HomeMy WebLinkAbout0100 TROUT BROOK ROAD - Health 100 TROUT'' )
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TOWN OF BARNSTABLE
LOCATION /oG SEWAGE# )O/P
VILLAGE ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. h L-C°; '50
SEPTIC TANK CAPACITY /CY.iD &
LEACHING FACILITY: (type) 5"1#--2o 16
NO.OF BEDROOMS 7_1+PC,
OWNER G. ArOAXof-
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 4 Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 260 feet of leaching facility) /Z-4 Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) D �/'� Feet
FURNISHED BY /,�� �''/�e,—.-
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Fee
No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
\VO I [nation for Disposal stern.Construction Permit
Application for a Permit to Construct( ) Repair�Upgrtade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No./Od Owner's Name,Address,and Tel.No.
Co4t11-_)-- Greg F rQ� X®Ff
Assessor's Map/Parcel r/3 i �og.�7L eY�,g
Installer's Name,Address,an Tel.No. 17y" 0 G Ve Designer's Name,Address,and Tel.No.
L.-C._____._;P-p-6 _ _Swk Ywry i% ,AIf a o 3 St v�k
Srj 014S C
Type of Building:
Dwelling No.of Bedrooms T k^!C Lot Size ,Z s`�a�• sq.ft. Garbage Grinder( )
Other Type of Building kjj-4c-%Ak No.of Persons Showers( ) Cafeteria( )
T
Other Fixtures
Design Flow(min.required) JU 0 gpd Design flow provided gpd
Plan Date X2 A Oka Number of sheets Revision Date lJ
Title
Size of Septic Tank /J.,50 Type of S.A.S. sX 0 �v+Ic;�✓�a v_S �S��Ae
Description of Soil y�� 13,Z" ��i u�• 6e�. 18 yL" tJ�.�n 4 ( /j L/£s°` )C 1 f
Nature of Repairs or Alterations(Answer when applicable) Tins' 4 A .n c 4+ P- Box , S ai-
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
ig Date C3L/
Application Approved by Date 1
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
I:
No. / s Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
µ 2ppYication for ]Disposal psten Construction Permi
t
Application for a Permit to Construct( ) Repair-00 'Upg adb-(--)-,;Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.ltTG Owner's Name,Address,and Tel.No.
Greg Fs•a,, KdW _...
Assessor's Map/Parcel f 3 •77G L b
Installer's Name,Address,an Tel.No. 77N-B/G'(. ( Designer's Name,Address,and Tel.No. 5'oB3J45'G1a4::,
UorW
e
Type of Building:
Dwelling No.of Bedrooms T!f►A Lot Size ,21; �a�G� � sq.ft. Garbage Grinder( )
Other Type of Building : No.of Persons. Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 130 gpd Design flow provided 3S/ gpd
Plan Date 3 0 Number of sheets Revision Date E
Title
Size of Septic Tank_12 jrQ I& i(,S' Type of S.A.S.
Description of Soil /l.- f 3�"T rt�,�•� c !R `- �l/ " L nr ..., �' e4 �4 " /9" KJ�l
Nature of Repairs or Alterations(Answer when applicable) TO S�.�A „e/P � o x ���/�•
+ !' c 71'✓ �'rr�U i 1 Y ` X,
Date last inspected:
Agreement: ,
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
' giged DateApplication Approved by Date /
Application Disapproved y ! Date
for the following reasons
Permit No. Date Issued J
- - --- - ---------------------� ------------------------------ - -- - -- -------------------
THE COMMONWEALTH OF MASSACHUSETTS i
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( )
Abandoned( )by L l.
at &0 :Zza�— R A. has been constructed in acc r ance
with the provisions of Title 5 and the for Disposal System Construction Permit No. ' dated
Installer L. C- 1.4. X,X, Designer L7 SL,/se. In ,h
#bedrooms ''tile t Approved design flow gpd
The issuance of this permit shall not be onstrued as a guarantee that the system ill functior�i^as esi ed.
Date f -' Inspector
r
------------ ------ - -- -
No. l " " f Fee 4 K"").
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Bisposal 6pstem Construction permit
Permission is hereby granted to Construct( ) Repair(_),_ Upgrade( ) Abandon( )
System located at mo
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:Construc ioui must be om leted within three years of the date of this permit.
Date Approved b /
PP Y
f
Town of Barnstable
Regulatory Services
Thomas F.,Geiler,Director
PLUS P Public Health Division
" Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: / //off Sewage Permit# v3 01Q" � Assessor's MaplParcel ff/&
Designer: c��ee-6c ) i eerirn Installer: jf,L. Cm /,I
Term co- c�y e S., ,P-5 .
Address: P. P. 6ox `713 Address: !1. 7�4
c sb yy-k AA.6��1�O �': ��r�l �l lid �a►�i�
On ,36 to was issued a permit to install a
(date) (installer)
septic system at %O O Ott C ad, 61i-rased on a design drawn by
(address)
.SGc/c� sQr- n dated
(desi er)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was-installed with.major--changes-(i.e..--
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system)but in accordance with State &Local Regulations. Plan revision or
certified as-built by designer to follow.
- H OF 21gs`�4�
TEREN G�
LM.
(Installer's Signa e �"""� HAYES
No. 979
�FG/STE\-
N1 TARN
(Designer's Signature (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF
COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE
RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU.
Q:Health/Septic/Designer Certification Form 3-26-04.doc
- tVYt Al Vl ""A U3 La U1C � � Y# ��`ram
Department of Health Safety P ,:and:-Environmental Services
°pgo,
' Public Health'Division Date
CqO0 1ft Main Street,Hyannis MA 02601
II BeBNSTABLK
*teas. �� �
lfD text"� Date Scheduled I Ti /1
me ��-/ Fee Pd.
Soi Suitability Assessment for Sew we Disposal
Performed By: �lCCO Witnessed By: �
Location Address lot)�R0�f �40 ,/
�y 1 R M Owner's Name
I Address /00 �/�bUTI��p�je J2 U
Assessor's Map/Parcel: �/� Engineer's:Na COTLtT
Name
NEW CONSTRUCTION REPAIR Telephone#
" Land Use 11E�epw% 0r/4-L Slopes(%)
Surface Stones v
Distances from: Open Water Body > 94z ft Possible Wet Area >/` ft Drinking Water Well w ft
Drainage Wa /Va d
g Y ft Property Line ft Other
ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
2 �y 3 &d-,V fK
Oto -
�� Ui.o Bedavmf
Parent material(geologic) OdTW'%f/� Depth to Bedrock', Z�®
Depth to Groundwater: .Standing Water in Hole Weeping from Pit Face N�
__— - -_ - a
Estimated Seasonal High Groundwater �� M 01- rv°
Method Used: �a,5c�,udq-
Depth Observed standing in obs,hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well#___.... .Reading Date: __ Index Well level• ____ Add.factor Adj.Groundwater Level
»> :<:;::>::: :<:::<:;:z<;:.;;:.;:,:.:::.;
...........:.::::::.::::::::::::..::::.::::::::::::::::::::::::.::::.: .:.:::I`,E. ;a �:::.. .. ..::::<::>:<:>. :•: ;
Observation /
Hole# / Time:at.9"
Depth of Perc Time at 6 `
Start Pre-soak Time® Time(9"-6")
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back-�
Copy: Applicant
l
::::::<iii•i:::•:•::::: :.•: : .:.�..' yy�Kff{rr,. •: .�.:: •:::::.k.. L•isi::;:•isv:: •:::::::::::::....... ......:•i:•:<C.}:ii:::}:i::•i:<•ii»::<•:::::.
De th from Soil Horizon o:::::.:.:.:.:............:
� iure Soil Color Soil Other
S t Text
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes:
Consi tena.o GraveU
o -�� � LL :
t.
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
D �/M // L
Depth from Soil Horizon Soil Texture .Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistengy.° Gravel)
.............
...........
El
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Co
°o e
I
Flood F9t!rance:Rate�Mag:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No Yes
Depth of Naturally Occurrinli Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification /q
I certify that on ( / (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the requiredZtra�' jise°and experie described in 310 CNM 15.017.
�� Date
Signatur
br �}
06
Commonwealth of.Massachusetts
° 'z5^StSYr Sing:° r .f,b! ....t �
`V Executive Office of Environmental Affairs
f4srr�r"{�'t},�,��' wlr�':t; �
�y , Department of
.. ,
k 6,Environmental :Pr''teltion
; € ""Wllllam F:Weld
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Trudy t.oxe g � _}
DavldM .EOEA - 'y ' `r)r l� '°• � � 4 F., }t(J'�+ .. ixT s`� .rt�r
B Struhs a tt ~� Ve r t
tps7 ykr•Y_pij�, � .31at P.onwnbifion�r •4 d aj Ertl(+ 4 7tr Pr?.t?4?i� rf ty ,t .";, J., a t. ! y!f - Sil '� I;.}.'} 4}F`ha 'bl .Fryn t
jt44, -9► fit }rr� .10 i t,Ov3 ,;t it roas ,SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION,FORM
}� PART A
re CERTIFICATION,. {r
N"YRProperty Address;'loo 7rooTr v `Toot_ Address of Owner: LT it;C',
Date of Inspection•. `r1 (If different)
-e +,
nspecto '
,Name of lr,.'ri ;r:r; �, , icy , ,t 4,I . ;, ,� ; Xt:,, yi, +L aja t
cCompany Name;Address ian Number.
�� • 1ycl VVf_S 4 t3!
'�y{"y,,1• %"`y 2:�'p,'r;„ L .Yf4�; .. - ,J•,Ii t f r,l�' t i•.3 _..,,...,. Y rL ; c.ry'�u{y
��CERTIFICATION`STATEMENTw° �� " x
certif)�'that I have:personally inspected the sewage disposal system at this address and that the'information'reported below is true,;accuratet��
and cpmplete as of the time of.inspection. The inspection was performed based on my training and experience in the proper funcpon andt �
�mainterptance of on=site sewage;disposal systems. :The system: r p ;,,a .t> 'ii ,,,„rxl,ft rtN AN
�
}'c"�.'�•o��i fs�'y!"'�, 4pr••� �//,,/� + .�:+�r q it Svl1....�\ `.�,;y... ,,� .c 4 r�.'��'�,:"`�• t:a c �.>.'4, �';*+3fi SF�4��"yt'•,�M .
€ „9rf �5 �' Ya552S # �,.SI,�.�k{t#f:,.i �,r;,P` t17r..x�t 9 v.r"+ t °.�f .,�- ;+i;:•' 4l7 Y''+ t.St 'ltit_)�f f7 -S^ )hf'{ � '}M1:+{t' � i
Conditionally Passes
�si s tk-s
Needs Further Eval��u�tabgori;By the Local Approving Authority.
� .' e'°Em '+' r'x.Yae,s Mr1E Fsr•.a r ! +'1 ✓1,F; .�t i ' Al
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3'r��d�Fa11S i' y I r•.> t "t'i �.i +CS .. l.xkl v ii ' Mff ;#
} - 'tjyi¢ y 1• •y.,. �-`[ !41'Y'pr�'S f'D .,�1 "• �.?i}!FA Y.tL"h� '
`°' •. S Yb+'' r.u a fq TV t F'
inspector's SI t.. Date h
r .wyt
. 4 t P•yy, 4k' ,,,t
c .r ��� x r•. �h1•:4 i y y n's;yr ,� �'"6t �..3acS. •�``*,'�,.
f 3xc �; 1 ,li. .4,.3` ? 1=s � .. 'of tlIt,..
T,h4"SY�/stem inspector shall.submit a copy;of this inspection report to the Approving Authority within thirty(30) days of completmg£this
'J 1 4•.4Y kk P.,^.Y t ✓.; 4� t :-a C e :,yl t,
inspection if thus stem is a�shared'system or has a design flow'of.'10,000 gpd:or.greate�,,the inspectors andNthe systemip yr er al subrrait�
the re orPto the ap ropnate re tonal office o lthe;De artment of Environmental?Rrotection.
" +E p„�._ Q g P. �fi' a
on inel should be gent W.Ong s�steni owner and copies sent to the buyer "if applicable and the a ro�In aufhont t
j•,�,tt. �?Wd. i-sftr+F, ::.I„at Jl�t, �,a i'A.IZ,Tlblt ix:.i i+.i.`4` "1 }'ti'M l+t:d7i°t��; tl l��l�:�`�rs afy�'h�° '.+l >ifil .n +I7i 1.-si ^`k �'Pj'+�`�j'x}„`a.`,a 3• •s43.� ,""?; ,U'si
rw's�.` �.�, ��•a y�,k' ,4�,� �.4}'y�.'1^lfF �'`.l!'�S{t�Jl{E'+1�,t`e.gS. � 1-e.�.h f TE 11. ! x,s. 1 i.;..,' t + dtt i�,at } a, y, '�f z""31•-a a r.M, d�r� k.�?%. v.
n - ,�y ',��,�U-.tr{,•cty r F..,"K: , ,r..•` �..- f., �, e � rF 1 F�2,xC Ci C�G�� ,���s�1=� �._
�R �^• 7 ^i 4�3t1't"�''4•+3iw+Wi 1' I �9 tL d-frlt'# 1.--. +" j f'' i r w , ,a,.b�3tii. * *.:.:
�� t. •�Check_A, B.,C;or D ��. �., �, ��" , �„ ,, I�7 it � �� � �F;r� w t �t� � �,t,;a attf�7��� �,�
r ,..�� .1—
a�i 'r � r � 4,s:1 ft#,}�3 a -r g a t1s;rE` fYi r r it4f r l•S::S axai f}ftt. .3i'1 '� �ff�ifLr9rJ¢i '�
RAJ' SYSTE ; 140
ASSES 1F�1� 3. $
c'"' ' �.• ..ntSaY i+ F, i �"t �Y' �4tIk�3.'fll+�i�li.??{3,� +'' t1�,it ;fi:, 'x.'S t °. kli'`v'i r [, t cr.•. Sri.. r.. ,. -
A s �'bCrJ I• U wl.�.� rt���; � R.:. P€�,�yS A I. :t � ,• ,?l� �:e'�1 9Y$ 7T ��f�PEPE�Id9Y�'. '�i�,, i ^-'
_... i;have not found'any tnformation,which indicates that the system violates an of the failure criteria as defined,t 0 CMR� 5,303
"Any failure criteria not evaluated are indicated below kt,isa 4
r ° r
�r..� �.��
8 SYSTEM,nCONDpITION)iAii :PASSES exy
tic �•'x f. d�kk hxr" "l awl f of. �+ ': 4 'j "F� `.7,3A'ttF �5f 1'�- ,4}d :�i.S�LC��ldt r f sry;`l 9 x IA., %tr4 s a xa .: i w a kC a�"` 'S. '�:✓.y...
One or more system components.,need to be repiaced or:repaired'f The system,;upon completion of a eplacen t or,repair, ,
� e ,r t r � �,:
y paSSef inspection ,14
! � 'a't#'} l� "zn' •Y ts+ n
yy ,4,�,:+}+. RirmX AI• '��° r:`� >F .r g �� ,+ .-� -
��fi i_ r e ., e z K=4 r
Irldicate yesrt do or not determinedY(Y, N orvND) Deuribesbasi;of,determination in ail instances„.I ltr,L, ,dgte pined explain why r1oU, '
The tankas metal;aacked;`structurallyunsound;`shows substantial infiltration or.exfiltration, or tank failure�`rs
; `. 'ass yyt. r._ .r yfi_ v�
;mmment ,jJhe.,system{:wilj pass inspection if the existing septic;tank+is;replaced wit to co formt�ng�ep�ic tank
;y" *:appr`oved by the Board of Health 5 fi= rP , � � t
-�t� y C 4�s�:; C rat♦ f i ': "� '2•}r. ( "S»""yI ,F„t] ..•,, 4'+a.�`' y. ;.
•Fyfif .::?i"�,'k r �'b` II,��'//�11 i �4 1 r{S t , fY" l 4i,,+.r9! Y s bh "` 5$, tr Sr�->•1 a �c'{,y, .�yy `earj`
sev ed`6/15/951rr t } 151 Ft � Y sT7K 1. 1 , F T ?. '•'MR4 b +a
i:T _ A-3 t.� '4. \,. y„t�. ", �.:..,e• ¢ k i- s 3 2rr wa n,'. t t 3' ,r','`5' f `te
�pt y`+"•ar�4 fi- •�-+^n
tJrte Winter Street •ir: sachusetts FAX(61 09108 • ¢ >7 556-1049 Boston,Mas • t TOIOphonO(617�292-SS00;
Gv m' •�6> rs dr 3 ,r rj"rx )„�.sr ,,.t Wyk "'.w t .':t¢ K 4s- at"ii n
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�.rJ ?y73u ��•,-sit. �+ T SI,C �H` i 'S 33,i.F� :r"� +,• L n.: ,. � �s "{..� �#° d° x;,�
iA,Print d on R-y1W
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: /DO ?r(�n- 4�cck)t— 60TU i
Owner: Jehwwt-e,G;i`li5
Date of Inspection:
Bj SYSTEM CONDITIONALLY PASSES (continued)
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the
Board of Health):
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
_ The system required pumping more than four 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
Cj 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 isafailing to protect the
public health, safety and the.environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT,,,.
THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE
ENV IRON.%tEN:T:
_ the cvctem has a septic tank anu.soii absorptiun system.anj is wilhili 10G fee;tO a 1.4m. suajrq or tributary to.a
surface water supply,
'The system h& a septic tank and soil absorption system and is within a Zone I of a public water supply well.,
The system has a septic tank and-soil-absorption system and is within 50 feet of a private water supply well. .
_ The systen-, has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private'water
supply well, unless a well.water analysis 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.
Dj STEM FAILS:
IL have,determined that the.system violates.one or more of the following failure criteria as defined in 310 CMR 15.303. The basis a
for.this determination is identified below. The Board of Health.should be contacted.to determine.what will be necessary,to'correct
the:failure. R
Backup of sewage into facility or system component due to an 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.
. (revised 8'/16/95) 2 ' t�ss -
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 16 k_r`r �v vi%
Owner: QC w"-1----
Date of Inspection-
DI SYSTEM FAILS(continued):
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 1/2 day flow.
Required pumping more than 4 times in the last year NOT due to clogged or obstructedyipe(s).
Number of times pumped
'Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a 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 I 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. If the well has been analyzed to.be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate.nitrogen.
E]LARGE SYSTEM FAILS:
The following criteria apply to large systems,in addition to the criteria,above:
The design flog of system.is 10,000 gpd or greater (large System) and the system is a significant threat to public health and safety
and the environment because one or more of the following conditions exist:
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.Il of a
public water supply well!
.The owner or operator of any such system shall:bring the system,and facility into full compliance with the groundwater treatment.program.'.
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional.office of the Department for further information.
(revised 6/15/95) 3
r
- F
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: /Dd T d" �.
Owner: �'cc.uu�_ C�Z({1,5
Date of Inspection: .
Check if the following have been done:
2/Pumping information was requested of the owner, occupant, and Board of Health.
None of the system components have been pumped for at least two weeks and the system has been receiving normal flow-rates
,during that period. Large volumes of water have not been introduced into the system recently or as part of this.inspection.
ZAs built plans have been obtained'and examined. Note if they are not available with N/A.
1/ The facility or dwelling was inspected for signs of sewage back-up. -
ZThe system does not receive non=sanitary or industrial waste flow
4/7he site was..inspected for signs of breakout.
All system components, excluding.the Soil Absorption System, have been located on the site.
V The septic tank manholes were uncovered, opened; and the interior of the septic tank was inspected for condition of baffles or
tees, material of construction, dimensions, depth of liquid,depth of sludge, depth of scum.
The size and location of the Soil:Absorption System on the site has been determined based on existing information or
pproximated by non-intrusive methods.
he fa.ili;y i..,r ;a^.J, occupants, if d ff ro^t from owner) were provided with,information on the proper maintenance.of Sub-
Surface.Disposal System.
(revised 8/15/95) 4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: l kn-T ro Im-I•ro AR- Lr�-31)
Owner: „r,
Date of Inspection:
FLOW CONDITIONS ,
RESIDENTIAL:
Design flow:_alions
Number of bedrooms: 25
Number of current residents:
Garbage grinder(yes or no):
es
Laundry connected to system (y or no)c
Seasonal use (yes or no):�
Water meter readings, if available: /-f
Last date of occupancy:ej?f G✓C&�T
F
COMMERCIAVINDUSTRIAL:
Type of establishment:
Design flow:
_gallons/day
4 -
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:
OTHER: (Describe)
last'date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
JcLD �yE�tY�
System pumped as pane of inspection: (yes or no)_
If yes, volume.pomppd' Qallons
-Reason.forpumping:
E SYSTEM.
TYP
t�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)
Other(explain).
rs
APPROXIMATE AGE of all Components, date;installed (if known)and source of information:
5 Sewage odors detected when arriving at the site: (yes or no)
.(revised 6/15/95) 5
r
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: �Qp"(Pc��)T'�YCuS(L�Q Co'TU t 1—
Owner:
Date of Inspection:
SEPTIC TANK:<
(locate on site plan)
t ',
Depth below grade:
Material of construction: concrete _metal _FRP—other(explain)
Dimensions:
Sludge depth:_ i
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness:• 7
K
Distance from top of scum to top of outlet tee or baffle:_
Distance from bottom of scum to bottom of outlet tee or baffle:_
Comments
(recommendation for pumping, conditiion of inlet and outlet tees or baffles, depth of liquid level:in relation to<outlet)nvert, structural
integrity, evidence of-leakage, etc.) 0� 'e�� Qj Y4&01 W
GREASEyTRAP:., .
(locate on site.=plan)
Depth below grade:
Material of construction: _concrete _metal _FRP—other(explain)
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle;
Distance from hottc+m t�hnttnrr.,n# vtpip!tee v,battte-
Comments:
(recommendation'fnr pumping, condition of;inlet and outlet.tees or baffles,depth of liquid level in relation to'outlet invert,structural
integrity, evidence of leakage, etc.)
6
(revised 61.51.95)
;
1
9
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM
PART C
SYSTEM INFORMATION,(continued)
Property Address: f 0 0 Y e vvr QJ vss/i,i!PP CC/Tvi`': ~
Owner:
Date of Inspection:
TIGHT OR HOLDING TANK:
(locate on site plan)
Depth below grade:
Material of construction: _concrete_metal _FRP—other(explain)
Dimensions:
Capacity: gallons
Design flog+�: gallons/day
Alarm level:
Comments: `
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:v
(locate on site plan.)
Depth of liquid level above outlet invert: tj
0 cZ�
Comments
(note 4 level and distribuuui! ey,,a:, e�;dcnce of su!id: ca:r�u�er, evidence of leakage into or ouj of box, etc.)
PUMP CHAMBER:
(locate on site plan)
Pumps in working order.(yes or no)
Comments;
(note.condition of pump chamber, condition of pumps and appurtenances,}etc.)
_t
!revised 6/15/95;)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 100,1`oj"=- ,^1C.�Q 6-6TUli
Owner: j a✓4..,cL�-c Ca•l�<<j
Date of Inspection;
SOIL ABSORPTION SYSTEM (SAS):v ,
not required, but may be approximated by
(locate on site plan, if possible, excavation q .non-intrusive methods)
If not determined to be present, explain:
Type:
leaching pits, number.i
leaching chambers, number:_
leaching galleries, number.
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow.cesspool,number:
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.)
N n
CESSPOOLS:
(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:
Material, of construction: -
Indication of groundwater.
inflow(cesspool must be pumped as.part of inspection) "
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
z.
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.)
Irevised 6/15/95) 8. r..p
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued) .
Property Address: :
9
Owner:
Date of Inspection:.
SKETCH OF.SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchrnarks
locate all wells within 100'
1r,
DEPTH TO GROUNDWATER ,
OUA ,
:Depth'5o,groundwater; 1 a- Nfeet �'S �FT
method of determination.or:approximation:.
(revised 6/15/95) 9
LOt,ATION � D SEWAGE PERMIT N0.
VILL%AGE
INSTA LLER' NAME &J ADDRESS
1u P
-� }y C( U a i S rl t
BUILDER OR OWNER
("A® rc"e Ott (n
DATE PERMIT ISSUED
DAT E G0MP1. IANCE ISSUED 77
�� � ?9
�. �� �
e
�, �. � �
?/
.e.>
,�
�,
No.......�'3s�.... �• r=�s
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town_.. .........OF ......-.Barnsta..ble
.... .................. ....................
Applirtttinn -for Ditipwial Workii Tonstrnrtiun Vrruiit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
Trout Brook Lane-"HILLCR 'ST" in Cotuit Lot 4A.
•--•----••-•-------------------------•......--------•--•----•-----------•-••---•----•--•--........ ......._..-•-•--•-•--•---------------•--------.........•-•-•-••-•-•--...........................
Sea-Lake Corporal3n-Address Route 6A & Rc1Lot
No.
O B.264 Sandwich Ma.
................ --------------------...- ...... ._... !
Paul Bousfield owner A areas
W Route--6A,_-East.Sandwich, Ma.____________________________
Installer Address
U Type of Building Size Lot_241.500 Sq. fe t
-, Dwelling—No. of Bedrooms-----------_tW0.........................Expansion Attic (X ) Garbage Grinder (fa)
a Other—Type of BthldingI�_�$toxY..9-Pe No. of persons.-________________________ Showers ( ) — Cafeteria ( )
Other fixtures . One bath
------------------------------------------------------------------ --------------------------•-------------------
W Design Flow--------------------------.5 AC,)..___._ Mons 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 arca--------------------sq. ft.
Seepage Pit No......... --------- Diameter-_ /-" _._ De�th below in et____...-_ .. To al leachin trea------------------sc ft.
r -- P D� �e_ ^ J�� / 7-7 1
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......Alm.J�eS........................................... Date../�aR d._�_-__ �_...._..
Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water.--..------_--..-.--.__.
fX4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water_-_---_---_.-_-.-_--.._.
rx +
Description 9f Soil s_______________See_-Per lati test report --_.-
-- --- --------- ---- --- -
- - -- -- - ------
---------------0-`--- 3----- - �------ --%� 3.. .. a �� -�
VW - -- �- - -c '-- - =----------------------------------------------------------
Nature of Repairs or Alterations—Answer when applicable..----------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------- ..........
Agreement:
The undersigned agrees to install the aforedescrib Individual Sewage Disposal System in accordance with
the provisions of Article NI of the State Sanitary Cod — he u -er ' ned fur agrees not to place the system in
operation until a Certificate of Compliance has been ' su y t boa of h Yh.
gned._ . . • • . .•----- ----•---........
/J Date
Application Approved By---------- -------- -- ----- ---- r.................. --- ------ ---k - 7 7
Date
Application Disapproved for the following reasons----------------------------------•-----•-------•-----.......--•-•-•-------•-•----.......__.....------------•---
....................................-----..........---------•---•------------•--•---•-----------------•-•--•----•-------------••-----•----------------------------------------------------------------
/ Date
Permit No.--•-----••--------•--••----•--------•--------•--........ Issued.--f '2!J�' 7 7
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.Town
.............OF ........Barnstable
................................................................................
Appliration -for Bifipviial lgiarkfi Tomitrurtion Prruid
Application is hereby made fora Permit to Construct or Repair an Individual Sewage Disposal
System at:
T Wt. 4A,
..AA.-ootult----- ................................................................................................
tion-Address or Lot No.
I?
Sea—Lake corpmaillim A Ute 0j)erO.........z......................... ) Ma.
..........A .....L .......
PaulHousfield Owner RoUte 6A, East S. ............................................................................................. ............--------- ................. ......................
Installer Address
U Type of Building Size Lot_24AQq............Sq. fe t
Dwelling—No. of Bedrooms..-__-___-.#40...............:.,..____-Expansion Attic (X ) Garbage Grinder
Other—Type 'of Buildlinglk-n -Y (:
or
----- .. �V.e No of persons---------------------------- Showers Cafeteria
a
.< -----Other fixtures ----- -QW1 ..bath ........----------------- ---------------------------------------------------------------------------------------------------
W Design Flow----------------------------� O-------gallons per person on per day. Total daily flow....... ..............gallons.
P4 Septic Tank Liquid capacity. 'gallons Length________________ Width..__.........._. Diameter__._.....-...... Depth-----------------
Disposal Trench—No. ............... .... Width-__--___-___ - Total Length._....................................... Total leaching area.....................sq. it.
ge Diameter Ve Seepa Pit No.--------/---------- ep4th below inlet_-_.______- ;!_%..... Total leaching area------------------sq. ft.
Other-Distribution box ( ) Dosing tank ( ) 0 No
Percolation Test Results Performed by--- AlM JWeS
,4 ................................................................ Date.__ .......
Test Pit No. I............---minutes'per inch Depth of Test Pit..........._..____.. Depth to ground water........_._._..........
Test Pit No: 2................minutes per inch Depth of Test Pit....__-_............ Depth to ground water--..-.-.---.--.-_-__.--.
-•- -- ..........................................................................................
O
Description of Soil__ N See _.tABft r......... ..q
--- ------------- - ------DO--- ------ ---------------------- - ----------------------- ------ ----------
x -e
.. ............7...... ---
------------ ---------
U
J1
of Re
U -------------Nature - airs'or;Alterht�ions—Answer when applicable..--___-__------------ ---------------------------------------------------- ...........
----------------i4--------------------- ..................................................................Agreement:
The undeisigped agrees ,to 'install the aforedekri ;'Individual Sewagq,.15isposal-System in accordance with
the provisions of Article' XI of the State Sanitary,Cod-.
he undersigned fufth&.agrees not to place the system in
operation until a Certificate of Compliance has been Zile
' le y A e�b o a"t,',d of h 'Ith Z
e_
fined.. _---------------------------- ................................
V Date
Application Approved By,----------- . ...... ------ ------
Daw,
Application Disapproved-
for the following reasons:.__-:._..._.. ...:__:.. ................................. ..................... _.._...._.....-_...
....................................................................................................• ----------------------------------------------------------------------------------------
Date
Permit.No...................... ................... Issued- 7/4�=-"_- --'7 ...777-
Date
-','THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
........... ...OF.........
. .. ........... ...................
T144 m,p�a �r
ObtIrtifirat of a; litturr
/I
T�fq IS T, RTIFY, T.. t ndividual Sewage Disposal System constructed or Repaired
by.....j/,r�i . ..... ............. .......... ............... ......
Ins ler
al .. •.. .... •:"F_#�r--------
------------- -------------------------------------------------------
'0
has been installed in accordance with the provisions of A is XI of The State San.itary Code as described in the
application,for Disposal Works Construction Permit No'.192, ---a.34............ dated ____,.1'" 4_11,p..r!_7.7...........
TH,d1_,ISsuAhCE:,O0 1HIS.-CE11TIRCATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM'WILL-FUNCTION 'SATISFACTORY.
DATE--- _/ .......?__7.............................. Inspector.-. .... z..............................................
. ... . ...........................
T4E COMMONWEALTH OF MASSACHUSETTS
BOARD OF.1 HEAL' H4
U-77.'
. ........ ...... ....................
FEEw-.1-h—
%s:vnlia IV ks Loop n -14 it Prrmit
Permission is.1lereby granted__. .... . ... ...... -- -----------I......................... ................... ..............................
to ConstructV epaiF all I idu I S a 1 os a I S
at N IV 00 ......
-O/- ----;-�__ --, , -- -----------------------------------------...............
Street
as shown on the application for Disposal Works Construction Perna'it)No -----4- ated.......
...................
136ard of Health
----------------------------- -----------
F�ORM 1255 HOBBS & WARREN. INC.;!'PUBLISHERS
ALAN W. JONES & ASSOCIATES.
a CONSULTING ENGINEERS
CARLETON DRIVE
EAST SANDWICH, MASS.02537
TELEPHONE 888-3154
TEST PIT AND PERCOLATION TEST
1 March 1977
Tot Sea-Lake Corp. Excavator: Bousfield Sanitary
Route 6A & Tupper Rd. Service
Sandwich, Mass.
Test Location: 75' into lot from
Re: Lot #4A Trout Brook Rd.
Trout Brook Rd. layout
Cotuit, Mass.
0'0" Ground surface
Topsoil & subsoil
1 O 11
Aber olation Rate:
s than 2 min. 800" Firm, medium to coarse,
A AN yellow sand; some small
stone
IRE.
'10
• 12'0"
No water encountered
Water levels indicated, if any, are those observed when test pit was
excavated and do not necessarily represent permanent ground water levels.
n �)f
14
{ rr 7
IZ
Fly
�. -.. `�\ k •-�'• 4�..7 _ __,,�. _ ��C--- '_". _ !✓•r^i1 G is �'
,gip �\-� '� � "i 1 ... ?-•' ..' _ " `p i ' "-��'- _. '4
_
_-.:,,ar
p t �% b �, ._f",�-y ✓1./ ( `�� -�� _�i- 7�l a „f �-�i�LL'�,�-> f
I;% la"1._ , - l -t /,•� L , :1 ( t r a e„ 1 -• >
• q
1. iYt+•.,3{t �f, ...,. r Li' •. . i`° . _ ("y rG �''\. Y �1� �.Ll 1 I �r a {. +�
'� /�,.�� �1f f•7 �r�'ra�'lir•l JS'T+'e•1 �' ��frlr� .'� ..'�� i '�t �� —__ ---=— --' -..:,�. - _.------_ ���
EMI�1^ yi �yA�r 4l L?7
v V�i
it
'� A �-� a i�,�i}, r7•y - 1 ti„ }- -. .. ,. --- �� �.�� y.
SCALE:
f ""nx ,ems t*, - f' d x i - al,� {x� .•z� y "/ ° _ 1
_ - -
,
n d 6 ��.oT -3
Gz 4.1 ' 1
C3IT
-1
i
I CERTIFY TO -DUNNING, FORMAN, K I RRANE, &TERRY, MORTGAGE CORP OF THE EAST III
AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR
EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE
SUPERVISION ,
THE LOCATION OF DWELLING AS SHOWN HEREON is ` ►�we�,
IN COMPLIANCE WITH THE LOCAL APPLICABLE
7AKIThlf2 DV-1 n1.10 1.1TTL.1 nrOnrrT Tn IInnT7f%LI-rAI o;.•�� \ :
SOIL TEST
TOP OF FOUNDATION 20 FT, MINIMUM FROM CELLAR OR CRAWL SPACE DATE OF SOIL TEST 1 ARLfj 28 2012
10 FT. MINIMUM FROM SLAB ~----
ELEV. = 10•0_ 10 FT. MINIMUM SOIL TEST DONE BY SWETS�R €NGINF�RING CLEAN SAND WITNESSED BY _f,Z_Q�ALAf�l.--_-_--_ P#13787
�c p�
!ASSUMED) I CONCRETE
COVERS - �, -INSPECTION PORT
4" SCHEDULE 40 PVC PIPE \ ` LOAM AND SEED OBSERVATION HOLE 1 ELEV.=_-95.5
f MIN. PITCH 1/8" PER FT. 2" LAYER OF -
1/8" TO 1/2" PERCOLATION RATE --.5-A-- MIN./INCH AT _ 71 --_ INCHES
j WASHED STONE
_ AX. _ \ VENT DEPTH HORIZ TEXTURE COLOR MOTT, OTHER
3,0 f 4" CAST IRON PIPE - -� ' b�M X 96.00 MAX `, OR FILTER FABRIC
(OR EQUAL) MINIMUM -VAX. � - 93.75 MIN. NOT REQUIRED 0-18" FILL NO
\ I Z 18 31" A LOAMY SAND 10YR5/1 ROOTS {
LEVELERS l - - -- - -- -- - --- ----- - ---
i 31-46 B LOAMY SAND 10YR6/6 ROOTS
PITCH 1/4 PER FT. S-�, i FLOW ' � TEE � ', I j - M
FLOW LINE a� 46-132" C MEDIUM SAND 2.5Y7/4
ELEV. = Q-A t -MIN
WATER ENCOUNTERED AT ELEV =
�MIN. ! -{ ° 'I
° [-A`
° � - � -84=5ELEV. 96.25r 1322'0 _ -� ------ LEVEL ° - 10' ° 91.67ELEV. _ _�8.4�_ ADD GAS ELEV = 9280 6.. SUMP -ELEV. _ 9�83_
f- ii ° ELEV. _ ____-- OBSERVATION HOLE 2 ELEV.=__95.6
BAFFLE V/
DISTRIBUTION
i DEPTH HORIZ TEXTURE COLOR MOTT. OTHER
ELEV. 5 HIGH CAPACITY INFILTRATORS WITH
LIQUID OUTLET gOX _42,$Q- STONE IN AN f0-18" FILL NO -- -
4 FEET 14 INCHES DEPTH TEE (Ex ST'NG�i T w K I18-31" iA LOAMY SAND 10YR5/1 ROOTS i
TO BE WATER TESTED � 17 I '
6 FEET 24 'NCHES IF MORE THAN ONE OUTLET 11 X 36 X 10 TRENCH FORMATION 31 +�6"__ B LOAMY SAND 10YR6/6 1 ROOTS
5 FEET 29 INCHES 1000 GALLON ` 1 10
7 FEET 29 NCHES i SEPTIC TANK TO BE PLACED ON FIRM BASE) SOIL ABSORPTION! WELL N A - - - -
46-132" C MEDIUM SAND 2.5Y7/4
8 FEET ,,4 INCHES j 3/4" TO 1 1/2" CLEAN ZONE_ - „
SYSTEM (SAS)(H-20) INDEX _ N 1
O WATER ENCOUNTERED AT 32 ELEV. _ _84.6__
DOUBLE WASHED STONE ADJUST DESIGN CALCULATIONS
FREE OF F'NES & SILT .71W,
USGS PROBABLE WATER TABLE ELEV. = NUMBER OF BEDROOMS _ 3 _
SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. = ------ GARBAGE DISPOSAL UNIT
NO- TO SCALE BOTTOM OF TEST HOLE ELEV. _ _$�„S_ TOTAL ESTIMATED FLOW
( 110 GAL/W/IDAY X 3 _ OR.) _ Q_ GAL./DAY
REQUIRED SEPTIC TANK CAPACITY I= GAL. q
ACTUAL SIZE OF SEPTIC TANK (EXISTING) _1W0 GAL.
100.3 SOIL CLASSIFICATION
DESIGN PERCOLATION RATE < -0-- MIN./IN.
EFFLUENT LOADING RATE T GAL./DAY/S.F.
LEACHING AREA 4 4. SO, FT.
(11 X36)+(47X2X10/12)
�a LEACHING CAPACITY (AREA X RATE) Z'1,QQ GAL./DAY j
3 ` 474.33 X 0.74
/ RESERVE LEACHING CAPACITY XQWL GAL./DAY
SHED s8.a 1�0.0 NOTES:
269.50 8.4 98•3 99.8 I 1 ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.
TITLE 5 AND THE TOWN'S RULES AND REGULATIONS FOR
•48. THE SUBSURFACE DISPOSAL OF SEWAGE.
1000 GALLON 1 ' 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
SEPTIC TANK 98.1 98.3 100 3 WITHIN 6" OF FINISHED GRADE.
LEACH 9 .9 98.4 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF
PIT 9 V \1V ) WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN:
/ �, o m 1C?0.0 o t./ 10 F- OF DRIVES OR PARKING AREAS, H-20 LOADING SHALL BE
D.
Z USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. j
ti BOX 0 DECK 1 LOT 4 4 ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL
BE MORTaaFn IN PLACE.
POOL 0 1 25, ?24. 6 S. �. 5 NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH
I Z ''S IL� r Bra Z CD DEEDED OR ZONING REGULATIONS. OWNER / .APPLICANT IS TO
I TEST 1 l / -3 g8.4 ` OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
t 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR
SOi gg'6f 1, 9 \ 100.2 !S TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS
TES 2 / PRIOR TO COMMENCING WORK ON SITE.
\ 3 98.1 ` Li INS 98 2 9 7 CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS
EXI�rING OEpR0�M5 9 48 .3 9'8 SITTOCBEDBROUGHTITIONS RITOO THE AR TO OTTENTION OF THE DESMMENCING WORK ON IGN ENGINEERITE. ANY RIATION
00.S
1 \ �, 99.0 99.4 J IMMEDIATELY.
8. PARCEL S IN FLOOD ZONE _ _C____
0 .8 99.7 9. LOT IS SHOWN ON ASSESSORS MAP a AS PARCEL __ 3 _
99 O 98.9 .9 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND-
I96.1 54•2� 0-E 1p0 ` » 99.19 FOR A MINIMUM OF 5' AROUND SOIL ABSORPTION SYSTEM AND BE
98`k REPLACED WITH MATERIAL AS SPECIFIED IN 310 CMR 15.255:(3). I
° 97.1 \ 98.2 -` » 98.70 11. THE INSTALLER IS TO GIVE THE ENGINEER A MINIMUM OF 48 HOURS
�,1.00�� m 97.71 __ (2 WORKING DAYS) NOTICE FOR THE FINAL WSPECTION (NUMBER BELOW).
P y2 \ 12. EXISTING LEACH PIT IS TO BE PUMPED AND BACKFILLED.
97.4
/ LIMIT OF
DI 5'
OVER
�o �
/ 6. 95.6 `
9 � f(96j-- 95.1 APPROVED: BOARD OF HEALTH
95.8 .
956
93.55 oOK rl DATE A.GEN
--9 4.7 . 95.4 __ 94)' 93.0 �g33 p U PROPOSED SEPTIC DESIGN
- 10 OR
` Ro��E z8 _ GREGORY OFF i
�OC 100 TROUT BROOK RD.
BARNSTABLE MASS.
w VILLAGE OF COTUIT
_.•'1 �° TERE ;� Lo Val Z 3
c Or o M. ' IW
s " HAY I a7 rlir�L7r a<7i�Lf A V V
No 9
�00� z
P, . 0
203 SETUCKET ROAD
�0/sTi
LEGEND: N, 1341 sqv r 508- P. 0. BOX 713
Zj 385-6900 SOUTH DENNIS, MASS. 02660
Q�
EXISTING SPOT ELEVATION 00,0 c�
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FINAL SPOT ELEVATION ��� I
FINAL CONTOUR
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