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0032 TRACEY ROAD - Health (2)
,- -t32 Tracey Road ' - --- cotuit - - - A= 005-053 IL - I 1 J�c C i.. No. Fee o� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - T6WN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliLation for Disposal *pstem Construrtion permit Application for a Permit to Construct( ) Repair/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �a LQ. f , Owner's Name,Address,and Tel.No. 6&6-0 Assessor's Map/Parcel op 5 063 yt-t.0 ®- 3 k Installer' Name ddress,,and Tg�l.No. (7 /oX-- p � o Designer's ame,Address and Tel.No. i2oP� i lnv�.SN't -� V�z. �1S1r1rlcuel��/� c ��S M04'"Sf- 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) 336) gpd Design flow provided �y9 gpd Plan Datel Number of sheets Revision Date Title o 0 Size of Septic Tank eXi° �`°rri Type of S.A.S. ,P - Description of Soil Nature of epairs or Alterations(Answer when applicable) 12W, d,96ILIA11,1_1 01 60 °win aS�`L X , ,' r !� Date last inspected: Agreement: The undersigned agrees to ensure the construction and mai ance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environment o and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sign Date Application Approved by Date Application Disapproved by Date for the following reasons Of 09 Permit No. Date Issued r. . y._ . '�1.:• 'i �f�\�p.a �..�, �� .�•- ,„�.�sN o;,ti[4h+st t"°' ' 1RS.�"--�. a '#si�r'a••.i' a,j`G.- d .. r.l ..W r .�-•'..°`4-K _ �`".' ..» :t: �,�-� '«"'� tee � - �t vrY' }.i y,t,.oc°.J.� ,.r^'�, -rFft ✓_"' 1.b"`Y y,....:� .tau..- k k 4 S r uY`j _ �• No.7- 7` r ;,x; _�fi " M w Fee a THE COMMONWEALTH OF MASSACHUSETTS ` Entered in computer: , t, . . Yes PUBLIC HEALTH DIVISION WN OF BARNSTABLE, MAS:SACHUSETTS . ' application for 3misposal pstelri"�oTYB.tCup't. it Application for a Permit to Construct Repair/upgrade Abandon pp ( ) p (') ( ) ❑Complete System ❑Individual Components Location Address or Lot No. {O/.w 9� �nWs Name,Address,and Tel.No. R-�R�- geoso rt / '""'•lwM : t✓—a r�e Ccc,ny Assessor's Map/Parcel p©S 106.3 �D _ PJA A I�nlstaller's Name,/Address,and Tel.�No. 50`t3,tlRs' 9Ia Designer's 14ame,Address,and Tel.No.I A44 IN it r „('JC-��.���at"14 t(Jw '�9�+'�1 `�,��`l 1�'�GNI S'�"•.i , a, Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) y Other Fixtures r �y Design Flow(min.required) gpd �Deign'fiow provi'ded� y9 gpd Plan DiiteAoia /t/-mil Number of sheetsl �, Revision Date• % Title W2 S 6dt. Al" at 3#fit- L:1 , tX Size of Septic Tank YV'� 'i(`�' 1 etc P '`l Type'of S A,S., 4 w *, ' rar, f7 m1 /J � X , Description of Soil t �` r J - �. Nature of Repairs or Alterations(Answer when applicable) Date last inspected: - Agreement: t 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- oG-dd and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed �.�■�--^--•---- Date�/'7 Application Approved by Date %/ 3eyl Caw Application Disapproved by Date for the following reasons Permit No. r /� " �7 Date Issued 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 4p7o /wA 4 ` CoA,IJI�'LGI�?`'lke; 4 4 at �� / rgrl.w�� v C,-o�ttrt,lR has been constructed in accordance with the provisions of Title 5 annd"the for Disposal System Construction Permit Nr -)�»dated 7 Installer / D�✓trf.� C �.�nsl /r�'_ Yr'` Designeri11( #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will funct�ioNn as~deesig a. Date /� � a Inspector No -� �- i l i Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstetn Construction i3ermit Permission is hereby granted dttorConstruct( ) /Repair,(✓) / A Upgrade( ) Abandon( ) System located at t q/,y-C Q,t/ r',/ C D Y-,r i 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 yvithin three years of the date of this per Date Approved MAY-21-2021 06:35 From: To:15087906304 Pa9e:1,'1 ' Town of Barnstable M6 , � Inspectional Services q � ! Public Health Division Thomas McKean,Director i679 0� c 200 Main Street,Hyannis,MA 02601 Office: 508-862.4644 Fax: 508-790-6304 Installer&Designer Certification Form i Date: Sewage Permit# o?o9_1 -�s� Assessor's Map\Parcel 5 53 Designer: o Wn CQ,p2 ftQin�el�+'nc�,InC• Installer: bortoloiji C6nStrVC+i0K lf1c- Address: 959 b Uk•&A Address: 46 l n d uStru P d �qfraou% ar+ MA Marstan5 Kilts, MA On Llal " s issued a permit to install a (date) (in s a er) septic system at . -ma Pd. Cotu i f based on a design•drawn by (address) -D nl ,& OjOCl PE.Pb dated. Oq--IN-2.021 / (designer) V I certify that the septic.system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (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, j -greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance-with State&Local Regulations.. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify t ystetn referenced above was constructed in compli with the to rms of app al letters(if applicable) DANIEL A. c N OJALA 1 , CIVIL (Installer's ignature) No.46502 �fsIONAI (Designer's Signature) (Affix'Designer's Stanp Here) PLEASE R5TURN,TO BARNSTABLE PUBLIC HEALTH DIVISION.. CERTIFICATE ....OF •COMP• IANCE WILL NOT BE ISSUED UpiTEL BUT .THIS FORM AN AS. BUILT CA ARE RECEIVED BY THE B TABLE PUB Jr HEAL. H DIVISIO . THANK YOU.. 'i J wL0CATION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME ADDRESS B U I L D E R OR OWNER U11Aaay (��P. tet a EIle DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 0 �� (, v � �� �,: � � �� 1 �. ® � __ o � �� ��� �, �.. ® n �. �' i,,` �- �� -� r ff No. Fss ........................_ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 53 AvAiratiun for Dwvoiia1 Workii Tonstrnrtiun Famit :Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ' { •-� Location-kddress r Lot N . ................................................. y,4 ... e.�..h�w N-e G _ C? 0 0 ,. - ..- A W ... ... �, Owner ddress ..--_.47O.-�---•- ..... • �Q$d� �-N f/dsC t..�� --•--- • ---•--• •--•-----•.._._ -------------------------- � Installer Address Type of Building Size Lot.... ......Sq. feet s` Dwelling—No. of Bedrooms.......a...............................Expansion Attic ( ) Garbage Grinder ( ) p-, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Oa .t Other fixtures --------------- ---•-•---••-••. . W DesignFlow........_ .. gallons per person per day. Total daily flow.....�.. .C1........................ -�-� ------------- -----------g P P P Y• Ydons. -W Septic Tank—Liquid capacity/ __gallons Length._/° -A,... Width-J-- -___ Diameter---------------- Depth......4.�3. x Disposal Trench—No..................... Width.................... Total Length.................... Total.leaching area....................sq. ft. Y� 0 Seepage Pit No------_------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z ��Other Distribution box ( ) Dosing tank ( ) I3ercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Lz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------------•----•------------------•---•----------.........-•-•••---•-------......................................................... 0 Description of Soil........................................................................................................................................................................ x w x •---••••---•----•-•---------------------••---••----••-------------------------•-•--------------•-•••--•-•-•--•-----------•-•-----•••. -•-•-•----------------•--------•-•----•------•--------.._....----- U Nature of Repairs or Alterations—Answer when applicable._.............................................................................................. ..-••........................•••---•-•---------•••--------------•-------•-----••••-•----•--------.....------......._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of hedth. ( Signed--- -- -------...... ........................, Applica ion A -- •--------•--•-••--------------- � pproved BY----------- -F �!� ?� � Date Application Disapproved for the following reasons:------•-----------------------••----•-------•----------•------------------------•------------------•---•--•-•--- ••------------------•---._.........•-••---------------------------•------••--••--------•-•-------------------------------------------••------•-----------------•--•--•-----------••-••-•--•---....------ Date PermitNo......................................................... Issued....................................................... Date r Log Number: Bottle # �''�65 Date: u z'.�''L Of B.�R� • BARNSTABLE COUNTY HEALTH DEPARTMENT 2 F SUPERIOR COURT.HOUSE V BARNSTABLE. MASSACHUSETTS 02630 cor T Asa DRINKING WATER LABORATORY ANALYSIS t'. . Y" a: ,PHONEc 3e2_2511 ... , 7r 'EXT. 331 Client: - McShane construction,!" p'Col1ector: , ;, �,.Dennis .A. Seannall} Mai 1 i ng Address:< •.D:r.P,: SCannely3 I'We1-1• Dri 1 Ttn ff i 1 i ati on:, r�`=.. ; 'D A:f=Sranrip1 P1? -.nr;11 i ng .F_•, ,� P.:;0. Bob ..960 `t�:� , _... :Time-& Date rof x{ �.. 1 }* t. t -Mashpee; 'MA '02649 } Col1ection ... ". •yjla •nn w : '_ Telephone: 477-2811 �. Type of;_Supply: well -vatar .Sample Location: Lot 6 :Tracy Rd. , Well -Depth: . 1 .4 ' Cotuit, MA Date -of--Analysis: 9/9n/P4 PARAMETER 1 ., SAMPLE RESULT RECOMMENDED LIMITS 4 rt:.:s�..F y'7u•.�s��' "�.°.', sM� eiii�l:Fa"FR u':�� ri3yxl'�� '+' ^r�,�..-� �� .;r%.�' r';�li.a'� �f:43 t�:x .t�..Yt f t,±?? °� 'd� •.-...sw t�y •'t TotalaColiform Bacteria/ ml = .F, 0.100 ` _. ,vr• � u.,.,, .. e'•-... ." a=w. � � '�:. .*ems �, ` 'S pH Conductivit (micromhos/cm5. s 500.0 �£ Iron ( p p m) Nitrate-Nitro en /( m) <0 011, ...10.0 - , Sodium ( m) _ 20.0 ! .� .+ fI ?t rt,a L. S L1.�: J ss is .R•, +4. - �l �` t i � •"?.s ., y ;} st .� w �.r..xt�` °' �� xifi. a.x.} � ,� Sn" ; .F�S-�4 Y' Yn "-�'��,�'���a� . St aI : xx Water sample meets the 'recommended limits 'for drinking of'al`1`'above tested parameters. II Basedronly on results of the parameters, tested.'for this sample, the water is suitable for drinking but may-present the problems checked below: :.r { . y ,f.•.�t..r • , ;,:'..._tom A. 'Water sample has higher than average levels `ofNitrate. "Future monitoring is � recommended �(2-3'times per year) to establish •any upward trends: B. The low pH of the •water may shorten the useful life of the house's plumbi no. t #k u ' sent 'aesthetic problems taste' .odor `staining),gdue 'to. „ C. Water:-may pre p ( Gr A i. v F t' h 1 s .3'; Fvc '.Yr Yi t •'�a :i. a°'.t• ,'. 1" 7t y-.`�.,�.....:..n "i'T a ,?. ♦ 2 .� j .,s � „ < Fr t., i•tk^moo t .4 s ..°�'-�•rL x'"t'�s Via.�•''�3 r.i. .. Water sample„:has' high 'level`sue of`s`od um Persons``on 'low "sodium dietsv'should consulrdoctor": ;,f- •, "' 'S;. '.0.. t .. L �. "'n. '♦ ._f �J.i:S.�7't{�';iti`"',s tY- ;..'� , "�ilrip. a3�c 1.N..�� k � x I III. Due to ,one �or` more of the reasons checked below, this water sample -is unfit for,3 �_ human csumption . A. High Bacteria B r High Nitrat on es z ' REMARKS: . 4�r r�..t s�el t . :� f: ; �1 .., � ►� �, . e{41 ..:i •, ° 4 •cc,, r'.. r ti "x .Yk't•: , t- .h { `� 1'?$r 3 -;ts i t •,�hhx..sr^r' F! 8 fit!!.. C 3 .� `i F,.,< i'tr tXcJ f' r t.:�. r_. •Y {..F r r,• s �s " tc ""7 't ''t <.. ,t c :[. tt .;t, ..5.. �y` �' F S .' t lFS CC: LA. Scannel 1 ' WE C'ri 1 l i n.} CC. :;arnstaol.e. board o f Heal t ' Laboratoryf,Director 7/17/R4 No. .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .. .....................•-...O F.........................................------------..........---------.._............._. Appliration for Disposal Works Tonotrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .�.....44:�.1::�-:`_... r ---•....... .f ...: �:ze:c � . .� -••---------------------------- .......... Location-Address or Lot No. l- Owner Address w � i%:5....._. u --•••� .C%.s ? N t%�...k L. r_............................ d a --- Installer Address Type of Building Size Lot... :�:% '_.___..Sq. feet U Dwelling—No. of Bedrooms---_.__ ______________.................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ---------------------------•-••• . W Design Flow..........:S:5r......................gallons per person per day. Total daily flow..... ..........................gallons. WSeptic Tank—Liquid capacity/=`f?? ...gallons Length._/: :_4'_:__. Width%�:..`�.._.. Diameter................ Depth.....f_._:.:._ x Disposal Trench—No..................... Width.................... Total Length.....................Total.leaching area....................sq. ft. Seepage Pit No.-__...•_-_--_-.--• Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) NI Percolation Test Results Performed by.......................................................................... Date........................................ a ,.� Test Pit No. I................minutes per inch Depth of Test Pit---._......_........ Depth to ground water........................ rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.-________-_____--__. W ...--•-••-•---•---------•---•---•--•-•--••--•-•-•-•..................•-.............•-•-••..._------......................................................... 0 Description of Soil........................................................................................................................................................................ W V .....................................................................................---....-•-•--------••-------•-•--•--------------------•--•------•-•---------•---...------------•-••---•--------•- W VNature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------•------•-------------------------------------------------.......------•--------------------------------------------------------------------------------......._.......-----• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of}wealth. ��f Signed =./1�'...._.a = --------------------------------------- -<.. 4 /ff..�------ t Date Application Approved By------------- -----•• ,...... ��✓��e%"_-•_-_-____- Date Application Disapproved for the following reasons----------------•--------------------•------------------------------------------------------------------•-••••-- -•-•--•-•..._..-••-••••----•---•-----•-•--••••-•------••--------------•--•----•--••-----•--•-•-••-........_......-•-----.._..-----•-•------•............................................................ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......OF..................................................................................... Trrtif iratr of f-untplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) _. y^ ..... //. ' -> , e rn Installe has been installed in accordance with the provisions of TITLE 5 of The j at - �e t..A A=� ................................................. • State Sanitary Code as described in the application for Disposal Works Construction Permit No....... _IC_: r.._1__% dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................ '' �,1 �f.._. Inspector............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .O F...................... ................................................... . FEE...... /�............ Disposal Vi#s Tnnstrnr#ion rrnti# - Permission is hereby granted..................... -------------------------------•---.------ -------.....-----....... to Construct ( ) or,Repair ) an Individuaa wage Disposal Sy tem - at No.................... ._ter__?y ,�/�> .v �- -------------------------------------------------------------•-•--•-•••••-•--- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ------------ ......r..•------------------------•-•••-•••------•----•-•-•----•---•--__•--- Board of Health DATE................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments `l 32 Tracy Rd. Property Address Catherine Maclnnes Owner Owner's Name information is required for every Cotuit Ma 02635 7/11/2011 page. Cityrrown 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 forms A. General Information on the computer, use only the tab 1. Inspector: ` "I key to move your cursor-do not Sean M. Jones use the return Name of Inspector key. C y e Enterprises Company Name 153 Commercial St. Company Address Mashpee Ma 02649 Cityrrown State Zip Code 508-477-8877 SI 4522 Telephone Number Ucense Number F B. Certification (.certify that.l.have.personally-inspected the sewage disposal.system at this,address.and that k-6 n information reported below is true, accurate and complete as of the time of the inspection. Th"spei tibn was performed based on my training and experience in the proper function and maintenance of on sites? sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.,*ofrn Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 7/11/2011 Inspector'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 1.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. G I t5ins•09/08 Title 5 Official htspection Forth:Subsuftm Sewage sposal System•Page 1 of 17 � _ 4 Commonwealth of Massachusetts UV,. Title .5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 Tracy Rd. Property Address Catherine Macinnes Owner Owner's Name required fo is Cotuit Ma 02635 7/11/2011 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 32 Tracy Rd. Cotuit Ma. is served by a Title V septic system consisting of a 1000 gallon septic tank, distribution box and a pre-cast leach pit. 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): I t5ins•09/08 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System•Page 2 of 17 I L_ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments "t 32 Tracy Rd. Property Address. Catherine Maclnnes Owner Owner's Name information-is Cotuit Ma 02635 7/11/2011 required for 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 15.30(1)(b)that the system is not functioning in a manner which will,protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water El Cesspool or°privy is within'50 feet'of a bordering vegetated wetland or a salt marsh t5ins•09108 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 Tracy Rd. Property Address Catherine Maclnnes Owner Owner's Name information is required for every Cotuit Ma 02635 7/11/2011 page. CitylTown 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 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 ❑ ® 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 %day flow t5ins•09/08 Title 5 Dficial 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 32 Tracy Rd. Property Address Catherine Macinnes Owner Owners Name information is required for every Cotuit Ma 02635 7/11/2011 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.] ❑ z The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. Ei ® The.system fails.I.have determined.that.one or.more.of the.above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must 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. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts VTitle 5 Official -inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 Tracy Rd. Property Address Catherine Maclnnes Owner Owner's Name information is Cotuit Ma 02635 7/11/2011 required for 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 ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ,® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 gpd t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official -Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 Tracy Rd. Property Address Catherine Maclnnes Owner owner's Name information is required for every Cotuit Ma 02635 7/11/2011 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 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 0 No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date CommerciaUlndustrial Flow Conditions: Type of Establishment: Design:flow(based,on.3.10 CMR 1.5.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap:present? ❑ Yes .❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 TrUe 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 Tracy Rd. Property Address Catherine Maclnnes Owner Owners.Name information is required for every Cotuit Ma 02635 7/11/2011 page. Cityrrown 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: Tank cleaned 8/2010 per owner records Was system pumped as part of the inspection? ❑ Yes ® No If-yes,-volume pumped: gallons i 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/Altemative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Offi-vial -Inspection -Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 Tracy Rd. Property Address Catherine Maclnnes Owner Owners Name information is required for every Cotuit Ma 02635 7/11/2011 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: Original system installed 1984 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1 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.): Joints ok, no leakage, vented through roof Septic Tank(locate on site plan): Depth-below grade: .5 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: yearn Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallons Sludge depth: 2° t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 I ' Commonwealth of Massachusetts Title 5 Official Inspection form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 32 Tracy Rd. Property Address Catherine Macinnes Owner Owner's Name information is required for every Cotuit Ma 02635 7/11/2011 page. Cityrrown 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' 2" Scum thickness 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? opened covers and took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done every 2 years as maintenance. Outlet tee intact and in good condition.water level was at bottom of outlet invert, tank not leaking and was structurally'sound. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete O metal Q:fiberglass ❑ polyethylene 0 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 Tracy Rd. Property Address Catherine Maclnnes Owner Owner's Name information is required for every Cotuit Ma 02635 7/11/2011 page. Citylrown 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.): r ' 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•09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 . .� Commonwealth of Massachusetts Title 5 official :Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 32 Tracy Rd. ' Property Address Catherine Maclnnes Owner Ownet's:Name information is Cotuit Ma 02635 7/11/2011 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth.of liquid.level above outlet invert 011 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box was functioning as intended, water was flowing freely trough to leach pit. 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: t5ins-09/08 Title 5 Official Inspection Forth: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 '< 32 Tracy Rd. Property Address Catherine Maclnnes Owner Owner's Name requir d o r e Cotuit Ma 02635 7/11/2011 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching-pits number: 1 ❑ leaching chambers number: El leaching galleries number: leaching trenches number, length: -❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At time of inspection the leach pit had 25 of available leaching and no signs of past hydraulic overloading.Vegetation was normal . 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-09108 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts lugTitle 5 Official -Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 Tracy Rd. Property Address Catherine Maclnnes Owner owner's Name information is required for every Cotuit Ma 02635 7/11/2011 page. CitylTown 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, t5ins-09108 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 32 Tracy Rd. Property Address Catherine Macinnes Owner Owner's(dame information is Cotuit Ma 02635 7/11/2011 required for 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 El drawing attached separately TANZ I °I A-I ®- 3 � 10 A-2 zS, 3 S3' 13.3 UV Le-ACH A-y GS t5ins-09/08 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 32 Tracy Rd. Property Address Catherine Macinnes Owner Owner's Name information is required for every Cotuit Ma 02635 7/11/2011 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: 20+ 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-09/08 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 32 Tracy Rd. Property Address Catherine Maclnnes Owner Owner's Name information is required for every Cotuit Ma 02635 7/11/2011 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•09100 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17 f AsBuilt Page 1 of 1 LOCATION 0,3a SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS '_mfi s�oj ✓L/.//S AA � 9UILDER OR OWNER U1iA,vm0 c"Ade, di fetid f6�e DATE PERMIT ISSUED DATE COMPLIANCE ISSUED LOF s� O 7J http:Hissgl2/intranet/propdata/prebuilt.aspx?mappar=005053&seq=1 2/28/2013 k PROJECT TITLE OF BARNSTABLE � - 3 _fi I f f - , s.a r nmamawwromww. .+mwe.s LA T, i; �2 t PREPARED FOR Ek I k j I� S 2V Central Constniion Company, Inc. Sieve Devlin President "The Excitement is Building" — 820 Main Street•Cotuit,MA•508-420-1340 e-mail:centralconstructloncoOgmali.com F Website:www.centrateapeconstruction.com t r t I .f =ey �.1__.., ... SCALE f r DATE .( DWG NO. } DEStGN , uz") r If CHECK l DRAWN __. JOB NO. SHEET OF SYSTEM PROFILE MALL ARKED WITHCOMPONMAGNEENTS SHALL BE NOTES OR (NOT To SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS NAVD 88 O p ggse \ TOP FOUND. EL. 34.3 FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING 3 n UI 33.4' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 33.0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. o PRECAST H-10 WATERTEST D'BOX FOR LEVELNESS BLOCKS OR RISERS (TYP.) MIN. 2" WALL THICKNESS PRECAST RISERS 4. DESIGN LOADING FOR ALL PROPOSED PRECAST 32.61 ' 4"WSCH40 PVC MCRTAR ALL H-10 UNITS TO BE AASHO H-2Q (LEACHING & D-BOX) o PIPES LEVEL 1ST 2' 4' COMPONENTS INVERT IN 29.0 a ENDS (NP') 4 30.0' 5. PIPE JOINTS To BE MADE WATERTIGHT. a SIDES �o Locus 10" EXISTING 1 q" POo 00000" ° ° ° ° ®®®® ® ° ° 6. CONSTRUCTION DETAILS To BE IN ACCORDANCE TEE SEPTIC TANK** TEE 31.28t'* o°o°o°o° ®�®®®®�®� ® ®®®®®®®®®®® °°°o°° WITH 310 CMR 15.000 (TITLE 5.) v Vora o�o�o�o�o�0r6 . SUMP o 0 0 0 o°a°o o° '�OO�OO�OO^OO1. . INT. DIM. >°°o°°°°° ®®®®®®®®®�® ®®®®®®®®®®® °°°°°°°GAS BAFFLE ;0o 000000 ®®®®®®®®®�® ®®®®®®®®®®® .00.00.027 0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND ° ° °°° °°°°°°°° NOT TO BE USED FOR LOT LINE STAKING OR ANY 29.27 OTHER PURPOSE. } t' •, y.. 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN.�H-20 500 GAL. LEACHING CHAMBERS BY ACME PRECAST OR EQUAL. ALL AROUND PRECAST STRUCTURES (2) UNITS REQUIRED 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Q v, 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' POponesset COMPACTION. (15.221 [2]) 9. COMPONENTS NOT TO BE BACKFILLED OR ydc� 7 7 CONCEALED WITHOUT INSPECTION BY BOARD OF Bay ( % SLOPE) ( % SLOPE) LO HEALTH AND PERMISSION OBTAINED FROM BOARD H-20 OF HEALTH. FOUNDATION EXIST. SEPTIC TANK 26' D' BOX 12' LEACHING FACILITY 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP *THE INSTALLER SHALL VERIFY THE **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK 21.3' BOTTOM TH-2 _ VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF LOCATIONS OF ALL UTILITIES AND ALL SIZE AT 1000 GALLONS AND ITS SUITABILITY FOR NO GROUNDWATER FOUND WORK. SCALE 1"=2000't BUILDING SEWER OUTLETS AND RE-USE. REPLACE WITH 1500 GALLON SEPTIC TANK ELEVATIONS PRIOR TO INSTALLING ANY APPROPRIATE TO SITE CONDITIONS IF NOT SUITABLE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 005 PARCEL 053 PORTION OF SEPTIC SYSTEM BE REMOVED BENEATH AND 5' AROUND THE PROPOSED LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE X 12. EXISTING LEACHING FACILITY SHALL BE PUMPED (AREA OF MINIMAL FLOOD HAZARD) AS AND REMOVED OR PUMPED AND FILLED WITH CLEAN SHOWN ON COMMUNITY PANEL #25001CO752J LEGEND SAND. N8T 15'48'E . : DATED 7/16/2014 99- EXISTING CONTOUR 202'98 O X 99.1 EXIST. SPOT ELEV. -[99]- PROPOSED CONTOUR LOT 6 GGG__JJJ 198.41 PROPOSED SPOT EL. 22,352f S.F. a TH, TEST HOLE SYSTEM DESIGN: YY 0 SLOPE OF GROUND 33 0 GARBAGE DISPOSER IS NOT ALLOWED 71) UTILITY POLE � � a CO^ EXISTING 3 BEDROOM DWELLING DECK" DESIGN -FLOW: 3 BEDROOMS @ 110 GPD = '30 GP VIC FIRE HYDRANT ^N __. _. DEC!(` c- _ D NOTE NOT ALL SYMBOLS MAY APPEAR w oRAvnNc 2 USE A 330 GPD DESIGN FLOW - 32 EXISTING DWELLING 0 SEPTIC TANK: 330 GPD 2 TOF 34.3' ( ) = 660 TEST HOLE LOGS 34 **RE-USE EXISTING 1000 GAL. SEPTIC TANK n - ENGINEER: CRAIG J. FERRARI, SE #13871 LEACHING: (/ SIDES: 2 (25 + 12.83) 2 (.74) - 112 GPD WITNESS: DONALD DESMARAIS I \ r 1 BOTTOM 25 x 12.83 (.74) = 237 GPD DATE: 4/12/15 N ' -4 i N TOTAL: 472 S.F. 349 GPD PERC. RATE = < 2 MIN/INCH r -I SAWCUT & PA9r'��7i�iJ USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) CLASS I SOILS P# 21 -82 � I I AS REQ. 3 y "'" �� � WITH 4' STONE ALL AROUND. ELEV. 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