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HomeMy WebLinkAbout0399 SANTUIT ROAD - Health /399-Santuit Road,Cotui`- 0 e e e J I a ,�1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART-A CERTIFICATIO Property Address: 399 Santuit Road 6j/ 191 S Cotuit, MA 02635 Owner's Name: Bill Prescott Owner's Address: Date of Inspection: March 13, 2006 �. cm Name of Inspector: (Please Print) James M. Ford s Company Name: .Tames M.Ford Mailing Address: P.O.Box 49 r 3 Osterville,MA 02655-0049 Telephone Number: (508)862-9400 ? �' rn CERTIFICATION STATEMENT Ln I certify that I have personally inspected the sewage disposal system at this address and'that the infolation re ortedM P. below is true,accurate and complete as of the time of the inspection. The inspection was performed used on in 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 1 Conditionally Passes Ned Further Evaluation by the Local Approving Auihority. Fai s Inspector's Signature: Date: March 16. 2006 The system inspector shall sub i a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of comple g this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ***.*This report only describes conditions-at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future.under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 399 Santuit Road Cotuit, MA Owner: Bill Prescott Date of Inspection: March 13, 2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound;not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 399 Santuit Road _ Cotuit. AM Owner: Bill Prescott Date of Inspection: March 13, 2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System.will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy.is within 50 feet of a bordering vegetated wetland.or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is.within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 399 Santuit Road Cotuit, MA Owner: Bill Prescott Date of Inspection: March 13, 2006 D. System Failure Criteria applicable to all systems: You must.indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _ ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from.a private water supply well with no acceptable water quality analysis. [This system passes if the,well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy.of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with.a design flow of 10,000 gpd to.15,000 gpd. You must indicate either"yes"or"no to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 406 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 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 r OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 399 Santuit Road Cotuit, MA Owner: Bill Prescott Date of Inspection: March 13, 2006 Check if the following have been done: You must indicate es"or"no"as to each of the following: Yes No _✓ — Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? _✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? ✓ — Were all system components,excluding the SAS, located on site? Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ — Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)). 5 Page 6 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 399 Santuit Road Cotuit, MA Owner: Bill Prescott Date of Inspection: March 13, 2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15:203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump.Pump(yes or no): . No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.)t Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:- Never pumped per owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed,in 1997-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 I Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 399 Santuit Road Cotuit, MA Owner: Bill Prescott Date of Inspection: March 13, 2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 2' Material of construction: V1 concrete _metal _fiberglass._polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) ' Dimensions: 1500 Qal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 4" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was.even with the outlet invert There did not appear to be any signs of leakage Recommend riser be installed to bring cover within 6'OLgrade GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain); Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 399 Santuit Road Cotuit. MA Owner: Bill Prescott Date of Inspection: March 13 2006 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: allons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box, etc.): The D-box was level and clean. No solids were resent. PUMP CHAMBER: - None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Continents(note condition of pump.chamber,condition of pumps and appurtenances,etc.): 8 " Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 399 Santuit Road Cotuit. MA Owner: Bill Prescott Date of.Inspection: March 13,2006 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 4-flow diffusors 12'x 38' ( er design plans) leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs.of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): The flow diffusors were drv. There did not appear to be any signs o(failure A video camera was used for the inspection CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions.of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation;etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of I 1 V OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 399 Santuit Road Cotuit, AM Owner: Bill Prescott Date of Inspection: March 13, 2006 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 supply enters the building. Q. . .9 (V (41 !L J m M y n `� °° cb m s\A O 3 M o s 10 Page I of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 399 Santuit Road Cotuit, MA Owner: . Bill Prescott Date of Inspection: March 13, 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 10 feet Please indicate(check).all methods used to determine the high ground water elevation: ✓ Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet.of SAS) Checked with local Board of Health-explain: Checkedmith local excavators,installers-(attach documentation) Accessed USGS.database-explain: You must describe how you established the high ground water elevation: Per Design plan on file water was found at 10'below grade The high groundwater adiustment was S 0'below SAS This report has been prepared and the system inspected and passed as of the date of inspection.This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,either expressed,written or implied,relating to the system, the inspection and/or this report. 11 TOWN OF BARNSTABLE LOCATId:N SEWAGE # �7— z z , o VII.LA ASSESSOR'S MAP&LOT OF G y� �— INST;IU!R'S NAME&PHONE NO. SEPTIC`TANK CAPACITY /S� /ry►�; /C (size) Q, X 3 Lq ' LEACHING_FACILITY: (type) NO.-OF.$EDROOMS 3 B R:io :4ROWNER �de v�t� w �Ze'N PERM:1`I`DATE: COMPLIANCE DATE: Separation Distance Between the: Maxi*q; Adjusted Groundwater Table and Bottom of Leaching Facility Feet Priva(i:dater Supply Well and Leaching Facility (If any wells exist Feet o6 sire bt within 2t>D feet of leaching facility) Edge of'Wedand and Leaching Facility(If any wetlands exist Feet witlun:300 feet of leaching facility) Furnished`by t.. . o 7/0, 4 w No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for Migpogar *pgtem Construction permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot N Owner's Name,Address and Tel.No. Assessor'sMap/Parcel © � (� S / O`(V4 S5 S-e ­oK ✓r L, MAS Installer's Name,Address,and Tel.No. D signer's Name,Address and Tel.No. �3.Levi I0t( VQ.(�:�StruC'�i�'l 61 r Qc It'( $3 Type of Building: Dwelling No.of Bedrooms Lot Size a%o 7°'4) sq.ft. Garbage Grinder( ) Other Type of Building S, ' le No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow � 0 gallons per day. Calculated daily flow gallons. Plan Date j' Number of sheets Revision Date Title oc� on Size of Septic Tank Type of S.A.S. Description of Soil 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee ' sued by this Board of Health. Sign d : Date 4. Application Approved by Date Application Disapproved for the following reaso Permit No. Date Issued . .�..�...�.,....-. " .- x .. a a. _�_.. � h •. � _ _ _ ..., - M ♦ —• • •y.r�No. - LJ t '�+ # Fee TI g�COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓� Yes l' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 01ppricatiori for 30f 6po.5ar *patent Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components — No�3olq S ra^�l f _ �� Owner's Name,Address and Tel.No.Location Address or Lot Assessor's Map/Parcel q A I-t,cw K 1� ( �A (AA S Installer's Name,Address,and Tell.No. J T Designer's Name,Address and Tel.No. .3 Ll vi lacgL) .Cce)sfrvc�i�i �3, 4 l L i-e- lop f•w�/a .l 0 -BOY. (oa r resk-dat 2 M ' a M33 Type of Building: ` . Dwelling No.of Bedrooms Lot Size (o k�O 'sq.ft. Garbage Grinder( ) Other Type of Building S le h1/^ No.of Pe sons Showers( ) Cafeteria( ) Other Fixtures Design Flow 33� gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title - Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) l� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposals stem in accordance.with the provisions of Title 5 of the Environmental Code and not to place the system in,operation until a C -- "---cate of Compliance has bee ' sued by this Board of Health. Sign Date Application Approved by Date Application Disapproved for"the following reason Permit No. Date1ssued- 1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at has ben constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. at-eed Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. Fee ��Ag --.ti THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS �=Dt5ponl *pgtent (Construction Permit Permission is hereby granted N ons ct( Repail( )� e( )Abandon( � System located at S' and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by ` 2Q TOWN OF BARNSTABLE r �1 ~LOCATION J l ���V t l SEWAGE# 9_7_ (b:Q- I.WILLAGE C Q i ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. ,SEPTIC TANK CAPACITY /SSm LEACHING FACILITY:(type) y Pow (size) IZ Y,3,� NO.OF BEDROOMS 3 OWNER Pecs C0—T' 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 nS e,(,Tjt2n STre�:� Galt y yo 3 6 ► IS l(o S 3 38 3� `! 3'9 3qc� S S� S -T0WN �BARNSTABLE AW Q LOCATION B SEWAGE# 9-7 a� VII,I.AGE ASSESSOR'S MAP LOT INSTALLER'S NAME&PHONE NO.'-R. -Tay 70 �a��t?�A Y1��r �' 7-dyt•3 SEPTIC TANK CAPACITY ��®� i f t LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR�WNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 -39 pa- 3g 1 �'3- S R3- 37 /O m, D � 1 TOWN OF BARNSTAB,LE SAS f �'`' q'7�--( Z Z LOCA TION �� SEWAGE # VILLAGE C) lam' SOR'S MAP& LOT 010( i 35 ASSES INSTALLER'S NAME&PHONE NO. Q _A,v"r626A ?3?-92?�e SEPTIC TANK CAPACITY LEACHING FACILrfY: (type) !X S (size) NO.OF BEDROOMS 2 , ROROWNER 942'y PERMITDATE. --�COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 --- -- - --- — - -- r CO TUFT LuTIs POND SITE & SEPTIC PLAN TO ACCOMPANY 0�L STREF� NO TICE OF INTE1 rT i LOCATED AT. 45 BA Y ROAD p Lows COTUIT, MA. tl PREPARED FOR. BENCHMARK A.M. 19 1 WEINST P IN TOP OF PPE f JOSE EL =14. 07(N. G V D.) b AUGUST 6, 1997 REVISED."_ OCTOBER 27, 1997; LOCUS MAP » .0 `» IRON 28 7' PIPE IR +I PI F DIG L A O c� /— �, PLAN REF 1321143 5 Al-A AROUND cfl — — o— TP#2 TP#1 A,VD FILL PROPOSED RES. ZONE RF RESER VE o ' TO' TITI1E V GRASSCRETE OR SETBA CKS.' GRA VE`L DRI VE o cs N 38 0 ��, o ttn FRONT 30 — — b SIDE' 15 30 REAR.. 15' -, OFFSET ° IRON 0 VERLA �' DISTRICT. „GP�, PIPS' 1 � ' 32 �, W l W �-� PROPOSED ` 3-BEDROOM o o l y PROP. HOUSE A. M. 1,91135 POOL ��, - 33.5' ; o ARFA=36, 726 34 .tS.F. - 1 0 30. 0' rn Q) S 's �,, v, HAy BALE SCE r o � 0 F 1 \ Tjp ca � \ TA ; ------____�._----- FLOOD ZONE 11-`--- . ` HAY BALES — WORK LIMIT ! STAKE SET o FLOOD ZONE A-11 IR �� G7 N791<5'4 0 'W 154.90 SILTA 0 IP P VI US L T I,IN 63.14 _ 16 NOTES. � � 1) WFTLAND FLAG LOCATIONS TO BE Qb �- VERIFIED BY TOWN CONSERVATION COMMISSION W 7A l'© ��'d W 4 2) ALL ROOF DRAINS TO DRY WELLS \� W 7E G' I N all, V ' �, \ A.M. 19115 I MAR,>Ho u� {M 41 PAUI N ,�l i, 1 A. : L BERMAN ic �, t RON ,� MEEi1THEW Z� JA 23971 98 320 4 � �� �a CA�Ir, No+I1, �f Hof IS s y "y O ��® C/STER O S siaro4 E�� YANKEE SURVEY CONSULTANTS 37 5 STAKE SET UNIT 1, 40 INDUSTRY ROAD C. �0 GRAPHIC SCALE P. O. B'OX65 Zo 0 ,a 20 40 80 AIARSTON,.S` MILLS, MASS. 02648 A. M. 19127 TEL: 428--0055 FAX 4�D—5553 ( IN FEET 1 inch = 20 ft. J# 51338 GV SHEET I OF 2 - - - PROFIL-E SEWAGE NOT TO_ SCALE EL 1 5 TOP OF FOUNDATION I 20' MIN. I 10' ,MIN. CONCRETE COVERS 4" SCHEDULE 40 P. VC. MIN. PITCH I/B PER FT ., .. � LA YER OF ; E'L 16 1 fg,�1/r2 CONCRETE CO VE'R ASXE.`IJ' STONE t " ✓ r f r / r i r r / / r / r r r ✓ / r L='11 . - 4 SH40 PYC PIPE ,AIINIAIUA!! CLEAN SAND P17rH 114" PER FT ALL AROUND FROM 36 FLO W LINE 20' B HORRIZON TO INVERT ELEV. JVA X y EL-13, 7. INVERT 1 ion1 14 O ,. . a ° °INVT oo QQGAS LE BAFFLE 6 ° 10 0 0 ° ° NERT EL. = INVERT INERT o o ° ° o 12..E EL. = 14.3' 13. 7 EL.= 135' ' '� � -- INVERT (TO BE PLACED ON FIRM BASE) DISTRIBUTION l RIB UTION ' FL. = MECHANICALLY COMPACTED OR 6" OF S7bNE BOA GALLONS TO BE WATER TESTED i 12 X 38' -TRENCH.FORMATION SEPTIC" TANS ri IF MORE THAN ONE OUTLETS PLACE ON 6 STONCZ E .314 , 7O 1-112" SOIL ABSORPTION WASHED STONE YS TEM 'SS ADJUSTED WA TER TABLE' E'LE'V.-- 71 WATER, TABLE (7 17 P6) EZEV=_6'-_ - a OBSERVATION HOLE 1 E'LE'V. = 16' PERCOLATION RATE -<2-- MINI INCH A T _.Z -1 INCHES OBSER VA T ION HOLD' ;� ELF't�=__ DEPTH HORIZ TEXTURE COLOR MOT?' OTHER DEPTH HORIZ TEXTURE COLOR. hIOTT OTHER tI-12" Ap SAND 2.5 YR411 , NONE mNE SAND 0-12" Ap SAND 2.5 M/1 NONE FxNE swm 12 , 60 E SAND 10 YR7 4 NONE FINE SAND ,/ I2'=-60 B SAND 10YR7/4 NONE ErNE-SaND 60"-13? C SAND 10YR8/'2 NONE IN arE 60 —132 C SAND IO YR812 NONE nvSAND samN AM D WATER 124" KATER 120" L 6 0' PERK. PERK EL 60 GENERAL NOTES 0 60/729n s% 1) ALL WORKMANSHIP ANDMA TERIALS SHALL CONFORM TO D.E.P. SOIL TEST TITLE 5 AND THE -TOWN OF �BARN�TAF1 _ RULES" .AND DATE OF SOIL TEST 7117196 P 8973 SOIL TEST DONE BY WILL[AM LIEBERMAN REG ULA TIONS 'FOR THE SUBSURFACE DISPOSAL OF SEWAGE WITNESS SOIL EV L VA TOR }WITNESSED BY. JE'RRY DUNNING A 5 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE, OTHERS' WITHIN 12" 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF F; WITHSTANDING H--10 LOADING UNLESS THEY ARE UNDER OR #7THIN - INSTALL 4 FD 4X8D HBO FLOW DIFFUSERS 10 FT, 4F DRIVES OR- PARKING AREAS: .H 20 LOADING SHALL BE 4 STONE SIDES AND 3 ENDS • . USED TINDER t R yYl?"HIN 10 F'T. OF RIVES OR PARKING AREAS 12 W7DE` XX 38' LONG X I,?" DEEP DESIGN j��(J]` A ///I jNN//./y�rv)y� p . ) .L GS • � C�LCL� T.L=01. I h✓• 4) .ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL F BE MORTERED IN PLACE' NOTE: TITLE V;FLO W 485 GPD USING NUMBER OF BEDROOMS 5) NO DETERMINATION .HAS BEEN MADE AS TO COMPLIANCE WITH SIDE AREA AND E'FLUENT LOADING RATE GARBAGE DISPOSAL . NO DEEDED OR ZONING REGULATIONS O WNERIAPPLICANT IS TO OF . 74 GALS.F.IDA Y TOTAL ESTIMATED FLOW OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. L10—. /� /E GAL BR. DAY x 3 BR. 0 GAL, P �" ___ 6 EEXCA VA CONTRACTOR � UTILITIES SHOWN ARE APPROXIMATE ONLY; �z �5f10 REQUIREDt�ZRED ,SEPTIC T �V A.�' IS TO CALL DIG-- SAFE' AT 1- 800-322—4844 AT LEAST 72 HOURSOURS' A K CAP GAL Q .FLOOD ZONE'' A,B. � C INFO PRIOR TO 'COMMENCING WORK ON SITE. �; SOIL CLASSIFICATION . . TAKEN FROM 'F E'M.A. MAR' 250001—oO21—D 7) CONTRACTOR IS TO VERIFY GRADE'S AND ELEVATIONS AS WE'LL AS DESIGN PERCOLATION RATE' �. , : . < 5 _ MIN. I1V .'� DATED.• JULY 2, 1992 � � . �'4 .SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. EFFLUENT, LOADING :�ATF . c GAL/DA Y;✓'S..F'. 8) PARCEL IS. IN 'FLOOD ZONE----ALB & C" LEACHING CARAC'.'ITY (AREA 'X CRATE' 9) LOT IS SHOWN ON ASSESSORS MAP -_?� �AS' PARCEL . 135 - GAL PAY RE'SERYE LE'AC.HING CA�'ACl,�'Y �. � �. � �342- 33d�12 DAY SfIEET 2 4F N AMBER . 3 JOB I}` .� 1�38 t