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HomeMy WebLinkAbout0275 BEARSE'S WAY - Health 175 Bearses Way Hyannis =310-006 F o i o a a 0ATL" : 8�7��1 ---- - PROPERTY ADDRESS: Steve Roderick -----_--- . 275 Bearses Way ------------------------ Hyannis,Mass. 02601 ------------------------ On the above data, I inspeoted the aeptlo syito'M at the aboye address. . ThIl system conslats of the following: 1 . 1 -1000 gallon septic tank. ECFl 2. 1 -Distribution box. 3 . 2-1 000 gallon precast leaching pits. AUG 1 ,D LUU1 sa3od on my Inspection, I certify the followlns oondlikin3l AbLt 4 . This is a title five septic system. ( 78 Code- ) TOWHEALBHDEPT. 5. .The septic system is in proper working order at the present time. , 6. Pumped the septic tank and one leaching pit at time of inspection. 7 . Snaked and cleared plugged line $1a N AT U RE; ,/too the second pit. Name : a --__—___ Company: Jo, •2h_p _ N•comb.r_b Son , Inc , Addreaa ; Box 66 _-0incerYi Ile L He , 02632-0066 Priori e: TmIS CERTIFICATION OOCS NOT CONSTITVTC A OVARANTY OR WARRANTY JOSEPH P, MACOMBER & SON, INC, T+nkoQ9 i Ipoolt.lf achllf ids Pympod 4 Instilltd Town S#wfr Connrotlons P,O, box 66 Cin1snN1114, HA 02632-0066 rrs.JJJB 7156112 -\ COMMONWEALTH OF MA.SSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 275 Bearses Way yannis,Mass. Owner's Name: Steve Roderick Owner's Address: Same Date of Inspection: 7 01 Name of Inspector: (please print) J.P. Macomber Tr Company Name:Joseph P. macomber & Son Inc Mailing Address: Box 66 CenterviI lie mA 09632 Telephone Number: 508_775_'A338 CERTIFICATION STATEMENT 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 Se tion 15.340 of Title 5(310 CMR 15.000). The system: h Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority ' — Fails - Inspector's Signature: /� Date: r The system inspector sh bmit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ' r*!•-This-report onlydescribes conditions at thetime me of inspection and under the conditions of use at that ;` 7 time. This inspection does not address how the system will perform in the future under the same or different -conditions of use. Title 5 Inspection Form 6/15/2000 page I Paec 2 of I 1 i OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 275 Bearses Way Hyannis, ass. Owner: Steve Roderick Date of Inspection: 8/7/01 Inspection Summary: Cbeck A,B,C,D or E/ALWAY complete all of Sectlon D - f A. ystem Passes: 4,0 1 have not found y information which indict+tes that any of the failure criteria described in 310 CMR 15.303 or to 31 5.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in proper working order at the present time. B. System Conditionally Passes: One or more system componenu as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by'the Board of Health, will pass. Answer yes, no or not determined (Y,N,ND) in the for the following statements. If"not determined"please"' explain. /�_ The septic tank is metal and over 20 years old' or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tack is replaced with a complying septic tank as approved by the Board of Health. 'A metal sepric 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. explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, sealed or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): _ broken pipe(s)are replaced _obstruction is removed ND explain: 2 Page 3 of I I OFFICIAL, INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 275 Bearses Way yannis,mass. Owoer: Steve Roderick Date of lospectioo: 8 7 01 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. I. System will pass unless Board of Health determines In accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a maooer which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is witbin 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, If any) determines that the system is fuocdoniog in a manner that protects the public health,safety and environment: t& The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or rributary to a surface water supply. 4,!Q The system has a septic tank and SAS and the SAS is within a Zone I of a public water supple. .tell The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. All The system has a septic tank and SAS and the SAS is less than I 0 feet but 50 feet or more from a private water supple well". Method used to determine distance 'This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that fac.ifiry and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of I I OFFICLAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 275 Bearses Way yannis,Mass. Owner: Steve Roderick Date of Inspection: 8 7 01 D. System Failure Criteria applicable to all systems: You must indicate 'yes"or"no" to each of the following for all inspections: Yes No _ ackvp of sewage into facility or system component due to overloaded or clogged SAS or cesspool _Ae Discharge or ponding or effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level ' the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool k —140'S -squid depth in4e"pvol is less than 6"below invert or available volume is less than 'h day flow _v Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped I. _ Any portion of the SAS, cesspool or privy is below high ground water elevation. 7ZAny portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface �watcr supply. — — �y portion of a cesspool or privy is within a Zone I of a public well. y portion of a cesspool or privy is within 50 feet of a private water supply well. An 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. iTbls system passes If the well water analysis, performed at a DEP certified laboratory, for collform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this forma (YesfNo)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 now of 10,000 gpd to 15,000 gpd• You must indicate either'yes"or"no" to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 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. 4 Page S of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 275 Bearses Way Hyannis,Mass. Owner: Steve Roderick Date of Inspection: 8 7 01 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 Z"vere any of the system components pumped out in the previous two weeks': /, Has the system received normal flows in the previous two week period? 6LI/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, w luding 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 ? Z/_ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no Existing information. For example, a plan at the Board of Health. /' _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)(310 CMR 15.302(3)(b)) 5 Page 6 of 1 I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 275 Bearses Way yannis, ass. Owner: Steve Roderick Date of Inspection: 8 7 01 FLOW CONDITIONS RESIDENTIAII r Number of bedro ms(design): If Number of bedrooms(actual): n�� DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x#of bedrooms): O' Number of current residents: Al Does residence have a garbage grinder(yes or no): 40 Is laundry on a separate sewage system(yes or no): [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no): i(/U �pl��P �A Water meter readings, if available(last 2 years usage(gpd))/ — &o0;Sump pump(yes or no): ��011� � �—Z5 Last date of occupancy:Zoe-2— j COMM ERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): .UrSt gpd Basis of design flow(seats/persons/sgft,etc.): .6114 Grease trap present(yes or no): Industrial waste holding tank present(yes or no):4,!j Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): IJib GENERAL INFORMATION Pumping Records Source of information: None available Was system pumped as part of the inspection (yes or no):Af If yes, volume pumped/" gal]Qns-- How wa antiry pumped determined? Reason for pumping: 'Y �G A'7 '- l l�l is Jr TYP F SYSTEM eptic tank,distribution box,soil absorption system 9 Single cesspool 4�Q Overflow cesspool iVQQ Privy UdShared 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) oVa Tight tank VA Attach a copy of the DEP approval Other(describe): .(J� Approximate aee of all components ate instal Led if known)and source qf informatio Were sewage odors detected when arriving at the site(yes or no):/ J 6 Page 7 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 275 Bearses Way Hyannis, S. Owner: Steve Ro er t; Date of Inspection: 7 BUILDING SEWER(locate on site plan) Depth below grade: a Materials of construction: ilcast iron Y40 PVC4,01other(explain): ,44 Distance from private water supply well or suction line: � t Comments (on condition of jo* ts, venting, evidence of leak ge etc. Joints appear tigSt.No evidence of lea�age.System is vented tnrougn tne nouse vent7. SEPTIC TANK: (locate on site plan) 1,00 101"I' Depth below erade: le Material of construction: concrete metal,2&fiberglass polyethylene N�other(explain) If tank, is metal list age:_ is age confirmed by a Certificate of Compliance(yes or no)4 (attach a copy of certificate) Dimensions: ld'Q/ld� Sludge depth: Distance from top of sludge to bonom of outlet tee or baffle: Scum thickness: 1 Distance from top of scum to top of outlet tee or baffle: Distance from bonom of scum to bo m of outlet tee or baffle: How were dimensions determined: �iND�i.�A, / e O �itJ,ypp.GT�j ) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump the septic tank ever 2-3 ears Inlet & outlet tees are in pla The tank is structural sound and shows no evi ence of leakage. GREASE TRAP(locate on site plan) Depth below grade:A0 �— Material of construction:,v&concrete,ametaVlA fiberglass4d polyethylene other (explain): le'� Dimensions: 16M Scum (hickness: 114 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: A),4_ Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease trap is not present. 7 Page 8 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 275 Bearses Way yannis, ass. 2601 Owner: Steve Roderick Date of Inspection: 8 7 01 TIGHT or HOLDING TANKcke- (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: WA Material of construction:�concrete4JlLmetal jafiberglass d polyethylene.di4 other(explain): 4W Dimensions: Capaciry: V gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: --4h4_ Alarm in working order(yes or no):Ail Date of last pumping: Wh Comments(condition of alarm and float switches, etc.): Tight or holding tanks are not present DISTRIBUTION BOX: Zif present must be opened)(locate on site plan) Depth of liquid level above outlet invert: e-Z 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.): Distribution box has two laterals Speed leveler should be installed to equalize the flow to both of the leaching pits.No evidence of solids carry over.No evidence of leakage into or out of the box. PUMP CHAMBER(locate on site plan) Pumps in working order(yes or no): .l0 Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump chamber is not present. 8 Page 9 of 1 I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C i SYSTEM INFORMATION(continued) Property Address:275 Bearses Way Hyannis,Mass. Owner: Steve Roderick Date of Inspection: 8/7/01 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan,excavation not required) 2-1000 gallon precast leaching Pits. 6 'X10 ' If SAS not located explain why: Located T�leaching pits, number: JC .o leaching chambers, number: a 40 leaching galleries,number: 1� leaching trenches,number, length: d d leaching fields,number,dimensions: overflow cesspool, number: Ala innovative/alternative system Type/name of technology: ?�L � Comments (note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): Loam sand to boney sand to fine sand.No signs of h draulic failure or 9—soils are dry-VeaAtat; nn is normal 1-pit dry one full. Snaked and cleared plugged line to dry pit. A speed leveler should be, installed in the distribution box. Equalize flow CESSPOOL Q,(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Q Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum laver: Dimensions of cesspool: ,V Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Cesspools are not present PRIVY(locate on site plan) Materials of construction: AJ,� Dimensions: —A*— Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): Privy is not present 9 Page 10 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 275 Bearses Way Hyannis,Mass. Owner: 8 7 01 Date of Inspection: eve Roderick SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 0 Q e�'1S 2 7S &erf R s e s =w A Y 10 Page I I of 1 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 275 Bearses Way Hyannis,Mass. 02601 Owner:Steve Roderick Date of Inspection: 8/7/01 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water V feet Please indicate (check)all methods used to determine the high ground water elevation: VOecked aine �Iocao s on record-If checked,date of design plan reviewed: ervedbservation hole within 150 feet of SAS) th-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: I You must describe how you established the high ground water elevation: I Used water contours map. Gahrety & Miller Model 12/16/94 y 11 �I 1>•r.T.+sT.—naT�'.Tr ��JIR•nRwT1Rt+\eT.lRlf•.1r•�T'IfIA1R�Ta'n TAAL1�1AIt�'(1��1 • TT'rT 1T'n•••...:.,i—...' 'FOHN OF Barnstable 'WARD OF HEALTH ,SUDSURFACR SEWAGE DI MSALL SYSTEM INSPECTION SEC FORM - PART D •- CERTIFICATION -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 275 Bearses Way Hyannis,Mass. ASSESSORS MAP , BLOCK ANU PARCEL OWNER' s NAME Steve Rode'rick PART D - CERTIFICATION NAME OF INSPECTOR Joseph P. Macomber Jr.. COMPANY NAME Joseph P. Macomber V ion Inc COMPANY ADDRESS Box 66 Centerville Ma 02632 Street Town or City State TIP COMPANY TELEPHONE (508 ) 775 - 3338 FAX (508 ) 790- 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and omplete as of the time of .inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Che'/c/'/4 j one : / j Y System PASSED The inspection t+hich I have conducted has not found any information which indicates that the system fails to adequately protect public hea1Lh or Lhe environment as defined in 310 CMR 15 : 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which I have con tcted has found that the system fails to Protect the public health and the environment in accordance with Title 5 , 3.10 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , Inspector Signature Date ae copy of thisc rt.ification must be provided to the OWNER, the BUYER here applicable ) and the BOARD OF HZAL71(. * If the inspection FAILED, the owner or operator shall upgrade ' the system within one year of the date of the inspection , unless allowed or required otherwise as provided in 3.10 CMR 16 , 306 , partd . doc TOWN OF BARNSTABLE LOCATION A�-0�— f&k SEWAGE # .310 00 9 /1�1 VILLAGE "6eG e / I ASSESSOR'54MA&41r.0 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 7 7L �,BX LEACHING FACILITY: (type)���/l�j �S6/ d (size) NO. OF BEDROOMS ,,QQ BUILDER OR OWNER r�'iLn/sCJ Al /p PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet LFuhed ater Supply Well and Leaching Facility (If any wells exist or within 200 feet of leaching facility) Feet etland and Leac 'ng Facility(If any wetlands exist 300 feet o 1F n f ty) Feet by v u {; TOWN OF BARNSTABLE LOCATION G.� ,S (�.��- SEWAGE �lSlyf� VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO.4:�:CC} I\ - �'i� 7,7-7-%M Cl SEPTIC TANK CAPACITY Q00 G-cxL Pk'T ®ACC i LEACHING FACILITYAty NO. OF BEDROOMS 2 PRIVATE WELL O PUBLI ATER U(D BUILDER OR OWNER CZL�i(/�C�y—(1 L6rf211 DATE PERMIT ISSUED: �,��5. DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No cm cz - 6A- � Q �' :96 ASSESSORSIWNO' PARCEL N0; QOX c� ..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Applirativit for Dhip l 3al WArkri T1 nstrur#ion ramit Application is hereby made for a Permit to Construct ( ) or Repair V ) an Individual Sewage Disposal System at: ----= ........................... ..` 5 -won -\_ddress d / or Lot No. n Add css� aM -----% ------------------ ----- P = .a_._ ��t -�.M. _. Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms_____ ---------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .-----------•---•-------------------------------•--_._.. w Design Flow....................................... gallons per person per day. Total daily flow.....................................,......gallons. WSeptic Tank—Liquid capacity..t gallons Length................ Width._.___._._...___ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No-.___.___---__.___. Diameter____________________ Depth below inlet.................... Total leaching area...................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 .................................................•-------._._..._...._._.__._._..--•-----------•-•-•......................................................... ODescription of Soil........................................................................................................................................................................ x U -----•.........•-•---••----••--------••------•---------•-•-••--•-•-•-•-•-•-----•-----•--•-•----•--•-•----••-•--._...•--------•--------------•---•-------------------•--••--••-•-------...•-----•-------• ---------------- Nature of Re airs Qr Alterations—Answer en a licable._./. .��Lcc pp r U P Agreement: The undersigned agrees to install the-aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Complia has been issu rd of health. ._ Signed .......... ............ ........ ............. . ................................................ Sr�'CAPS`(� S .................................:...... Application.Approved ...................... ........ ........................................................ .................Dace................ Application.Disapproved for the following reafons: .........................................:.............................................................................................. ...................................................... .................................................................................................. ............................................. ......... • . ce PermitNo.: .............................................'�� �................. Issued ..........-t���. ....................................... 1 Dare NO................._..:._.. � e) THE COMMONWEALTH OF MASSACHUSETTS -' • BOARD OF HEALTH TOWN.OF BARNSTABLE -Appliratiuu for Disposal Works Tomstrnr#tun jJumit .1 Application is hereby made for a Permit to Construct ( ) or Repair V an Individual Sewage Disposal " System at:: {-� _ y............... ---------•----•---------•----------•-------•---•-••-----•-••••------------.0.`...----------...•-- `Cl tton- Addrsss / or Lot No. �. C' ownq Address. InsWllcr Address Type of Building Size Lot...........................'_Sq. feet t-, Dwelling—No. of Bedrooms---------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Builditi a g _-----------_------_---- No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ------------------` w Design Flow...................:�:.....---........••_.gallons per person per day. Total daily flow.....................................,......gallons. WSeptic Tank—Liquid capacitv-.ftogalIons Length................ Width..--.--...---... Diameter......---....... Depth---.....----.... x Disposal Trench,''No. .................... Width-.------------------ Total Length..---....--..--.---. Total leaching area....................sq. ft. Seepage Pit"No...................... Diameter.--................. Depth below inlet.--.---..-.--.--.--- Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) � Percolation Test Results Performed by...............••-•-----•-•--•- ..- .................. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-..-..----------_- Depth to ground water..................... 04 fs. Test Pit No. 2................minutes per inch Depth of Test Pit...-----......--.... Depth to ground water.....--................. 0 .......... -........ ------------- Descriptionof Soil........................................................................................................................................................................ x U ............ •---....•-•---•••---------•••-•-----•--•-••--•-----•--••••---••---•----••••-----•-•-----•--••--••••••---•---•••-•--••-•----•-•...--•--•------•--•---•--••-•-------••-----•=••---------•- w ••- U Nature of Repairs Qr Alterations—Answer wk>>en a livable-. .---.. -. [...-.1 - � ��a^�✓� ,____ ��x A. Agreement-. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with .. the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Grripliami4has been issu •e-board of health. Signed .......... .. ..:. ....... ............................... . ..5... �1.5:...... Application.Approved B Application.Disapproved for the following reasons: ...........................................................................................:................... Date.................. ........... ....................... .....................................................................:-............................. ........ -�, .. .. rF�? r Dace Permit No. ..........................�................. Issued .......... -...� ��..^................. ..... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ` CPL'tifi ate of Compliart e THIS S' TO CERTIFY-That the Individual Sewage Disposal System constructed ( ) or Repaired (�) by ................�.. C� ......... .....c- `^.......................................................................................................................................:...................................... Insmllcr at ................7. ....... S.G .... ...........� .. .. .f c�,j............................................................................................................ has been installed in accordance with the provisions f TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No—y."47 «... ,,T��/...y� dated ..........; THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL-FUNCTION SATISFACTORY. DATE..... ."° ..... r-- .....:...................... Inspect f"... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE--. Uispusal VorkB T nstrurtiun Wrmit Permission is hereby granted------------ -�------•--------------------..........-------------------------............. to Constructn(� or&pair V) an Individual Sewage Disposal System at No.. tc��tt CC.�<c�.r- g n yC.. �-c.•. ....................................................... . as shown on the application for Disposal Works Construction Perst _�^��/. Date .-.�— �'� r L/ -- Board of Health / DATE--------------------•----I--------------------•---- FORM 3650B HOBBS et WARREN.INC..PUBLISHERS No.&..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® F' HEALTH I Get. �zh Appliratiun for 14upuual Works Tomitrnr#iun Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ® 7 / L; n-Ad s �, or Lot No. C of � /Y/ �- d B�y st� ii L/ / /. ..... .__.... .................Own....... .._...._ / T Address Installer Address Q Type of Building Size Lot__ __r_____________.....Sq. feet U Dwelling—No. of Bedrooms............2............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of BuildingNo. of persons............................ Showers — Cafeteria p' ---------------------------- P ( ) ( ) Q Other fixtures . ��,.we ------------------------------------------------------------------------------••------_.-__-------- Design Flow......................1f_rf_''__..........gallons per per. per day. Total daily flow...................3._3_!e�...........gallons. WSeptic Tank—Li uid ca acit fdG _ allons Length.......�--- Width...../ Diameter---------------- Depth.... .----- x Disposal Trench—No_ ____________________ Width.................... Total Length______._.._•., Total leaching area...__._.__ _�,__sq. ft. 'Seepage Pit No........./........ Diameter....... Depth below inlet..... Total leaching area-.................. ft. Other Distribution box (� Dosing Z Percolation Test Res�lt�s3s Per by._ ��` t.._ ^ v '��n�...... __.�.... ..__._____.`...... r�" { a Test Pit No. I.. minutes per inch Depth of Test Pit____________________ Depth to ground water......................... --- P P P (i Test Pit ti'o. 2_ ___._minutes per inch Depth of Test Pit____________________ Depth to ground water------_................. O Description of Soil _-/ t�;� 5 r ` —s /(�co® ��.�............. e / -- V -•--•--••-•--•-•-•••-•--•••--------------��".l2. C ZH .............................� ---� iv. -------------- W -•-•---=-------------------------------------------------------------------------------•------••--•----•---•------------....----••---._.._..---....._._....-•---_...---..._..---•----..__-•---•------•-- VNature of Repairs or Alterations—Answer when applicable__________________________ ________________ ----------------------------•------•---------•---•----------------------------------........_...------------------•---------------------------------------------------------------------------•••--•-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT[,!, [:" y g g p y 5 of the State Sanitary Code—The undersigned further agrees not to lace the system in I` operation until a Certificate of Compliance has be s ed by the boar f lth. Sign , � ................................. D" �� .... _a Application Approved B �!%� ���� ��l Date Application Disapproved for the following reasons:............. ..................•--------.._._.___...------......-••-•-•-•-•-......•--•--. ...._________ _______________•--•----•----••--------._...--•--•---.._...-•-----•--•-•-------•-•--------•----•----..._....-•---•--•---•-•-----•---•---•-•-••..`..-•------•-----•-.._._.--•----------•._....---•-•--••--. Date _ Permit No..... -------_------- Issued_:,_ -/f' �`f -•-•--•--- x - Date Nc&...... FnB.... .w-:0-v .4 TA COMMONWEALTH OF MASSACHUSETTS BOARD Q1F HEALT r.&,..!j............OF.......... ......................... .............. ... ... ..... .................. Appliration for Uhivoqal Works. Tomitrurtion Vernfit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ­,/............................... ............A-7-r.................................... ........tx-------------- ............... ........................... Lo;('e4Adde% / ,,,or Lot No t-el 0 ,e o, ... ................................z............................!................ .................................................................................................. V?.C Ve I IAP C Address, 04 A-�ownry. .................................. .................................................................................................. Instal I er Address' Type of Building Size Lot___",._ .......Sq. feet U Bedrooms............................................Expansion? Dwelling—No. of Bedro Attic Garbage Grinder Other­Type of Building ............................ No. of persons.....f:.................... Showers Cafeteria 0 Other fixtures .................................A-41161................................................................... ............................ Design Plow.......................114 .........gallons per pero@wper day. Total daily flow.._..._......_...... ..........gallons. W Septic Tank—Liquid-capacity.J(K�gallons Length........FO'. Width......V_'_ Diameter................ Depth.....57.... Disposal Trench—No.................... Width....__. Total Length--------1,,..... Total leaching area..____...._ .-Sq. ft. Seepage Pit No,--"",-,/....... Diameter........./------ Depth below inlet.......(A.......... Total leaching area..................sq. f t. Z Other Distribution box Dosing Percolation Test Res .....tate.... ................ t! Performed by--- cis 5 Test Pit No. L. +4..minutesperinch Depth o Pit____________________it.................... Depth to ground water_.___..__..........____. 0-4 & Depth of Test Pit.................... Depth to ground water.__.._......._..._.._... 4, Test Pit No. 2..... ...minutes per. inch --------------------------*------ 0 Description of Soil......... ............................ .......... -------- -------------*------------------------------ ........... V 4 a ;7,-L- ............................................................................................................ ............................ ..... ..................................................... ............................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...........................................................*-----------------------------------------------**---------------------------------------------------------------------------- ......... Agreement: The undersigned agrees to install the aforedescribed Individual,Sewage Disposal System in accordance with the provisions of T-TTLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the b o healg. -ep ........ ........................ .. .... Dt Application Approved By....-.... ... ........... --------------------- ---- ate Application Disapproved for the following reasons:.............................................................................................................. ........................................................................................................................................................................................................ Date PermieNo....,............................. ..................... IssuedL...................................................... Date THE'_COMMONWEALTH OF MASSACHUSETTS ).A� POARD 0 HEAL fdL/. . . ......... .......................... .......ev..f_ , .14. .............0*F..........;jj:;Xo.oH!11 (Intifiratr of Tompliana THf IS TO ER �h/ Y' That the Individual Sewage Disposal System constructed ( 1"or Repaired 6 ............................................................................... . ........................................................... by....... ... .....X Installer. at............ r► 4.2 -------------------------------------------------------------------------------------------- .has been installed in accordance with the provisions o,!RZ,L� 59f The State Sanitary Code as described in the application for Disposal Works Construction Permit NIC.,9. ................... dated....._.___._._________.____._...._.............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILJ..,,FUNCTIO SATISFAC OR Inspector..j ......... .................................................... DATE........' ATE.............. ............... 4"" ......... ;r-------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............OF..._4 ...................................... fit Rapoiia %t l Works on Permission is hereby granted_-4��,,.._ ............................................................................................................ to Coilstru or Repair an Individual Sewage Disposal System ;2 ...... ................... at No....... .­4........................... . ....�?..5 Jr----- Street as shown on the application for Disposal Works Construction 'Permit No.................. Dated............_......_......._.............. ---------------------------------------- DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS •�1r- G. T^�!" , .....,. -+ �7^ r'/t 1' i't r� h��' f` •t�1'f�. PAL 7.1 09 ly G t-4. PIT ' y i1 '; in" 10 5 l# r s goo "7� r1 (� �'•h �`I ,3�' �,;` N �°%H OFF f '•fit .;, ttf�{�t�, . R Q 9f R7i No.�22162 .O yr -vs a ry 4.1��, ��• LEGEND CERTIFIED PLOT,—, 4 ,�... O OPOT ELEVATION OnO -_•, �-� Rf,,,0 SPOT ELEVATI O ' w . ' &;;woMVE(D' COAR D CW HEALTHDAIINSTA .: -ABQgT r SCALE, . .. 'r .' 1, ✓ , w rr EfP SINEEyPrtN Co' f 1 CERTIFY THAT - -._ _ C L I E qT_________ r 1 'MOB R ISTERED 0© go, �` `'' BUILDING SHOWN CIVIL LAND .�+ � f. CONFORms TO R o DR-By' _ L OF GARNS BL 712 MAIN ST. CH 0Y i d4.��.. � i �"'' '•`��`�," HYANNIS, MASS SHBET—,L Of 'LAtl ' simam moil NOSE /F` E/TMeR 7W0 SEPT/C TAN/C eR 20 FT. M/N. LE:AC/ti�G !�/T ARE M4fte TNAN /Z"SCLON/ • GRAG��A! 20_".D/AM ET.� G'ONt'RrETC- CONEQ /O FT. MIN f SA/ VUG/OT 4RAO'4 6i4-Y EXTRA CONCRBTE -V PAnC'v PJPF J+lEAD�'Y CA ST /RO/Y GO✓�F? S//AI L L DE USED Mr D,/7Ci/ /F/A/ z7R/✓Ey1/A Y - EL-/Ov.O C04ER.5 y�" i�FT. - CD/VCR�TE e' A4/a. iooe co VER_ CLEAN ,SANG I 411 L/ 0 LEVEL ' Q 2 LAYFR - as OF a IRON PIPE / U U f) GAL. 4 • ' e� '•• . • ® • • • • v�04o WASHED 5701VC ::4 MIN.P/TCX D I ST. • J o • • • off ♦o a SEPTIC TANK B v X ° . • •� 8 . • • • • ° ::_-: o, ° � • + •EFFECT%✓� • ` : � 3 a - / �2 �' • ° a • , DEPT// • • • • • v o ASHED STONE ,'Q.. Oeo � • • • • • • • • ppo �..:;'; ,;; ° e + • . m • • • • • v PREG45T SEEPAGE e a. • °'n P/7 OR EQL//✓. INNeKT ELEYAT/O/VS _` sQ • 6� D/f1M. INVERT AT BUILDING 7 C(51�E T WUI-AT10/V� FT. D/AM. INLET SEPTIC TANK 96•5- FT t/TL GROUND ET SEPTIC TANK 96.3 Fr, 9 G ` N/fITER THOLE O /NLE7'D/STR/B!!T/ON BOJC FT SECT/ON OF O UTLET D/STR/BUT/ON BOX 9 5.9 SZw FT ACrE 01SPASA L SYSTE/►'1 //VL6T LEACNI/VG /o-'T 9 ss. FT LEACHING PIT TABlJLATlO� FT. / - O DIMEN.S/DA/ A ,pCALE �4 D/MANS/O/V $ G FT. DES/6N CRITERIA D/MANS/ON C�_FT./171 i MUMMER OF SEDROO/MS 3 Sp/L LOG G4RSAGED/5P05•4J- UN/r v SO/L TEST ro7-A - EST//►?.crED FLOW 3 3 U G.44./GAY SOU. TEST VUMBER OF ZZACMI" P/n 1 ���', 9-7 0 �`ELK DATE OF SOIL TEST S/OE LEACH/NG PER P/T _SY�t PT. _._ _ RESULTS I�/!T/VESSED BY /�' v J��� s 00TTOM LE•+4G'N/NG PL•R P/T SQ. FT " $ ACRCOLArloN RATLr / MI/V�I/NCN TOTAL LEACH/NG AREA Z-G -SQ. ',pr. ,!S::�: - FAFRCOLAT/ON RATE AZ MINI/NCH RGSBRI�E Lg4CNl M6 AREA SQ. FT. •'U%S �.L 2 A BE'4R sE y 141 P. $ . f �Qr1;s11I.1q w'• .7�,sq �. /�.•yl > "=, h,., ti .��'+rt.ra• � ry.-.3.. '0 V „pAEfiir, 3 '�1� '�/rt"..�. s ►7..� i , t FlI �� � - � _ + . 1" �• � .s. l'y�" - :"SYf•. � xisfR +r� `s {.'.f�, ar.� :rl,; � *,�C�.,4�.����"ar�i4� '' .. •i(:.y.,�.+ 1 v�Vt .aw' �'+e`�l,f�7.d�'���' r�y< {s�t�s'������vii y,•., '_.+.....,.r^' �rss.t::= rl.. ��';�:-� .�. .r.��J .e.Ar r014, ,'d��zgttwV�'rr+ aY tj5fy2± A/ a V O/ 1� �L- (i' �'... - .1.. ♦, rc.. �,4�` :.'1 ep 90 l" 2`rr•,�,',.'f}sCrt`;4Fr:.1 ?• ` rl P,r+ No, Y ^ A •l ar *4'ar �F, • . Y /� �O 24 {{ f{b•'T �� '� 4,&Ac f4. Pi r ""fire.�} �.iM#� �`' ♦. W`, 1 1000 GAS• ('n '+r '2•nf ,. o.N�!} �llria,4� t �. plsT' TA/✓ t< 101 i 3 4rrrwi N 21. r ,da {�r Fit /00 �u'• e M (+ � F r A vil X`6 w' Or Iq - - •• M -y a fit, ��,t r ax hk• Q� ,r%,4�� ,.�, •: fi 31;ry1 s kJ: r• _ �9r/ R(00,r3Frn RT G pto icY:,�'� • i^ � �wty� �,• ' ,o`er Nr.....'ib'' �/�/ii A{ 4 ;, r }}�±S�iRa�ti•'"ys sF;" r T. c�.,\ ^art" 4 Y. ��j t i' .Pa r�f^t y� ra•' ,lyf '�a' d+hit. t 1 •_ T 4— LEGEND • , �.j.l. rt�.. O SPOT ELEVATION Ojxo CERTIFIED PLOT � :X. 'Xis I t, ON TOUR --- 0 t w 4f'smI': SNOT ELEVATION ; If1 . ;CONTOUR 0 /b !'✓/ S . t, � i. 4VP�p;� N�, :BOARD OF HEALTH 44 "' :'A GENT SCALE, /'= 3 t) � DATE� ✓�/��s�` v;t"r. /r • .r w � E"t E P NEER/NV Co. IN �>A��/ �. Y�a ,,, mot•}; I CERTIFY THAT THE—' ° s , •. IS RF, RE019TEREQ JOB POO. 79�7� BUILDING SHOWN 014 THII s�E M.- r CONFORMS TO THE ZONI DR.BY RV Y R � r�/ OF BARNS BL 712 "MAIN ST. CH. By: I/ 'a "NW$ MASS. ' . MEET_J— OF . OA E REG. LAN'..; Isuov' I@ ; f. .Ar •`'s f,'.'•- a`'" ' a4. '; .�'.:...v{�+L r� _ - .-x - +�.V;tzc, ,t L t '':' ��:+e. Met- �. a ♦ ! i' r -M1 s �'t Y `? '�' ] h`.ice. J aR+� i' �G+ .�t-p� p� �• y/�1•'w�i :,.yer��•->�y"y•,I �'.:Vi.yf=et..+i'yy I.����%e..'�yh�`-.K'C�''-._;'�'F 2•[.fIY�4FH•,�'—.-`.•,y1, '7vF,�i.r."tiks.tkjy.Y:f..,..p,:.;tt?r1[._�`)•.'if �''i.'-'F'7`.�lf'4§'^- -..+'i��•, :jr4�.�/�n'':�, ay �' �Ci.l.si;� 7."g P✓r�� : v ,704bL OW. 40#,f, ®�iT AfaN.'s:C,u_X.�.L',ry/•3.,'� _.j '., 4 $���'L--•P� fi' ,t..�a 1 711 ✓ j?ya. 4—a9►IEi?Rr GLEAN -TANO .. 'd /� JA.P/TCN / U U D GAL. ° 'ea 1 • 1.0 • • • • • • p �,•� WASHED SMI'Ve SEPTIC TANK D/ST, o e i° • • • • • e d • BOX p 1 � 1 ! I • • ° s•pp° v p 1 EFFECT/Ve' • o o ° • D�PTN • m 1 ° ° v o WASHED STONE • . • • • • • D o a PRECAS T„SE.EPA r O boo r • • • • • • � ° o •o P/TOR EQII/V. I AWM"T Z,4 E✓AT/vNs �L 9, p p °' INVERT AT B[//LOING 97.0 FT. 6 J-r D/AM. INLET SEPTIC TANK 4•s FT, 0U O/�4!►'f• C(SEE7�RBULs1T10N� OUTLET SEPTIC TANK 96.3 FT. - /N,(,ET 4a,57- oily N BOX 9 G p FT. SEG'T/ON OF GROuVD WA-rER TALE OuTLETD/STR/BUTTON Box 9S•9 FT INLET LEACYI*Va PIT 95s' FT. SEd�Aa�a� ®/.�/oOS'AL S�ST�M TA6lJL.AT/O/V LEACHING i v//►9ENs/oA/ 3 FT. $GALE : �4 _ /- O~ DES/C/•Y CXITER/A o/AfE/alS/o/✓ 8 6 Ft. NUM9ER OF®E®ROOMS 3 CAR49LAGED/SPOSAL UN/T 0 SOIL LOG SD/L. TEST TOTAL EST/MATEo FLOav 3 3 Gd4t.�DAY SO/L TESTI SOIL TEST#2 #UMBER OF 40.ACHra6 All / ,,-FLev 7 r9 (—ELa-a! p.ATE o c- SOIL TEST S/DE LEACHING PEit P/T i 9-s SIg PT. 0 — / ' RE5UA.TS AVl`SSED 9Y �_ '60'TTOM L�erA'CK/NG 1mLsR P/T 7 $Q. PT. L_0,-nl �• AW-MCOLAT/ON RATBr#/ S. � !r//N INCH n' /;�S I - P&NCOLAT/OA/RATE A2 MI V. /1 NCH TOTAL LLACN//✓G d4REA �.SQ. •FT. IQEs6Ra�ELEAC'a/N6 AREA SQ. FT M ED.SAw i ol I �O' Rr;BFf2T S �• �i /:� 1 -+ � BUNIKI$ � .o p No.22162/O ,r s . EAWM /��l*YC. SC V 1 0 G/ST=� �''% 9e2 /MAIN 3T. SlpNAI *v4a � 6/A/1� 1 i4T���'98tCTNC�©/JNT it®O oil119 M�jA9'os. `- - 4, y.s.✓�'„ �~� Yfn_ ai• } i's''? < .� �9•sRF, r7s' _ *� �- �. .'a/ _.--.--- .� r l }� •,•p,�. 1 wr?rF �,r.' i ,:1 .v i_.. :1 ^,,t .:..1i:�� � ,, 'i. Y, ir,, +.t 2+. y�• { .;�'+iM+t •;1 ( '1 ._ �.r., , _'f'�' tS 1\ ;vf,n- �isa ♦,5' Hid` !'E a� f�M.Y r,r�', tLil t < ��qq,:> 1t; pt / y .y+:1re��' �i����P.+r?Pi , � , 'i' , •d�•a� � .`i3+�� -a:�i�il';�lSy'if ��ri}bY4 �. '1 .. � c:���ri t�`• � •��; r t "Y� Ida fli^�. �wf��.'•; , � ,i SY ` ,♦;d�•�d � 7 sl.. n ,r ay. Iy���i !'��4� :.. s ' � , >r!yY�!^�, S F�1• 43�.•y 'c/. '7 r 1J '.•t . •�• e a!�'•, 1 � V 09 l r /l 6 r,7. '•a ± tq,�'�{j14f1-,a�, pV .. /�/ G�� �. •., ;•F,'. 1 . t ( yal6 .•i!•:l�',��•�h,k f'jtT,i'fr�'�•'S,;' / '� Q,S'� V � .•�j. '•�CX'�lh:'. ;f*`:�' y Ir , `t rM '.�. �fi yy,� t+�' ,r �� it-�^ � ��♦' r f 9 �,F}I y �� �y� Y, ,,�kt� t.F r9��i i.v ;�• � ♦?, l� ZQ i 1 ,. !, , ;�re, ia!"�'�. �i}t' Al Ns I-OAC 14 t r ht`ly}�`��'`� � '1 '"1 •� /�'`. / _ � , �l ..�t,Y�♦Ja;.� f Vic': `s1'q' rdt .• rl 'Y• ` 'loop GA-. SGmlot Trc ` cr ark ��GG .,1'y;�'.ly,i�;i�.,�aJ: � � -T�N�t ��rt1 'S•'. ;iQ 'rv,�,.{ l�'`y:• "'-off IV t� �� .�'��tt��;i�;( �`wc�'.� .1,: N /•T'` �{psT � " h 1 1,' �t�r� `.F•j, en�l. 04. SI tiV :.i,, :' �, I`' e , w.•rr , , $r"i a •. •,i:° .1 ,' ,' '^..1..: `v �. TS{ ; i r l ,�.w ���T}}�4yy�,P %��.�t�`�,r!•V+ ��4Rjr ''r :-EXvaNs►aN I N �..� ►-�- >.r,,,.������iy. ev 51, r •'1(i"..�'� ,�'i'i ti,>� .• � �� yea .y e " a.. •f• r- � 1. •�,,.�...+•-.^'�_ o � ��11 I�� 1i� �. � �M` a'i/1','�~�♦'S= /I 1+4N/' w +;�,i',>4Y: t'. N d%�511 OF A! • y` i{ :tV !' t w t, r L 'fS 6 ors ,. �• ,� •• ROBERT, p' ��,. ; t �• °.` urb P. o BtJh'!KIS n�4 E ! ♦� d� ,r 41,• PIG.'?162 ,Q t� ' Sf'i 4. g.s � r 4 tT�,l q LEGEND ' CERTIFIED PLOY i.SPOT ELEVATION 010 'ti �S1flTlf�� ;y0NT0UR --- 0 — fq Z-?g5-4R s6='.s r� ;5' ,.IIJtH1 ® ' PST ELEVATION (� 1 t 10= JCONTOUR 0 /illYO S _ , ++' 1 BOARD OF HEALTHr SCALES /'f— 3v DATE! ��A AGENT v"p� '� �' LrItJQ/RlE'ER/Nl3 CO. IN r� CLIENT i CERTIFY THAT THE c GISTEHE REGISTERED JOB NO.2 Ulf BUILDING SHOWN ON THIai 04►x Ci IL LAND CONFORMS TO THE ZMIN4 r�►�4'�� URVEY R DR.BY fl •�i• OF BARNS 13L »,:... 712 14lAlro ST. CH. 6Y: HYANN19; AMASS. -- �, EHEET_.L. OF '2 DA E REG. LAND FURVE' R:. .. : a iLl �L .. '��.. Ma _ - _ �. :q'`�►t` tPa•.. :;� v !r'ap •ri .ds►Ar.s�.K��.L.rE � - �•.'_,:-' !� th.�0 _ `�` CQIr �•' :, �,�;,��=1KJN:•fiJ�C1�'^� �., . :. /i�l�V 0/!?lVI�'�iA•�' �..:� _s. .�.•� :�-Y��T .. 7 Ar .. P MiM. CO✓Bft A _1 *RAP& _ CL EAM .SANG -" eACXF7LL - L/Qt//D LEVEL - a I-AYER )WO 01V P/PE / d U D , o i• a •�� D/ST. • , . • • . • • • e a ,• ;::••:i %'PCR fT SEPTIC TANK • e • tip; o • • A 1 1 •EFfFCTI✓C • ' • •+ 314 � �2~ • • • DEPTH • • • • • v o WA5NED .STONE Q.. - I p 1 • • • • • • • 1 • o • �'' °' °ems • • • • • • • • • p PREC.I45T SE.L`Amerz P/7 OR LWIV. O y e 1 • • • I • • • 1 O O �. INf�GRT CLEYAT/oNs �L At ep9, S INVERT AT El//LD/NG 97.0 FT. 6 D/r4M. I ,WL ET SEPT/C TANK 6•S F •T / F7 O/AI!+'1- C SEE 7�90l1LAT10N� i li OlJ7LET-SEPTIC TANK 96.3 FT, /N.CF7'D/STR�6!?/ON BOX 9 G 11 F7 SECT/ON 4F' GROUND H�ITE TAaLE O l/TLET D/S'TR/B[/T/ON BOX 9 S•9 F7 INLET LEACHING F�/T 9 S s� FT SE'wAGE O/SPASA t .SYSTEM -rASUL.AT/DH LEACHIAWF Al/T D/HENS/ON A 3 v/A `T DES/GN CR/TEI�/A sCALE : %4" a /= o" c-Ns/®w 8 � �T1� N4olAI SER OF®EDROOMS 3 D/HENS/ON GAROAGED/SPOSAL UN/T v SO/L LOG y p/L, TEST TOTAL EJT/MA'TEO FLOW 3 3 v GAL./DAB' SOIL TEST ,e�I SOIL 7�ST#2 NUMBER aF LEAGNlNG PITS f^FLE � E OF SOIL , A-LF S/DE(CACHING PER P/T 519 PT. p / RES[JLTS /�//TNESSEG BY r' �- 42 " BOTTOM./ ICN/NG PER P/T $Q. FT. L-a AL—MCGLAT/O/V RATAr Atl 5,✓ AIJA�1I/VCH TOTAL LB4CN//VG AREA So Fr. S+;,gsui[_ yoERCp�iT/ONR.4TE �k2 MIN1INCN / — S A RE5,FRVELEAC"NIN6 AREA ? L SQ. FT. M70 �. RnBE.tT, ,5j r P. sa.✓/� �. r. aU Bl N!Y!S GI�A✓3 L- No.22162 \F S_ i L. 8s s 712 AWN Sr. s,10 MO 61oN/VD WA7VAP 4MC0/1/V7L'rR6P NYAA/ItI�J• M.�?d_ . - .. . _ - � -G�Gt�tQ•'3�.A? R.A.?".E:-_l.G"� �.. .J�t�.ffZ--- -`.•-y.�. -Z: .:.z-,._ _. ti� _ TOWN OF BARNSTABLE LOCATION SEWAGE # `,%,LAGE H1yOtilITL- 0 ASSESSOR'S MAP & LOTIV -006-00/ 37 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ` LEACHING FACILITY: (type) (size) NO. OF BEDROOMS A � ��,`, - B�OWNER. 74�%�" GI Cm ���ac2�Lt � 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 L O C A T ION SEWAG E PERMIT NO• VFII GE INSTALL 'S NAME i ADDRESS 0 BUILDER OR OWNER DATE - PERMIT ISSUED DATE COMPLIANCE ISSUED N. I ' Y yt l d � r