's Map/Parcet O?y-O 63 -oa j.-Oa fv Engineer's Name NEW CONSTRUCTION y REPAIR Telephone# Land Use 62J &A'-A 1 Slopes(%) h Pam.cesT' Surface Stones A)IV Distances from:, Open Water Body yGQ ' R Possible Wet Area I I G ft Drinking Water Well S ft Drainage Way ft Property Line -W— ft Other It , .SKETCH:(Street name dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes). c i t oraoobooe! 4,3 I t a : pro L� �y I //ortA BHy rr' o 1{ _.. _ O F . 074009005 F - r i t ' a • r tA. Parent material(geologic) AkKk Depth to Bedrock SOO. Depth to.Groundwater: Standing Water in Hole: /yGl Weeping from Pit face Estimated Seasonal High Groundwater 11 (,�L 1 Ud\)- DETERMINATION FOR SEASONAL 10 41 WATEkTABLE Method Used: A1Q ._ Depth Observed standing in obs.hole: : in. Depth to soil mottles: - in. Depth to.weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date:; Index Well'level Adj.factor Adj.Groundwater Level_ tPERCOLATIONTEST . . _Time i! Observation Hole# Z l_ Time at 9" D�ep�of Pere Z Time at 6 aa. Start Pre-soak Time® . . C C<ewl\4v� Time ff- ") End Pre'-soak q r►rn:n Rate Mm/loch Site SuitabilityfAssessment Site Passed ✓ Site Failed Additional Testing Needed(YIN) Original: Public Health Division §; Observation Hole Data To Be Completed on Back - **If percolation test is to be conducted NY' bin.100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior.to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG; Hole# 1 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA), (Munsell) Mottling (Stricture,Stones,Boulders.', Consistency.%Gravel) 075 It b 0( KN t 36 f 31" DEEP OBSERATTION HOLE LOG Hole# Depth from . Soil Horizon; Sodj Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) o-Ll ti ►i' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Ether Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) Li-1 L DEEP OBSERVATION HOLE LOG Hole# ' Depth from Soil Horizon .Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulders. Consistency:%Gravel) iZ 3I" { Flood Insurance Rate.Maa Above 500 ear flood bo�nc�ary No Yes u C e.tt_ A-C3 e`er ©� y tst KnV 5 5 y T � Within 500 year boundary! No I Yes �i� Qo tZT�t) +� �c 5 t iaE t1'c� within 100 year flood bounOary No-r Yes T Den of Nattstallv0ccurrm�11 Pet*lo6s Material , Does at least four feet of n ly, occ g peoious.material exist in all areas observed throughout the area proposed for the soil abs6r�tion system? If not,what is the depth of na�tti#ally ocetuiing pervious material? : Certification date I have sed the soil eval I.certify that on;, L( e ( )i p tlator„examination approved by the p m y is was performed by me consistent With De artment of Env ental Protection and th t the above anal the required training,a erhs�e and experience d ms ribed m 310 Civ1R 15.017 Signature Date I L v Q:\SEPTIC\PERCFORM.DOC v _ Imo\ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 979 Old Post Road Property Address Steve & Kathy Haley c/o Susan Ahoronian -277 Linden Street-Su Owner Owners Name ite 207, Wellesley, MA 02482 information is - required for Cotuit MA 02635 10/30/07 every 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. Important:When filling out A. General Information forms on the computer,use 1. Inspector: . only the tab key to move your Robert J. Bortolotti y D cursor-do not use the return Name of Inspector, key. Bortolottl Construction, Inc. Company Name {-- P. O. Box 704 -45 Industry Road j Company Address _ Marstons Mills MA ` 02648 t `B0'0 City/Town Stateli Code c7, p �• 508-771-9399 Telephone Number License Number t"r3 B. Certification certify . that I have e personally Inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section-15.340 of Title 5 (310 CMR 15.000).The system: [Passes ❑ Conditionally Passes Fails ❑ Needs Furt luation by the Local Approving Authority. /6 r pector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector,and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,,if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time:This inspection does not address how the system will perform in the future under the same or different conditions of use. i 15insp•O8/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form ~a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M . 979 Old Post Road Property Address _ MA 02 482 ' Steve & Kathy Haley c/o Susan Ahoronian 277 Linden Street.-Suite 207,Wellesley, Owner Owner's Name information is Cotuit MA 02635 10/30/07 required for State Zip Code Date of Inspection every page. Cityrrown - l i 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: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. The,septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,,exhibits substantial infiltration or exfiltration.or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying.,septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out-or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will. pass inspection if(with approval'of.Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed t5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ;• 979 Old Post Road Property Address Steve & Kathy Haley c/o Susan Ahoronian-277 Linden Street-Suite 207, Wellesley MA 02482 Owner Owners Name information is required for Cotuit MA 02635 10/30/07 every page. Cityrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in orderto determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ . Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: . ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of asurface watersupply 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 aseptic tank and SAS and.the SAS is within 50 feet of a private water supply well. . t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts N W Title 5 Official Inspection Form ' a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 979 Old Post Road Property Address Steve & Kathy Haley c/o Susan Ahoronian -277 Linden Street-Suite 207, Wellesley, MA 02482 Owner Owner's Name information is Cotuit MA 02635 10/30/07 required for every page. CitylTown State Zip Code Date of Inspection B.. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont):. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well*". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence.of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided thatrno other failure criteria areariggered. A copy of the analysis must be attached to this form: 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No El 0 Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El due or ponding of effluent to the surface of the ground or surface waters EJ due to an overloaded or clogged SAS or cesspool 1-1 ElStatic 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 ❑ ❑ 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. O Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply: t5insp•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form- Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 979 Old Post Road Property Address Steve & Kathy Haley c/o Susan Ahoronian -277 Linden Street- Suite 207, Wellesley,MA 02482 Owner Owner's Name information is COtUIt required for MA 02635 10/30/07 every page. CityTrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No. ❑ ❑ Any portion of a cesspool or privy is within Fa Zone 1 of a public well. ❑ ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ❑ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified .laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppin, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] E] The system is a.cesspool serving a facility with a design flow of 2000gpd ❑ 10,000gpd. ❑ F, 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. I E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or''no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen'sensitive area (Interim Wellhead Protection. Area-IWPA)'or a mapped Zone II of a public water supply well If you have answered"yes'to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 979 Old Post Road Property Address Steve & Kathy Haley c/o Susan Ahoronian-277 Linden Street-Suite 207;Wellesley, MA 02482 Owner Owner's Name information is required for Cotuit MA 02635 10/30/07 every page. Cityfrown 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 . 0 ❑ 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? M ❑ 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? ® ElWas 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 stem SAS p Y (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•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.-Page 6 of 15 Commonwealth.&Massachusetts j ti W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 979 Old Post Road Property Address Steve & Kathy_ Haley c/o Susan Ahoronian Owner Owner's Name 277 Linden Street-Suite 207, Wellesley, MA 02482 information is required for Cotuit, MA 02635 10/30/07 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on.310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: vacant Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No 9 ( . y 9 (gpd)) Water meter readings, if available last 2 earn usage Sump pump? Yes ® No Last date of occupancy: current- seasonal home Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Oasis of design flow.(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? El 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): t5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts w Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 979 Old Post Road Property Address Steve & Kathy Haley c/o Susan Ahoronian -277 Linden Street- Suite 207,Wellesley,.MA 02482 Owner Owner's Name in ormation is Cotuit MA 02635 10/30/07 required.for every page. Cityrrown State Zip Code Date.of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Pumping History unkown =none Was system pumped as part of the inspection? ❑ Yes ®. No If yes, volume pumped:, gallons How was.quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ . Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach.previous inspection records,.if any) El maintenance technology. Attach a copy ofthe current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Septic Tank, Pump Chamber and SAS ( Cul Tec Leach Field) Approximate age of all components, date installed (if known) and.source of information: As Built card with permit number 95-1844 by Robert B Our Co,.Inc. Were sewage odors detected when arriving at the site? ❑ Yes ® No 15insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 979 Old Post Road Property Address Steve & Kathy Haley c/o Susan Ahoronian -277 Linden Street-Suite 207 Wellesley MA 02482 Owner Owners Name information is COtUIt required for MA 02635 10/30/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: feet Material of construction: El 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.): Septic Tank(locate on site plan): �� Depth below grade: 26 26-t feet Material of construction: concrete ❑ metal. ❑ fiberglass ❑ polyethylene ❑ other(explain) i If tank is metal, list age: years ,rls age confirmed by,,a Certificate of Compliance? (atfach a copy of certificate) ❑ Yes ❑ No ------------------------------------ ------------------------------------------------- Dimensions: 10.5"x 6"x 5" , Sludge depth: 3 Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? physical observation t5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments' 979 Old Post Road Property Address Steve & Kathy Haley c/o Susan Ahoronian -277 Linden Street Suite 207, Wellesley, MA 02482 Owner Owner's Name in is rt::quired Cotuit MA 02635 10/30/07 uired for fo every page. Cityrrown State Zip Code Date of Inspection D. System Information (coat.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related.to outlet invert, evidence of leakage, etc.): It's a.1500 gallon septic tank with inlet cover 26"to grade and outlet under flagstone walkway.with plastic inlet and outlet tees, with 4" scum.and 3" sludge at time of inspection. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date 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: Material of•construction: ❑ concrete ❑ metal . ❑ fiberglass ❑ polyethylene ❑ other(explain): t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts w W Title 5. Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 979 Old Post Road Property Address Steve & Kathy Haley c/o Susan.Ahoronian -277 Linden Street-Suite 207,Wellesley, MA 02482 Owner Owners Name information is COtult required for MA 02635 .10/30/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow:. gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping:. Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? El Yes ❑ No Distribution Box(if.present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ® Yes ❑ No t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 979 Old.Post Road Property Address Steve & Kathy Haley c/o Susan Ahoronian.-277 Linden Street- Suite 207,'Wellesley, MA 02482 Owner Owner's Name information is required for Cotuit MA 02635 10/30/07 every page. City/Town State Zip Code Date of Inspection D.. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and.appurtenances, etc.):. It's a 1000 gallon precast pump chamber with cover 16"to grade and fluid at working levels, pump and alarms were in.working condition at time of inspection. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length; ® leaching fields number, dimensions: 60' Lx12'W ❑ overflow cesspool number: ❑ in system Type/name of technology: Comments (note condition of soli, signs of hydraulic failure, level of pondin g, damp soil condition of vegetation, etc.):. It's a 60'.L x 12'W leach field using cul tecs with top.of field 32"to grade stone was dry at time of inspection with no indication of staining 15insp-08/06 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 979 Old Post Road Property Address Steve & Kathy Haley.c/o Susan Ahoronian -277 Linden Street-Suite 207 Wellesley, MA 02482 Owner Owners Name information is required for Cotuit MA 02635 10/30/07 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 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.): 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.): l5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts H r Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 979 Old Post Road Property Address Steve &Kathy Haley c/o Susan Ahoronian -277 Linden Street Suite 207,Wellesley, MA 02482 Owner Owner's Name information is required for Cotuit MA 02635 10/30/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage.Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water su ply enters the building. 1 ®: 0 0 d v `Y 6 U1 KC $ r l5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments G M pv 979 Old Post Road Property Address Steve & Kathy Hale c/o Susan Ahoronian -277 Linden Street- Suite 207, Wellesley, MA 02482 Owner Owners Name information is required for Cotuit MA 02635 10/30/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope " ❑ Surface water ❑ Check cellar ❑ Shallow wells 9 Estimated depth to 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: 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) �f Accessed USGS database -explain: You must describe how you established the high ground water elevation: t5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 Permit Number: Date: ' Completed by: HIGH GROUNDWATER LEVEL COMPUTATION Site Location: 9 7l An/ r� Lot No. Owner: avleY Address: (� Address;Contractor: , Notes: STEP 1 Measure depth to water table to nearest 1/70 ft. ...:..:. ..................... ..:...:.. ....:.:.............. ......... Date month/day/year STEP 2 Using-Water-Level Range.Zone and Index Well Map locate site and determine: .. OA Appropriate index,well ... .......... . .1.,...... OWaterlevel range zone . STEP 3 Using monthly report"Current Water Resources Conditions determine current de th to :water level for index well ......... month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 24j, current depth to Water level for index well (STEP 3), STEP 26) and water-level zone (...- determine water-level adjustment ........ .......... ..:................... .......: . ............:....... ......... STEP 5 Estimate depth to high water by subtracting the water level adjustment (STEP 4) from measured depth to water level at site.(STEP 1) ............................ .:.. . .:...... Figure 13.--Reproducible computation.form. 15 - 00. 0, , Y . Town of Barnstable �p 1HE 1p� yip`' do Regulatory Services BAMSfABLE, Thomas F. Geiler,Director ' ,0� Public Health .Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts,Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at t a particular property would be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. i I I r //%E*a^,1 T�Aaec.7l a l'--d ar.,o... w�Fwzf. ... / #?.t" , L TFeeRtF LotF i I0 '' ; .Poe O I , 9 uij FWl i.'. I 0 ,?YW 6 III I� 1S 1j I � O/ CLI SITT[I�G Nam >, 1 n I . . �2• \\ LI--- --- 5ovn+ t '//��/J�C/��J 1 `, -- --_ � °; ' - �\. '•, .;' - III! 4 F:n c 4 fK f7 ............ �i 1Lj — `� I t - �I:.. ,� _... I� _. J /•ewer.... Nr : - - - - 1 I - I LIL-T-ji �r .WE✓`iT EIFJR-r/Ot•/ `-cAST E _Ji?rizM :Pos7. - ."_ ono. •G+a i • —i—�0 2i' 3 • I i I. Ai jjrl(, Fop. Fancrr F.InuNul$G•fb E,G'-sRoeND.+FT6 !0 • �..\ � i� - JNT---_ _.__ �.` .. Ytf GR (2Ao / If LO TfSA ST¢.(G IOv 6.rn.j r • L7, .•.cn Pos-r 7D Rr¢bC /uSxa • �i 11 �29.\i ( el FdG F?,, ''P",IS.LYl.+r�taTF •YN.• S'�N-S.�'' _ [.—Aker P[< 1-7 io�9r9°�. 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ORaVAfM NUMBER /r _ J ------------ % - - - - .i - . : - -- - ---- . I - - --_- ------------- t _ _ 1 NCA7AJ SCALE: � r APPROVED BY:' DRAWN BY - REVISED .- • � � - - -. � _'j'j�PIC Fl.Z/Z 60P--t SIOrWPLL �SN �?-T%�/r[(n.� � � - - 7TC9 7 G. SPRKtf GOJ{IL k) �2 00A Sfr7"' - ?L I tt • 00r_2 sJzant Ir8 - 'G'B µo2 I 1,Ip NA ro. P 5+af,I J , • - .. A 7. .'xB 3 1g•�a>tuct+ t x 0 Wt e : i A.L- P ei.?-tJ:'/�y Kf i � : . .. .', . ,•„ � - � ' - ., " � � � �L:L' .`f�iRR,ic!?-i-/C. C�i�r�S dI/!'/f -c�-'S�i/„7.t.:., O%.=...,I�LFi=h - _ 1 7�19 � Llrr .C'ocR cr'rz« : ., Rq•p, / ..•nl9X- 'f{a/ rp/pPfa or2 ..F�%9rvc[.g.�s- 3D�37 / `,trt9 y p!z 3 f , - II TiPi vF.rra ii :_ -._..._ ... SCALE: APPROVED BV: DA, : .REVISED I fifi { DRAWDiONUMBER, .. F77 ✓s,N 3.� — j • O W DIRECTIONS: ASSESSORS REF.: I I 10 2 r From Hyannis - Take Route 28 towards Cotuit; Map 74, Parcel 3-5 & 3-6 :cu , 1 ,� �.I Take a left onto Old Post Road; n N \ I I N \ Property is on the left, #979. OVERLAY DISTRICT: AP - Aquifer Protection District , t v77, FLOOD ZONE: 1 � � Zone.C, All (el 11), w, CJ a u f lit l V11(e117), & V17(e115) r Community Pa al o LOCATION MAP # July 2, 1992 (1"=2000f) f REFERENCES: ZONE: f \ �`70 ~ I Deed Book 225351157 RF (RPOD) .......................... 1 ✓ �.,, \ f ...... 1 l 1 f _. __ / -_ tit �, \ Plan Book 459 54 Area (min.) 87,120 NSF ......... ..... / _ _. ce/DH � ''i 1 i• / f __ / �-' �o� -._ '~. _ _ `�•\\ �'q Zoe \ ,,` CIO ,. ,. 513166 Frontage (min) 150 �o Width min) 125 / Find Lawn 1 1 r f f0 `� _ (%� \ \ --__ V cn ., f \ t f f 1 l G Cho1n Un J �`. -- i 541/93 Setbacks: A\\ f, f } 1 1 / f l f f k Fen°e 7�? .�.�- \ \ --- rn I v Fron t 30' '�' / / l / ( 1 0 Side 15' f ~Q 2 I tv Rear 15' / l I I 1 1 1 l / 1....................................................................... € .- , ,\ CB/Disk Q ��--- -- ..�' _ f ` i f / 1 _ , ✓ ............................{. ........f............... __ \ / l d 1 0 Fnd l - 1 f ,...-................... _ \ PRO .\ 0-,& d ,� 50 27, I f/ �5 9 S 7 Ill I'll f I., /....... i I _ ' ( P BOX L ca / ` I �`. •\ III / f j 7.............................i 1 _ 4 \ N/F � . • C TA/Vk 1 2$5 O 4 10, Lawrence Best Lawn f q - _ 184141261 I I ` I r ............... 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I �� `' \ \ N "� ere ''r+ / / / pi Pete / / • / _ ",A Fi SEO Lawn '• a o , • �,� ' \ ' --25--- f 1 / / d �. / / f • +'_� RED AnON a. r '- •�\ �� / / / 2 s / / f / •, ,r, w2_ -' / / / - f 1 d 1 r r/ / // 1 ,'••. 1 / / .... � `\ \ \ I #9 7,2 Oen + + + ++ + .. \ St wf Lawn o ( I I I � I I --- - ----- __= 111 + + + , Dwelling I I ,. ?1 "�' ✓ , r f , / I % + ram, - {#) Lawn • , • n o - 1 r- / / / . '✓ / / AL \ Stone / ✓ / / .--'' _ � o �/ s ✓ / /✓ ✓ / // �'� f o / t � /a /� /' "+ + \ ` \ it tt '' ; '' , ❑Walk 3 f / s � \\ town{ 13 • I ✓ e �/, , - ✓ 1C? / ✓ / \ \ o , Walk ff` Patio ✓ r1� s s / r /' / ✓ 8 3 • Wood Walk & Sta/ P\e< \5e // r MA e Edge of Wetlands 1 \ • �' 1 S 02 ✓ - w"." - ✓ i / ✓ A11 111) ,/ er - .!a. \1 I 100' _ / I \ IQ • ttt O� t/� 9Q�' +"••� ✓ ✓, r / r1 �„ ,,_. ---' = .� // � -,,,/ � �, �,.• � / t3'� '�, e '• � �,, � ,..... � 11x7 O m Q to 0 t c�,�0ti,,� r - - �- � � aOa I II , y,II� I It I �/� ,/� '\ \ • ;Lawn+ h I 1 l I ! \ .7r7oRo ��, ��. r / \ f 1x4 DESIGN DATA `9��s _ _� -� \ \ qU P / \' � 50 � .• °� I III 1IIII I I II I mgle Family i alllc �................ , -3 Bedroom @ 110 GPD \ F�j No Garbage Grinder \ I"� �•-- '••�\ � 1. Lawn\ Total Daily Flow=330GPD ° } '� \ ` �•, y Z1 Use a 1500 Gal Septic Tank LEACHING AREA Lot Area Summary , rol-�-° 330 GPD/0.74(LTAR)=446 SF Required AL 205'1 70f SF Upland \ L ` \ •, '\ I Mean Low Water Sidewall=2(12'+25')2'=148 SF '\ � � � , •, \'• �f �� 1 `� '• 87,860±SF Wetland \ B Plan Bottom Area=(12'x 25')=300 s£ 293,030f SF - 6.73f A C Total \ r '`F` \ \\ �-' �''y y Total Provided=448 SF LEACHING CHAMBER DESIGN \ \ P c'o n N 1 All Pipes to be Schedule 40. Use •\ �J->N. \ \ t \ 2-500 Gal.Leaching Chambers in a 12'x 25'Washed Stone Field as Shown. AIL •\ \ \ \ 1 1V rlllc. 294.63' \\ Top Of A 1 ' 16 2 W F.G. L \\ Coastal Bank 2 \ I See Notes (typ.) Cotuit Say NSF N 84 1 F.G. EL. 12.33 y Shores Association, Inc. 1 G. EL. 13.0 ctf 66509 Flow Equilizers EL. 10.2 f As Required 1 Installer To E AIlc AL 1 Confirm Prior 1500 Gallon EL. 9.55 Top EL. 10.00 To Any Work 1p AL \ FEMA Zone Line as Shown \ `f,t Septic Tank E D-Box EL. 9.18 On FIRM 250001 0018 D PERC TEST: 13,100 rev July 2, 1992 Leaching R PERFORMED BY:JOHN UDEA,PE-SULLIVAN ENGINEERING To Be Installed On J Chamber SOIL EVALUATOR No.2911 ` Z \ ,y=,.ram. ,. r•, �� Compacted ase WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTA13LE ,� \ Bedding,"T"s, ocroBfiR22 zolo }T> tS :;:;`: ?: rir iari' rf'l�iti�aw.s4c3J2� :�. OAL Inspection Port, P>1 ..... TEST HOLE-1 TEST HOLE-2 TEST HOLE-3 TEST HOLE-4 �- �' \ & Baffels ?isi}r......ns ifita2s'it}}......}y;:} i.....?.i3Y?:�...... EL.12.8 EL.12.0 EL.12.8 EL.122 as Per Title 5 ;•: + •:;Qiff4PF•:•:PelFuflsxRr•:A..f...if.��a:� .t>�rn. 3 .. '.. - i:•:.OI......t............:..... ii:':{]BG'Ate1IC4':^t:•:'i.'i:':"::" ..... ':C1RG'NK3':':^:':'d:':':':'%: r::12.4 4" c:is irtr: cr:r:11.7 G 4" 12s 4 EL. 1.8 12.0 ,Ills . . .. .......... AP 1AYER'I�YJC3/2'::::.:�:: AY.I:AY&R'r0YJt312.':::::.: AF•1AY5R't0Y1C3/2'::::::::: No Groundwater :::::..................................... ...... VEK.Y.;DARK.CiRAYISH'BRO......:. .':.':.......DA1.K.C...AY... ABROWSI':::. ':.::'YEKR:IIlAIUr•GRiLYISH'BROWTI::.., •::::YBKE'I7ARK.CR'AY1Sfl'SROWN':::. Per Test Hole 1 13":::::::•:::::.'SA7VAY.LY)9FiM.':::::::. :::11.7 12"trrtrrrrrrrr:•'SA'IVDY,UCIAM:::::::::::::110 13"••••••••••••.•SAMDY.LUAM:. :::::. :::11.7 12 ::`:. ••'SA'NDY•LOA1i4r:r:r:.....:'112 F,P EVEL PED PROFILE F SYSTEM •::•::•:::..,�rr�.v�rwtsitsnowrr.::•::•::::•: ::::i:;'..:;rriivwi§Ii.BavwN•::::::::: :•::•::::;•::rFtt.erwlsHBRpwrr'.�::;:::: :•::� YBLlvwlsx•B>enawvN.:::•:.�:: . �/ 30":'::::::::::::3X1nLMY.SANrr.�::::::.�::.103 31 ':::.L17AMY:sAND::::::::::::.9A 30" 103 31";:•::•::.::(:•::• b :M,r':SA ;';::'::::'::'::'::':9.6 259f t ML O, _A SEPTIC NOTES NOT TO SCALE C LAYER 23Y 616 - C LAYER 23Y 6'6 C LAYER 2SY 616 C LAYER 23Y 6/6 _ - A A W 1 -{ OLIVE YELLOW OLIVE YELLOW OLIVE YELLOW OLIVE YELLOW / S 85' Q� " Legend. 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours MED.SAND MED.SAND MED.SAND MED,SAND 60.19 168 32" PERC TEST 93 , �" N/ Prior to Any Excavation For This Project the Contractor Shall Make PfiRC TEST 9s � \ � � O � 25 GALLONS GONE IN 9 MIN. 25 GALLONS GONE IN 9 MIN. the Required Notification to Dig Safe(1-888-344-7233). 9'20 �e2� F�lSTEF 4` 11. 1.8 120" PERC RATE<2 MIN/IN(LTAR=0.74) 2.0 120" 2S 120" PERC RATE<2 MIN/IN TAR=0.74) 22 S Light Post 2.The Contractor is Required to Secure Appropriate Permits From Town NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED NOGROUNDWATERENCOUNTERED NO GROUNDWATER ENCOUNTERED 41 Hydrant Agencies For Construction Defined by This Plan. AL " \ 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall Hose Bib Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to Finish Grade AL 0 \ CB/DH Assure Watertightness. In General,Water Lines Shall be Constructed in Coordination With Catuit Water,an Accordance d Shall be in Accord -0 Guy 3' Max. 3f :i�l ,~ € y; , n,t a i;"with tag clvc 1.00-7.00&310 cMR 1s.00. NOTES: PREPARED FOR: PREPARED BY. TI TLESite Plan -0- Utility Pole 4.A Minimum of 9"of Cover is Required for All Components. 9" Min Compacted Fill Filter 5.All Structures Buried Three Feet or More or Subject Fabric OHW- Overhead Wires bj to Vehicular Traffic to be H-20 Loading.It is the Engineers And/Or 1-25- - Elevation Contour Recommendation thatH-20A1waysbeUsed 18 - the1.) The structures shown were located on the groundS II1Va'n Engineering' Ine. CapeSury Proposed Improlvi'lements 6.Install Watertight Risers and Covers to Within 6"of Finished Grade Pea Sterne 979 01d Post Road LLC Over Septic Tank Inlet and Outlet,D-Box,and One LeachingChamber. 3/4` - 1 1/2" by conventional survey methods On Or between 1 • Holly Tree 7,Septic System to be Installed in Accordance With 310 CMR 15.00& LEACHING Double washed 07/APR/08 and 27/SEP/10. PO Box 659 - 7 Parker Road 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable CHAMBER Sterne 10 Tremont Street Os t ervill e, MA 02655. Os ter vill e MA 02F,55 At WO Board of Health Regulations. 2.) The property line information shown hereon was B.AtiPipingtobeSch.40PVC. I compiled from available record information. (508)428-3344 (508)428-9617 fax (508) 420-3994 (508) 420-3995 fax r 4' - 10" Boston MA 02019 979 Old Post Road 9.D Box Shall Have a Minimum Inside Dimension of 12",and a Minimum copesurv@capecod.ret a Deciduous Tree Sumpof6". I 12 3.) The datum used is NGVD 1929, a fixed mean sea 10.The Separation Distance Between the Septic Tank Inlets and level datum. The benchmark used is tag bolt no l Outlets Shall beNo Less than theLiquid Depth.Inlet Tees Sul Extend CROSS SECTION OF CHAMBER hydrant #161 (as shown plan by Levy, Eldredge & 30 0 15 30 60 120 Draft: JOD Field: RRL/MML Bamstable (cotuit) Mass. W a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" Wagner for the Whittier family dated 6117192). W Coniferous Tree Below the Flow Line,and shall be Equiped with a Gas Baffle. Review: PS Comp.: RRL DA TE SCALE: NOT TO SCALE P = Project: ! 30012 Pro je c t # C291 October 25, 2010 ill �'