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HomeMy WebLinkAbout0054 CURRY LANE - Health Curry Lane r _ Osterville 14:0-7 s A = 142 151 e v e° e � e , a , a a a n , , ° n r r TOWN OF BARNSTABLE LOCATION CU Cr y `CkNL SEWAGE# VILLAGE 05,',O jAk ASSESSOR'S IIMAP&PARCEL INSTALLER'S NAME&PHONE NO. piI� Y 5��r•L, LL C. SEPTIC TANK CAPACITY <`* LEACHING FACILITY: (type) 1►A- t (size) I Z,t s NO.OF BEDROOMS I OWNER a�an C' PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on .' site or within 200 feet of leaching facility) % Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin acility) / Feet FURNISHED BY vi V a� ^ -C 1� C - r lit, V r / �O157— bn 1 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS apphLation for Misposal 6pstem COttetCUttion Permit Application for a Permit to Construct( ) Repair( ) Upgrade K Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5 U err Lam 0,st j,-,'jj Owner's Name,AddCss,and Tel.No. Assessor'sMap/Parcel 1yZ, !i 155o Fu�,�, �� ar ;��� n•ta Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ma".9A -T- Ta.�,4 /,e,4L E. Spar, LLC- C-Aa- 'L &Jvrks M, 5'a3 215 O % Adi— Rol. ,t, 0 508-_7767a,; 17- OZ.6,4Lf Type of Building: Dwelling No.of Bedrooms 3 Lot Size 3 1, 1(,13 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures N/p Design Flow(min.required) 33 0 gpd Design flow provided 3 LI 9,7 gpd Plan Date '' Number of/sheets Z. Revision Date N Its Title Pro e z� .sat. 1'e, C-UJV A., VPGr P a.. Size of Septic Tank UtS1 ion Type of S.A.S. C_�gjerc � Description of Soil S �P,st �o`� boas Nature of Repairs or Alterations(Answer when applicable) no,,., 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. Signed Date 1-5-15 Application Approved by (,�•-� - ,al-5 Date Application Disapproved by Date for the following reasons Permit No. 1120 1 5" 60( Date Issued 57 601 No. C? I - Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ll✓// Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Disposal 6pstem Construction Permit Applicatgri.for a Permit to Construct( ) Repair( ) Upgrade(0 Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5 Li Cu r Gni Owner's Name,Address,and Tel.No. ' Assessor's Map/Parcel I4 7 1 g 1 i S 5o r-oJ,_,,J RJ � {{� p)C`.�To.rv.P�a� M 1, Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. -T" "r,,. ,L /Coa�k & S�an� LL c_ L::- .eQ•.�7 Ljor�-s I,%,_ 5 05 J41-7-5313 Z/S OvQ,r A.— Type of Building: Dwelling No.of Bedrooms 3 Lot Size 3 1, 4�8 sq.ft. Garbage Grinder( ) Other Type of Building /'4 /P r No.of Persons Showers( ) Cafeteria( ) Other Fixtures 7v•/!� Design Flow(min.required) 33 O gpd Design flow provided 3 .7 gpd Plan Date 1-5-1 5 Number of sheets 2 Revision Date Title 10 00o,Q d SQ 'c �1.��c,, V P q r-4- {�I aA Size of Septic Tank ex,s f IOoa Type of S.A.S. C. 44-,�ejl ,;, 5 1nns- Description of Soil SP2,2_ led � k1111 +01 s Nature of Repairs or Alterations(Answer when applicable) no-,.,, 14 „•.; _ Date last inspected: r � , 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. Signed -o- Date 1-S-1 S Application Approved by �.�-%� , a-S Date �' S Application Disapproved by Date for the following reasons Permit No. 02o S OV( Date Issued---------------------------------------------------------------------------------------------------------------------------------------- e�� I s 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 1 at 1"I (u r r t1 1 4r J_ a ST{i v_ cc has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.av1 S� ( dated f S Installer rGr l�N t S WA b- L L C., Designer Vde #bedrooms 3 Approved desigt wgpd The issuance of this permit shall not be construed as a guarantee that the system will . ctioed. oDate S i Inspector � --------------------------------------------------------------------------------------------------------------------------------------- No. 02U 6>0 Fee !� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction 312ermit Permission is hereby granted to Construct( t) Repair( () /Upgrade( ) Abandon( ) System located at SL� CtJf( V 1�h�t OST°lt). �L 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 permi� I Date (7 Approved by I TbWh ®f Barngtab e l. PyoFT E, � Regulatory Services s O� . Richard V. Scali,Irateriffi Director , +j lARN ABLE, '• -' y 0"� Public Health Division 91. Thom.as,McKean,Director = 200 Mai i Street,Hyannis,MA 02601 +"j � Offi e: 5 9-862-4644 Fax: 508-790-6304 Installer&•D3esigher Certi#icatioai Form. Da e: td"�Sewage Permit# _A Assessor's Map\Parcel yZ _LT IJV1 agner". �� �4 ���y� C Installer; r0• Ad Tres y 2, (Ac, A s<��(_c ��t , Address: W Pete fe /?24 = � • .ova ®z6 �i ,��-er,� Tar M4 I 's a aZ4Y On was issued a permit to install a (date) (installer) se tics stem at 5`'� Cv 4-�kfxc dil J"J 1i based on a design drawn by I (address) . dated (designer) to a F certify that the septic system referenced above was installed substantially according ' e design, which may include minor approved changes such as lateral relocation of the istribution box and/or septic tank, Strip out'(if required) was inspected and the soils y ere found satisfactory, certify that the septic system , - : 'eater than 1Q lateral -relocation of the SAS or an evert installed relocation changes ent a y n of any component ' k s� f 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 ere found satisfactory. _ 1certify that the system referenced above was consul<q;t �� `c fd t��` With the terms of he l\A approval letters(if applicable) CIVI1 1.6; " NO 331U`f j '�� lit p ( stallees-Signature) ��� ►sr��(`,o/N esigner's Signature), (Affix Designers Stamp Here) P EA•'E;RETURN TO ]3A.3. 57"AISLE PUBLIC;HEALTH DIVISION. Crt�T:IFICr�`1'E O:F C NIPLIANCE_'4�'ILL' NOT—BE ISSUED (TidTIL BOTH' 141S 3?O12i�I AEI) A5 M I CARD ARE R—E-CEIN/ED I3YTHE BAR1INSl'�1BLE• IC .HFALTPI T�JVI:STi?1`Z• RANK - Q\Seel or. esigner Certification Form Rw 8-14+13.doc ' i II - 'i 1 a� r•`.._�A � .r. .; w �•:,�Y-� -�. 4 k I p�� I. w; Y r =J-r+. ,�" ! r�`� _ � c; q..-r k,; S + pN 4S .y a r �� E' t 1 \•" k �, ��. t1 t k'/i(�.T���L.J ^�a c a •y�Y!`�'a•� i���V����� a t'•„-r �.. ©i'::a.�'�a��i� J'-:R441.,•-�. � .:. � � pY�1 •f` �1�5 h"- s'Q�''�+'•G,' t,r �', '' Cr9 '" _ l! -���� -c��' "r C �i°i►�',� ` �� � �" � � #: �,�atys� �cy��y��;�•ice i �.��+� p.,s,�,� s Y e>,z ���.,-�±�_4j, 't-• .. , oY '•. ti �YP1�` 1 .,. .,f b�r�:. t,-,.}'9h dp:C,,*',r�• e' ` .e/yt s� i>� a.3`� `yR 't`..5: ./ `, ♦- s r 1 y !. T I 9y� � sb Yi �� R f � Y�` r � . . 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'i' fl f..• Pi r � J ° l+'c �r�•R toh' �' � s��" .�3 '��'B 1�. .,�^ } !i�'� �"'6����►l� ..,�y,� �, �V'/"iq•. 4 �, y t t + ✓ j ^'"`L:ae't sJ�''` ,tr ' t n PaMN ,I r"1�11I7 m ,, G , LLLi:,I L`�I ru n w ,J `w Ln M Postage $ /f d p Certified Fee 1r r9 A &stmark . a? d RetumReceiptFee C. ere ,`( p (Endorsement Required) Restricted Delivery Fee f� �0) (Endorsement Required) �, r[J Total Postage&Fees $ - - II Charles E & Helen E Porter N % Charles E & Darragh M Porter PO Box 716 Osterville, MA 02655 1 Certified Mail Provides: o A mailing receipt e A unique identifier for your mailpiece' n A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. o 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. o For an additional fee, delivery may be restricted to the addressee or, addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail-receipt isdesired,"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 inquiiy. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 'I n Complete items 1,2,and 3.Also complete A. Signa r item 4 if'Restricted Delivery is desired. ❑Agent X ® Print your name and address on the reverse ❑Addressee so that we can return the card to you. J. B. Received by.( »te Name) at .of D ive ■ Attach this card to the back.of the mailpiece, ��/c or on the front if space permits. D. Is delivery address different from item 19 D Yes 1, Article Addressed to: If YES,,enter delivery address below:- 0 No I,nberly Y:P',Ike & Brian D McCormick " I Weir Road 3. Sp vice Type Irmouth Port, MA 02675Gertified Mail ❑Express Mail O Registered ❑.Return Receipt for Merchandise� ❑Insured Mail ❑O.O.D., 4. Restricted Delivery?(Extra Fee) p.Yes 2. Article Number `, l (transfer from service label)' ! 7 012 1 D:1,Q 0 D D D' 2 8 5,1 3 9 5 5 I PS Form 3811. February 2004 Domestic Return-Receipt +02595-02-M-1540 i UNITED STATES POSTAL SERVICE First-Class Mail Postage&'Fees Paid USPS Permit No.G-10 I _ I •Sender: Please print your name, address, and ZIP+4 in this box • . I I Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 i I f OF SHE Tp� Town of Barnstable Barnstable f Regulatory Services Department A14n,e,cacft nAftNSCABLE, • _, 9 MASS.9. Public Health Division PIfD"`A`0. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7014 1200 0001 0358 0253 December 8, 2014 Charles E & Helen E Porter % Charles E & Darragh M Porter PO Box 716 Osterville, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located 54 Curry Lane, Osterville, MA was last inspected on 11/20/2014, by Mark Polselli, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Septic System is in hydraulic failure o You are ordered to repair or replace the septic system components within sixty . (60) days from the date you receive this notification. Failure to repair/replace�the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health di. Q:\SEPTIC\Letters Septic Inspection.Failures or Future Evl\54 Curry Ln.Ost Dec 2014.doc Ma , C3 .. ru C3 cc F � r - M Postage Certified Fee 0 Return Receipt Fee FEB-ri "- O (Endorsement Required) �^A O } Restricted Delivery Fee (Endorsement Required) ov_sps (U Total Postage&Fees ra rg Stanley P. Nowak TR C r % Oyster Hills,Trust PO Box 550 Barnstable, ma 02630 Certified Mail Provides: �+ o A mailing receipt o A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two years Important Reminders: .e Certified Mail may ONLY 6e combined with First-Class Mail®or Priority Mail& o 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 maybe 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. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". e 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. Ia. IMPORTANT:Save.this receipt and present it when making an inquiry: PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 I ■ Complete items 1,2,and 3.Also complete 7A. Signature _ item 4 if Restricted Delivery is desired. ❑Agent Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed-, ame)' C.Date Deliv y © Attach this card to the back of the mailp iece' or on the front if space permits. D. Is delivery address different'from item 1? Ye 1. Article Addressed to: If YES,enter delivery address below: Cl No 1 , Stanle,i P. Nowak TR I % Oyster Hills Trust PO BOX 550 3. Service Type I ❑Certified Mail® ❑Priority Mail Express' Barnstable, ma 02630 -, ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ^ i7014€ 1200 -0.001€ 0358 0420 a(Transfer from service labeq � Ps Form 3811,July 2013 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 'Sender: Please print your name,address, and ZIP+4®in this box' I I I I F Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601_ I I ililld [t d,4-1'illptill.11;11ill1111li'�i'1llr��i�alllli'�II I I i y Barnstable .�. ; Regulatory Services Department A NARMWaCb � Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7014 1200 0001 035'8 0420 February 24, 2014 Stanley P.Nowak TR % Oyster Hills Trust PO Box 550 Barnstable, MA 02630 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic,system located 54 Curry Lane,Barnstable,MA was last inspected on 11/20/2014,by Mark Polselli, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Septic system is in hydraulic failure. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. I PER ORDER'OF TH BOARD OF HEALTH omas cKean, R.S., CHO Agent of the Board of Health • Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\54 Curry Ln Ost Feb 2015.doc r� , Commonwealth of Massachuse Title 5 Official Inspection Form' 3,� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v C64✓/ Property Address �- 1I (��I ar 4!,3 �o r Te ✓' Owner av ner's Name J/ �/J information is OS (�I {II /" "�/¢ Oj Q,�S / JLo /Al required for every page. Citylrown State Zip Code Date of spec on 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. Unportart:When A. General Information on the out forms on the computer, use only the tab 1. Inspector. key to move your cursor-do not a✓K �./�'� /l� use the return of inspector C /key L &P 0 � E t!i�T mill Company Name Gonpany Address r 1 `, city/Town � n r�(�O State ��n� Zip Code ,Telephone Number //7 License Nu Umber 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 CM 16.000). The system: ❑ Passes ❑ Conditionally Passes Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspect 's Signattae 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 cgpd 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. t9ns•3M3 Title5official l specfimFmn Subsuface Sewage Disposal S)sWm•Page 1 of17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments S`f 6C4 rrPi L mot/ Property Address /_ �— o✓ 7�Q.r O.v ner ON ner's Name /� information isYv!�/ (20 6SS 1/ d o /G,L required for every Or -�— page. Cityfrown State Zip Code Date of In pecti B. Certification (cunt:) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ 1 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) forthe following statements. If"not determined,"please ex0ain. 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): }gam.3ry 3 Title 5 Official Irepactim Form Subsurface SmMe Disposal System•Page 2 of 17 I_ f Commonwealth of Massachusetts Title 5 official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments SY 614 Z- Property Address Jn �T�v ON ner Ory ner's Name �( !1 information is O.S'4VVI`� �/j ya llld-OMI required for every page. Cityfrown State Zip Code Date of Ins tion 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 pipes)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 mannerwhich 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 Sm.-3M3 Title501`ficial InspecfionForm SubsWaosSewageDisposal System-Page 3of17 1 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments erty ,S U✓� L_ Prop Address O✓ / C w ner 0,v ner's Name / �2 information is required for every 6 page. Caty/rown State Zip Code Date of Ins ection B. Certification (coat.) 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 fleet 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 fiscal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no otherfailure 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 ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Di charge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ St is liquid level in the distribution box above outlet invert due to an overloaded r clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than day flow t5ns-3M 3 Titie 5 Official Inspection Form Substrfaoe Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments s CU✓r L- Property Address 0✓Y�t/ Owner Ow ner s Name infonnatron is required for every State Zip Code Date oft specti n page. Cityfrown B. Certification (cont.) Yes No ❑ R equired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ L_�J/ portion of the SAS, cesspool or privy is below high groundwater elevation. ❑ Any portion of cesspool or privy is within 100 fleet of a surface water supply or butary to a surface water supply. p Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ �� ion 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, prov' d that no other failure criteria are triggered.A copy of the analysis 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 16.304. The system owner should contact the appropriate regional office of the Department. t5rs•313 Title 5 Official impectlm Form SubsWace Sewage Disposal System•Page 5 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments <S� t4 yv-P7 Property Address Ory ner Ory ner's Name / /�l information isOS- //�/� Uo���� �, 40 required for every page. Cityfrown State Zip Code Date of I specti n C. Checklist Check if the following have been done. You must indicate"yes'or"no"as to each of the following: Yes No ❑ mping information was provided by the owner, occupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? ❑ s the system received normal flows in the previous two week period? ❑ H rge volumes of water been introduced to the system recently or as part of is inspection? Were as built plans of the system obtained and examined?(If they were not El available note as WA) Was the facility or dwelling inspected for signs of sewage back up? ❑ s 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, sions, 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 'ze and location of the Soil Absorption System (SAS) on the site has n 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): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Ons.3n 3 Title 5 Dftidal I s pecticn Form:Subsuface Serge Dlsposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage DisposalSystem Form -Not for Voluntary /Assessments 9 c� r-url L N Property Address PO✓7�_//_-'f - Ow ner ON ner's Name / �} information is �� 1�// �� o2o II - required for every page. C ityfrown State Zip Code Date of I pectiorf D. System Information Description: a Number of current residents: Does residence have a garbage grinder? M 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 o Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes o Last date of occupancy: Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM R 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: t9ns•3M3 Tile 5 Official Inspection Form SubsWace Seviage Disposal SAlam-Page 7ofV n f Commonwealth of Massachusetts Tithe 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments s S Ct4K Property Address O✓� ner Carr ner's Name inf oS /� / ��/ J information is ✓ ` 6 /,=;x(V required for every page. C ilyrrown State Zip Code Date of N ecfion 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 Ifyes, wlume pumped: gallons Howwas quantity pumped determined? Reason for pumping: Type of Sy Septic tank, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Altemative 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 VA system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): tyre-3M 3 Title 5 Offidal Inspection Fora[Subadme Sewage Disposal S)elem•Page 8 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 'Sy Ct4!f /- Property Address D ON ner OAf ner's Name �} information is required for every page. Cityfrown State Zip Code Date of Yspectioji D. System Information (cont.) Approximate age of all components, �a}�ins�lled(if known)a ,,s e of information: Were sewage odors detected when arriving at the site? ❑ Yes o Building Sewer(locate on site plan): Depth below grade: feet Material of constructi;40 El cast iron PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Materia 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 certific ) f❑ Yes El No (� X Dimensions: (� Sludge depth: �Q VC49 w Sm.•W3 � Title50ffiaallrupectianFortrcSubstrfaeeSa"eDisposalSysem•Page 9of17 Commonwealth of(Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forth -Not for Voluntary Assessments "V SY C't4✓r Property Address 0 QN ner Ow ner's Name required is required for every ✓ � � _ page. City/Town State Zip Code Date of Ins ction D. System Information (cont.) Septic Tank(cont.) 111le vel ,y Distance from top of sludge to bottom of outlet tee or baffle �!l � Scum thickness V Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle l 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.): l Gr4C� Qu1 21a�- I 00 (wse ,1 Grease Trap pocate 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 Distancefirom bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5rr•3N3 riitle50ffidal Inspection Form Subsuface SeyMeDisposal Symm•Page 10 of 17 r Commonwealth of Massachusetts Title 5 ®fficial Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address , ON ner Ory ner's Name information is C)s 4ek,-vl -e- 1, j4 oa (,. o / required for every page. Clly/Town State Z�Code Date of Ins ction D. System Information (cant.) 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 worldng order: ❑ Yes ❑ No Date of last pumping: pate Comments (condition of alarm and float switches, etc.): *Attach:copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Ors-3113 TiU50ffidal InspecfionFcm Suhsuface SewdgeDisposd System-Page 11 or 17 i e Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments S� CU�Y- Property Address ON ner ON ner's Name information is required for every page. C ityrrown State Zip Code We of Inspection D. System Information (cont.) Distribution Sox (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids canyover, any evidence of leakage into or out of box, etc.): //0 rl-e ©✓l Abe Pump Chamber(locate on site plan): Pumps in working order. ❑ Yes ❑ No* Alarms in working order. El 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): 9 SAS not located, explain why: t5ns-3113 Title 6Official Inspecfian Fomc substrfaos sewage oisposal system•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments SY Property Address D Owner Ow ner s Name n�. !// A4 information is �/ IN required for every page. Cityrrown State Z'ip Code Date of 1 spection 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. ❑ innovativetaltemadw system Typetname of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): c5d/ '::W 0 zt GZ L, e� 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 Err.-3M3 TitleSOffidal InspecfionForm Subsurface Sewage Disposal S)"m-Page 13 d 17 _ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address 0/ Ow ner Owner's Name Almation is D�.�2�/r/'6 ,� /'f�/�4 (�I ,6'js 14011y required for every ' '/ page. Cityfrown State Zip Code We of Ifispeetbn D. System Information (cont.) Comments (note condition of soil; signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy pocate on site plan): i Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t9ns-3M3 7ifie5Official Iris pecfimFarm Subsuface SewVe Disposal System-Page 14 d 17 Commonwealth of Massachusetts Tide 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °- Sl� C� Property Address 0 tl ON ner ON ner's Name (/information is required for every page. Cityrrown State Zip Code Date of Ins ection D. System Information (corn.) 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 w supply enters the building. Check one of the boxes below. ❑ d-sketch in the area below drawing attached separately t5i s•Y13 Tile 5 Official Inspection Form Subsirfaos SnMeDisposal System-Page 15 d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address Ow ner OAf ner's Name �p inforrequimation ed f is O� ` ✓yt Ile /� ag-', r page. C ityrrown State Zip Code Date of In pectic D. System Information (cone.) 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 ❑ bserved site(abutting property/observation hole within 160 feet of SAS) Checked with local Board/Iof Health�-jexplain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ns•3M3 Title5officiaiInspectm Form Subsurface Sewage DisposalSystem•Page16of17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Forth -Not fbr Voluntary Assessments Property AddressOw ner information is Owners Name �p / J / required for every '"✓�/`e �3 page. City/Town State Zip Code Date of In pectio E. Report Completeness Checklist Inspection Summary: A, B, C, D, or E checked Inspection Summary D(System Failure Criteria Applicable to All Systems)completed LT Sy em Information—Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I Or.-3M3 TibeMficialhspectim Form SubsufaceSewageDisp osalS m- ys� Page 17 d 17 f S � IryII t U Le c%4iAc- Pr r r 46.0 - 0 t,4 i 1'� r 4LG LO_'1' 70 �.. 1 � � Leo • 1 .. do' 1�rzoC'a�iE t� C�27E.CZ `Ea.ED '`RCy� • S • 4 �yN0. 381�� zvc.U.E, ��rzn1S'T�t�1- GTY, l .4 _. .t�o� . s, aOBTON. MASS. TZE�. LoT 70.: Cy rz�zY; 1.d1� OATczv�Ll. . .. Q�� �7.7co I CERTIFY THAT THIS PLAN IS IN ACCORDANCE WITH "�Fq�Ty Qf ��5`r CURRENT ZONING .LAWS OE THE TOWN OF BARNSTJBLE a L -P. lZ 1 15-I iul 100. 00 Town of Barnstable P# Department of Regulatory Services BAMSTABIA : Public Health Division Date _t'•Z// /I'1 � MASS. A 1639 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd�t Od.,9v IS Suitability Assessment for Se e is o Performed By: Wi . tnessed,By: - LOCATION & GENERAL INFORMATION ���/// Location Address 5�-4: Owner's Name C tie, U C[� ( �p �� �`i Address ®y sk,-H'r/lS Lest k.""It, r`'!.A Assessor's Map/Parcel: 7 (5-f Engineer's Name 1JQ&er—/14c_k5;,�-CA NEW CONSTRUCTION l REPAIR Telephone# �I8` 7��— y 7� Land Use �`-` 'fit ��-�"rr�� Slopes(%) `L ` Surface Stones Distances from: Open Water Body ft Possible Wet Area N1 A ft Drinking Water Well ft Drainage Way ft Property Line �J J ft Other ft SKETCH:(Street name,,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) v S z Parent material(geologic) ` Depth to Bedrock Depth to Groundwater. Standing Water in Hole:_(V,) Weeping from Pit Face t f ' Estimated Seasonal High Groundwater 9 3 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: I I I 1�)) Depth Observed standing in obs.hole: - _ _ _in, Depth to soil mottles: in. Depth to weepi.ig from side of obs.hole: in, Groundwater Adjustment fr. Index Well# Reading Date: Index Well level -Adj,factor— Adj.Groundwater Love(`, PERCOLATION TEST Date , Thne, Observation Hole# 2 —3 Time at h" Depth of Perc � 7�— A0gz 1' Time at 6" Start Pre-soak Time ? '1 . �j Time(911•611) End Pre-soak Rate'Min./Inch. Site Suitability Assessment: Site Passed�_ Site Failed: Additional Testing Needed(Y/N) original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling '(Structure,Stones;Boulders. Consistency, ravel YL4)Z —tao �S l d y i15(& t& -13 �— ,K� Zs I DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% rave Q -Z9 FiLL- Z���y L-S to (L C_ Mom. ern -Z,_!57 y tI DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) � L_s L - 61- I"z � L `�� 16 � G LS Ca�`� s�b DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,° � z'l � 50.E s-S`f q Flood Insurance Rate Man: Above 500 year flood boundary No— Yes .. Within 500 year boundary No Yes Within 100 year flood boundary No\ Yes , ccurrin Death of Naturally O e Pervi ous Material Does at least four feet of naturallyoccurring perviou material exist in all areas observed throughout the area proposed for the soil absorption system? ` 5 -- If not,what is the depth of naturally occurring pervious material? Certification '` q,q I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 310 CMR 15.017. Signature Date r QAS.EPTIC\PERCFORM.DOC LOCATION" �5 / SEWAGE PER IT 1J0. BUILDER �.1MFERE�7,-�S/_S DATE PERMIT ISSUED DATE COMPI.I &NCE ISSUE : No......�1 7 .... Fic$.......j � ... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT .........L..IdG -.......OF........... . .. .. .... .��Gc: ...........-....��...........----- Appliratiun -fur Uiupuual lVorka Tan-9trurtiuu Perutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal syst....G em at4..!7. v c �t't.....0 n•Ad ss or Lot No. r W A ress�/ --�� ` � � Vic. ... . r..... .� E Installer Address d Type of Building Size Lot..Z. 0/._t> ..Sq. feet U Dwelling—No. of Bedrooms..-- .................. .......Expansion Attic ( ) Garbage Grinder ( � aOther—Type of Building ............................ No. of persons---------------...-------.._ Showers ( ) — Cafeteria ( ) Q, Other fixtures .---------- ........... W Design Flow ............ j`Ct_.----------------gallons per person per day. Total daily flow........... - ---...--..........gallons. WSeptic T .. .ank�Liquid capacityo— gallons Length................ Width................ Diameter............---- Depth._--___-_.----- x Disposal Trench—No. ....---- Width.........-.r-,-� Total Length.-...-------........ Total leaching area....................sq. ft. Seepage Pit No-------- ---------- Diameter- --O-/Depth below inlet-...... ..._....... Total leaching area-----------.......sq. ft. z Other Distribution box ( ) Dosing tank ( ) e� " )0 — 7—A X "7A aPercolation Test Results Performed by----------------...................................----------------------- Date.................................. Test Pit No. 1...............-minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ L7, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................-..._... O '------------------- -------- t r P ` ( Descri Description of Soil =� �'%'� �. em XX_ U -----------•.-•---- --- ��'' -� i CS ----•--- ------------------------------------------------ W ---------------------------- -------- --------------•----•--•---•--• ------------------ ...................................................... ............................... U Nature of Repairs or Alterations—Answer when applicable..............................----------.---------..__..-.-..-:----------.-------------..-.___.. ------------------------------------------------------------------......-...........-.......-......---................................................................................. -------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The tinder i ned further agr es not to place the system in operation until a Certificate of Compliance has been issued b o d of hea th. Signed -------------------•--------•- Da11�e�, Application Approved By---•-.. . ". -----�---------- Date Application Disapproved for the following reasons:--------------------------------- -------___..------------..... ............... ---- ............. ..........................----------------------------------- .............-.................... Date Permit No. = •---••---------•-•---•--••-•--••--•... Issued:--`= Date No. ............... Fly$....... ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH/ ....... .� Appliratiun -fur Uiiipuuttl Workii Tutimrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal system,at:y c f ...,...u .. :. l � C e ...I / C -E�t,' '� �ddr ss -C or Lot No. - r gwrier ✓ j f �r A ress ... ........................ ------------------- e------------------------------------- Installer Address ��i- VType of Building Size Lot..Z.Q__G 7_.U__Sq. feet Dwelling—No. of Bedrooms_.___ ------------------- Attic ( ) Garbage Grinder (L�` � `Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P'' Other fixtures ...................................................... W Design Flow................... © Mons per person per day. Total daily flow-__--_____'2'�~ _.._____._..._..gallons. g � -- g P P ' P Y Y g< WSeptic Tank-1 Liquid capacity r �gallons Length________________ Width..__............ Diameter_........_...... Depth..-._-.--_----- xDisposal Trench—No_ ____________________ Widtll_______.___-f_ .. Total Length-----------_........ Total leaching area....................sq. ft. Seepage Pit No.........1--------- Diameter__l y �.. ; e' h below inle ....... .......... Total leaching area.---..__--.-._----sq. ft. z Other Distribution box ( ) Dosing tank ( ) 0A ' > - 2- A aPercolation Test Results Performed bY-------- ------ Date--------------------------------------- a Test Pit No. I................minutes per inch Depth of "Pest Pit-.-_--_--_-_-.___-_- Depth to ground water......____..--.-_..__.. �14 Test Pit No. 2----------------minutes per inch Depth of Test-Pit.................... Depth to ground water............------------ = -------------- -; O Description of Soil------. r t� ,;� = l ' ! �.� fM I. 'Q r t rr�`(r-: f _ y.. ..... W UNature 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 under5jgned further agrees not to place the system in operation until a Certificate of Compliance has been f' / issueVb2y ffoardof �. i ne ------•------•--Sd --- / Date Application Approved B r'. -"f ...l-v .. .✓ - ------------- PP PP Y ....�......_... = ---La--� �� �� � �� � Date Application Disapproved for the following reasons-...................................Le.......................................................................... ......................................................................................................................................................................................................... Date PermitNo........................................................ Issued.............................--------------•------•---- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT r/I...................OF....... �l. �L!✓t " .`.:.................................... (11rdifiratr of 60,otttpliattre THIS-IS TO�GEIAIIF- , iThat,the In dual t age Di osal System constructed ( or Repaired ( ) by-- l - ¢ _' ::'A mot" ✓ .................. . ... ................................ { ! installer yj at ! :�" �c/3' /. ".1�c �f - B rY .�(�......--- 1 ,T.r�: '�•'•� L.:/ �� ....................................... has been installed in accordance with the provisions of AA 6 XI of The State Sanitary Code s described in the application for Disposal Works Construction Permit No ..''�J"_._.? 7 • ---------- dated_..._.f / - PP P ---------- , -/ - -............... THE ISSUANCE OF THIS CERTIFICATE SHALL, NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............P--•---- -------------- ----------._.. Inspector--- = . THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH i � �. .-- . 1 % �-- w ;l...�- (�.ta......... of......Ll ...G �.J........................ No ....................... FEE- .................... Binpuiittl Marko Tana!t�urtiun rrrutit Permission is hereby granted• .•----...... .�.r9� j "1- 'j .................... to Construct (f�or Repair ( ) any In ividual Sewage Disposal�S5j stem 4 Street as shown on the application for Disposal Works Construction PerTr�it No. ..:_.._....,tr Dated___=5:...�. /.__ . , _ _ t Boardyof Health DATE.... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS A •r, m,x.. . � -_^re � :-^ _.--z",-=_;_..._.,-,•._ KF� ,-.»<�'-wanm+-....,-,_^--'vscriisr .-sus..-. _......-. -..�m. .. / S i : oo==:laoLr :6T ,72 r •0 `..LO,'T- 70_. . N►�y•�rz �rz�ti..ur�c niR.oc� �Et� t'�a2TErz .R u �a.JI ARC, 107 �t-To Cvr22yl'aNm. .0 !! j Er2._ ptLL5 _ 4�S�Ea""►r��ti��F�� No. 381 $ �, T 06TON A i o,. Cutzu- Lp1� Os o¢V1l.l.. AVG: �2• ; BM BS., I CERTIFY THAT THIS PLAN IS IN ACCORDANCE WITH "' w, qtTM pf CURRENT ZONING LAWS Or THE TOWN OF BARNST 'BLE I Aa� , JL -&::Lei!cwAc. ?tT le- 72"Q7- ...ccrzcurnF.2 c ' ro • Y� 1 � !K j Q �I 1 .O , to.T 70_. r ee o � i r- �,cD.L�. �'= do' - iu►psy. rz g rz�ti.is nc _hrZO[�G�7E C� �•�C>C2"`'EL2 R f.S lD E.�,G E- -v___T,._... ._�. _- "'"�"-��m ED A RCyi IA a C u rz my L&Nr G �zj ER tLL�, _.. ��``' Ea"NKL% • No. 38 - ; BOSTON. L �E LOT 701.CyrzuY . Avc l2• M^ss I CERTIFY THAT THIS PLAN IS IN ACCORDANCE WITH th of �PSS?`/ CURRENT ZONING LAWS OF THE TOWN OF BARNST BLE .� , LEGEND " N O.ST�'RVIZ fZ - 20 -- EXISTING CONTOUR x 20,1E EXISTING SPOT GRADE -ter- PROPOSED CONTOUR W EXISTING WATER SERVICE oRTLIS AAY G EXISTING GAS SERVICE --0.H.Vie-- OVERHEAD WIRES fs, y y BENCHMARK � TEST PIT MBL 142-072 A BENCHMARK OUTSIDE COR. BOTT. STEP 1 0 EL.=.3G.24 46.34 N 85' 9'20" E P / 1/80.16' ` ► ��0 Locus t \ \ `�..J a6.00 jl. � LOTi 70 ���\ �\ a>.22 aa,22 LOCUS MAP x /��_ �� ,� - NOT TO SCALE ,MBL 142-151 W ,9 31,16� fSF �\\ `- -- �=__`_�'q� 01• 4i•s3 ` z,, l QM 37,48 X_Be- -� 0 \ 42,39 qS x 37.2E 42.5736.3935,93 . � � z 1 LID 51� i • •o +P-4 36.13 36.54 ��, �� o �` GENERAL NOTES: N % �� o 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL OI /EX/STING _ �j� r a BOARD OF HEALTH AND THE DESIGN ENGINEER. i M p 33 �• y',.. HOUSE(#54) ;. 3 3 , r j 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �3g + % !';'; (/26 t5` O'er ao•12 o OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE .26XcD ( 1 ° , T.O.F.=37.OfI,Nµ" `��Q O. LOCAL RULES AND REGULATIONS. j� 3 .03 35.9 ;.G';; ;;;?.;,.. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR % TP-1� 'vi CONCx S 7.63 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DTP-2 DESIGN ENGINEER. PATIO I 3 .60 � � ,' •: 3.: 1 •" DRIVEWAY;<;;:;�-:"• ,-`•.,.,._,•,.;.:.>.•-:-•�'` '"`�' 3s,ea 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING sroNE.. . . � i 3 ,� : ;;; ,.•., .:....: FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN -"� `•;v�:`:: ;'.::..:' >;:'.:`':` ; '`.:':•'`" 37.32 ENGINEER BEFORE CONSTRUCTION CONTINUES. a 7 33.92 +�c x O 35.95 :�..,.: - _ 5. ALL ELEVATIONS BASED ON ASSUMED DATUM (BARNSTABLE G.I.S.t). 1 GARAGE ':r 1.. .. 36.16 -36-- d M r_ \o` __ ---- - -"�\ 38.27 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF M � /, / 35,9Fl�` ___3 - _ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF r l rh i 1 yo \ _----- -3A"- r --- ��\ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. to �v 3 to N/ x 35.93 �- ��\ �' 7. WATER SUPPLIED BY TOWN WATER SERVICE. 32.9 / +Q' J 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. / +• +3� _edge of lawn f✓ _ __--3�---- 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS - _ 8T04.20" E --'r / AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE W 1 i DIRECTED BY THE APPROVING AUTHORITIES. J/ V 32.55:11 �\ /,�a* '��� /-�� -- __�B-L 1-42-`110 �\ t t 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 41 ! / ,�- ------3B_- �� �_2g- - \ / I 1 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING N t / 2{?�� I 1 I CONSTRUCTION. / 1g5.?$' -ivl'BL 142-111 _ \ Mq 1/ + �/ - _ - \ �t SS / / 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS / 32.34 5 � �I -2� _ Q 9� / IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND _�4-��\ \ _� \ s REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). Cr- _--- \ o PETER T. \\ EXIFANG SEPTIC-TA1Vk McENTEE 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE o---� t cn INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. TO EL33.OF TANK,( .= 2 r22--- No. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND INV.�(JUT)=31.9�f IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. \ EXISTING LEACH PITS r FFs �G PROPOSED SEPTIC SYSTEM UPGRADE PLAN \ (approximate locations) \ CONTRACTOR SHALL PUMP, � � -I 54 CURRY LANE, OSTERVILLE, MA FILL WITH SAND & ABANDON Prepared for: Stanley Nowak, 1550 Falmouth Rd, Centerville, MA 02632 -' OWNER OF RECORD STANLEY P. NOWAK TR Engineering by: SCALE DRAWN ,toe. N0. THE OYSTER HILLS TRUST Engineering Works, Inc. 1 =30' P.T.M. 259-14 1550 FALMOUTH RD, SUITE 6 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 1/5/15 P.T.M. 1 Of 2 f NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:31.88 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET AND SET TO 6" OF FINISH GRADE. PROPOSED D-BOX PROPOSED S.A.S. PROVIDE ACCESS TO GRADE OVER OUTLET COVER INSTALL WATERTIGHT RISER & PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" COVER .SET E 6" OF GRADE OF FINISH GRADE'FOR INSPECTION PURPOSES T.O.F.=37.Ot SOIL LOG F.G. EL.=35.9t F.G. EL.=35..5(MAX.) F.G. EL.=35.8f F.G. EL.=35.0t MAINTAIN 2%,GRADE (MIN.) OVER S.A.S. DATE: JANUARY 2, Mc (REF PE(SE3) SOIL EVALUATOR: PETER McENTEE PE(SE#1542) WITNESS: DONNA MIORANDI R.S. HEALTH AGENT i ' L 36' L = 5' ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 0 S=1% (MIN.) ® S=1% (MIN.) _ - 4"SCH40 PVC 4"SCH40 PVC 33.9 FILL 0 34.7 FILL 0 6•• 13. 1a" g• aaaISaaa 31.4 A 30" 32.4 A 28" 14° 6aEaaa6 EXISTING 48" LIQUID aaaaaaa LOAMY SAND LOAMY SAND LEVEL ADD 4' t 4.8' 4' 30.9 10YR 4/2 36" 31.9 10YR 4/2 34" GAS BAFFLE INV.=31.60 PROPOSED INV.=31.43 g B INV.=31.96 D-BOX EFFECTIVE WIDTH = 12.8' . ., LOAMY SAND LOAMY SAND INV.=31.38 10YR 5/6 10YR 5/6 2-500 GALLON'_-LEACHING CHAMBERS 28.9 60" EXISTING SEPTIC TANK C 29.9 C 58" SURROUNDED WITH STONE AS SHOWN PERC h 60"/72" H-20 RATED TOP CONC. ELEV.=32.5t MED. SAND BREAKOUT ELEV.=31.88 MED. SAND 2.5Y 6/4 2.5Y 6/4 NOTES: INV. ELEV.=31.38 ®ease t ease 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=29.38 22.9 132" 23.2 138" INVERTS, PRIOR TO INSTALLATION. 4' 2 X 8.5'=17.0' 4' 4' MIN. OF NATURALLY OCCURRING 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE _ PERVIOUS MATERIAL EFFECTIVE LENGTH = 25.0' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED b - ELEV. TP-3 DEPTH ELEV. TP-4 DEPTH STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. ABOVE GROUNDWATER LEACHING SYSTEM SECTION 0" 35.5 O 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTT. OF TP-1, EL.=22.9 - 35.2 FILL FILL 4) CONTRACTOR SHALL INSPECT EFFLUENT FILTER ON b 3/4" TO 1-1/2" DOUBLE 34.2 A 12" 34.5 A 12" OUTLET TEE AND REPLACE IF NECESSARY. WASHED STONE___j LOAMY SAND LOAMY SAND 10YR 4/2 10YR 4/2 3" LAYER OF 1/8" TO 1/2" 33.9 16" 34.2 16" g B DOUBLE WASHED STONE LOAMY SAND LOAMY SAND SEPTIC SYSTEM PROFILE (OR APPROVED FILTER FABRIC) 10YR 5/6 PERC- 10YR 5/6 - 36"/48" 32.2 40" 31.4 46" C DESIGN CRITERIA c NUMBER OF BEDROOMS: 2, ADDING 1 FOR 3 MED. SAND MED. SAND SOIL TEXTURAL CLASS: CLASS I 2.5Y 6/4 2.5Y 6/4 DESIGN PERCOLATION RATE: <2 MIN/IN r (0.74 GPD/SF LOADING RATE) EX/STING, 24.2 t32" 24.5 132" HOUSE(#54) DAILY FLOW: 330 GPD T.O.F.=37.01- GARAGE NO GROUNDWATER, PERC RATE: <2 MIN./IN. DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO-not permitted with this design LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF Li .74 GPD/SF C? EXISTING SEPTIC TANK: 1000 GALLON CAPACITY (0Nam' PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES �- SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES Ni PROP. S.A.S. 1 ' 54 CURRY LANE, OSTERVILLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. T�-_--_ - Prepared for: Stanley Nowak, 1550 Falmouth Rd, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. -25'-� :` Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:..............................................................471 .2 S.F. ' Engineering Works, Inc. NTS P.T.M. 259-14 Y. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471 .2 SF) = 348.7 GPD S.A.S.LAYOUT 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 1/5/15 P.T.M. 2 Of 2 .� LEGEND N DST�RYILL�' - 20 -- EXISTING CONTOUR x 20.12 EXISTING SPOT GRADE 26 PROPOSED CONTOUR lYAY W EXISTING WATER SERVICE ORTE.S G EXISTING GAS SERVICE --0.H.W. - OVERHEAD WIRES ,fir Y BENCHMARK , TEST PIT a� OUTSIDE COR./BOTT. STEP 6` H BENCHMARK u� EL.=36.24 MBL 142-072 46.34 N� �q7 Mw N 85' 9 20 E i �� 46.00 LOT/70 ,, 44.22 �� LOCUS MAP 41.22 NOT TO SCALE N ,MBL 142-151 x �,.�` �� 31,16� ±SF - e_ 0: 4153 O f; M � '- -�/ 42,39 O n x 37.22 t x t�k+�'} 42.57 CCC� \ + 36.39 35.93 39.40 _ 1 \ CO z 1 ) 12 +` 38 L 51j �Y o '' TP-4 36.13 36.54 �� �0 GENERAL NOTES: _ + o 0 - 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL O`;> TING :;;}: :; � V \�� 3� r a. BOARD OF HEALTH AND THE DESIGN ENGINEER. HOUSE(#54) }: `^'. . 3 ' 3 .\ �� �`. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS W 739� OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE co 1 T.O.F.=37.Of :.:k:•.. i3` 'O ao.12 0 '' ��� d' ' n LOCAL RULES AND REGULATIONS. H' Q 35j� "rr";' 36.17 U 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR L TP-1 W'�' �J CON(;y :03 /9 C? ':.:',r'i'.',. •, _. ` 7.63 ? 1 DTP-2 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE p / ;° DESIGN ENGINEER. 1 ATO f:I 38.84 .,q .W RING CONSTRUCTION DIFFERING 4. ANY CONDITIONS ENCOUNTERED DU I 3 .60 i 35 1.., _ ` FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN :.;�•`• r. . .:•:�:.:'.`'s'•'"•� 37.32 -- ENGINEER BEFORE CONSTRUCTION CONTINUES. 33,92 +c x O 35.95 ,•..i•-r.. .+ 36 o 5. ALL ELEVATIONS BASED ON ASSUMED DATUM (BARNSTABLE G.I.S.t). i GARAGE 3616 __---- M j �� -7 _�- --� 38.27 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF r7 tb 7 359>� �(�- _ `� THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF _ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. x 35.93 S�2,9 `-- 6�� 7. WATER SUPPLIED BY TOWN WATER SERVICE. // + ` - 1 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. Z / / 3L.61 ��� --3c-' -8.2fl2� / +• +3a,7i edge of_lown J ��� __ 3d --- 9, ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS iv 87'04'20" E -r / AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE _ __-- / DIRECTED BY THE APPROVING AUTHORITIES. 32.55:. 3 )4 ����' ��' �B.L-fi42=110 �\ I I 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY p `-� ------�B__ �' THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING N // / ��/ r5•�8 -1�71"BL 142-111 CONSTRUCTION. C>J % 32.34 + Sj -7'7' nf1% __��_ __Z{T�'--- - \\\ �Q�� \OF MASSq�y l 1 1• INERE THE AREA BENEATH ANDTOFORSHALL 5' ONRALL SIDESOVE LOFNTHEABLE S.A.S. OILS AND / �\ `� �T2 �� �� _ ---'��`� �\ o PE`TER T. G� REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). EXIKING SEPTIC--TANR - ��' g McENTEE 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE \ \� TOPk OF TANK,(EL.i _--� o=33.2 j CIVIL N INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND x 4.16 \\ ` \ INV NUT)=31-0�± No. 35109 IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. /S1ER`�� �Q 0 EXISTING LEACH PITS E� PROPOSED SEPTIC SYSTEM UPGRADE PLAN \\ (approximate locations) CONTRACTOR SHALL PUMP, ` 54 CURRY LANE, OSTERVILLE, MA - FILL WITH SAND & ABANDON � I•�� Prepared for: Stanley Nowak, 1550 Falmouth Rd, Centerville, MA 02632 a OWNER OF RECORD STANLEY P. NOWAK TR Engineering by: SCALE DRAWN JOB. N0. THE OYSTER HILLS TRUST Engineering Works, Inc. 1"=30' P.T.M. 259-14 1550 FALMOUTH RD, SUITE 6 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 1/5/15 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:31.88 SEPTIC TANK FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET h AND SET TO 6" OF FINISH GRADE. PROPOSED D-BOX PROPOSED S.A.S. l PROVIDE ACCESS TO GRADE OVER OUTLET COVER INSTALL WATERTIGHT RISER & PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" COVER SET TO 6" T GRADE OF FINISH GRADE FOR INSPECTION PURPOSES T.O.F.=37.Of SOIL LOG F.G. EL.=35.9t F.G. EL.=35.5(MAX.) F.G. EL.=35.8f F.G. EL.=35.Ot MAINTAIN 2% GRADE (MIN.) OVER S.A.S. DATE: JANUARY 2, Mc (REF PE 603) SOIL EVALUATOR: PETER McENTEE PE SE#1542) WITNESS: DONNA MIORANDI R.S. HEALTH AGENT ` L 36' L = 5' ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH ® S=1% (MIN.) ® S=1% (MIN.) • 4"SCH40 PVC 4"SCH40 PVC i 33.9 FILL 0 34.7 FILL 0 10" e• aaa�aaa 31.4 A 30" 32.4 A 28" 14" a1B6aa6 EXISTING 46" LIQUID a®a®aa® LOAMY SAND LOAMY SAND LEVEL ADD 4' 3 4.8' 4' 30.9 10YR 4/2 36" 31.9 10YR 4/2 34„ GAS BAFFLE INV.=31.60 PROPOSED INV.=31.43 B B EFFECTIVE WIDTH = 12D-BO .8' INV.=31.96 - � INV.=31.38 LOAOMYY SAND LOAMY OYR 5/6D 2-500 GALLON`' LEACHING CHAMBERS 28.9 YR 5/6 60" EXISTING SEPTIC TANK C 29.s C ER SJRROUNDED WITH STONE AS SHOWN PERC 60"/72" H'-20 RATED TOP CONIC. ELEV.=32.5t 4, MED. SAND BREAKOUT ELEV.=31.88 -- - - MED. SAND INV. ELEV.=31.38 ease 2.5Y 6/4 2.5Y 6/4 NOTES: eases eases ease eases 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=29.38 22.9 132" 23.2 138" INVERTS, PRIOR TO INSTALLATION. 4' 2 X 8.5'=17.0' 4' 2) D-BOX .SHALL BE SET LEVEL AND TRUE TO GRADE 4' MIN. OF NATURALLY OCCURRINGF EFFECTIVE LENGTH = 25.0 PERVIOUS MATERIAL ON A MECHANICALLY COMPACTED SIX INCH CRUSHED ELEV. TP-3 DEPTH ELEV. TP-4 DEPTH STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. ABOVE GROUNDWATER FACHING SYSTEM SECTION 0„ 0.' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTT. OF TP-1, EL.=22.9 - I 35.2 FILL 35.5 FILL 12" 4) CONTRACTOR SHALL INSPECT EFFLUENT FILTER ON 3/4" TO 1-1/2" DOUBLE 34.2 A 12" 34.5 A OUTLET TEE AND REPLACE IF NECESSARY. WASHED STONE LOAMY SAND LOAMY SAND 10YR 4/2 10YR 4/2 3" LAYER OF 1/8" TO 1/2" 33.9 B 16" 34.2 B 16" SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE LOAMY SAND LOAMY SAND s' (OR APPROVED FILTER FABRIC) 10YR 5/6 PERC 10YR 5/6 36"/48". 32.2 40" j 31.4 46" C C DESIGN CRITERIA i NUMBER OF BEDROOMS: 2, ADDING 1 FOR 3 MED. SAND MED. SAND SOIL TEXTURAL CLASS: CLASS I ; 2.5Y 6/4 2.5Y 6/4 DESIGN PERCOLATION RATE: <2 MIN/IN ; TING, 24.2 132" 24.5 132" (0.74 GPD/SF LOADING RATE) EX/S DAILY FLOW: 330 GPD T.O.F.=37 01- RAGE HOUSE . NO GROUNDWATER, PERC RATE: <2 MIN./IN. f GA DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO-not permitted with this, design {{ LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF t .74 GPD/SF CP EXISTING SEPTIC TANK: 1000 GALLON CAPACITY N rye. PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES _ -- SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES ' 54 CURRY LANE, OSTERVILLE, MA A PROP. S.A.S. ! SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. ZL---__-- i Prepared for: Stanley Nowak, 1550 Falmouth Rd, Centerville, MA 02632 BOTTOM AREA: 12.8' x. 25.0' = 320.0 S.F. 1 25'--I Engineering by: SCALE DRAWN JOB. N0. TOTAL AREA:............ ..... ••471.2 S.F. Engineering Works, Inc. NTS P.T.M. 259-14 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471 .2 SF) = 348.7 GPD S.A.S.LAYOUT 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 9 (508) 477-5313 1/5/15 P.T.M. 2 Of 2 I ' r -:: O: '3 I M i ro Q i — i h v -- --- - - �__—.___.-1 - , Du• 1atgFtL f d, a -- �- - o Ytv �1TStt-e,n - - �'jIF:IG 7LA1J6" r ',` i --- - •-Q_—_ �'rTrc-c�-=-'�la L-�$att-6� .-, �'c-D.u-r-- r°'�1 t�f,..... _... t f✓��ES fv� i Mr ' 1 ,_-.. �'h RAl GTiD4l 70RiTs-, Rt'RY IGE(--WATT 0.' T 5.� 1_11dAGRkb)- � 5Co'i 14=o II —F1=CSC3��1�.t�--__YF�71S�D-ATTIC ! TrP �1-2y � IL Y, 1 Z.a ®16'TTf t 21 - !/ XT'rS'1=13�OOM tcmzE -�-TOTarP- —FSETu_- ._-_.._.... � --DU3JWZ;--- I�IILLL'✓��� �.8—T3 sfcn____ -v..ff-airar.r�yt — —Mfrc O 01 , lee -,�- --- - - - - - : f€G7-.PA7,fE.�'-BfiFAbaM - �I,Zrp>?--.as cneeY-.- YSf.__t1 I� �rTGTI f511 l41'gJC7q iL�p ---- - - T4�.= _gaff. t7soe:Yiwaa'rs�-GPSION Gmel•a)Notes: 1.All work to be performed in accordance with Massachusetts State Building Code,780 CMR, Attic Renovation- �uc_ '-� -- -� � - � � � 1 � � � ' Eighth Edition,IBC 1009,and applicable codes included by reference.Framing to be in ut, accordance with the American Wood Council Wood Frame Construction Manual,110 MPH Zone.All work to be as approved or directed by local authorities having jurisdiction. 2.Contractor to secure all permits,and to arrange for inspections by local authorities having ()' //�� L �g !,S ' o r' .J, 17) jurisdiction,as may be required. 4 / And('ei S WStrikis f 3.Woin a legal manner.rk to be left in clean condition,ready for use and occupancy.All debris to be disposed off - - g5 River VVim]me,Crntmille,MAOt site 632•Telephone'(SUB)790-0920 a�S 4.Contractor to install or upgrade all plumbing,electrical,heating and venting systems as --- - - c- - Sections required,per code.Install and upgrade all fire protection systems per applicable codes,or as mayhe d required ouired-by local authorities having jurisdiction,including smoke and carbon monoxide Al - 54 Curry Lane,Osterville, MA i i 12 I L=SHIFLLIES�-._—_ 12 ir I synua,-Trr. wto"o-CM.:WN)T.L:SYP. - DO flu s2 IT- 11 l 1 t I I I i I I -��tikew �K9 _ Ll�Z�T19.N_.-(�g1.S7IhLCG--- N7.":STD _Fi E1lATfON i 1 .431>_e.gooe TTII I Lim I I I 1 i I l I '-1 ------- ----�i r---- --- 1 Andrejs R Strikis Architect 85 Riw Vie-1m Ccnl—Alle,MA 02632-T :(308)790-0920 Elevations 54 Curry Lane,Osterville,MA A2 %4=I c 12-IS-14 RxS _---^ 52. 6 j t..� -- o 1 Aft � i�, ►.r �s�N�S.h�p 54 CURRY LANE OSTERVILLE, MA z