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HomeMy WebLinkAbout0151 BUNKER HILL ROAD - Health 151 F3l.tnk-er bird Road LOsterville(00�h 7-001 I 1 L i No. 2 0 11 r 2V QQe 9 Fee kl C o o� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Illation fDr,�is ,Deal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(L,<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./51 gurt)&rhi I I RoL Owner's Name,Address,and Tel.No.Gepl-9c. 005E Assessor's Map/Parcel 9G, p ,.MI 5AMF- Installer's Name,Address,and Tel.No.,B 4.(3 ExcwvcL tor% Designer's Name,Address,and Tel.No. U 0 A 55 . N'rca�>crry L+J F0M54 dalc 4,1r). 0L53 no co-Iv;-) Rat San.AW;Ck 'To?_33 00q I Type of Building: I Dwelling No.of Bedrooms L4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons . Showers( ) Cafeteria( ) Other Fixtures , 0 Design Flow(min.required) 4 ^g 4 D gpd Design flow provided 14 g gpd Plan Date `]- Z 4- 14 Number of sheets Z Revision Date - Title Size of Septic Tank 1000 qQ,I Type of S.A.S. 0_1-iaM6c r S Description of Soil Nature of Repairs or Alterations(Answer when applicable) I-$20 p Box ZO TC0go B c.dC 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. Si Date Im 0 Application Approved by Date Z �t Application Disapproved by Date for the following reasons Permit No. Date Issued S�ZI Zo 1 - - - 1 No. 2011 08 P Fee kloo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN•OFBARNSTABLE, MASSACHUSETTS application for,-'rsposai *pstem (Construction Permit Application for a Permit to Construct( ) Repair(c.<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.151 Butwc r h i 11 IQa Owner's Name,Address,and Tel.No.G ao r9 Roy E Assessor's Map/Parcel 94. SAr^F- Installer's Name,Address,and Tel.No.B fl3 Exca vo.A i orb Designer's Name,Address,and Tel.No. V N SSOC. 14 FoftsAdalc. 9,1,1. OG53 320 Co-)u;-1 Rol SQ�iw�cl. Sob 833 Ovy) Type of Building: Dwe11"'g No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Qtl er` Type of Building No.of Persons Showers( Cafeteria( ) Othe.Fixtures r Design Flow(min.required) .q y�f gpd Design flow provided �U R gpd Plan Date !7• Z q• J�? Number of sheets Z Revision Date Title Size of Septic Tank !000 Qom' Type of S.A.S. Q C!'s Description of Soil ► Nature of Repairs or Alterations(Answer when applicable) I.a 7 o D f3n X 20 Tooqc�I tj c Date last inspected: "s, 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 4 Compliance has been issued by this Board of Health. , Si Date 19 i Application Approved by Date Z 1 Application Disapproved b Date for the following reasons Permit No. 170 7W Date Issued ���/��► _.. ----------------------------------------------------------------------------------------------------------------------------------- --- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by _ E X on Lie,4 1 C)n at /,�, ► ,,, i^ 14;)) ,�L has been constructed in accordance with the of Title 5 and the for Disposal System Construction Permit No-?a[ ,�R�- dated jQ 11 ''Z*©1 di Installer F_X Co,k_)n, A i'n Designer,, " A S s nC' . #bedrooms Approved design flow L �/ gpd The issuance of this permit shall not be construed as a guarantee that the syst will fimctio as des ed. ,- Date //h Inspecto No. oi 1 ' r?-U Fee �_- - •- .. ._.. ;: _ - _._ -,._ _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS -Misposal *pstem Construction Vermit Permission is hereby granted to Construct( ) Repair(X 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:Construction must be completed within three years of the date of this permit. Date E�c � r� Approved by Town,of BArnstable •°�"'E .� Regulatory Services. . Richard V. Scall, Interim Director BARNSTA13M 9� i639 Public Health Division �- Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit#-24D Assessor's Map\Parcel Designer: S Installer: �pl/ pJ✓ r Address: Ai 41f Address: �Z -3 On s issued a permit to install a a (date) ��1� l/(installer,)./ septic system at 1 based on a design drawn by / (address) c dated (designer) c rtify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that ;the system referenced above was constructed in compliance with the terms. of the IAA approval letters (if applicable) o� AW .4 (Installer's Sig ) VON HONE A #1068 Sri/S-T (Designer's Signature) (Affix IA p Here) PLEASE RIETUI".N TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL-NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD.ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOIJ. Q:\Septic\Designer Certification Form Rev 8-14-13.doc TOWN OF BARNSTABLE LOCATION IS 1 Bu nkc-r VA i I 1 QcL SEWAGE# Zo 19 - ZZ? N`ILLAGE CLi3cru► I lc. ASSESSOR'S MAP&PARCEL 9G -- 0o7l INSTALLER'S NAME&PHONE NO. �(� S3 EXcttya�-1 or1 y`)'l- OG53 SEPTIC TANK CAPACITY /000 LEACHING FACILITY:(type) ooSgc I!T�3� (size) 13 x_-3 x Z NO.OF BEDROOMS OWNER ;n PERMIT DATE: g- Z - 19 COMPLIANCE DATE: �o 1 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 Q d 00 A Al 0 AZ- 39'L A3" 33 Ay' ,614 r Town of Barnstable Barnstable Regulatory Services Department j AWcaC j BABNSfABLC MASM ,m Public Health Division �ATFD MAC A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 9163 September 24, 2018 GRIFFIN, DANIEL M JR& JULIE C 151 BUNKER HILL ROAD OSTERVILLE, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 151 Bunker Hill Road, Osterville, MA was inspected on 09/08/2018 by Sean M. Jones, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or Cesspool. 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 within the deadline period will result in future enforcement action. f PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\151 Bunker Hill Road Osterville.doc Town of Barnstable • anjuvsrnBr.E, 9�A 1619, a,�� Regulatory Services Department rfD MA'l Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE 1 YEAR DEADLINE CRITERIA Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well i ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis.(This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Kl- Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc f Commonwealth of Massachusetts b9lp-60�-0�� Title 5 Official Inspection Form M1� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Bunker Hill Road Property Address 1.0 Daniel &Julie Griffin Owner Owner's Name information is required for every Osteryille Ma. 02655 9/8/2018 page. Cityrrown State Zip Code Date of Inspection ` >w�l Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information s� ,j�.�}' �✓ �� on the computer, use only the tab 1. Inspector: key to move your cursor-do not Sean M. Jones use the return Name of Inspector key. S.M.Jones Title V Septic Inspection Company Name 74 Beldan Lane Company Address rem Centerville Ma 02632 Cityrrown State Zip Code 774-248-4850 smjonestitle5@gmail.com S14522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation-by the Local A .roving Authority 9/8/2018 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. Cityfrown 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y . ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 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 ® ❑ 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form '' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000g pd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form f< Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Cisterville Ma. 02655 9/8/2018 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts p Title 5 Official Inspection Form C <IQ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 5 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present?. ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form .1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc-rev.06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 I . Commonwealth of Massachusetts Title 5 Official Inspection Form F4 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owners Name information is required for every Osterville Ma. 02655 9/8/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: original system installed 1982 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.5 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints ok, no leaks , vented through roof Septic Tank(locate on site plan): Depth below grade: 2 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallons Sludge depth: t5ins,doc•rev.6/16 Title 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 151 Bunker Hill Road Property Address Daniel' &Julie Griffin Owner Owner's Name information is required for every Osteryille Ma. 02655 9/8/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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? measurements not taken Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Water level was even with outlet invert, tank was structurally sound and not leaking. Inlet cover is on a riser. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form I� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Y rY 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owners Name information is Osterville Ma. 02655 9/8/2018 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 Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is Osterville Ma. 02655 9/8/2018 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box was video inspected and was found with heavy sludge buildup and high stain lines indicating previous overloading. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page f P 9 P Y Pg 12017 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): leach pit was video inspected from d-box. water level was into the pipe between the d-box and pit and pit was full above inlet invert. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin ' Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately p� Q 1 Z C7 �1k1 P­7 13 C 57'6 AZ Z6 3Z Z? A3 33 � Zy'b � 4 y q7b 37 t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 'Bunker Hill Road Property Address . Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 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: Groundwater elevation was not.established. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 151 Bunker Hill Road Property Address Daniel &Julie Griffin Owner Owner's Name information is required for every Osterville Ma. 02655 9/8/2018 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 I+ Commonwealth of Massachusetts' W Title 5 Official Inspection Form ' m1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important:When filling out forms A. General Information on the computer, use only the tan 1. .Inspector: key to move your cursor-do not Carmen E Shay use the return Name of Inspector key. Shay Environmental Services, l'nc: rab Company Name ti 185 Ashumet Road . Company Address erw� Mashpee MA 02649 City/Town State Zip Code 508-539-7966 3080 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further valuation by the Local Approving Authority r 12/6/10 Inspe s Si ,nature Date The system inspector shall sub it 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. 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form Subsurface Sewage isposal syste I 1 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 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: leach pit has No liquid. 4' effective depth available per stain line No Riser present-Tank and Leach pit is 4 feet below grade. 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. 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 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. ND 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, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 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. 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The s tic tank and SAS and the SAS is less than 100 feet but 50 feet or system has a septic more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑ ® 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. 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes . No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 l Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ® ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? N ❑ 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)] 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's,Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 6 Number of bedrooms (actual): 3 DESIGN flow based on 310 ,CMR 15.203 (for example: 110 gpd x#of bedrooms): 678 gpd per plan on file Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: Summer 2010 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owners Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Board of Health 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): Approximate age of all components, date installed (if known) and source of information: September 10, 1982 - BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No i 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 1.5 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): No evidence of leaks, plumbingproperly p operly vented Septic Tank (locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 5' x 5' x 10' - 1500 gallon Sludge depth: 6 Distance from top of sludge to bottom of outlet tee or baffle 23 Scum thickness 1/2 Distance from top of scum to top of outlet tee or baffle 4 Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? Measured 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank in good condition,lnlet tee in good condition, outlet Tee in good condition.. Grease Trap (locate on site plan): Depth below grade: feet Material of construction.- El 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 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): 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Dace Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert D-Box Present 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.): One outlet to leach pit. No evidence of soids carryover. D-box in fair condition and is 4 feet below grade. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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: Type: ® leaching pits number: 1-6'diam x 6' D with 3' stone ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): leach pit has No liquid 4' effective depth available per stain line No riser present. Leach pit is 4 feet below grade. 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a,a' 151 Bunker Hill Road Property Address Elizabeth Miles Owner Owner's Name information is required for every Osterville MA 12/6/10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ® No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts W� Title 5 Official Inspection Form z Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ( 151 Bunker Hill Road Property Address Elizabeth Miles Owner — -- --- ------ Owner's Name ------- ---------req uired information fo e Osterville MA 12/6/10 _ ------ page. for'every ------------- ---- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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. g 4.3 i i i , 1) 0 I i�°L 1 �C P"I i vn��`f` t='t.,,ou� . I to � 3 +50l.••4R�.P.R ; . ..' � . : I : : � !- ' SEYt�G TA�.1K. • 33ox ZAO %.� lrGO � I , •.. � I . . � . . • usE ICvo GAS l ; . . � ' ' - � , vtsPosAt_ c�tT V;� lcco 5 t taw/A t.L • 2'Z� �) _ _ _. ._ I ; A _ 6L___ _ .11-40 A Z S "j(oS G P-i {� saoTTouA AREA•! I l�, S f= I ' 7 IJ _ t t_ Ko• ToTA tg fv#*4 P�t...dT1ot,.1 ea-rc. l�.t a 't jhtN Oe c..E • 1 Of A. r D ?C I tjs �. __—� fit+--'.�•}},.��`;Qc'.'-- - 6.7� _.._.-..._.._..�--� .». ,--- --- l-' -•— -r------.--- • tk i • P F ' E( •93•S . . i....._. TJ 7�ti"'Y,C L;S- � 4'�i� Ms q&;4 SsSPi .. /PG tuv. lq1LL. 2 .. ,&C, _ qS.2 St:PftG uhl. t Tr u V- p. 94P...... 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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: 12' per perc log from 1982 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: Inspector has performed perc tests in the area - refer to plan on file at BOH. 151 Bunker Hill Road,Osterville•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 LOCA ION SEWAGE PE MIT d0. E5 f�2. 4j-cam - s are"r a � -� - YI lACE 77 , 01,L4,.6 A ^ 096 o o� o 1 STA LLE 'S NAME & ADDRESS o �42 �'A1S'rA B� BUILDER OR OWNER � ✓��- L r L,/S e ,,1� DATE PERMIT ISSUED 7 a 21/8z DATE COMPLIANCE ISSUED nn r t � .:. I-- �, �b, � i ��: k ,u �`�3' ��~ , ,�,;- ,r COMMONWEALTH OF MASSACHUSETTS BOARD OF , HEAL r_1 " --2L4H ------ ..........OF..........4-3....... .... .. Application is hereby made for a Permit to Construct v4or Repair an IndiVidual Sewage Disposal System at �/I A//A � Installer Address � Owner Address Pq Type S�� feet � '^ � ���_�~ � �� ���—���� ���_ ��^ Dwelling—No. of Bc6rooms.. �t6c ( ) Gr�xl�� Other—Typeof Building ------_----- No. uf persons---------------------------- Showers ( ) -- Cafeteria ( ) Otherfixtures -_-__------'-.-----_---_............................................................................................... Design Ilovr-_--------.--' ..g�loosper person per dav �Totdu�v flow--.---------.------g�loos. � Septic Tank--L�u�� cupuci nuo Length---------------- Width---------------- Diameter................ Depth................ � Disposal Trench—No .................... Width-------------------- Total Length.................... Total leaching area--------sq. b. Seepage P� I�o-1u�0��.-- Diameter � --------'-' Depth below inlet leaching ----_--urcz. sg� b. �� (]tberD�t�bn6oubox ( ) Dosing tank ( ) ~~ Percolation Test lleoolto Performed by.......................................................................... Date....................................... Test I`b No. l................minutes per inch Depth of To* Pit.-------' Depth bo cc0006 water---­------------------ �T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth toground water........................ P4 ----------_--'-_------_'-____._-_----____----.--'----------------_--- `' Description of Soil........................................................................................................................................................................ __--.-_'—.-..--................................................................................................................................................ � �0 -_-__-_--_-----'----_'---_--__---___--_-..._-_-__-_-'_--_-'-'--------........................... U Nature of Repairs orA1terariona--Aoswerwbeo -------------------------------------------- _--_---__--_'-----'--'—_-'-----__-______-_--------_-.-_'___--._--.--------__-_- � The undersigned agrees to install the aforedesoribed Individual Sewage Disposal System in accordance with the provisions of Article Xluf the State Sanitary Codc—The undersigned further agrees not to place the system in operation until u Certificate of Compliance has -�" ^ K�_ ---------' --- --- '-,^i_-- Approved -'.. -- --_--_-_----------_-_--_-------- '----__.,���-.--_- | Application mpx /ouoo�n� rxosons/--------.---------_----__--------------_--'--------'-' | ____________________________________ _________________.._________.________________________ Date Permit 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTHr ................! -'" Applira#ion for Biiipoiiat Vorkfi Ton#rur#ion f rrnti# Application is hereby made for a Permit to Construct (/-I�or Repair ( ) an individual Sewage Disposal System at Location-Address-- �.'" O --------------- wner (/� ry ,/ , Address ,.a ----- f� -•---•------------------------------------------- ------ = - --------- ----------- Installer Address dType of Building Size Lot,_ ....Sq. feet U 'Dwelling—No. of Bedrooms.___ _____________________________Expansion Attic ( ) Garbage Grinder (C-)-' Other—Type of Building No. of persons............................ Showers ( ) — Cafeteria ( ) P-1 Other fixtures .................................... . W Design Flow...........................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity64__gallons Length................ Width-----_..._-____ Diameter---------------- Depth__._____._____-- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. 3 Seepage Pit No.b?-✓ ____•_ Diameter.................... Depth below inlet.................... Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by....................................................................... . aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_______________•___----. Test Pit No. 2................minutes per inch Depth of Test Pit___--____--________ Depth to ground water_______-__-•-_--_---_--- P4 ------------------------------------------------••-----------------------------------------------------•----------------------------------------------------- 0 Description of Soil............................................................................................--------------------------------------------------------------------------- x U •••-••--------•----------------------•-•- 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ('tgned >------------------------------------------------ - ---------- Application Approved By--- T D t , ------------�---------------- -----...............................................................Date Application Disapprove or tAie following re¢sons____________________________________ ....... ---•-------•-----------------•--•-------- •-•-----•------------------------•-------••--••-•-----...........--------••-----•-••-•----•------------------••-••-----•-------•--••---•--------------------_.. Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE4,L� .......................O F.......����a..�/,... .. ............................................... Trr#if ira#r of Tnntplittnrr T S IS T-4' CERTjIFY, That the Individual Sewage Disposal System constructed (L-<Or Repaired ( ) b !s:v�/'�t �' f -------------------- ------------------------------- -------------- --------- y -----•..... . ,r7�� Installer i at----- < �.!jCst.�----- --•-• f"�r . --- ----- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated--------------------------------------_......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................-=--=----------- Inspector _( Z<-! THE COMMONWEALTH OF MASSACHUSETTS BOAR OF -E-A'LT�r S�' l : .............(........................OF ..-- - ....................................... ,j S No. ---------------- FEE........................ Uiavo , nr Cann #rnr#i�n P�•nti# Permission is Iereby granted•- --------- ?cr to Construc�t�/�J o Repair ({; ) an ndiv}d �f� geris sal System atNo..... •. ----------( -------- ......••-•�.....; ---- ------------------------------- ------- Street r� C'G/' y `r as shown on the application for Disposal Works Construction Permit N _. ---------------------------------------- ------- = ` 'r. ----------•-----•-•------------------•---- .. DATE........................................ L ----- _-.--- Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - a� i v�=. +5o�;•4R .PR SeP�'tG TA�.tK,.• 3�,olt?AO %., (,GO i : I � � ' ` ' . ; ' � . . . , • vtSPoSAL PIT V 5E ICLV &AL 3'STiKJ6 Sloorl✓At.L Ae.�o► ' 2'7.�_�F � --. .._._ o6L...�:�u� _N�C.�� tPtoTToAn AQeAw!its �A. P�c�1.liTtcN ea3c t 1W j. A. rji E1:+X7 kii o ALP.N .. CYat' .✓eta. 51 771 t� ' 9`� � too . .. . " / ', .EL.93,S... . .. 1_. ....nyrJT1C�4' • A• �m 4 �•pE W�!• glo;4. 4•p +Soo wv � . "PP6 pKf lud. 4A.L. RS,�. •'•: 95.2 S�PTtG r; 2 ! ltA/ 'got. TAUt4 PIT 3 WASIIisD � + CToW66 i CE2.T t F i E D R-o r Pt-A t,.j PIQo Fri L..Er -UCbTIOt.i 1 Wo Saealx-- SGh.L� � 'L do U_ - 1141a'' T rJo U1A-rt fL! Car-- cC ( 1 CUMFY T"AT Talmo ot:.pT1oN 54�owU 1 F-Q S4>&.4 " CAM FL-Y S W I r" T"r3- -7 AwD SkTuAcK R ?J�¢.�•M�sl �T� OF 1-LtE Tbw� oF' AiL►�i-r�3 u3 AIJr-> 1 �O'i' CovZ-'c- ' LvC.A�t-'E3� W1Tu11.1 T' E �L000 PLAtU. . oATE- '1 : 14 -P1L. S'Zt�ls"T"ir. tze� LAWN �,J2vE`(O�� T trN S PLA W Vr IJOT $tt,SED o t.l A Li1►.KT QJM F.J�1T 06TE�v t l_L� 71r11►,SS. i Sut�vc( , Tar- Ot=Fgr-f; -5WOULD UOT $E USe0 A.PP'L1GAWT 1 T- To -t7t-TrZMINE �-oT UIJS;}. v I � r "q1- Pm A eIFj f qti. g rr, • i p . ��LEv aLaN U w. 7`' RICHARD u JUNES yr � A. no. 25100 G `7 BAXTERl� a�F 24048 t� �� ,CAST50L �� ¢Na" Q �£"51OnAL NG\ " j�QISTIrL /'�40 • Isolated ry a m ASSESSOR's Mom: 96 GENERAL NOTES: LOCUS :o� W oy RARC=t"' J' 007 a� TF 219829 1. VERTICAL DATUM: __Assumed_________ LCh 5725-64 Lot 174 & LCP 5725-63 Lot 179 C 2. MUNICIPAL WATER __IS __ AVAILABLE. / , ` ma Bum s River REFERENCE: / - �// Roo 'X Town of Barnstable 3. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT FLOOD ZONE; roe #25001C0544J(07/16/14) �'do, SYSTEM UNLESS OTHERWISE NOTED. 4. ALL PRECAST UNITS TO CONFORM TO AASHTO: H-110 & H_20 5. PIPE PITCH- 1/4" PER FOOT UNLESS OTHERWISE NOTED. 6. ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE d � ^ Benchmark: Cor St � S �co at Elev. 42.0' / NTH MA ENVIR. CODE (TITLE 5) AND LOCAL LO S MAP N.T.S. % . REGULATIONS. 7• CONTRACTOR T RIF 0 VERIFY LOCATIONS OF ALL UTILITIES pfiset PRIOR TO CONSTRUCTION. • ted Wettan�..;�... zpo' ism LEGEND: CON PROPOSED S D R sr� 9 CONTOUR �' 9s PROPOSED SPOT GRADE lROssr 40 EXISTING CONTOUR .: l �s/ro9 Lots 174 & 179 X 30'23 EXISTING SPOT GRADE • . ob J Q �,. . T Ao 2.8 ages Well ProtEction Zone TEST PIT ?41�sr Et Bs.B$ 1 o R i o3 Aq.. -� EXISTING WATER SERVICE HI ' o <`; X— WORK LIMIT LINE - R 70 EL. 38.43 78, 8.., 1 e a y'o OF lyq f o p ! f as oos �Q� !9� rn:. > Existing Dwelling ��r ;." N j K?38.f o AMY L. yam, Top Fndn. = 42.1' = +RO ! -` �, �p <,/ g VON HONE 0 12; �3T No. 1068 32 �F611STV ine A f 1p� 2 i I �O� �� S 7 s' 9 � g� �i2' E2ESF�RVE AREA !-� -- — NOTE: This plan is to be used for septic 39> "33 system purposes only and is not to be a EetggLow�n __3 ��-` i 3' .\ > , -' > used for any other purpose. IQ 151 BUNKER HILL ROAD ' s +369 / V OSTERVILLE, MA s 2 PREPARED, yOI�RC BASIN a associates a B 8c B Excavation O SEP11C SYSTEM DESIGNS FOR: a n d 30 \\ ` ` 320 Cotuit Road Septic System / 3 I Sandwich. MA 02563 George and Rebecca Rose (o)508.$33.0041 Site Plan 3 � (c)508.V4.0074 151 Bunker Hill Road NOTE: Pump and backfill failed leach pit. �` Sune„ing by: Osterville, MA 02655 . ,�2`�?s /,,. R2 a -3 / AH Ojala Surveying Iq Arne H. Ojala,P.L.S. 211 Maple Street DATE REVISED SCALE SHEET NO. ,- West Samstable. MA 02668 5W-36Y-0934 07/24/19 1" = 30' .1 of 2 Install risers w cover over-inlet and Provide Riser over D-box NOTE: All components to be marked with "r NOTE: To prevent breakout, final T.O.F. (Full) outlet to within 6" of final grade magnetic toe or similar prior to final cover. grade of EL. 33.33 to be carried EL. 42.1 (Access Covers min. 20" diam. per Code) to within 6 of final grade 9 P P (Cover to be watertight) out a minimum 15' beyond edge F.G. EL: 41.0± F.G. EL: 40.8 F.G. EL: 38.0 Maintain Min. 2% slope over leach facility to of leach facility. Regrade to Existin t revent Bonding F.G. EL: 35.0-37.2 maintain max. 3' cover. Exist. invert A - Sch. 40 PVC Min. 2" of 1/8 - 3/4" Washed 'Shone or Inspection Ports within 6" to grade 4" EL. 38.4 ° L=24' ; r. Tee Geotextile Fabric / 4" SCH 40 L=36' 3/4" - 1 1/2" Double Washed Stone �(-Top-of" Unit EL. 34.2) • 4" SCH 40 PVC �. L=18 Top of nit or Geotextile Fabric EL. 33.33 ®S=3.4% 2% to• 4 SCH 40 PVC Exist. invert B 14. ®S=8, 1 6® W.' „6 CAS=5.5% 1%MIN ea108M 24 Eff. Depth Sch. 40 PVC ° EL. 37.61 i 12" aaeoaEL. 37.36 EL. 34.17EL. 34.0 aaBaB Bottom EL. 31.0 4" EL. 38.8 ° " SCH 40 P Install Gas Baffle EL. 33.0 Use 3 - 500 Gallon Precast Chambers PROPOSED DB-3 ?: ®S=4.9% 2 H-20 DISTRIBUTION BOX _ (H-20) with Double Washed Stone 5.5' e L=25' 4 4' Ends, 4' Sides Install PVC Inlet & Outlet Tees Waif more for levelness SEPTIC SYSTEM PROFILE c � � ') ( ) � if more than one 33 x 12.83 x 2 c EXISTING 1000 GALLON EL SOIL( L LOG H-10 SEPTIC TANK outlet f TH N.T.S. Bottom of TH-4 SOIL EVALUATOR: AMY VON HONE, R.S. S.E. #251.7 ADDITIONAL' NOTES DESIGN CRITERIA INSPECTOR: DAVID STANTON, R.S., BOH DATE: JULY 22, 2019 11:00 AM Number of Bedrooms:Existing 4 Bedrooms PERCOLATION RATE: <2 MIN/INCH IN C1 (FINE SAND) 1. Contractor to confirm soil suitability prior to installation. Contact BOH .and (Original Design for 3) TH - 1 TH - 2 Design Sanitarian in the event of varying soils from original soil test. Soil Type: Class I EL. 38.9 EL. 38.4 Percolation Rate: <2 min/Inch . 2. Any contaminated materials within 5' of proposed Leach Facility to be 16" Fill A 37.57 16" Fill A 37.07 removed. Replace with clean fill per Title 5 specifications. Daily Flow: P P P 110 Design Flow: G.P.D./Bedrm x 4 =440 G.P.D. Loamy Sand Loamy Sand 440 G.P.D. (Min. Required) - 10YR3/2 10YR3/2 3. Water line to be sleeved at any sewerline crossings and within 10' of any 18" B 37.4 18" 36.9 - septic components, as needed, per Water'De artment requirements. Garbage Grinder: Loamy Sand Loamy.Sand p p q Not Allowed Contractor to verify location of water line prior to construction. 43" 10YR5/6 35.32 43" 10YR5/6 34.82 i Leaching Area (440)/0.74 = 594.59 S.F. Required: Fine Sand . Perc Fine Sand 4• DBox to be placed on 6 crushed stone or• compacted, level base. q 2.5Y6/6 11@ 64"Bottom 2.5Y6/6 P. .D. x 200�440 G Septic Tank Required: = 880 G.P.D 150" 26.4 150" 25.9 Minimum 1000 Gallon (Existing) <9" @ 6:48 min. PERC RATE: <2 MIN/IN. ( C Horizon) Use 3 - 500 Gallon Precast Chambers H-20 with No Groundwater Observed F. Double Washed Stone: 33' x 12.83' x 2' TH - 3 TH - 4 �s�co�o9e EL. 38.5 EL. 38.0 °bJ 2(33' + 12.83')2= 183.32 S.F. Sidewall Area: 1 Bottom Area: 33' x 12.83'= 423.39 S.F. 26' Fill 36.33 26' Fill 35.83 Total Area: 606.71 S.F. A A Desi n Flow Provided: 0.74(606.71 S.F.)= 448.96 G.P.D. " Loamy Sand Loamy Sand 14' 10YR3/2 10YR3/2 24' 36.5 24 151 BUNKER HILL ROAD B . ' B. 36.0 � � � Loamy Sand Loamy Sand -- - �I 14 -°° 4 OSTERVILLE MA 39 10YR5/6 35.25 39-1 10YR5/6 34.75 PREPARED C C Fine Sand Fine Sand Perc 1 aSSOCIateS 2.5Y6/6 2.5Y6/6 ® 60"Bottom Existing Dwelling SEPTIC SYSroa DESIGNs FOR: B & B Excavation Top Fndn. = 42.1' 320 Cotuk Road a n d 150 26.0 150" 25.5 _ a Septic System Sandwich, MA 02563 <9" ® 7:00 min. PERC RATE: <2 MIN/IN. ( C Horizon) (o)508.833.0041 Site Plan George and Rebecca Rose No Groundwater.Observed Z4 (c)5os.274.007a 151 Bunker Hill Road I, Amy L. von Hone, R.S., hereby certify that I am currently approved by O surveying �r OSterVIlle, MA 02655 the DEP pursuant to 310 CMR 15.017 to conduct soil evaluations and r M AHOjalaSurveying that the above analysis has been performed by me consistent with the SEPTIC TIES ArneH Ojala,P.L.S. requirements of 310 CMR 15.017. I further certify that I have 211 Maple street DATE REVISED SCALE SHEET NO. West Bamstable. MA 02666 successfully passed the Soil Evaluator's Exam on November, 1994. 508-362-0934 07/24/19 1" = 30' 2 of 2 ASSESSOR'S MAP: 96 a PARCEL: 007 . o ��r�ii/,aj REFERENCE: LCP 5725-64 Lot 174 & LCP 5725-63 Lot 179/CTF 219829 LOCUS o o o°'F FLOOD ZONE: X Town of Barnstable #25001C0544J(07/16/14) �w s River d m Roo Et Roa j Jc��e`1 /sy ssr �i/iii/ i d j a v LOCUS MAP N.T.S. ej �s W W a5 W W j N80.03'41 "W R� • W W W W W 2 62.0 - W W c j 1 87 / Q) 92.90' �q)� �a 00 / a 8 �o #151 151 BUNKER HILL ROAD c v OSTERVILLE, MA tiss• Lots 174 & 179 associates PREPARED B & B Excavation SEPTIC SYSTEM DESIGNS FOR: 2.8 acres 320 Cotuit Road Site Plan and Sandwich. MA 02563 George and Rebecca Rose (a)508.633.0041(c)5os.2�a.007a 151 Bunker Hill Road Surveying by: Osterville, MA 02655 AH Ojala Surveying ArneH Ojala,P.L.S. 211 Maple Street DATE REVISED SCALE SHEET NO. West Barnstable. �ozsse 07 24 19 Not To Scale 1 Of 1