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Home My WebLink About0067 RALYN ROAD - Health 67 Ralyn Road Coturt - - -- - - -- A= 022-063 i r v No. [� Fee f THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2ppficatiou for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(_V Upgrade( ) Abandon( ) ❑Complete System .Individual Components Location Address or Lot No. 4� 1�/� Ad Qwner's N gA dress,and T 1�.N�j7� Assessor's Map/Parcel 61(R A-� �2 v n Installer's Name,Address,and Tel.No.�'�j��7�J/93 D signer's e,Address,and Tel.No. Qor�o/® /15 ;4 f�/�111�5 kbCem� 04 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `3 30 gpd Design flow provided 30 gpd Plan Date `} DO I Number of sheets Revision Date Title 0D'44-L+ i4 Size of Septic Tank �CiS�i/Ki /UGC Type of S.A.S.o2`///0 l9�ga,eY"Si J .FS3 Ct9X o'15Z Description of Soi1��Q $�, 10KA Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 o�the Enviro al Code not to place the system in operation until a Certificate of Corpliance has been issued by this Board Signed Date M /13� h Application Approved by Date Application Disapproved by Date for the following reasons Permit No. CD 1 Date Issued 0— /� • ;. r ;_ � Flee No. �26 I7 — Fee / DV THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplication for Misposal Opstem ConstCULtion 3permit Application for a Permit to Construct( ) Repair(k�Upgrade'( )-Abandon( ) ❑Complete System ®Individual Components Location Address or Lot No. �, �n Owne's Name,Address,and Tel. Assessor's Map/Parcel G. C t'o 41 zc. Installer's Name,Address,and Tel.No.JD( 7 S- 9/ 9 3F9 Designer's Name,Address,and Tel.No. 6D;5-3&,? Type of Building: / Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures �'• Design Flow(min.required) U gpd Design flow provided 30 gpd Plan Date k(A yu.199, 3o 1 O Number of sheets Revision Date I Title i✓ `p r o i_kt Al(_'L �? 2n'7 l�G � � �c e.� i'��/4 Size of Septic Tank ew S4,'l-f /UAD Type of S.A.S.o"///O W x v2 i C Description of Soil-ie e Sn, �'jc-11 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envirroon tal Code de and not to place the system in operation until a Certificate of Coi'"'liance has been issued by this Board of Heai"fh. t" Signed <-_a _ Date Applidation Approved by S Date Application Disapproved by Date for the following reasons Permit No. o�O l�j �a�"'j Date Issued 7�` ` ---------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned(} )bey �J�r FG'U c. 4 �,} r'r l�trA,, . L41 C at 6/7 P01-L4111 ' j 0h411A " has been constructed in accordance with the , prronovisions�f Title 55aand the for Disposal System Construction Permit No.ao 17 eP 5 dated Installer 12z F�6� A C G r,S�fL� C _ 1 n G Designer #bedrooms Approved design flow and The issuance of this permit shall ript be ccoonstrued,as a guarantee that the system wi 6nction d dslign Date kIf I t I I w'` Inspector ----- ---- --------------------------------------------------------------------------------------------------- ------------------- No. ao(7 - .2 Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoBal *pstrm Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at �1, ( e941�,.7°' 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. Provided:Construction must be completed within three years of the date of this permit.l Z Date Approved by AUG-03-2017 04:16 From: To:15087906304 Pa9e:V1 ' 'own of Barnstable Regulatory Services Thomas F.Geiler,Director i •"'�'�'�, $ Public Health Division Tbowas McKean,Director 200 Motu Strmt,Dyyanais,mA 02601 Office: 508-862-4644 ; fax: 508-740.6304 r Intitailer& esi ex Ce 'Station Fo Date: a Sewage PerwitN e20 0- 2-Z3 ,A,saessor's Map\Parcel ZL d Designer: 6In1+—� I1WT Installer:Designer. �rk �►- Add,rrss: 3 Address: Q.✓ r n o It't'r P'l L On '?.-13-1-) was issued a pens it to install a `� (date (installer . septic system at 6 fa/ ti based ou a design drawn by I ess) �CLA d,ajk eE A dated (d igner) I certify that the septic system referenced above'vas installed substs�' 'aR according to the desip, which may iuclude 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 d=ges (i.e. greater than 10' lateral relooadon of the SAS or any vertical relocation of any component of the septic )but m accordance with State&Local Regulations. Plan,reviisiOn or certified - u' y designer to follow. t)AIN'L`i n`. 1 OJ41 A `1 stalla�'s Signature) �� c'.�vit j � % • ;�rfa �1,iA:iY ,: .., +�. 1V Designers ignatur ( x l esi er's Stamp Here FLEAEE RETURNTo BARNST'AB E 'sL DM IO.N. �C IRIC011—E O� CONtPt,YANCE 1�� PTUT E iSsUE UN'T�. B 'Z' ARE RECEMA.BY T$E B t N P IC gg r.TH nt(VISY4N. TgANK YOB Q:gea1th/8eptic1De8iper Certification Form 3-26-04.doe TowuofB r ' q "� Aepartiaeaat of Regwato y.Ser-dees Public Realih.D' I ion IVIS Date m.Ass. na p. 200 Male Slrcet,'Hyannis MA.02601 0 Date Scheduled .6 A-ah-2 Ti. `' � Fee �4cr � X. Soil Suitability Arse*Seen for SO D osal Perfomcd.6y:aw'a" Witnessed Y. w "" LocationAddregs..r OwneesNarne.— D Address Assessor's Map/Parr-4: ® l— ®ry NEW CONSTRUCMON REPAIR Telephone# 6,09_3�p1" Land Uso: C� JAyG !! ! 51A cs 96 f ee'' p ( ) SurfaceS.k (4 Distanecs f om: Opan Water Body Possible Wet-Area Drin.Icing Water Wcil PX 4_ft DralhagD Way I�G t. 'fit .Property Line t Other ft (Strcet name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands•ilu pxoxirnity to holes) • l c e, - Qk Parent material(geologic) �� `f ��l ` Depth tq l3etlrgcl� ZOIC•a-f Depth-to Groundwater. Standing Water in Hole: IV t�l!.�� Wcepingfrog PitPpGa• lastingakEd Seasonal 111gh Groundwater DET Mathod.Used: N PWATION t Depth Observed standing in obs.hole: la, :1]epth,tb•sll ta?attln:- in. Dopth.to vrcepingfrom side of ob_s,h_olc: lal,. t3toundwatrrAdJusEmnnk fc. Index Well Ii Roading Date: • In.dex WoR liVal _ _ _m P,d�,fit EGP. �d.:(�1t�UildWtikekl.�Ya1 FERCOLATIPNTEST to Observation Kola# Tlinc•at.9" —.. ,.. . t Depth Af PErc. r Tlme nk 6" • Start Pro-soak Tlma @ Tima.(g"-G„? End Prc-soak r Rate Mln./Incli WI.LO Site Sultability,Asaessmcr,t:, Boo Fasscti Mrp Fnllad: Additional Testing Needed(:'>IN) Original., Public Health Dlvislon Observation Hole Data To Be Completed on Back ***If percolatiba test is to be eo)ad-acted witk a 100' of wetland,you must first notify they BaMstable ColaseTvation Division at Fast one(1) week prior to beg ruing. ,,tt Q:15EPTlCT)3RC.FORM.D0C G� ►/J LOG Dcpthfrom Sallilorizon u",oil.Toxture Still Color Soil•. ot'htr Surfaeo(in.) , ('U-SD'A) (Mansell) Mottling (Structure,Stones';Boulders, o i'tcn y,�o'Cravall IC2119 LOG Rele DrPth*am Soll Horizon Sbil Texturo Sall Color Soil Other Surface(in.) (USDA) (Munsoll) Mottling' (structure,Stones,'Souldefs• ` Consistmov,90 Grave _Izo4 DEEP OBSERVATION TIOLF,LOG Role,W, Depth�rotri Solllforizon SoiITexture Soil Color Soil othar' Surrace(in.) (USDA) (Mansell) Mottling (Structuxo,Stones,.Boulders. Co 1 to c (3 e 0MqERV.&TIoN)R0T'P,Loa Depth From Soil Hnflzon Soil Texture Soll Color gall other Surface(in.) (USDA) (Munsell) Mottling (StructM1,StotlZ 9ouldars, • - Co si tntt 6 , - �'Yaod 7staxtc'ra��.a1eIVYm^p;. - . Abovc500year;flwdboundary No_�./_. Yes d.W Within�00 year boundary. No / + Y'es.,:,„,.:,. Within 100 year flood boundary NOI Yd5 Depth.of Ngtargun 0cmallna-R-a io-aa M tit MIA Does at Yeast four feat of naturally occurring pei'vi us rixl exist in all aretis nbs6rvod throughout tht; area proposed for the soil absotptibn system' If not,What is the depth of haturally occurring pervious matarlall — ��ei-itzl:icatio� /� • x certify that on 0 (date)1 havapassod fhe soil evaluator e9caminadon approved by the Depaltmanf of Bnviro menfaY Proteodon and tharthe above analysis eras pot 'ormed'by me consistent With the required training,expertise and experience described in�10 CUR 15.017. Signature D atb 4 •� ,, . �, �:��rTlc�r�Y�cnoxr.Y,n.nac ' 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,M 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is Cotuit Ma 02634 5/4/2012 • required for . 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. Please see completeness checklist at the end of the form. Important:When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Scott Campbell cursor-do not. Name of Inspector use the return key. Cardinal construction Company Name 32 Ridgetop Rd. Company Address - Cotuit Ma 02635 � e0B/ City/Town State Zip Code 508-420=1295 S1388 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Fu her Evaluation b the Local Approving Authority 5/4/2012 Ins or ignatt.re 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. t5ins•11110 Title 5 OjInsp 'on orm:Subsurface Sewage Disposal System•Page 1 or 17 I�$ f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code. Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not' determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health.determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y< 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a-private water supply well". Method used to determine distance: *'This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: 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 El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow I l5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection 'Form Subsurface Sewage Disposal.System Form-Not for Voluntary Assessments M , 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. Ej 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—1WPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M z 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ 0 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 thd�tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms(actual): 4 MDESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Ralyn Rd. - Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityfrown State Zip Code Date of Inspection D.-.System Information Description: Number of current residents: 0 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 Water meter readings, if available(last 2 years usage(gpd)): (see detail) Detail: 2011=38,000 gallons 2010=36,000 gallons Sump pump? ❑ Yes ® No Last date of occupancy: 2012 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No j Non-san.itary waste discharged to the Title 5 system? ❑ Yes ❑ No f Water meter readings, if available: t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . ' 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name . information is required for Cotuit Ma 02634 5/4/2012 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 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) ❑ 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): 1000 gallon Septic tank,1000 gallon leach pit, 3 flowdiffusors. t5ins-11110 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form . o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name. information is required for Cotuit Ma 02634 5/4/2012 - every page. Cityrrown State Zip Code Date of Inspection - D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: new leaching installed 1-23-1995 Permit#95-34 Existing system installed 1973 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 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.): Septic Tank(locate on site plan): Depth below grade: 1 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 . o Dimensions: Sludge depth: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 67 Ralyn Rd. Property Address John and Laura Neville Owner owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 3' Scum thickness 1 Distance from top of scum to top of outlet tee or baffle 17" Distance from bottom of scum to bottom of outlet tee or baffle 16" a How were dimensions determined? tape measure,sludge stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): System should be pumped every 2 to 3 years depending on amount of useage. Inlet and outlet baffles in place at time of inspection. Liquid levels at proper working height at time of inspection. No evidence of leakage into or out of tank at time of inspection. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11110 Title 5 Official Inspection Fond:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , y 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert n/a no box present .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 Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 1000 gallon leach pit liquid level 22" below outlet invert at time of inspection. Flowdiffusors dry. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ® leaching chambers number: 3 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Dry soil, no signs of hydraulic failure, no ponding or damp soil, normal vegetation.(grass) Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Ralyn Rd. Property Address John and Laura Neville Owner owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® .hand-sketch in the area below ❑ drawing attached separately t, f t 1 t5ins•11J10 Title 5 official Inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 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) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Ralyn Rd. Property Address John and Laura Neville Owner Owner's Name information is required for Cotuit Ma 02634 5/4/2012 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE # LOCATION (Z.Lam!(A jZh, SEWAGE# 5-0 17- % A.3 VILLAGE ASSESSOR'S MAP&PARCEL b-l- E,3 INSTALLER'S NAME&PHONE NO. . — SEPTIC TANK CAPACITY EF K( t 1 4G LOCO /-J-/p LEACHING FACILITY. �� -S� oc 1�.�3 X(type) t �2��(G� (size) NO.OF BEDROOMS OWNER -O OTCO PERMIT DATE: --I- 13--1'7 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 lfacility) � Feet FURNISHED BY �i/ak/rJ Cq^�r -g��...—�.,� 39' w TOWN OF BARNSTABLE - LOCATION_. SEWAGE # "pl' S 3 C� VILLAGE Gam r�i x rASSESSOR'S MAP 6 LOT&,R.'Z —044 �2s--F77 INSTALLER'S NAME St PHONE NO. SEPTIC TANK CAPACITY /tj Cry LEACHING FACILITY:(type)/ u/, `t`L :: S (size) 3-2 -3 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ,jy1 Iz- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No zl -�� « �. �y �, , . M1 f �, '� .J-_�. ✓' .M1tµ � F' � � J ;,� � `�'' E.,. S �� 1' -t No....5 Fps...30 . 00. ......... THE COMMONWEALTH OF MASSAC SETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Mit-Vooal Wor1w Ti nitrnr#inn lirrutit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 67 Ralyn Rd Cotuit •----------•-•-•-----------------------•--•-----............--------.......---................... --•------------------------------------......--------...---•-••...............•----...---......•-- John Neville Location-Address or Lot No. ......................_.......................................................................... ----•--------------------•---------------...------------.....----•------•-----...-----•------..... Owner , W.E. Robinson Septic Service P.O. Box 1089 Centerville Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.-3---------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons-_--.--------------------- Showers ( ) — Cafeteria ( ) QOther fixtures --------------------------------------------------------------------------------------- ------------------------------------------------------------• W Design Flow*--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width-------.-------- Diameter.----.---------- Depth—............. x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No-------- ------------ Diameter-----.--.--..------. Depth below inlet---..--............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..................................................................... ----- Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit------------.--.---- Depth to ground water........................ Li, Test Pit No. 2................minutes per inch Depth of Test Pit--.-------------.--- Depth to ground water..----.................. P4 --------------------------------------------------------------------------------•-•--------------------------------------- •---------- -------------- *--------- 0 Description of Soil.............sa.nd................................................................................................................................................ x U w M. ------------------------------------------------------------------------------ ------------------------------------- --------------------------------•--------•----------------------------------------- U Nature of Repairs or Alterations—Answer when applicable----i.astall---3....st-o ep.ac]ted........................•....... .....inf.i.1.tratoss.................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed {.. ---- ✓ -------- -------------------------- Application Approved By ..... .... ® - --' -- ,Application Disapproved for the followi g reaso . ....................._-.-....-..-..---------.._----------------- ------------------ ------------------------ -- --- --- - --- ---------------------------- ------------------------------------ ------------- ------------ Date----- Permit No. --- Issued Date No...T5��3.. FEE 30. 00 THE COMMONWEALTH OF MASSAC� SETTS BOARD OF HEALTH TOWN OF BARNSTABLE , ppfirtt#iuu for Divi-pw3al Wurku Tomitrur#inn rami# Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 67 ftalyn Rd Cotuit ......................•••••-••••-•..........---.....---••-•---•-------•---------•-•---•••-_--_... � John Neville Location•Address or Lot No. ......................-.......................................................................... ................................................................................................. W.E. Robinson Septic Service P.O. Box 1089 6enzerville Installer Address d Type of Building Size Lot............................Sq. feet 4 Dwelling— No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) a`LI Other—T e of Building ....... No. of persons............................ Showers YP g --------------------- P ( ) — Cafeteria ( ) dOther fixtures --------------------•---------•-•---------------------............................................................................................... W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. Septic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter---------------- Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------_---------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~4 Percolation Test Results Performed by.......................................................................... Date........................................ .a Test Pit No. I................minutes per inch Depth of Test Pit_---_--__________.__ Depth to ground water-.___-.-.-_-____--___--- fi Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-------:_----__---_-___. 9 •-------------------------------•---............•-•---•-••-•---•-•------•-----•-•-----------._..............---------------------....._......--.....---.----- ODescription of Soil-•----------..aand-................................................................................................ x W UNature of Repairs or Alterations—Answer when applicable----instal-l•---3...stongpadeed................................ .....i.ra_tiltrat_ox-S................................................................................................................................................................. Agreement-. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issixed b the board of health. f),�7 Signed .... ' l - '; --- . n,� --------------*......Application Approved By ..... . - "°-------... •! - - ------------------ �/ -r ,...-- �.... .... f �I6� Application Disapproved for the followi g reasonr' ........, -±---- ----------------------------------------------------------------------------- ---------- ------------------..._..-------------- '/ ....................................................Date...__.Permit No. -----------� ................... Issued Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x constructed ) by W.E. Robinson Septic Service - ----- .. ....................................... ................. ......... ..... 67 Ralyn Rd Cotuit Installer at --------------------------...------------------------------------------ _----------------------_........-------------- ------------------------ --------------------------------------- has been installed in accordance with the provisions of TITLE 5 - Tkie State nvironmental Code as described in the application for Disposal Works Construction Permit No. f dated ........------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......./-_ .. -- -- `�'r� ..... -- ---- Inspector .----- //... i ... .. i� !` -------- ---------------------------------------------------------------- i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.. �._......_. FEE........0•_-_---•- P �iu�ruuttl Turku Cnuuu#r�r#inn �rrmi# W E. Robinson Septic Service Permissionis hereby granted --------------- --------•------•-----------•----•--•----•--------•------------------------••-----------•-----•-•--••-----...._••---- to Construct ff ) y or Repair (x ) an Individual Sewage Disposal System J 67 Ra n Rd Cotuit -- !-- ?5��--------------------------------------------- as shown on the application for Disposal Works Construction!Permit No.__�__.: Dated_ ____.. f -==�.,�1,._. / V_��._..._ / : ----------------- lqq .--- Boartd'iSf�H alth DATE ( a- --i-- ---------------•-•---------------•- FORM 36508 HOBBS R WARREN.INC..PUBLISHERS SYSTEM DESIGN: LEGEND SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR GARBAGE DISPOSER IS NOT ALLOWED —� NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. o 99 — EXISTING CONTOUR PROVIDE MIN. 20" DIAM. WATERTIGHT NAVD 88 ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS 28 c X 99 1 EXISTING 3 BEDROOM DWELLING 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING o�te EXIST. SPOT ELEV. — \ TOP FOUND. EL. 57.71 FILTER FABRIC OVER STONE R DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD 50.1 ' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. —[99]— PROPOSED CONTOUR USE A 330 GPD DESIGN FLOW MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 49_. PRECAST H-10 NOTE: 2 MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS PROPOSED SPOT EL. 2,� ( P) THICKNESS REQUIRED PRECAST RISERS Locus �98.4 RISERS TY . 4"�SCH40 PVC BLOCKS OR � TO BE AASHO H— TH1 SEPTIC TANK: 330 GPD r2 = 660 49.1' MORTAR ALL H-10 \ ) 6" MIN. SUMP PIPES LEVEL 1ST 2' 4' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. 12" MIN. INT. DIM. ENDS SIDES SOmPsons TEST HOLE (TYP.) INV'S EL. 47.20 4' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH o USE A 1500 GAL. SEPTIC TANK 2� SLOPE OF GROUND 10" JTEE A 48.03' #EXISTINGO°O°O°O °O°O°O°O310 CMR 15.000 (TITLE 5.) O� ' TEE o000 000 � o000 0000 ° o o °LEACHING: SEPTIC TANK *47.7' ° °°° ° 000� �� OO�O --��0 ,°O°°°°°°°o° ° ° ° ° ° °°°°°°°° : 000a00000a� o�000a0000 >°°°°°°°°OOC 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO UTILITY POLE — °°°°°°°°°°°° WATERTEHT D BOX o ° ° ° ° ° ° ° ° SIDES: 2 (25 + 12.83) 2 (.74) — 112 GPD GAS BAFFLE ,e°° °°°°°°°°°°°° �D��O��® ODOOO��®L7oO °oM.-O. �� FOR LEVELNESS N ;°o°o°o°o ®®��0��® O®��0�� ;�oBE USED FOR LOT LINE STAKING OR ANY OTHER FIRE HYDRANT = 47.47' 47.30' >° Cc o°a°o°o o° CIC PURPOSE. BOTTOM 25 x 12.83 (.74) 237 GPD `: ° 45.2' NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING . 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. TOTAL: 472 S.F. 349 GPD (2) UNITS REQUIRED ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' WITHOUT INSPECTION BY BOARD OF HEALTH AND USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) COMPACTION. (15.221 [2]) N PERMISSION OBTAINED FROM BOARD OF HEALTH. ss�f 9 *THE INSTALLER SHALL VERIFY THE WITH 4 STONE ALL AROUND m 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCATIONS OF ALL UTILITIES AND ALL DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCUS MAP. BUILDING SEWER OUTLETS AND LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES 36.0' BOTTOM TH-1 PRIOR TO COMMENCEMENT�OF WORK. ELEVATIONS PRIOR TO INSTALLING ANY ( 2 % SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND SCALE 1"=2000't PORTION OF SEPTIC SYSTEM 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE MA APPROVED DATE BOARD OF HEALTH ' FOUNDATION— EXIST. SEPTIC TANK 10' LEACHING REMOVED BENEATH AND 5' AROUND THE PROPOSED D BOX 12 FACILITY LEACHING FACILITY. ASSESSORS MAP 22 PARCEL 63 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY FOR RE—USE. REPLACE WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF NOT SUITABLE TEST HOLE LOGS ENGINEER: CRAIG J. FERRARI, SE #13871 WITNESS: DONALD DESMARAIS IRS DATE: 6/22/2017 PERC. RATE _ < 2 MIN/INCH f CLASS I SOILS P# 15384 1 i ELEV. z ELEV. O,P 4 46' Opp 46'46' I A A o I LS LS 10YR 4/3 10YR 4/3 1 I 121) 45' 18" 44.5' LOT 25 26,906 S. 56 52 / S 00 p PERC �0 k� so 5 __5 7 --`w W N M S MS LO 000 Cr Q I 1 10YR 7/4 10YR 7/4 Y EXISTING 1 57 I O 0 o DWELLING = I TOF = 57.7 1 O o1 kh 6' 1 120 36' 120" 36' TH2 6, 1 I NO GROUNDWATER ENCOUNTERED T 1 — PAVED DRIVE cr j v ^O 54 O � � C 47 C _ I 57s/ I O I 48 o h� __ CD G G 00 0 TITLE 5 SITE PLAN 52 5 SHED s� 0 F 53 54 -v67 RAL\T/E% n Ru" AD i,,0TU I MA 56' PREPARED FOR "NSTro"m me"" N " N CORNER Co � R T C-1 L " T T I C(IJ PATIO. ELEVATION = 50.65 PLA0_qr_09_% DATE: JUNE 29, 2017 Scale: 1"= 20' 10 20 30 40 50 FEET _ ��`!H OF MASS ��H OF MASS �� QFMASS� �a�3 �° DANIELA. ,��NOFMAS c o DANIEL �, `u Sy off 508-362-4541 ? , o OJALA c �o DANIEL " A. " CIVIL DANIELA. yes fax 508-362-9880 OJALA " No.46502 OJALA � I downcope.com @ a No.40980 �o �� CIVIL � . R�No 409SOP r'o �P IFS crsT��`� G No.46502 � down cope engineering inc. essvc S�ONAL 0' _p SFcrs Te��`�� C%V%l en %veers 9 L land surveyors 939 Main Street ( Rte 6A) DCE 17- l 63 DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 # 17-163