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HomeMy WebLinkAbout0208 BUMPS RIVER ROAD - Health 208 Bumps River Road Osterville A= 120-098 0 TOWN OF BARNS�TABLE LOCATION 2Ob �j�l{'1.1'J_rgi/'159- � SEWAGE# 20l/ - y2(� °,'ILLAGE 11)5rarVi 110 ASSESSOR'S MAP&PARCEL /2 0 INSTALLER'S NAME&PHONE NO. .503-zl20`1732' ✓,0,5e 0,_ 6,sq/�►S SEPTIC TANK CAPACITY 1,5-,P4 LEACHING FACILITY: (type) 11-A90 v of S IUDs P/^esizV �S^X l�• 5� NO.OF BEDROOMS 7j OWNER PERMIT DATE: /2 /S= // COMPLIANCE DATE: Separation Distance Between the: s 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 360 feet of leaching facility) Feet FURNISHED BY ✓�A,1Vz'e, -- C3 vm'laS I2,vrJn i?� PLI t� s r cy trs pit flo" fort ,_ �.. TOWN OF BARNSTA E SEWAGE # LOCA tION - VII:Y.A I er 0 .1(e ASSESSOR'S MAP&LOT INSTALI-ER'S NAME&PHONE NO_ SEPTIC TANK CAPACITY �+ � I LF,ACU NG FACILITY:(ty ) (size) No.OF'BEDROOMS-3 BUELDER OR OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted.Groundwater Table to the Bottom of Leaching Facility Peet Private Water Supply Well and Leaching Facility (If any~yells exist on site or Vvithin 2I0 fit of leaching facility) Ft Edge of Wetland and Leaching Facility(If any wetlands exist 'Feetwithin 300 fact of leaching facility) Furnished by o' rl t�tt 1 t t No. Z© r ( — 17,6 Fee 41 0 D'oo THE COMMONWEALTH OF MASSACHUS'ETTS Entered in computer: PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE MASSACHUSETTS Yes 0[ppYication for Disposal 6pstetn Construction Permit Application for a Permit to Construct(� Repair(�pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.2 0 �d�pS�i V/,b /1oa Owner's Name, ddress,and Tel.No. Assessor's Map/Parcel /,�0 U Installer's Name Add ess,and Tel.No.,g v8_qj 0—97.7$ Designer's Name,Address,and Tel.No..�-o 8'_ �/2-2Q22 dos-e/ol, & 64,veaS ' 02',W-e, /ems Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required). 33® gpd Design flow provided 3 J Jt gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 4 Nature of Repairs or Alterations(Answer when applicable) Z!2_y7l9 �— zlek y Ao4ys Q� �J��sr' ��C , 3(. G1/9/TS' &&Irol, mo Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sign_ed, Date Application Approved by Date I Z r/J 2-y i 1 Application Disapproved by _ Date for.the following reasons Permit No. I i Z6 Date Issued ��>15 O 1 f � F 0 v0 t � No. 2011 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: r i. Yes PUBLIC HEALTH DIV,! I y -TOWN OF BARNSTABLE, MASSACHUSETTS 9ppliLation for ;Disposal *pstem Construction viffnit Application for a Permit,to Construct(4:� Repair('Upgrade(-,) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Gv �w'1 /<<vF /-'J k"dam Owner's Name,Address,and Tel.No. pjT&_?V Assessor's Map/Parcel Insttaller's Name,Add ess,and Tel.No. 5d2 Designer's Name,4ddress,and Tel.No.> '!2-1%2 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 O gpd Design flow provided 355 gpd i Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) I)- t3o:l' `/ /2 a✓S OF S f�DS f��'C ,3G �114/1-s Date last inspected; .. i Agreement: j The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ,. Sign ��. �%'� i Ce22 G \Date 4 Application Approved by � Date /Z�/S/ -- - - - Application Disapproved bye Date for the following reasons Permit No. 11 — LI Z-& Date Issued 1,P— /5 1 ZO I( j THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ,M Certificate'of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired( Upgraded( ) Abandoned( )by ✓o: /�1° �/L (�< yr'�1� at �y���s /2i//-% ��� G! ri r' l// has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No.ZO If- 47- dated 1Z- 15_ ZO,1 Installer ✓�' cy�l� Ut Designer 22,,/1 C- #bedrooms Approved design flow J CJ 0 gpd The issuance of this permit sh 1 not be construed as a guarantee that the system wrl'mnstio esigned. Date 1�I Inspector i -------- ----------------- --- /-------------------- ------- ----------- ------------------------- ------------- -- ---- - ---- --- ----- No.Zo l!( (— t0 Feed THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construttion 3pPrmit Permission is hereby granted to Construct Repair(G) Upgrade( ) Abandon System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constr ction must be completed within three years of the date of this permit. Date �.� / 7 O t I Approved by f •' A?R/30i2012/0 .04:26 FM SandwichTownOff ices FAX No. 1 5C8 833 OC18 P. 001/1031 .4 Town of Barnstable ` Regulatory Services L411MAar a, • Thomas F. Geiler,Director 9KAM Public Health Division Thomas NlcKea,n,Director 200 Main Street,Hyannis,M,A 02601 Ot�ce: 108--S 24644- Fax: 508-790-6304 Installer&Designer Certification Form Date: 17i Sewage Permit# .Assessor's Map'Yarcel Designer: tr 9"► Installer: Address: O 1;(x Cl�� Address: CA+,V)w LU4 02A�� On was Issued a permit to instal] a (date) (installer) septic system at 11 �� based on a design drawn by (address) V1 �Iru dated (designer} i certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocaticn of the distribution box andior septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than IQ' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. of � DA N M Yzg?2(! nstalleAigm�ature) No. i esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETU -a-4 TO BARNSTABLE PUBLIC HEAI,Tk D1V 5W-kq. CERTIFICATE OF COMPLIANCE WILL NO BE ISSUED UNTIL BOTIJ THIS FORM AND A&BUILT CARD kRE RECEIVED BY TIRE BARNSTABLE PUBLIC HEALTH DIVISION, THAINK YOU. Q: HealdvSaPTiC/Designer Certiticador,Fomi 3=264,doc Town of BA astable P# Department of Regulatory Services - Public Health Division. Bate tbsy `b$ 200 Main Street,Hyannis MA 02601# . "Fee Pd.' , , Date Scheduled Time 1 ,Foil ,Suitability Assessmentfor S : e Disposal Performed By: '�/C� 'V` Witnessed By: <' i LOCATION & GENERAL INFORMATION Location Address 7 i Owner's Name /� �� ���nn;p�s �_wr � V' Je/2l'�r I AddressI.t? ' Assessor's Map/Pdreel: ///end I Engineer's Natne� t �Y`�►►. "� NEW CONSIRU�'1'ION REPAIR Telephone#3 ij d 9�'.Z a Land Use � 5 l� A`1'1 1 ' Slopes(%) �Y'G Surface Stones �: ? �ft D'rinkin Water Well `?CdUft Distances from: Open Water Body. fG Possible Wet Area g 7 Drainage Waj— ft Property Linc ft Other - ft SKETCH:($treet name,dimcnsiods'of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) BENCH MAR a r EXIST.CESSPOOLS _ TOP OF CLEANOIIT PLUG e ELEVATION- 35.95 — •� - - e. BARNSTASLE DIS DATUM i5 og \ • _ -. .. . --- • `PROP. 1;500G 1,s .. IsFPnc 90 EEL0NN LOT 2 _ PARE/+ 15000 sf �/I = •.. a j .71 Gt.(/uo- 011,4, 5�Depth to Bedrock _- Parent material(geologic) _ h , t f Depth to Groundwatdr. Standing Water in Hole:'. Weeping from Pit Face , Estimated Seasonal High Groundwater I ATION FOR SEAS Qi1TAL HIGH WATER TALE ' Method Used: Dl��'ERNIIN I` - I �:, �� ,. In , • `� Depth`dbserved standing'* obs.hole: _in- Depth to soil tnotdes: Depth toiweeping from side of obs.hole: in. Otoundwnter AdJuetment = , r _ p .facror...,._.v- Act,f3raundwnterlev�el,:,e. Index Well# Reading Date: Index Well ievd - � s • i . PERCOLATIOhT TEST n$tp-��-��-� Observation - I . Tiine lit 9"' Hole# • 3 '_°�� Time at G" Depth of Perc _ . I O q Start Pre-soak Time.C� '. End Pre-soak. I v Rate MinJInch 1' Site Suitability Assessment: Site Passed _ Site Failed: _— Additional Testing Needed.(YIN) Original:.Public k'e'�lth Division Observation Hole Data To Be Completed on Back ***If percol0ibn testis to be condracted within 100' of wetland,you must first notify the Barnstable C4#servation Division at least one (I) week prior to beginning. DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil they Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel LDLk,wti ti✓1G� (L311 Li DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel) d'- (O Q1 ; t -_ rJ 56 ,I rr ttyt wt rati +6 DEEP OBSERVATION HOLE LOG Hole# . Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc 90 Gravel DEEP OBSERVATION HOLE LOG Hole# IA Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consisten ra I Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No Yes, Within 100 year flood bounds No " Yes Y boundary Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi us material exist.in all areas observed throughout the area proposed for the soil absorption system? e If not,what is the depth of naturally occurring pervious material? Certification c, I certify that on D Ck I (date)_I have passed the soil evaluator examination approved by the Department of Environ ental Protection and that the above analysis was performed by me consistent with the required ltraini ,expert a and experience described in 3.10 CMR 15.01 . Signature 1 / `' Datel l3 r1 Q:\SEPTIC\PERCFORM.DOC , ER1!.. UNITED STATES, Q$�/�1. CE -' =` SXs ail ) p }�" :e' -ai'?dS sta ees I • Sender: Please print your name,address, and�1 -'K this b0 •" I _ I i ;Town of Barnstable I Public-Health Division 200 Main Street I Hyannis, MA 02601' M6 I I I M I JJ jj (( j `` }j jy JJ �i jj{{ 3 J Jy j 11 11►ll ill.11lllltIIIII Ill I111111111:11.s1 I111.11-111►1 th r.ut 1111l I I � 17 ttNbER-E.COMPLETE THIS Cbm�LETE THIS SECTION,ON DELIVERY SECTION 0 Complete items 1,2,and 3.Also complete A. Si nature I item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X a-,- 4Z.,11. Addressee I so that we can return the card to you. g. Re eived by(Printed N e) C. Date elivery ■ Attach this card to the back of the mailpiece, D2�� \ lAj 11-2 or on the front if space permits. l� s D. Is delivery address different from item 1? ❑Yes 1. Aiticle AddN ssed to: If YES,enter delivery address below: o Normand Hamelin I j 208 Bumps River Road ` Osterville MA 02655 I 3. Se ice Type 9 ` IV Certified Mail Q Express Mail I Registered ❑Return Receipt for Merchandise L— ---- --11 ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number f¢ _ I v (transfer from service/abeQ l Im?0061081`0110000 3524 5508 1 I ,t.'I P_S Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 ¢e `I o p I � fU �Y L.,� l.t7 pm Postage $ DPPostma Certified FeeO �p Retum Receipt..F(Endorsement Required)C3 Restricted Delivery Fee� (Endorsement Required) II C3 Total Postage'I. Fees r$ O r` Normand Hamelin 208 Bumps River Road Osterville, MA 02655 Certified Mail Provides: (asianafr)ZppZ eunr'ooas W,o�sit Q A mailing receipt o A unique identifier for your mailplaie -1 a A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY lie combined with First-Class Mail®or Priority Mail®. 4 Certified Mail is not available for any class of international mail. o NO INSURANCE°COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. in For an additional fee, delivery may be restricted to the addressee or addressee's authorized a ent.Advise the clerk or mark the mail piece with the endorsement"RestdctedDetivety. is If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it.when making an inquiry. Internet access to delivery information is not available on mail addressed to AROs and F Os., p i r y r4 w r Town of Barnstable Barnstable °FIRE rO�ti Regulatory Services Department 1 UARNbTABLE, ` 9� MASS. r Public Health Division 999mmm 039. ATfD MAC a. 200 Main Street, Hyannis MA 02601 7e07 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7006 0810 0000 3524 5508 November 28, 2011 Normand Hamelin 208 Bumps River Road Osterville, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 208 Bumps River Rd, Osterville,MA was last inspected on 10/31/2011,by Shawn McElroy, a'certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • System is in hydraulic failure You are ordered to repair or replace the septic system within One (1) year from the date you receive this notification. Failure to repair/replace the septic system with the deadline period will result in future enforcement action. PER ORDER OF T BOARD OF HEALTH Thomas Mc ean, S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures\Town of Bamstable.doc Icr wo Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 208 Bumps River Rd Property Address r Normand Hamelin Owner Owner's Name information is required for every Osteryille MA 02655 10-31-11_- ; page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. - A. General Information 1. Inspector: . . •,,_ , ,, , Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name 29 Atwater Dr Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification f 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.TFie 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 10.7 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑~ Conditionally Passes ® Falls, wro ❑ Needs Further Evaluation by the Local Approving Authority 1, UJI y Inspector's Signature Date The system inspector shall submit,a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system 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. t5ins•11/10 , Title 5 Official Inspection Form Subsurface wage Dispo I Sys m•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 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: 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments, °M 208 Bumps River Rd , Property Address Normand Hamelin i Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 page. City/Town State , Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y '❑ N ' ❑ ND (Explain below): ❑ obstruction is removed ❑ Y' ❑' N^ ❑ "ND (Explain below): ❑' distribution box is leveled or replaced `❑ Y ' ❑t N ❑ ND (Explain below): {. ,4• f t E y ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: L s ❑ 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 manner which will protect public health, '' safety and the environment:- El Cesspool or privy is within 50 feet of a surface water i ❑ '" Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-11/10 v- s Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form k _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *" This system passes if the well water analysis, performed at a DEP certified laboratory, for 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: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool , ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ' ® ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins•11/10 TrUe 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 II -- Commonwealth of Massachusetts r Title 5 Official Inspection Forte A: Subsurface Sewage Disposal System Form -Not for Voluntary Assessments.. , 208 Bumps Rarer Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) , Yes. No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ®, Any portion of a cesspool or privy is within a Zone 1 of a public well. El ®' ' Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® "` Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 101000gpd. .� The'system fails. I have determined that one or more of the above failure ® El .a> 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. t . •, For large systems, you.must indicate,either"yes"or"no"to each of the following, in addition to the questions in Section 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 El the system is located in a nitrogen sensitive area (Interim Wellhead Protection o Area'—IWPA) or a mapped Zone II of a public water supply well �r4 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. 15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 page. City1rown State Zip Code Date of Inspection C. Checklist ` Check if the following have been done. You must indicate "yes"or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® - Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ®' ❑ Determined in the field (if any of the failure criteria related to•Part C is at issue approximation of distance is unacceptable) [310 CMR 15'302(5)] D..SY stem Information Residential Flow Conditions: Number of bedrooms (design): 3- Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): 330 t5ins•11/10 Title 5 Official Inspecdon Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Fora . , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Bumps River Rd s. Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville �_ MA 02655 10-31-11• + , page. CitylTown t State Zip Code Date of Inspection ' D. System Information - { Description: Number of current residents:,,; Does residence have a garbage grinder? ', ❑ Yes ® No Is laundry on a separate sewage system? [f yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No ,. Seasonal use? 4 . , El Yes ® No Water'meter readings, if available (last 2 years usage (gpd)): ,; ' ;,•,; Detail: Sump pump? - . , a+ c , r . . ❑ Yes ® No •Last date of occupancy: 10-31-11 � -, ..; Date a k Commercial/Industrial Flow Conditions: Type of Establishment: -Design flow(based on 310 CMR 15:203): ., `r Gallons per day(gpo) -Basis of design flow (seats/persons/sq.ft., etc.): Grease.trap present? t;,. w .� . 4> ❑ Yes ❑ No Industrial waste holding tank present? 4. „t ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11110. a Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form 'p o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 ' page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 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-11/10 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 I Commonwealth of Massachusetts ; F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. t„ f M 208 Bumps River Rd Property Address g Normand Hamelin .• Owner Owner's Name , information is Osterville MA 02655 10-31-1.1 required for every - page. Cityfrown State Zip Code' Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (f known) and source of information: 1971 Y Were sewage odors detected when arriving at the site? ; El Yes ® No Building Sewer(locate on site plan): , - Depth below grade: 16" feet Material of construction: cast iron` ❑ 40 PVC '_ Orangeburg ® other(explain):" Distance from private water supply well or suction line: i feet Comments (on condition of joints,venting, evidence of leakage, etc.): Good condition. ' Septic Tank(locate on site plan): Depth below grade: .:, r• feet „ Material of construction: ❑ concrete ❑ metal., ❑ fiberglass El-polyethylene,,;: ❑ other(explain) y If,tank is metal, list age: , years, Is age confirmed by a Certificate of.Compliance? (attach,a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•11/10 , TrUe 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of.17 _ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) " Septic Tank (cont.) u Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? 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 (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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts ,t , W Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form -Not for-Voluntary Assessments 08 M 2 Bumps River Rd _ Property Address Normand Hamelin j Owner Owner's Name information is Ostenrille MA 02655 10-31-11 required for every page. Cityrrown 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.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other (explain): Dimensions: Capacity: gallons Design Flow: gallons per day. �A 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of.17 Commonwealth of Massachusetts - 1 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 page. yfrown State Zip Code Date of Inspection D. System Information (cont.) ' f Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert N/A 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.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 Title 6 Official Inspection Fonn:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 'M 208 Bumps River Rd .. r Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 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: ❑ leaching fields number, dimensions: ® overflow cesspool number: 1 ❑ innovative/alternative system t , Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation, etc.): Overflow cesspool had water level at 16" below invert and stain lines at 6" below invert. Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2-Inline Depth—top of liquid.to inlet invert 16„ 16" Depth of solids layer Depth of,scum layer 0 Dimensions of cesspool.. 6x6 Materials of construction Block ._ Indication of groundwater inflow ❑ Yes ® No t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of,17 • a Commonwealth of Massachusetts Title 5 Official Inspection Form " Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '4M 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 page. City(rown 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.): Water level and stain line show water had reached within 6"of inlet invert. 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 J n , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 page. CitylTown , 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 D.0 44 i ,} t5ins•11110 - . Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts W Tale 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is required for every Osterville MA 02655 10-31-11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 30' 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: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts W Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Bumps River Rd Property Address Normand Hamelin Owner Owner's Name information is Ostervllle MA 02655 10-31-11 required for every page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems) completed E System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 BENCH MARK BARNSTABLE EX15T. CE55POOLS TOP OF CLEANOUT PLUG , ELEVATION = 35. 98 See '110te I O o r ROUTE 28 Q BARNSbfABLE GIS DATUM \ ins? s ,3' \ 3.4 Q �OTP 150_0 / \ cr / w a N vent �O / 0 O s� a LOCUS. N ——— 0 \ ,500G / Q� 5EPTI C TANK AMPS RIVER R p r / LOCUS MAP C. C' ---- LOCUS INFORMATION ��S G f TITLE REF: 5694/310 _ a PARCEL ID: MAP 120 PAR. 098 o R ENE OF FNOk S NOT IN ZONE II PEE P - LOT 2 SEPTIC -SYSTEM $ i� f� ��� AREA 15000 sf -� �. , REPAIR PLAN 0 2 `� LOCATED AT: i , . 208 BUM-PS RIVER :ROAD OSTERVILLE, MA o r, PREPARED FOR . Z � PAVED DRIVEWAY �'� - N O R M A N D H A M E L I N � A I V DECEMBER 12, 2011 P L �50 SCALE: 1 in = 20 ft r OF j 20 0 20 40c�� o DA�F�I��' ,r 0 O 10 20 ttti1�ER� No. 1140 O \ GENERAL NOTES: 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE'RESTORED 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 1 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. ` BOARD OF HEALTH AND THE DESIGN ENGINEER. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE HLUUIHEMENTS THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE CONSTRUCTION: LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: 10. EXISTING CESSPOOLS TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. — 310 CMR 15.405'(1) (B): , p 1) A 2.04 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION MEYER. 8C SONS, INC. TO BE 5.04 FT MAX) BELOW GRADE VS REQ"D 3 FT. '12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY (H20/VENT PROVIDED) I" AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING P.O. B 0 X 981 3. TO INSPECTIONDISPOSAL VAVALL BYATHENOT BE BOARD OFCHEALLTTH AND THE. 14—ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. OTHERWISE) DESIGN ENGINEER. 15. THE DESIGN OF-THIS SYSTEM DOES NOT ALLOW 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING I FOR THE USE OF A GARBAGE GRINDER EAST SANDWICH M A. 02537 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 116. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. (5 O 8>3 2— 2 9 2 2 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF , THE CONTRACTOR OR OWNER TO NOTIFY.THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. I SHEET 1 OF 2 J 1387 r NOTE: TO PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:34.96 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED SAS T.O.F. EL.=38.96 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION "PORT OVER OUTLET AND SET TO 6' OF FINISH GRADE SET TO 6" OF GRADE ONF.G. E CHAMBER AND SET TO 3 OF F MIN. OF F.G. EL. _ Mq F.G. EL.-37.5t EL:37.5f - X � S • F:G F.G. EL: 38.0 40.0(MA .) �, J' ' �Q' 9C, ti s" MIN COVER/ VENT c EYE - -� L = 50't 36" MAX COVER L = 8' L = 15'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) " No. 1140 0 S=1% (MIN.) 0 S=1% (MIN.) 0 S=19 (MIN.) 4"SCH40 PVC E 4"SCH40 PVC 4"SCH40,PVC AEG/SiE�`� 10 6' 10.38" To SANITAR�a� 1a• INV.= 35.13 48" UowD INVERT LEVEL INV.=34.88 - GAS BAFFLE PROPOSED INV.=34.60 Q-BOX 4 ROWS OF 5 UNITS AT 5'/UNIT 25.00'/ROW DB 5(H-20) INV.- 34.50 INV.=34.80 , = SOIL ABSORPTION SYSTEM (PROFILE) PROPOSED 1,500 GALLON SEPTIC TANK EXISTING OUTLETS -RESTORE VEGETATIVE COVER INV.= 36.13 INV.= 36.71 BACKFILL WITH CLEAN PERC SAND TO TOP OF CHAMBERS 60".. NOTES: 1 CONTRACTOR SHALL VERIFY ALL EXISTING :'-•`'''' ' BREAKOUT=TOP ELEV.=34.96 PIPE INVERTS PRIOR TO CONSTRUCTION INV. ELEV.= 34.50 2) TANK AND D-BOX SHALL BE SET LEVEL AND BOTTOM ELEV.= 33.63 TRUE TO GRADE ON A MECHANICALLY COMPACTED - -EXISTING SUITABLE SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 2.88' MATERIAL 310 CMR 15.221(2) 5' MIN. ABOVE BOTTOM OF EFFECTIVE WIDTH = 4 x 2.88' = 11.52 T.P. EXCAVATION OR G.W. - 3) INSTALL INLET & OUTLET TEES W/ (7.13' PROVIDED) USE 4 ROWS OF 5-ADS ARC-36HC ` GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL.=26.50 - (H20) UNITS - NO STONE SEPTIC SYSTEM PROFILE -� TYPICAL SECTION 16" N.T.S. NJ.& SOIL LOCI P#: 13486 DESIGN CRITERIA DATE: DECEMBER 9, 2011 " •' • SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE. #1614 ' SECTION 10.s8 INVERT NUMBER OF BEDROOMS: 3 BR DWELLING WITNESS: INVERT END CAP SOIL TEXTURAL CLASS: CLASS I DON DESMARAIS, BARNSTABLE B.O.H. , DESIGN PERCOLATION RATE: <2 MIN/IN . Elev. TP- 1 Depth Elev. TP-2 Depth ADS - ARC 36HC CHAMBER (H20 LOAD DAILY FLOW: 110 G.P.D/BR. DESIGN FLOW: 330 G.P.D. 37.50 0" 38.10 0" FILL FILL MODEL ARC 36HC GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) 36.68 10'' 37.29 10" LENGTH 63" A LOAMY SAND ( A LOAMY SAND _ _ � NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SEPTIC TANK: 330 gpd x 200% = 660 gpd USE PROP. 1,500 GALLON SEPTIC TANK TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 10YR 3/1 10YR 3/1 EFFECTIVE LENGTH 60' DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LEACHING AREA REQUIRED: (330)/0.74 445.94 S.F. 35.41 15" 36.01 15" SIDE WALL HEIGHT 10.38 B LOAMY SAND B LOAMY SAND OVERALL HEIGHT 16" DISTRIBUTION BOX: 5 OUTLETS (MINIMUM)(H20 LOADING) - 10YR 4/6 10YR 4/6 I 4640 TRUEMAN BLVD OVERALL WIDTH 34.5' PRIMARY S.A.S. 34.50 C -- 361 35.10 C - -=- 36" - - H , OHIo 302E 10.7 CIF ULUWM- s ILLIARD 4' six USE 4 ROWS OF 5 - ADS ARC 36 UNITS-NO STON 1771 CAPACITY VA MED - MED - (BO.O GAL) ADVANCED DRAINAGE SYSTEMS, INC.` PER ® 33.0 COARSE SAND COARSE SAND VA 2.5Y BOTTOM AREA: (GENERAL USE APPROVAL FOR 4:80 SF/LF OF BIODUFUSER) VA ED s/a 2.5Y 6/4 PROPOSED SEPTIC SYSTEM SITE PLAN (BIODIFFUSERS) 20 UNITS x 5.0 LF x 4.80 SF/LF = 480.00 SF 26:50 132. 27.10 132' 208 BUMPS RIVER ROAD, OSTERVILLE, MA TOTAL AREA = 480.00 SF PERC RATE <2 MIN/IN. ("C2 HORIZON) Prepared for: Hamelin DESIGN FLOW PROVIDED: 0.74GPD/SF(480.00 SF) = 355.20 GPD > 330 GPD req'd NO GROUNDWATER OBSERVED Engineering b SCALE DRAWN g 9 Y Surveying by: MEYER&SONS,INC. AfecDouBell Survey NTS D.M.M, ' • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 pO BOX gal (508) 419-1086 DATE: CHECKED to conduct soil evaluations and that the above analysis has been performed by me consistent with the SHEET NO. re uirements of 310 CMR 15:017. I further certify that I have EAST SANDWICH,MA 02537 q _ y passed the Soil fvol. Exam in October, 1999. 508-362-2922 12/12/1 1 D.M.M. 2. OF 2 .• ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH , 12.7 n TITLE V OF THE STATE SANITARY CODE DATED MARCH 31,1995 � - � •✓' ^• N 1/ ANY LOCAL RULES APPLICABLE. ' S f39'44'00■ W , , CB DH FND \ ' 1 o a J OWN GENNEEMEN • _ c, W ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING Bair > _ - • -• 1,j' J•' o i ( 309.t WF SM 3 2.5' / I r v 0.0 • , too. �ti z BY DESIGNING ENGINEER '/ 4/0 WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILL ING, r Y NOTIFY THE ENGINEER do BOARD OF HEALTH AGENT � � �.� . :••_= ,�r y.. _ 0 ' / ,� J �� ,; FOR INSPECTION. o • ��. - » • Q w_ ,�, 2A8 % �/ /5 Px / ` �o cl 1 s THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN i ti_ ��s ��-• .;�� a . ,. �I H APPROVAL BY DESIGNING ENGINEER'4 r 8.4 8. "G'4. ti I , ■ c v ,u, 'WIC �•EXISTING SEPTIC TANK , {•4i' i , 'O7 9. n o, AND PUMP CHAMBER a ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 PVC., SCH 40 Loading 13 WF SM-4 f i `\ � '� g� t �• ; ' I ;• ', � ' ; / I - i A-9 PROJECT BENCHMARK : DATUM = NGVD M28 QS TBM = MAGNAIL SET IN PAVEMENT O ELEV.= 8.95 � %r I x1.9 i i i �\ , / if) .: L'R ILLS' AR 1 6.3 •o i i i / I WF A-t o ZONING DISTRICT: RD-1 `1 1 COASTAL BANK - \ �� - �� / , 6.1 B 1 �� , STATE DEFINITION -� I �.\ 3.5 __ , / MINIMUM LOT AREA: 2 ACRES i. 1 � x 1.8 I J x 7.8 x �4 ��• I MINIMUM FRONTAGE: 20 LOCUS MAP SCALE: 1' = Z000' 1 , _ M TBM. 5, ; / I MINIMUM WIDTH: 125 3 - n' NAIL SET ' FRONT SETBACK = 30' SIDE do REAR SETBACK = 10' , �\ � 8,1 � 85 ,� � / 1 OVERLAY DISTRICTS: 3. SOIL LOGS DATE:AUGUST 26 2003 1 , �, RPOD - RESOURCE PROTECTION OVERLAY DISTRICT x2.0 x 1.s WF SM-� I . �� A-8 AP - AQUIFER PROTECTION P#=P 10,554 1 , 1 7.1 7 ill g_ LOCUS PROPERTY IS SHOWN AS: ENGINEER: BOARD OF HEALTH AGENT: 1.• �� �, , / 1 x _ 1 i i CONSTRUCT NEW RETAINING WALL x 2.o ,, / 7.8 , , ASSESSORS MAP 166 - PARCEL 057 Stephen A. Wilson,P.E. Sam White 1 �� -' • , . / / J 1 1 LOCUS DEED:II TEST PIT 1 TEST PIT 2 x 2.0 •/' / -'" x 7.3 _ __ 7.9 - REMOVE EXISTING PAVED DRIVEWAY DEED BOOK 17,923 PAGE 098 it 1 , , / ,' , -y\ _ AND REPLACE WITH PERVIOUS MATERIAL G.S.E. 9.6t G.S.E. 8.0t v - 9.0> 7.L' 1 PLAN REFERENCE: 0 0 x 2.1 % !, I I Tr-- PLAN BOOK 19 PAGE 89 AP SANDY LOAM AP SANDY LOAM ' \ 4 I ��!�'► '� 9.0 IC IBM: - - + I 1 COMMUNITY PANEL NUMBER 250001 0016 D 7-2-92 6" 10 YR 5/4 12" 10 YR 5/4 � 1 � w 7.1Op OF x 2.) \1 WF SM- I I \ RETAININa 7.3 '. ' I A-� THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES ` ( i d� , I r WALL , t S, A10 (EL11). B B I 11 �' ! i EL 9.4 SANDY LOAM SANDY LOAM 0.0 `, `, f ', ; ' %' �- / I REPLANT EXISTING TREE ON SITE; IF NEEDED 14■ 10 YR 614 18a 10 YR 614 )(2.0 ; 1, �/ ; ' ; 9. PAVED NEW EDGE OF DRIVEWAY - FIELD ADJUST 1. THE CONTRACTOR IS TO SECURE ALL APPROPRIATE PERMITS MEDIUM SAND MEDIUM-COARSE SAND x 2.1 \\ �, % �, 18.0 ' DRIVE - W �" , I '`, 48a 10 YR 5/6 10 YR 5/6 2. THIS PARCEL IS LOCATED IN THE FLOOD PLAIN. EXISTING �\ t I i STRUCT NEW RETAINING WAIL ` , / • 26 I SEf'T1C ,\ c� wrTH IMPERMEABLE BARRIER C2 SAND (ALTI) 2.0 WF SM-7 (1 i , i TANK \ - .. , 1 3. EbSTING LEACHING TRENGYI IS (IN SAME LOCATION OF PROPOSED LEACHING FIELD) MEDIUM SAND W/i'RACE OF SHELLS WF IA-6 II TO BE REMOVED. r 96■ 10 YR 2/1 84 10 YR 2/1 `� / ', `, �� '� a `• 1 4. REMOVE UNSUITABLE SOILS BENEATH AND AROUND PROPOSED SYSTEM, BACKFILL REMOVE EXISTING RETAINING WALL WITH CLEAN GRANULAR MATERIAL FALL THAT MEETS THE REQUIREMENTS OF 310 CMR WATER ENCOUNTERED PERC ° 480 15.255(3). AT 72• . RATE - 8 MWM ', /•• :1 1� `� ', ` � 7 '` 7.1 I 't, \14.1 A-5 , 5. LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS PRIOR TO \ / o , SLEEVE FIRST 20 OF WATER SERVICE (IF NEEDED) II I �\` ` �� \ _ + ANY EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE THE REQUIRED 2.� `, \ 7 • 1 NOTIFICATION TO DIG SAFE (1-888-344-7233) AND APPROPRIATE WATER I CERTIFY THAT IN APRIL OF 1995, 1 PASSED THE SOIL x 1.9 % I ; `, WF SM-8 \ 13 '`\ , \ ', \ . DISTRICT TO DETERMINE UTIUTY LOCATIONS, EVALUATOR EXAMINATION APPROVED BY THE DEPARTMENT OF x2 0 / ENVIRONMENTAL PROTECTION AND THAT THE ABOVE ANALYSIS x 2.0\ \ ��\ 7. PP `, 3 WF\ _4 \\ 6. ALL STRUCTURES BURIED DEEPER THAN 4' OR SUBJECT TO VEHICLE TRAFFIC SHALL WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED 7 0 EXISTING �- 4.g_\ BE H-20 LOADING TRAINING, EXPERTISE AND EXPERIENCE DESCRIBED IN 310 CMR WATER \� \ + A-3 ( �\ 15.017 (`•� _ ', I \ .5 SERVICE6.s +� ' A-2 7. THE EXISTING WATER SERVICE LOCATION TO MAIN HOUSE IS APPROXIMATE wI K ,, \6. SMCK lE1P�) ,\ � >� / � SHALL BE ON TIE D FOR SLEEVED.-O-MM WATER DEPARTMENT. .. IF WITHIN 10 OF PROPOSED SIGNATURE DATE I 8. ALL EXCESS SOIL TO BE REMOVED FROM THE PROJECT SITE -0.1 x�\9 I 7.0 ` ` 0 5.5 WF A-1 P"OF MA \ I •1 `�� `\ \ ; s '^ \ 6.6 6, 0 9. IMPERMEABLE BARRIER MUST BE INSPECTED BY DESIGNING ENGINEER PRIOR TO o��� TEPHEN S. I � \ UP #227-16 V 1.6 ' x 1.9 WF SM-9 2.1 \\ , BACKFILLING AL �, 1O. DESIGNING ENGINEER TO CONFIRM SUITABILITY OF SOILS IN AREA OF PROPOSED Existing Septic System for Cottage: No.30216 CIO I \\�\ `\ '` �* , �v7 LEACHING SYSTEM. 1.) Fite I DA-03067 0A. G/STVa 2.) Variances granted by BOH on 10/ /15 2003. S/GNAL E� 1.0x �, 11. EXISTING SEPTIC SYSTEM - PERMIT 186-683. F 1.0 6.3 �. 3.) Septic Permit 12604-040 VARLAHM BEING ROOM �' ` • �'�G \ ` '� NAIL SET .3 EL 6.53' , pf SECTION 1.00, 100' SETBACK REGULATION. To allow �'� ` .TOWN OF BARNSTABLE: PART NI; - � � \ '+ a proposed soil absorption system and an existing septk tank to be 47' 75 from a LEGEND •� \ EXISTING PROPOSED `, �'� + bordering vegetated wetland in lieu of 100. LUS TITLE V; 15.211(1). To allow an S.A.S. to be 5 off a foundation (crawl space) in A Stake do Tac Set/Found x1 9 �, ` �' lieu of 20'. To allow an SAS to be 4' off a lot line in lieu of 10. To allow an SAS C PK Nail Set/Found \� 2.3 , , to be 47' from a bordering vegetative wetland in lieu of 50. To allow an SAS to be Z.ri 1 Bay Lane o Concrete Bound \ WF sM-to ® Gas Gate 44 from a coastal bank (state defined) in lieu of 50,. Centerville, Massachusetts � Electric Meter \\ � ' � ` $ \`� �, • �' TITLE V; 15.203(2). To allow for the design of a two bedroom system in lieu of a PREPARED FOR 0 Catch Basin \��1.9 WF SM-1 t 2"4 ��ti� o DESIGN DATA three bedroom system. A deed restriction will be recorded limiting the house to two 04 Water Gate 0 N/Cable Box � -0 3 \��\ \��. EN0 y,� SINGLE FAMILY - 2 BEDROOM '•,�, � William Rugg ® Telephone Riser x 1.9 9 NO GARBAGE GRINDER p ` DAILY FLOW = 110 x 2 = 22o G.P.D. 00• � Variances granted by Board Of Health On 2/9/2010 -0- Utility Pole `� TITLE sp0 Contours '' LEACHING FIELD DESIGN DA-10010 200" Spot Grade moo. \\ \ rest Pit � ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED LA►rDSCM TI septic system Upgrade "' Main House \ ' \ \ USE 3 - 4' DISTRIBUTION LINES IN AN REMM6 OU REM •.•� 26.5' X 14' DOUBLE WASHED STONE FIELD AS SHOWN pb10E 220 GP.D./O.60 - 367 S.F. OF BOTTOM AREA REQUIRED .6,; USE 26.5 X 14= 370 S.F. AREA PROVIDED BAXTER NYE ENGINEERING & SURVEYING a -0.2 a.Ass 1 SOIL: PERCOLATION RATE 1 IN 8 MIN. � �� �� W M 3 -MAX Registered Professional Engineers and Land Surveyors 0 78 North Stteet-3rd Floor, Hyannis, Massachusetts 02601 CONSMV ACCESS 0 SYSTEM PROFILE Phone- (508) 771-7502 Fax - (508) 771-7622 M AT nfif�' c�;r�DE NOT TO SCALE � 'I FNNSFEp GRADE OVER TANK - 10 01 nmm GRADE OVER D. BOX - 10.Ot ZO O 2O 4O 3 F1r�SfED W" OVER LEACI" TROM - io of U DNWMIY I F FIRST 2' (ro BE LEVEL) PROVIDE I SPECTID 1 PORT TO G� then O 2.OW 4• � BOTTOM of SYSMd SCALE IN FEET EXISTW v, ----•�- SCFI. PVC 40 (TYP) 9' MN - 36' WAX. OOVER / GIbIDE ORNEMY O •` •f ••S u�P.i. .'i 4' scH. 40 PVC ... - .:•,., ,,, e,:•: rr AL : =20 7. DATE: 1/19/2010.\w our - , Ind at 7.7 . �•.i� •; : �,;••»• ��r Y::... i+ • .�...WSTALL •., •. EL 7.1 2 PEkSTONE 0O GAS BAFFLE r L. »II-i r f. .+t: ,• s• Of FILTER FABRIC �- 1 `� REV. DATE: REMARKS CN STONE 26.5' N 3' 1 2/2/10 REVISE DESIGN & NOTE LEACHING FIELD 14' 3 2 2/4/10 DISTANCE TO SALT MARSH 8 ML POLY 9ARIilER MW c� � 3 2110110 REVISE CONST: NOTES EXISTING loon GALLON SEPTIC TANK DISTRIBUTION BOX GROIAOMIATETt ADrIIISTMEIrr CROSS SECTION 'A-A' WIN AS 7W OLL IS DFOSM DRAWING NUMBER EL 21 NO SCALE oTn BE wsuu�n ON A LEVEL SABLE BASE assERvoO ta5 �. TUER FETARM WAU MS.& 0: 04 04-003 surve worksht 04-003-HSE-SEPTIC (s/M/o3)CD DETAIL 2004-003 0 N V O O N O