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HomeMy WebLinkAbout0334 WAQUOIT ROAD EAST - Health 334 Waquoit Road ,lj� Cotuit A = 006 037001 r Commonwealth of Massachusetts �l0 P par r�� ( OL✓"` lal, Title 5 Official Inspection ,Form r ill Subsurface Sewage Disposal System Form -Not for VoluntaryAssessments ,> 334 Waguoit Rd Property Addressa Bank Owned Contact David Holt ,Toda Real Estate 1-800-966-2448 @ Y ) � Owner Owner's Nam information is required for every Cot uit , MA 02635 5-11-18 page. City/Town * State Zip Code Date of Inspection -1) 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. A. General Information1 3 Obs 1. Inspector: f , Shawn Mcelroy ` Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this,address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ' ® Passes ❑ Conditionally Passes ❑, Fails;. ❑ Needs Further Ev u n,by the Local Approving Authority r - 5-11-18 t s 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 has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP: The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. *'Recommend pumping every two years for maintenance and to clean outlet filter in main tank. t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Gn5CY4 VS Commonwealth of Massachusetts ' Title 5 Official Inspection Form C�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 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: ® 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: System is in good working order with no sign of failure. B) System Conditionally Passes: ❑ One or more system components as described in.the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying.septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑N ❑ ND (Explain below): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 'l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 334 Waquoit Rd Property Address C. Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit ,. MA 02635 5-11-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) , ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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 ' ON " ❑ ND (Explain below): ❑' obstruction is removed ❑ Y ON ❑ ND'(Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N '❑ ND (Explain below): t 5 ❑ 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 ON ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. ' 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning iri a manner which will protect public health, safety and the'environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form r�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments R,a r. . . Y, 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 page. City/Town 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: 4 . ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is Less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: ' a I 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 '/Z day flow t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts -j ,w Title 5 Official Inspection Form ! i-I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , s 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Nam e e information is Cotuit MA 02635 5-11-18 required for every page. City/Town 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 atcesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This ;system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design-flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure ' criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 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.doc-rev.6/15 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts r� Title 5 Official Inspection Form it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r U , 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 page. City/Town 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? ® El Wasthe facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins.doc.rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts _ i� Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 334 Waquoit Rd , Property Address Bank Owned (Contact David,Holt Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit- MA 02635 5-11-18 `+ page. City/Town State Zip Code Date of Inspection D. System Information Description: , Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail Sump pump? f:. ' ; ❑ Yes ® No Last date of occupancy: Unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gaiions per day rgpa> Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? i ❑ 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts r� 3 Title 5 Official Inspection Form �-1 ICI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �C! 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 page. City/Town 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: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts �.� Title 5 Official Inspection Fora IQ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448)- _ Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 ' page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2002 Were sewage odors detected when arriving at the site? ' El Yes ® No Building Sewer(locate on site plan): 4 Depth below grade: j 12"feet' Material of construction: ❑ cast iron ' ® 40 PVC El other(explain):' Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): 6". Depth below grade: ' feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal Sludge depth: 12" t5ins.dcc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �l�j• 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Cotuit MA 02635 5-11-18 required for every page. City/Town 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 20" Scum thickness 1" 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 15" How were dimensions determined? Tape 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 is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 < Commonwealth of Massachusetts Title 5 Official Inspection Form' . 0) Subsurface Sewage Disposal System Form --Not for Voluntary Assessments r a 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448). Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 page. City/Town 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 i nspecti on)(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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts 3 Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 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 0 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.): Good condition with water at working level and no sign of back-up from field. 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.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts r Title 5 Official Inspection Form i i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments •. >" 334 Waquoit Rd - Property Address Bank Owned (Contact David Holt c@ Today Real Estate 1-800-966-2448) - a ' Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 3-2'x2'x42' ❑ 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.): / Leach field in good working order with no sign of back-up into d-box or surrounding stone. 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 r-- c Commonwealth of Massachusetts s)- Title 5 Official Inspection Form bl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ht Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 334 Wa uoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 ' page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately - II L All 1. i. r 1 J . ' _ F �r co r t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts ^� Title 5 Official Inspection Fora i� ws ICI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: r. ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database- explain: You must describe how you established the high ground water elevation: Original design plans show no groundwater at 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts ;w Title 5 Official Inspection Form bi Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �� 334 Waquoit Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Cotuit MA 02635 5-11-18 page. City/Town 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 I TOWN OF BARNSTABLE F�. LOCATION ,t{ILJMUQ-,V SEWAGE # 26W-11 VILLAGECG \ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO, SEPTIC TANK CAPACITY C�G6 LEACHING FACILITY: (type) -_ (size) x a.X y� NO.OF BEDROOMS BUILDER OR OWNER S PERMITDATE: . 1 U- 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 s ie 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 1 .S T i, {. � � =33� I�� 3 Z __ _ _ - _ — _- � - __ _- - - - �y �yy ► .. �� -- . . . b: � � 't TOWN t 3i~IlI2i�I TABLE LOCATION "" a f SEWAGE VI,LA.GE Coy ` Im ASSESSOR'S. �TALL,F,R' NAME-&gii6i4 NQ SE�'IZC TANK CAI�AGITX. ISdy u l i. LF.ACf3Il�IG FACI�.3'�'Y•(type) e `G X �; t � NO OF�SD�GOPfIS - BM,Kim flR OW'riFR EIt;RIVIITDATE C©MT.MGE'O�xTE. Soparation, iscai►ce B.ct,�r,cn the MaxuriumAdosted GcoundwaterTable to the$oltom of Leacfi�ngFac.lnty Pnvat Watar:3upplyW, andLeaduag Faciltty {€f-stny weds e;ust on site ar within 2t?ff feet of lessetnicg fty) 3Feet Edge;of Wot#and and Z.eactun'g Iaa'1ttY(If ariy wettarids exist wYthen 3(la'feet QFIeacEua�facchry.) � .Feet Furnished by:- � ,�r`c is oa i Ve"�0. a7 s"' No.��V V FEE 11I d COMMONWEALTH OF MASSACHUSETTS rc� Board of Health, NS 7 Lf$ MA. �.. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) - *omplete System ❑Individual Components Location 331 w,+qv©IT zo n Cal J IT Owner's Name cJo#,�J Duoe1--r/y O-CLy Map/Parcel# A%4? (p C o% —77—/ Address 6$S 0 I:A-j nee7w Sr, f,&o,{iDAj q-,12� Lot# Telephone# 6!7 Installer's Name 7-,S,9 Designer's Name � �(� j O t&V f p h1 Address ' �C3f ,i.�2�^�S�O 1C)1 LOvr S Address 6 3 � 1. d}(fi t7 6 Os1tA-ftILr Telephone# LQ^� Telephone# ,f'��3 f{jL-p — 1,90q Type of Building ��1���'T L Lot Size sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.required) ��� gpd Calculated design flow Design flow provided gpd Plan: Date 3-JLI( O 0 Number of sheets 1 Revision Date Title ✓/�srlL�e4�1'G •5C-L-� J511 AL ��I'CM! Description of Soil(s) Ale- " - Soil Evaluator Form No. Name of Soil Evaluator 0, "- #"'fQ^j Date of Evaluation o DESCRIPTION OF REPAIRS OR ALTERATIONS The undersig�fed'a�ree o' a ove described Individual Sewage Disposal System in aEc rdance with the provisions of TITLE 5 and further agree`to t to place tern in op until a Certificate of Compliance has been issued by the Bo d of Health. Signed - Date e `00 100 D G,� µ _ � ��v :...� 4. y ' �° r, '�, � .,..Ie,T �s�..,.-'^a'.,� •�jr�a r..xdi;y,,�� \00, P� �Qd B i`'"'_' FEE Qv A No. / i ®MMN�L� "O �'l[ �� � �T��E��� Vic,. ` . o ,cw Board of Health, 8A" , MA. , ` .,APPLICATION FOR, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Const RepairO O O Upgrade Abandon - Complete System ❑Individual Components �. Location 33 WA Q J O t T R-O A (O t J t T Owner's Name Map/Parcel# /A? 6 r _ Address 6 65' D.eAJT FierR ST, f,&)J7b J' 0e1(2) Lot# Telephone# (6(1 169- gaol Installer's Name TBA �Q�L Designer's Name -I e7L p(-}yNf o N Address 1j6.y2g SSC)6 191 UWAS Address 63 (4PT. ALI)E-Ad CN OS I Y(LLe sir Tele hone# Tele hone# s� P P QUO - 1901 / S!a e Type of-Building ~7-fA�' Lot,Size•- sq.ft. t welling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow mina required) ��� d Calculated desi flow Desi n flow rovided S"(�9.„S d g ( q ) gP g g P gP q= Plan: Date ,31 1/ O C Number of sheets Revision Date fr'rj Title 5C,.✓A'6-Z Pldathl MCN\ Description ofSoil(s) Soil Evaluator Form No. Name of Soil Evaluator 0• J O Date of Evaluation ! O `! DESCRIPTION OF REPAIRS OR ALTERATIONS The unde sign agrees to' a ove described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a ee to t to lace a tem in oper aa�until a Certificate of Compliance has been issued by the Bo d of Health. Signed Date 3 oO a G 00 t No. �1 FEENET 47 !�• R - Board of Health,'"h SLw r'�E' MA. i. Description of Work: ❑Individual Component(s) Complete System The undersigned hereby certifyzthat the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: C ,/ A has been installed in accordance with the 74IS,011S vof 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. O q , dated �. Approved Design Flow S (gpd) Installer CN A kC� Designer: Inspector: Date: t c. The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No.0 �_l/ 2 FEE /1!�70 COMMONWEAL IL Board of Health, IVIA. DISPOSAL SYSTEM (ONSTRUCTION PERMIT Permission is 41leby/grannted to; )Co strust( Re r Upgr de( )/ )Zbandon( ) an individual sewage disposal system~. at �_/ 1/V _ ( D / - ;' w as described in the application for Disposal System Construction Permit No —0 —3 dated Provided: Construction shall be completed wit to t rreee�years of the date of s p r ( -1 local con itio must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston MA Date 13 VBoard of Health i TOWN OF BARNSTABLE F�. LOCATION Mq LJ295unl (ZC�• SEWAGE # VILLAGE CASE4 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE N0. ERk, n(R-20 5ql SEPTIC TANK CAPACITY LEACHING FACILITY: (type (size) 2�,if X X LEA— NO.OF BEDROOMS BUILDER OR OWNER S PERMITDATE: 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 i I own of Barlishable Deparinlcn( of Health,Sofe(y, and Environmen(ai Services Public Ilc;illh Division 1)a(e Q 367 A9nin Slrcel,I lynnnis MA 02601 11A nWill L �'p2E�jM Dale Scheduled ® � Time Soil 1S'►► wthililp Assess►►►e►►t,lor S'e►vage Disposal I'elfornlcd Ily: Q�N ' (I�`LS c+/`� Witncslcd fly: DoAj.NA' M(p 24,V, L *CA'r!ON & G&I NERAL INFORMAT16N Location Address /i )�J'� )D!-j'' 10Owner's Nnme J 0 t+n( Q o OVN FLL Address 075,6 ERS� F/FrN jTi,L�l S. S rb N r ✓"A 02-(;L7 Assessor's f,1np/I'nrcel: /J(f}p (� /(,CT 37 —► linginccr's Nnmc 04,4(L-L JQ J+,-SCAJ Y NEW CONSTRUCTION REPAIR Idephonerf So� Land Usc wo O Q Slopes(4e) Le7Ve-L Surfnce Stones N A Dislnnces from: Opal Willer Dolly 11 Possible Wet Arcn 11 Drinking Witter Well Ii t DrnInngc Wily SV ' Il Ihoperly Linc 10 t II Other II .S K ETCI I: (Slreel nnme,dialensious of lol,exnci locnt(oos of lcsi huics R here tests,locn(c wclJnnds in proximity to holes) ()J A Q 0 o l t- ;e-J A-a /oo� aS r 1 ga O 1 �J- I'mcnl mnlcrinl(geologic) Depth to Ilcdrock /C-1 a Ogf Depth to(lroundwnler. Slmlding Wnlcr in IMe: N'j i C!Sl Weeping(ruin Pil Fnce /"J7 O!!J listinmlcd Scnsunnl I ligh(iroundss111lr �'''' g S �> DETERMINATION VOR SEASONAL 11IGII.:�'VA'1'1!;R.'I'AIILL .. hiclllnll I15C11: Depth Observed slnnding in obs.hnic: in. Depth to soil mottles: in. Depth 10 weeping from s)Ilc of obs.hole: hr. Groundwnler Adjustment 11. lodcx Well ll _- 11-di'm Dille: _ _ Indcx Well level __ AIII.fnclor..__ Adj.Oroundwalcr Level 1'I ItC(3LA'I`ION 'fI�S'I' iiiile r t- oc•1-1111e Dbscrvalion I line// . TP-a. 'I iinc nl 9" //: Depth of I'm 4 V'6 4 llmc nl 6" 1140 .T:) Stall I'rc-sunk I imc n 111 1 imc(9"-V) IgS"J God f're-sonk Rntc Min./Inch L h.PT Lot rpZ Site Soilnbility Assessment: Site Pissed Site I'niled: Addikonnl testing Ncedcd(YM) /'•I Oliginnl: I'ublic Ilcnah Division Obsel%'Mion Ilule Dain To Ile Complefed on Ilack j Colry: Applicant DKET013SIOWATION UOLE j,o(., Hole // -rP-/ Depth linen Soil 110117.011 Still Texture Soil Color soil 0111cr StIllact:(in.) (USDA) (N-11111sell) Mottling (Sillicluic,Slolics,IlooldcIcs. 10-11 6-t-Y st'" A YA. 11f I-1b r,0 9 S. 'CA4 40 Le Lo YLM'a lo Yx 5-113 4jQ D$'f r-PAJ3Le rr 1 7- w3J "t.I f DRUPT OBSERVATION HOLE, LOG Hole -rP--1 OCIIIII fi(IIII soil I folizoll SoilTexillic Still Color Soil 011ocr Sollact:(111.) (IISDA) (NIIIIISCII) MollIllig (SUOIC1111C.511111ts, 0 O A LaA^^Y IA-"V /6 A. /%67-d9j F, I of-S L F- if 10 YX _r/13 'V-Q',DSJ Af Lt it "Os g ---------- DEPTOBSERVATION 1101,1P, LOG' Hole it DcIIlII I'loill soil I lolizoll Still Texilitc Soil(*,()lot soil Ofiler Silt Iace(ill.) (USDA) (NIIIIINCII) M0111111i; (Shodloc,Slolles.Ilooldcle.;. D1P,1*1,'P OUSERVATION 1101.Al LOG I)CIIIII flool still I lolizoll SoilTudille Still Color soil Ofiler Sorlace(ill.) (tISDA) Houd flism anc�L�flq P11. Alit)vc5()()year llc)otll)otiji(inry N(i____ Ycs W1111111 500 year Illjolitialy No Yes Wilhill 100 year flood Immidnry No--Y-- Y Cs Does of least [om- FCC( orlintill-illy OC61111-ing pervious III'llel-b-11 cxisl in all areas obsel VC(I (111mighoill 111C '11-C.1 proposed 1,0r the soil absol-plioll SYSIC1117 i r not, Nvii-at is the Elcliti, or mim-ally occurring ing pel violis males ial? I certify that on ((tale) I hive passed the soil evaluator ex.imitinfloil rlppl t)vc(l by the Department of 1.11vil-ollil)ell(al Proleclioll 1111(l thill file above PlInlysis was performed by ale collsisicill will, the requirml Iraiiiing,exl)cl-( c illd experience described in 3 l()Cfvll( 15.017. late u r r1` Xj - SM E DETEC ? 4 ,. TORS O. C. Z . a i B RNSTABI.E BUILDING DEPT. " d; I I r------- c — ---{or�cTe aouwaw.r " 1 "'f^�Tr�'a+wwwc roc- P`'U1-- EIJT H .• _ z I ( I ••L------- ter.., --- --( �' �. —� — .. 1='x rd Ac`�f'�`T�-' � r • Ctc.. o ��. IL ' llap _ s • - �i 8.�N W' y J W � z I o -�rayux orxoc-v Q] K 1 IJa� TEzrr.�. t,F� f77Po c.ft i R I z r I41 Ito- IL -91 AVp - �p �p / 1 p a ! P v u 16 WWA IT - — - - r✓ I . ---- - 5 -4 01 7 r I y i. g. - . W .. .. _ ♦ - it Zi �a d•c" ei. o Igi.�,� ul•o, i LX f � � --'�----- - ----+----- -mow .., ------- , t a / (2GOIZ4t�h1 . •I O ; � _, .. O OfLN TO.lI.HIL�' Fh.Kb'1 b i a J i i i T r Ij -i '..bCLO? 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I.vi, d:,.,,.�:I VI�,­I I,I rI 7. .- ff((jj (f��«(r , �.. , ( •? +F4:�1^L "'.}Jieai} 't y 1a a f 4 , e. } 1 �j ',. 15W6ALLA-NI SEPTI ICI ,TANK m A P b (,01' 3)-t F j MOQEL fiK•15Q0(fHE «CQNCAE?E 1 (OR EflUNALE�#TQ. CI. �7 LbI'I �1,F- L�. , �-/�- iI fi t B4A 4 5 Ds R, ,8 ' IS. «T'oh nsprr, i FN�ISNED GIRADE 01 II . . . h . _ TI. 4ncc�t+�++►4:•K i4 ni11 #r Y. D,040a::K! � xand: , 0 8"MIN) DIA. S d r 6 64,=►00.ov • t of ca Nt,$ewVb _, «t y��y {�j� afy.. 6x Z0 '# H•t0 ._...........«s..._ ....- (Fio.) -A ( " ►. ;'+* I0 .7 4"SCH 40 x •>.. r , , f ¢ 4 SCH FL U 40 i4 EI E S . U" .' �' ,}A � X- amy, eantl; , 10' 2AB L l4H 7£ A•3a#. i 4i. SEPTIC TANK Tfl fE II ;, ' ` ', -° " ` r ', I lk!s/8 .aa y' sand i 40TEE 4.BRU1 L (� C� U U T ' a LkVE Iu1ItEMNts a .. ( 4 " -�1 0'�'; , 2. Y7,/4, 1, irie�-med um.,sand GAS Imo, 310CMR%5 20OF1 I. II II 4"SCH 40 WATER TIGHTNESS, 6,#6_roAr4arnt'A " 190f.9 . . IIIQ ob.aor-ved:C�`t9t7i',ow''ate TEE ETC, _:_.:_, _..� 9 __.... ....._,...__..__,_._._,.., - CHANI . ,,_.�._.___.__.,..�. _..�.,_._ __,._ ._ _,..,__.-_,. +� " ---- ;. + COMPACTLY i' .. tfAK e G"e4«0,46 i 100.00 &i"` �r,o,) f $ ONE 5 rA x g _ _..,.,..,:.,.___._ •�------ ,."�✓ / (y' (1y J�1 1,C� • .�. t 3J4"I}L4 _ �, 1�0Y3/ L BASE ND, '" . � 1 my sand e L 1 1 -,,e-`� ,- `y p,..,,, ..--,,,,,,- e•'-,,, .- "-., y. 1-.y �✓° r Y . ' : iA�fla, ', 1C � 131IE1� 1q' G' t: � � 13"W x w'F1 j / Ulti - 2 y� Yy ,5 ' �. _ E' rte` fisted H, t d ..._M_,_.,.__...,._...._......,...._...._..,_•___ .____...__.,__,�... -.._._.�.._.,._._._.._,.....__._w.......w.....•,.___. 8, i .46 Oboorved t tilfilc3w Ivor t LIW6 TRENCHES -i. LENGTH[11` AfiiNti LINE �a0 tt( " .. ' ENO"CROSS SECTION 9)F1 le . /� / pXoPbs�D o«1 . ' '.;. Witt r�'IEf . . , '; F'lOW E7 �f TO SE 5TAOIL[AD ......,� i1.q it . ,/ t _T� ,., r s . - i : ; . FINISHED GRADE(SLOk-,b2r. / 40 S F -�~ III ,.;.. 11 I = CH 4pPfcp ,F'VC t (NlIN) 1 7t•� 3 /off,c,T. ` '?4rC: .144 t-oi l � . MP)'. (`1•11-1 r '�P-2) . -- ----.I,.,_ ,, �,.,,,.__ I IIv-loi-k fit,, (�N tt - it A ' I ;.' « ooueLE WASHED STONE Nkt pE ACfiLIAI DI$tt�IBU . I I . • 9 ./�►; >� th of Par !-Ii1N1R 1' 401, 6V ( T'Vr 1) WNSS; 3 4Er^ r i 99 ! 2Z PUCE -__ _ ., % �,__w,_. , - LLACHINO TRENCH DIMENSIONS, - , 4.1 Cu 10eK7 I 0t 1 4 (, ) S c"E n �' I _. _ - -----__..,,,,._...,. /2' QOUBLE WASNE _ M _ _ ,__._..,....�,,....._... _ Pro 1 « 5T1)IdE t t 3 A 42`L X Z W z H ' aro ,,.•r z a,,,o ° 3J4" 11 ' `\ cEaLr#�x� r+�xu�ET o I91 II z tti �' / - � �� ` 4 11J8"plA.NERF HI'llE$ {�•'r"."" �" 6' ""'"(".:"""'z `."-..".I .._- 9 8 . 9 9`. ACTUAL NO:,OF:fiF3ENCHEB MAY VARY FRO1M \ I t �i 11 I END OF0111 1 TUONLINES TO LEACH TRENCHES T0' .F I ' r 1T1 ,S- 0 N C .'T'fl ; 6E G1F Q.1 1;s VENTED DE T.44. RfFtA1Na ILAN VFW ANO MEET THE ti i o'�} i��A�:C.M AT04DETAJLS iJk1;:TUAL,No,rjF -eo�c .._. .._ _... .._. a I xQ. ,� txt :'I1 ' c 'I` ,k . 4 # I irlENiS f1Fo \ q ScNoo ( �" oy' C11ENtiE$ t -1.,_.��0­.-I_­�1.4­_',,­,.,--1-,.I6�--'�I_-�_/6,'­I5-.�1$_-�,�r__0.N-�p#0_�._---r.(IIi-;r c.A.,,--_Lr(._,.-�A..-;_I O.'­­I-i�-N-i,0 CK--0I__R-./.I\W6r_1OI__I�4_,_,q S2I0 aE-e9II0 1- -0 $,.04 ._.. . - o �� l f V1 "1 ."#ki i�bu �n aax . 8. AE - o .�a«Yv•} �' tat 8 ( o Q ___. ,__ ._.__-__......._r_. ...,._..____��. ._,_. _.,_.,.�,...,.__.,,,..._,.._,,,.,.:._...._._.._w__.____• .�_r\ 0.I I\/,.-_I I- _DI I 1-I.4\�_..­...(.­-A�_I­.."�1­Q.1.15..I­6I._.­-.I-c_­­.-.II.I1 II"_I..11-.-I_...L,-�-_..�-4.-.I�O"-9-,-.f�'IW.4�,A-.�--,-,-.---I--,I\--t-o��-­-,i.tI_SII-�-__-6--­_,�-..,.,,---_0-�.-'1.­A-----,1\-.lS.,g_.r.-�1_.­-.. .{ . , \ q'5C , to ,I • - - 61t �N`�,j.�h • lr, ', 'V 11.° 0, :Y ®44 .•Ras - I -• .. .. OISTFi�UTION.AgO( t \ /a� ><3 t # *a 3.k,,, � "°) : 9 d,? REM[1VABL£ OVER S 4!`SCH 40OUTLET LATERALS ' _ ._._.___,�......_...w_.. � .w�_. _. �� w 5+ au e�sit -- _. - ,...,__ � .._..._.___._ -__ �. pISTF�@UTION 80X TD MEET- L i+OH A 98r 3 pRs Po,tEQ 1RR RTIGHTNESS R FEET yr� _. f lam► AND tANHNECfiEO fi0 - gED�ao Ftsui� CONSTR .ET � -? � x- `; UCSION' C 2' EACH DISTRIBUTION LINE 1 f F�= t a 9,ou \' : WITH SOD 8 40 PIPE 4 II 7 lI II ©u we I 0 OF O 4.i SCH 0 5' eff,_9$"a9 I - \ _ U TS. . , .. ;'Existing' Cdntur �~ Y CRUSHED N TLE 4 ��(MIN1 c S7 CHANICALL i ......_ _ _ ._ ( QIA) <- f / " \ ,. ,:. : proposed Cont6ur °oa oodm 0 r N � \ , ,, STABLE LEVEL BASE ` _ . t - r, ..__._-_..__..._____.._.�_._, __...�._..__ _..,._.._,_....,._._,-.___.__----_ Test Pit 1 t _ i E'i hlsried F1©off '� evat o _ __� . �, . n FFE _' / i 1N I r - , aez�n i t. ioax .IW1'eVI . I 1 1 , 1 �F'E All o s o & ......-..... 1 . c traction methods shall conform to the Title V (310 ' - , , Water Line .,�.~,�~""'W n s �q ,, . .. � � CMR 15) and the Barnstable Board of Health Regulations.-3 (�✓ • , 3 D oCs 2. There are no private or public wells within 100 feet of .�'. _ .�i - the proposed leaching area . O ...,_..,_._.•_.ti..r_.. .._.......... - ._ ._ 3. No charges are to be made in the field without the appxoval _ _ I n� � ., , x of the Board of Health and the des g e g Weer, j i n n i .. - - +t ' :�.'' `. : ` 4 . Pro used leach in arras is not desi Wed for use with l k .' ;•..' X d 0;3a . kR �►,�+'xf , ., ., gat bacTe isp } o t; ,.'. ` c i ��. ♦ .� - r '. , : - f �' •`• . . ' _ ,� h. Contractor try notif Di Safe 1� hours r or to ,w_....._,__..._..,._ _._w._.__..._._. .,__...__,.___...__.. - _ .____ : �._ ...__ ..�__r I �._�._.__._,...___.,�,�.,.,._.._. srk I 1 1, P 1��-. I :�I iI . �.. I , . I. .1 I I I 5r4rca ZvaY«0o G'� �+) - t tz rx :4:$ -`' : `� co,tn�e1 tttrk.°fort. (Gqd) 34`4�-733. 11I111� y' { , I.I�7..,1I I�I I'.1 7�. � . '��,'II1�.I I �.��;­.1 .��.,�,� I�1,I.,�,.1.�- r I I�.I II."�I " . � I I I I ­ �.��I 11.I.,I­I,"�1�,.��1-,._,...-I II,".,�L:�.,",I.,I.1.,­­1 I I ':.'..:I-I��.%,"-��_. . I I I I.I 1I .. 11111-1111110=1111111111� I L, : ,, , , . •. :4 tF. , . I .. .;. •. 6. smhva; feet har°ircntal :l. around ti) t rc� cased l.cac: aln area . ,, 1L�i�Jr" y � �' c:.: ,,.: ;. r .rw . _. _........,...,..nr+,:,.. ..,...u...,....._:..,..,:rne,�u...,.:,,...n . ...U.e.._..._1 w?_. .....w."r..:M.........:..:...,,,-"I^,......_.. 11 . � , _. . .. _ _ _ . ..�..r.. ., _,._ _..,.....-_.__._. ... r__...._ ., . . . . , _ ;.,.._ ., . ,, �rfici a `t-i l l a _ x mettctl. feet � . of 1, anid , r. t Lsh I i t 1 Vl:'].1 (�r�f nc,r 330 0. 1 . . ' . � . `' �U �, ) �tCId p � E7 � `' , •.'. ' ' ,�`�;; 1�. �`�aa �cr1� s Fr I:#`1=�;�"at`1. n :t,� l (ss try he s1 �t rlt�un { � t �a f ) 1 t c t :,. _ , .a..,?. 7f�:: .'...4;, _ 't',�. ' i-. k ty�J j. k (,.9 11 .�4 1 v U A .. •. ♦. 4i f S 4 ,, , D 4 l l 1 + fX x C a (� „ .' r - I • - , t -� faGE- 1«�4.o c� •,,. `. `.�}, , :�', I." « p ` •lt,, Q=2%0"4 . . + s^ a , . 6� �'� , - . , /p. I i ►1i cif PTI C ,Y sT1 .. : r�; ( k A Oft 1 LC ,«, ., 0 c..ymrttla (1 <� araBr e1) :,._._ j(. .. �;.'� ! �".•+„ -> `, ``•k, M' T .ear; £rt" i .. .e•. - 1y chlrG R3 S}fow sa, �r ! 110 ,t D/tit «�x'c.I,,,"I k t� I.1o_l�.'c.onl ,a,' 0 (" 1.) 4 �«_f , ' f tt Pe a :( t c, tt; M) T (!'I l ) P 1 ,. fliol > Clos,i , (.,1os,3 1 (O. Y4 G/S ) . , " ; Q ..,4n a �. .^ '�.Y. }; � Y 1�; '`41 i.r«NI .. 1R1�.M�QIl1 A �� S .".;:..: #�. :. ,. .. .. .. ,.. y e. x y , , .:, y .,. t Ledcha.n Trenches 3T 9 L x W x ll E it uU ��ODE .,:A_ . g - , P4 - - Side Area• 5Q9 SF ?C 4 74 Gfi' 3`d ,D CI'F) . ^l C. C :4 ltt a AA 1 o o ----�-- �:.- t O Ar t�.rJ . . 7 Cy/.� .1,. , ..,a,. ,,.5 _l;� ..,....,._.�_w-_._..._.........-..,_.,,•,.:_. ,_...--, .,�.,_,.,......,_.__.._�..._......._. -..,.._._.,_..__.,,.�,_.._..,_...,._. ._..._,.....-.,...�...__,____ F QL a• :. SF X d fokal Leachinq C:ap&r, 1 t y : `.,59. C (TPI:) 98io± /o' 9 Sc s o S.,o "_" _ ----J 7 , ! f 98,45 .A,.�� $.Ag 7+ 9''fERF. Sett q p4 C 5:.om$ 97 7 FEtta�6 2� _ 1 Dts-r-at6urtopr nX ?iQt 96, , br-r-95,24 . . .. i ,qA'4.* .Z`W, t2.« 4 . " . lspp &.4i- /'J , 5 EPT•eG, T401K 41 . .- ___ __ , , , F .�yj �y Tip ♦.' � �i�i VWiifM- 'Y� APPROVED BY P� SCA'E; DRAWN 6Y ; g07:m�"t r, N0.9Q77 f v 1017 ,�i D/1TE: SJgi/QC Umi" a>Jo2aumn° , a: aim r ..w. . ._.. �, Ito,o$.I, vu�)� !wT „I (417) 240-0214 ;, , ,n . ` o1w aeanrlly ' .„ tt . t !!tb itsNt, !. 7)pstefa, lY► 0212 g ._ . __.__,.. ..._..._._r_.,,..___._...__-._._._._..�._..,.._,___,_..._,_..__-....,._ ,__.__ ..�..,...:..�._,_.___ 21o�C: A iast ! I I I I I I, ro r,2.a Jt3o Ot4n otSO OW D*7P CfBe C 9A Q;roo lfro / :o pro° Q 0 «, , _ __. _ ` �1F; pp ! ;-tapas l�Gltlsas2C ssstzc l2xilW, 2NC. ISO$) 420-1o0t DRAWING NUMBER N©fi`! =IA ..I I I (\:i a � _ __ 'I' I I1 I ,, 11 .: i 3� Y: 63 captain Aid=$ La." ostervillr, UK 02655 J•-506 ^,'r•• r1.;:. ,.,..,,TTE fn•FORan 94CRF PRINTEC^ :..,,.r..r 420H C�fsslPR,p1T V , . . . - , .. - - I ..1 . ­ _... I � .I I .,. .. - ------ -----_ _ - ------ - - _ .._,_.___.__..._ -__ -_,_.- --_.,-` __...___..__ _._._-- _ --.--_._ __ ..,._..___._..____..._..._.__. -,-. _ ..-..__. _. --- ,...__ . _____� _ __ ,_.. .--.__.- ------------------___ _.... -__.. -_.__. -.-.. - - ._-_------- ---- ----- ------ _.__s -_ - _ - _ _ -. _ _ ._ ._ d ._ _. �_ .---_..._------- - - __ „, . ... -. • ... .. :. :. ::I^^,^ n b .. S t; .. a l ^F. .x.... .,. W ., • ,. r .n, , .x , .,. • 1, } . ., !".: 1. ,.... /j r ` M � •.a a �.. '.A . F a prc 'l St10 GALLON SEPTIC TANK , 5cA LE - o TES`P "PIT DATA MODEL:TK•1500(SHEA CONCRETE) (OR EQUIVALENT) PAAP b GaT 37�-( Performed B: IJani6h B. Johnson FINISHED GRADE Wi tnes ed aMiorand 24”®IA 24. DtA r STMIN) 24"bIA c►ttt By': ' Donn iAfS�.,i� �C,crga,a� Y raF tout,Ea✓nit? ��------ bate:' January 6, 2000 ! 3 3 w 10 TV'I (EL. � 10G.'7) 4"SCH 40----- FLOW LINE s 4"SCH 40 10' 14"' t E 0" •= l'10' 0,.t� 10YR3/l Loamy sand ZABEt FILTER � ,� A SGH d0 TEE SEPTIC TAAkK TO M MEET 1 l,r w 4011 $w,' 10XR5/8 Loamy sand " a LIQUID LEVEL REQUIREMENTS OF �14Z) GAS BAFFLE 310 CMR 15,226 FOR � 40" -120" C1, 2. 5Y7/4 Fine 'medium Nand { d SCH 40 WATERTIGHTNESS, NO I , bserved S HWT TEE ETC, E+�GE�'F P4 dr �ATI roox� j NO Observod Groundwater ' _....._. __. .... _.... C: - ( L 101.2� , 6.. M IJ 1 �' +� CEOtMMPACTCED:.Y rAKE. . s ' ZIA ' � ►' t,�aa�IJt' eta t'td 5TA13LC t.I~VCL EtA'�E t"TiU51f�D STONE rg• ,,-• , .,..°-, -'.--,,,,.... . .,,-� (�'" 1.l �},,�. 1-0 Y 3 �r.W�, ,,,.,,,, y..'.a., ,..,w.y y'J YI r... ,_„ w...... '•,,1..••-•'•y, ti•' - -1 Y� , :# 7 r +a ai r i ftd i f�'h"'�OC 1ANfh;tTlt4t'rh1 I+01c 51 1tt S t:. to TI W X t"01I ,w 1;�0" G1 , ,2.. Y1/4 (" itt rnhd:1wtt ittnd 1 a5I NO, Obtt01"`v+ d 'F,.3I)W`1" ..�..::, ..-_-__.__._._.__.__.__._.....__.___ ___.__._.__.__.,..__,_,__..,.____. _..._.....,.._._...._._._,...__...__.._ ...._ ___..,_._._,.._,_..,_.._.___.. __......,. ...,.._... s$r / 1�1o"# ilttVtC31'CiI3TldWtats.t�x L1'•{.t' IIIMtG TRENCHESt LEND1 H OF LEACHING L.Ihtl~, 42' }"_-. __.._ri,we.+w,r•,.rr_• w,.w.w..+_+rn. r__w.++wra,w,n a,r„rww.w.r,n w-._,_. ,_..+._,._.,...w....,+...._ , -,b Foy ( "END"CROSS SECTION - ' t �r�ttrtES FINAL GRADE TO FtF STABILCTO r 1 ' r ) .; t1tlry , ' CiL31 r € FINISHED GWE(SLOPE,42) 99fb v� � Pr-,A � �. ! d t O k 7d ' 1'y - - �"''" �. f1i.rvc12-1(MIN)., T N-1 t k r.r 2"IAYER 1ti7" .r ..1AL NO TII'ACTLIALDI.�TFt10t1TION �N - i s 4t , t LINES: 3 DOUBLE WASHED STONE- ti o f , ' " ,..T T .e ,� �� � �1 of F���'� ��� �� �� (3�'i (,,I,� �"�:} �e P cE 4 __ _ ._.�.~ �.. __.-� .. .�.r. .. r. .��-. ._,__�__�__�.._ LEACHING TFIrN H DIMENSIONS: �. � 0+ 0 • • 3rr4 )112• DOUBLE WASHE 7 4a Vie= ro®"7 of � 3AT dt"L;X;,"WX?" " ._ ». �?a S \ 5�E 14a _ __ Q4-,a / H _ ,.., , . TONE } catoax, Or ILc1' xONI r - ' D(A,F'EFtF,HOLES I E(lq OF DISTRIBUTION Lfh11 a 1 A LEACHING CRi"NtiES Tf1' Inv Out Foundation tan 9t 90 ACTUAL NO OF"T1�C"NCIIE a MAY I t1t1M 1'n Se 70 BE CAPPrD UNLCS VENTED Dt`j%, FIFF'E nENCE PAN VtCW AND FEET THE _ ,oa (13I F.PLAN ANt)Pnontf I CJA TIULA71ON WARS FOn ACTUAL NO OF REQUIREMENTS OF 310 t / -pax —__— _._ __ f j zp, � , �'kN4a �' 'f-- t fr1V, lit . cp i t� 2lCi} 911 . I ItnEVOWS , _a $ Inv, In Distribution ' x 98 , G CMI tzL 52 I ,� at rcN) �soa ALL \ �� tax -�-= tv. - 011t ist ribut�ion Box 9li 09 o \ 5,rpr r;�rt �o I Inv; 136gin of LOaching Tenches 97 . 91 nVi Snd of Le q„5cr♦ta � i � achin Tx:eTlcht's 97.1I0 t DISTTtItaUtIC1NpO;# 5=,ox rot r ot�t;om of I,��tC�t't�.ng 'kenches 95.70 ? " H"10 Bottom ofi TP-•1 (No Obi.GW/Fsi"tWj,) 90. REMOVABLE COVER vo x3 f 4"SCH 40 OUTLET LATERALS DISTRIBUTION BOX TO MEET SHALL BE SET LEVEL FOR "— MINIMUM OF THE FIRST TWO _._.. ,w....,.._..,._.. .-...._....___ __ .._..,_. ..__ _.. ..... .w_,._..,_. ._.. ..__, ..w..t_,____.. _ ..__._.__ ._._._,. ..,....,..._ , 9$x3 PA�P>f1F� I � , I „ , ..._....._..,...___....,._...._._.__._ REQUIREMENTS OF3'iOCMR 15.232((WWATERTIGHTNE5S. FEET AND CONNECTED TO ! - SE`,0400 ',?�g� + I CONSTRUCTION,ETC) 2 EACH DISTRIBUTION LINE F r ; t,o R,ors , LEGEND ; WITH SOLID SCH 40 PVC PIPE f3ff 95,,29 _ NO. OF OUTLETS:4 4"SCH 407U__ 91 Existing Contour c too 0 6"(MIN) 0 0 0C31 MECHANICALLY CRUSHED xr I .ropo$dd Contour STAPLE LEVEL BASE . t , T08t Pit jj I ` - 1'ini shed Floor Elev tiOn FF"'R t B R l( NOTES t + I I e E l..00x 11ati oT1 -- .. a e All construction meLhnds .shall conform to the Title V (310 7A ` Watex tiny' x w000 -�.. , I CMR 15) and the Barnstable Board of Health Regulati.ons .- r , ; 1e 2 wells within n feet of , There are no private or public el 00 t the proposed leeching area. No changes are to be .made in the field without the approval T of the Board of Health and the design engineer. `irr 7Nttrgr•` 'y^ , 5P^ ,fro - p o I Coot4det 3T 41 ,.�, � I , ;yr• . •,. 4 rat' �e 4 . rca'posed leaching area is, not designed for use with � a I I , s"�'N�>* " a41 garbage disposal g Ca7A wro _ _....____. ...._._ _..........___. ._..._.,.__,.. .»._,..,,_..._... ..,.__._..., ,..."._._.___....,._,...._,....,.. ,.....,....•...........,,....... `r , t ,• ',a0Ce3t s '"/V � , S! ti C3t t I A r t " T tt notify D i q r a C? hours prior fAo� PAR a 7 Constru "tion. (800) 344-7233.CIA, ' "" I r.} rta ' P � t�` ►/� ire '".,J9ttlf� 1 6. I���C ovt,, 5 t'e(it. }iorl ontally r:1�}!:CYl nd: t_he� propCTsod leacUng Cr c"t a r 4g . w 0.� r o,v b yA lratr �4 rv�a "Itld vort'.t tiro � r� )-.rox i m,£r t.f` . . 17 t.E�'t�at; t: clnd �t r -- -- _ ._. .._ _ _ - - !o .e •,, • '< a, .ram , � "ter s ° '�,► ' i 1 p l y ( _ CaE+ c i.1 , 4 ! ► tll4,moi 1. ) rand r(ITA C-IAC-0 wi t h 'I'i t 1,(; V .ri ] 1 [R(".,f croric o 310 CMR *MA ,4.A f^ R,. a r " ►� !} ("rat" calla r�i ( ir�eat ) n'—.1 of' f i 1 1 (..rand) ) . h t;cy°►t.��1 i"Im�,unt I "' ' :` �� k; rNgw cto55 r ��+`" .• •,• °"` o1 y ` yardn . " ,� � Cf I'9 .t tr t t _ I lt-c � I ► c �. tt 1 I _, rtllic �•„ '" "' ; Aver,,' i'' Or 1AA T f t, too 1 'i�/ty � i r. � �•I� r i ...,.,«.,...,.,.«....•—+..._.z.............._.....,..,..,....,.,.......»-,__,...»_._....,,.,.,.....,.-........,,...,.,.........,_,_.._,...,....,.........,_,...-....,,,..,-........._«-,,....,-......._.,._-..—_......,.,,............,...,..._.,.....„.._..,.,...,.w...,.,,..sw.., ..,.,,�»».s...._.. CAt4Ct WON i /04 14 _.._. ____....._._._....._._......__ wa ..; �, ,� �►�' q°I�" N �w�r+� �o�q"� ,„,sat ��', ''• ;,,, ..,.»; • tE�»;°"��. t .. I ( I . ( �,+.7 i)It4�r�aee:1) Sf ALE ; R S SHOW^J I 4,, ' r`' � *«. ct 1 lf1 trl`t� Itr*�t,tC+t�tt� .I It4� It'C��>ttta ! rr)tI tC; ., ' " ' 1 � ' '�♦ ak t'"4'9I`k,k�t1t i t,2I'1 1tGlt:f1 " *° Mt°t (wt.t? ) t°1ra��3 ; E'1.a.In (0. 7.1 t:; { !+ Map � ,� " " ��K.M �i� 5 "•^JF.A �.I��1t,� • ��rrrar F t,� ► �^rr r ' PROPOSED LEACHING AREA: EIIS•r1nrU 60-ADE " • (: " p° l.rt c�ha,tac T t e�tii:hc t t a3 t,. 42' 1: x ' W 2111 # ;'A,de. Are : 504 SF X 0, 74 t /SF - 373 . 0 G,VD - Brottom Area : 25 S . 71 G/3E rOO � �+ t� ,. t L �C " 1� n �x lrrt?).) � f 17 S 90 , 5 c.tt 4 a f+I c. �-�°�~�~-�..,-,._..,.........�.��. ' 09 f 7 5=,�v5 97`70 �Etc+�cC 07`ir Bn 97, ot 6FE=95,�4 " LE�GrP/utr t�t�'LD 9`I � t�ao &ALLOeJ y EPT'tC TAn/K r' `®A'N(EL ' SUBSU�LE",AGE SMA,GE DISPOSAL SYSTEM f . 9a _ ' 334 WAQUOIT ROAD, COTUIT '0A '` } NJAiV;I F 1 NO.1,1077 s APPROVED BY DRAWN BY N4 e.fa. ti" p•<1 /0A 9/21/00 Daniel B Johnson D.B. Johnston LP nto rz�i. (r�t��Stfsa;r?' ' z�'�T'o� � �'' �"��1• ~s . arced Jahn Donnelly (617) 264-8214 ax- ess D zast ritth street, S. Hostcn, 1D1 02127 0+00 o+co akRo i34 otao a rho p¢ba p p Ace gt? t t~�U /#. v �— ) � � J 00 'Prepared DCHESTIC SEPTIC DESIGN, INC. (508) .420-1904 DRAWING NUMBER lfotr t to' Bp: 63 Captain 11.ldesns'Ln., asterville, MA 02655 J-595 CHARRETTE PRO-FORM 920PF PRINTED ON 920H CHARPRMT VEllC1M - _