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HomeMy WebLinkAbout0027 FOX HOLLOW LANE - Health 27 FOX HOLLOW LANE, OSTERVILLE A= u 1 i /O hl Commonwealth of Massachusetts IFTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments � �/� ) 4,,1� O17 Property ddress Owner Owners Name information is required for every 02P C7 zo- .,j_ page. Cdyfrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: f key to move your f cursor-do not Jz,1 E- A vv t c S i n� use the return Name of Inspector key�.��� pe Company Name 34 Company Address[- A� / learn r � �1 1 �""J Cityfrown CS JState 7 ?L(—ZJF=l�j3 zip codee 70 Telephone Number License Number B. Certification . I certify that 1 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 Approving Authority Inspectors Signat re Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. teins•3r,3 Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Z7 + 1 T Property Address` Owner / e G✓f P wner's Name +� O information is required for every page. city/Town State Zip Code Dato of Inspection B. Certification (cunt.) Inspection Summary:Check A,B,C,D or E I 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 exilltration 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): I t5ins-3M3 _ Commonwealth of Massachusetts Title 5 Officinal Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Z'7 6K 1A//o Gn r_G C?f7 Property Address 7/2iyJ0 k Owner Owner's Name information is 0 J 7_ Ja-, 14 f�4 required for every (ems page. City/-town State Zip Code Date of Insp ection B. Certification (cunt.) ❑ 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. I. System will puss 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•3/13 rme 5 Off'"kNRvWon F`suesurtace 900'11gy Disposes SWffln.MP 3 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y' 1 7 7 /� //o L+n , 017— Propedy Agoress 2dyIo Owner Owner's Name information is 0 JT mac- --o J46A-e ��2�`Y ©�?�j-r required for every page_ Cityffown 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 181ns•3/13 nl-5 Qfry W hr-vaugun Form;SuDamm Gmoa uiapwai t pfa •P qr d of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Property Add Owner Owner's Name information is 01�r-— P�P,,-o JAt 0? 0 I'VKJT tI/l aA- required for every page. City mown State Zip Code Date of Inspection B. Certification (cunt.) Yes No ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ @r Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ [2/" Any portion of cesspool or privy Is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ Ed- Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ 02"' 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. ❑ L9" 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. thins•M3 Title 6 Ortitial tppe Fsnrtc Subaurom Sewage DispOsdl System•Page 6 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 7 rro x A//o w 4&,, OJ7- Property Add Itl C7 W f C? W Owner Owner's Name rr�� information is S.j— Nr ✓!n✓' � �A /f�� C�76J� ���� required for every � page. Cityrrown state Zip Code Date of Inspedion . 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 ❑ R'— 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? ❑ o 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? L� ❑ Was the site inspected for signs of break out? Lf ❑ Were all system components, excluding the SAS, located on site? 9 ❑ 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: L�J ❑ Existing information. For example, a plan at the Board of Health. Q/ ❑ 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): 1 D Ibms•W3 Title 5 Oflidef Insp6Wor1 Form;Subsurfaces Sewage Disposal System•Page a or 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments � Z7 rilIe4 , ��� Property Address /_f/-_�91A,1J0 ti Owner Owner's Name information is required for every a page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes B--N"o Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes Ek'ho 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 f` .Last date of occupancy: C.VVWDate Commerciallindustrial Flow Conditions: Type of Establishment: _— Design flow(based on 310 CMR 15.203): Gallons per day(gpsl) 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: —- - tSino.3/13 Tine 5 Oftldet lnapectlon FortrK$ypgyr(ace$swaps Diq)n.sd System•Page 7 yr 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Z 7 l-sX 19611c, �L h , 017- Property Add Owner Owners Name ;T information is 0S 0 M, j J required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records ! ; ,M u,f��c a 24er v?151 �Cct/e Records: Source of information: -w 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/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 I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Wins•3113 Tile 5 Vftid trupactian Forth:Subsarece Sewag9 Dlap0a213yNem•Psge 8 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments F Property Address - Owner Owner's Name information is required for every _.....___ page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed(if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron . Jg40 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 Material of construction: concrete 0 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: —y /Lift / Sludge depth: - t5ins•3113 TiBe 5 ORdW h4wcdlon Farms S1Wurfate Sewage Diwi"- System•Nge 9 ar 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments h Property Addre &0?4V � Owner Owners Name information is 0,'T-- &_r.N1 lle ���� Y /I AS required for every St page. City/Town ate Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 3 Z r I Scum thickness Distance from top of scum to top of outlet tee or baffle ,r Distance from bottom of scum to bottom of outlet tee or baffle - How were dimensions determined? `ek, f �� Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,,evidence of leakage, etc.): (OC,c C 6114 OIC4t !e %�k . L 1� U i Qr��.� �' Gam' B vpr� l (r am l y f ih,/ cxi'1 G t'e7re or?/wa, 7W Gva'a C Grease Trap(locate on site plan): ✓ 1114 Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene El 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•3/13 lkte 8 Offiewl tnspedion Form:Subwrfaw Sewage Disposal System•Page 10 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Property Addred //Gvy.1 0 y1 Owner owner's Name information is ®S T �p� !A JAL 16/� required for every page. Cityrrowwn State Zip Code Date of Inspection D. System Information (cunt.) 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): X lA 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.): P "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 U(fieal Erupection Fwm.9uLxurfaw$swage Dlsposel Sys[em•page I I M 9 I Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Property Address -/e iv Owner Owner's Name information is ®.f T- required for every page. Cityrrown State Zip Code Date of Inspection D. System Information cont. Distribution Box if resent must be opened) G �� cl o dt -Ar Tv� ( p ed locate on site plan):p )( p a )• e� Depth of liquid level above outlet invert - 19 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.): v -Zy b e 2 eJ-9)� t a'" 7- ovY64- 4 = S© ��d.1 G�x.rvy 06,farv.(w � �G✓� � �t_ ��l i► C�<�'Pam' d��Y-r?G+� � I�% c�i�/�^'�!9 �bpL Is S(a rr('d A Pump Chamber(locate on site plan): f 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-3/13 Title 5 Official Inspection Form-Subsurtaee Sewage Disposal System-Page 12 of 17 f Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 I-oxf� ti, QfT Property Add71? w' t7 fit Owner Owner's Name information is O S r- required for every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Type: ❑ leaching pits number zl�leaching chambers number: ❑ leaching galleries number. ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil, condition of vegetation etc_ : er6 Y.rz r c-eo<, 7°,� d y J f —S}75 c9 Y� t 1 7 2 ski zCr i j,u-vv 4v 4,*-vv i, J`in7 i,,ot Crn d, 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 15ins•3113 Title 5 Oftal InWedion Fumy:Suhsurfaoe Sewage ompasei System-Pap I J 0117 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Property Add Owner Owner's Name information is t4 j*6le. -� ® required for every page. Citylrown 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 o solids li Depth s ds Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•Y13 Title 6 offidd trwpeotlon ronn:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,. Z 7 � l�w�� , 0S " Property Adder Owner Owner's Name information is 01 r`- L�-j�6�� �`� ff- ®Z —q t��11-5 required for every �4' page, Cityrrown 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 15ins•3113 Title 5 Wr iel Inspedon 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 y Z 7 /�� ///lrw '� T Property Add P tv J,0 0 Owner Owner's Name information is d Sr EA,m.f 4 required for every page. cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: heck Slope [Surface water Check cellar ❑ Shallow wells Estimated depth to high ground water: reef 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 [f 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: Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins-WI S Me 5 olBaal Inspection Pone:Subsurface Sewage Disposal System-Faye 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Y I // Property Address eWj0 t,7 Owner Owner's Name ,per c�-- information is T �'{���J /_ Jv. 411- 0 ;j 11 9.r-11✓ required for every J F�13� ft 7l - page. CityfTown 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 CTI'S'ystem Information—Estimated depth to high groundwater F Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 TOWN OF BARNSTABLE LOCATION 5L7 jfoV- A341a— /-,q SEWAGE# ft d S VII.I.AGE O S ASSESSOR'S MAP&PARCEL/ OaDr'J6 INSTALLERS NAME&PHONE NO. 1?d 4 ?S•- F 7 9 G SEPTIC TANK CAPACITY to a r� LEACHING FACILITY:(type)�. 14.L u .L L (size) /3 �•,t f-�.� NO.OF BEDROOMS 3 OWNER i((� +c..fog• PERMIT DATE: .A-�5-a c'+f COMPLIANCE DATE:,Z-.X o—a Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any welts 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 � h6�� 6 Lo II� T VET Town of Barnstable office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department + Public Health Division nax:v�nat.�, � ub . MASS. Thomas A. McKean,CH6 $�Fa 59- 200 Main Street, Hyannis,MA.02601 Payment Receipt . ;Septic Inspection Payment received: $25.00 (Check) on 4/16/2015 Permit number: 10772 'Check number: 4011 Check amount: 2$ 5.00 Name on check: Glen E. Harrington I 'Owner: RICHARD J]R HEWSON 'Address: 27 FOX HOLLOW LANE, Osterville II Town of Barnstable P# f Department of Regulatory Services ' Public Health Division • " : R�R111RT1R_/� : Date � MAFs a 19. 200 Main Street,Hyannis MA 02601 A = Date Scheduled ZogyTime-j/ -.-Fee I Soil!Suitability Assessment for Sewage Disposal ' k Performed s faH 1J D lnJ� SC . O i7iJ fJ iV l� i"�109#0 D/ Y Witnessed By: !.I _LOCATION&GENERAL INFORMAT((�I�ON Location Address. - - -- 27 Jjt qL9////oh✓ L4 Owner's Name Ili G�1.1 rof RGW Son D sF�r v,I le Address ro f oll�w `�► C�S�PI`v�l� Assessor's Map/Parcel• — Engineer's Name �(1 c e NUia- ,(COd$H�dI�D NEW CONSTRUCTION REPAIIt Telephone# SD g Land Use (ZN5 t d Eft I Z�D - } - Slopes(`�) Surface Stones Distances from: Open Water Body ®d-r- _ ft Possible Wet Area 100 tM1 ft Drinking Water Well 1004: ft Drainage Way 0.. - ft Property Line Other ft , SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) TP-2 A Q TP-1 6 1 GROUNDWATER ADJUSTMENT EXISTING GROUNDWATER LEVEL 1 BASED ON TOWN OF BARNSTABLE GIS DEPARTMENT RECORDS. m INDICATED GW 15.00 INDEX WELL M1W-29 ZONE D READING DATE JAN, 2006 READING 9.5 i 1 I ADJUSTMENT 6.3 1 �4 Ft ADJUSTED GW. 21.3 t Parent material(geologic) t � G1Gi U] �U� S`7 Depth to Bedrock p g Weeping from Pit Face Depth to Groundwater. Standing Water in Hole: IVCJ Estimated Seasonal High Groundwater 5ee g by e DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: See 01 o✓9- c Depth Observed standing in obs.hole: _ _ in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor ,Adj.Groundwater level PERCOLATION TEST Dgto:91'/01 Tf." e,l 4-M Observation N `� Hole# Time at 9�� l t V1 Time at 6" b`y Depth of Pero to Start Pre-soak Time® s r Time(9"41 y End Pre-soak , 1 Rate Min./Inch 2 y4 P 1 r 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:XSEPCICTERCFORM.DOC S 0 1 L T E S T L-0 G , DATE OF TEST: FEBRUARY 11. 2008 - 1 APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR, #461 WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. i PERC NUMBER:-- - 12102 - 4 NO TEST PIT I PAARENTUMAATERIA :ENCOUNTERED PROGLACIAL OUTWASH PERC AT 84 in - 2 MIN/INCH IN C SOILS j ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 35.25 (INCHES) HORIZON TEXTURE , (MUNSELL) MOTTLING FILL I 0-26 FI_ _ _ 26-32 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 30.25 32-60 B' - LOAMY SAND 10 YR 4/6 NONE LOOSE { ._ 60-132 C MEDUIM SAND 10 YR 5/4 NONE LOOSE 24.25 NO TEST PIT- 2- PAARENOTUMATERIAL: PROGLA IALD OUTWASH 2 MIN/INCH IN. C SOILS ELEVATION DEPTH SOIL USDA SOIL- SOIL COLOR SOIL OTHER 32.70 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 0-10 FILL _ 10-1B' Ap _ LOAMY SAND 10 YR 2/2 NONE FRIABLE 28.95 16-45 B LOAMY SAND 10 YR 4/6 NONE LOOSE 45-144 C MEDUIM SAND 10 YR 6/4 NONE LOOSE ! 20.70 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons* ten Flood Insurance Rate Man: Above 500 year flood boundary. No_ Yes ✓_ Within 500 year boundary No V" Yes Within 100 year flood boundary No✓ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Ve 5 _ If not,what is the depth of naturally occurring.pervious material? Certification I certify that on �dJ lqy S (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 aild experience described in 310 CMR 15.017. sH OF Mass �w #4� Date reb it, 2" ��°av DAVID Signature o D. COUGHANOWIR ENSE10 Q QAsEPTIGIPERCFORM.DOC /� E V A L U PLO f^ , V TOWN OF BARNSTABLE J26CATION SEWAGE# fs f 0 )VILLAGE 0 ASSESSOR'S MAP&PARCEL/K— C% 0a I INSTALLERS NAME&PHONE NO. -7 ? f �.. SEPTIC TANK CAPACITY �U i � f LEACHING FACILITY.(type) , �4.2-fa C, (size) /3 'NO.OF BEDROOMS 3 OWNER t.;So^� PERMIT DATE: A-/ y- 6 COMPLIANCE DATE: . Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY � :. � �. �� _i F�� �, /�1 � v i f `, ii �1 �a � � , :ti_.,,f.v.:._.., �,, ,a.� � ,._....._ ..._ �� — -- -_._' R�� �� - . . 1� � pi No. -� Fee 1�®✓ J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Q PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYication for Migpont 6p!6tem Construction Permit Application for a Permit to Construct( ) Repair Z-fi Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot�No.�I l5 (40'-O Owner's Name,Aodres4ndeTel.No. Assessor's Map/Parcel >� t ) 11C70 nstaller's NamLAddress and Tel.No. Designer's Name d ess and Tel.No. Type of Building: Dwelling No.of Bedrooms �� Lot Size sq. ft. Garbage Grinder (n� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided grid Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)❑OS O-U Ct_ "���I���c��;-�� C9 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. Signe `� t ` Date -- ✓G Application Approved by Date Application Disapproved by: Date for the following reasons 76L Permit No. Date Issued /• ( 1 No. � r� � l' Fee4 THE COMMONWEALTH OF MASSACHUSETTS ,, Entered in computer: O 1 PUBLIC HEALTH DIVISION ' TOWN OF BARNSTABLE, MASSACHUSETTS Yes_ . 2pprication for Migpooar *p�tem Cow6tructton Permit Application for a Permit to Construct O Repair'O Upgrade O Abandon O ❑Complete System ❑Individual Components Location Address(s�o.,r Lot No.'�t 1 'o Owgerr''spName,Addres`s,iand Tel.No. sotr s Ma /Par�el 1(it i 1 T e l . p a� L)' �'�x�b1lc ,� t� e,�s�e-�v► U e , Installer's me,Address,and Tel.No. � Designer's Name,Address and Tel.No. cc { Type of Building: r_ Dwelling .No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons• -, �1 Showers( ) Cafeteria( ) f Other Fixtures Design Flow(min.'required) gpd Design flow provided gpd _ Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil - Nature of Repairs or Alterations(Answer when applicable)=0S+c. fi— . 0— ne,,; 1 t .1 5- -_j 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. 4 Signed- i Wyk _old,- Date —/� g� G Application Approved by // ¢'!'y�% irr/// Y Date Application Disapproved by: V r d m� i -C. i Date for the following reasons Permit No. Date Issued UP— _ -7 ——————————————-———————————————,—————----——— 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 W(" �� at o) 'Fc>x ��n\�N,-) 'DSk,,, U( LtL has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. r1"'"" dated Installer n Designer #bedrooms Approved design flow ,�, gpd C The issuance of this permit sha-11 not be cons�ued as a guarantee that the system wi4 function as/d�ejsi�gf e�dr Date Inspector m, 1s. ----- — ^ —J— ------ . —/ten THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE, MASSACHUSETTS X01h5p far *p stem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at V:bX r�O�t C-rLo and as describedrr the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditionspOe Provided: Constructio mu t be completed within three years of the date of thDateI� Approved by , t ._------ --- -------- - -- -- _ . -- Town:of Barnstable Rggulit€ _.Se ces 0 - Thomas:F Geller;Director MUM l ublic_Health Division_ Thomas McKean;_Director 200 Main Street,Hyannis,MA-02601 -.Office::508-862=4644 Fag: 508-790-6304 Installer"&Designer Certification-Form Date:' 7"11_64 `" Sewage.Pernit - Assessor's"Map\Parcel I „ . � 1 infer �C Resigner• - _ Address: : `�t31 I �C� I� l�l` 1" Address - .. 0 1�6�l Val ' on : l .issued a permit t6install a (d (installer) ." septic system at o �? Q X- Id�.16u� based-on-ad esign drawn by. (address) U 1 a .domed a . 4. I certify that:tlie_septrc system referenced-above was"ins Aa edbstantially:according to . the design; which may include nimor approved changes such as lateral relocation-of.the:_ distribution-box:an or--- tanl� I certify that ahe septic:system_referenced above:was:installed with major changes. greater"than i_0'.lateral:relocation.of the.SAS or any vertical relocation-of ally-component ; of the septic system)but i�i acx. dcetith`State 13i kcal Re�ilatits" Plan ievisron or 'certified as-built-by designer to"follow: - -xD i OF Mq qV �yGN (Ins ler'"s Signature). - o D.!) . CO N UGHANOWR No:,1093 � o - - S (Designer-'s_Signature}. (-Affix Desid H e� PLEASE_:I2ETLTRI�i :TOMBARI STP�Bi PUBS€C .TH :DIVISIQN. COWLL4NCE'.VALL .NOT--BE UNTIL BOTH-.'Ti S.FO M.AND AS-BUILT RECEMD BY"THE-B.ARNSTABLE PUBLIC.EmALTH Drymo-N.:-.r ANK-YUU.. ::." .. Q Health/Sepik/Deiigner-Ce�#ifcatiiin-For 3-26-04 f. No. it i Fee OD THE COMMONWEALTH OF MASSAGr�JSETTS Entered in computer: (� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZppYicattou for �Digpogar 6p5tem Cora,5tructtou Vermtt Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ❑.Complete System Individual Components LocatiiAonee Address or Lot NAo.' a7 S'T(e f'%Q� C k f 6 e Owner's Npame,Address;and Tel.No. i Assessor's Map/Parcel ISO dsci Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 'Z Lot Size 6,yC.b sq.ft. Garbage Grinder ( ) Other Type of Building Y 00%r No.of Persons 2 Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 gpd Design flow provided ' 3 y t 4Y- gpd ' Plan Date Number of sheets Revision Date Title Size of Septic Tank (ajC) (--At S�j nie Type of S.A.S. YoS 26< 1'11G ( ,2 Description of Soil Nature of Repairs or Alterations(Answer when applicable) �g%iS�C:c 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 Bgarqf Health. Signed Date .7 " U Application Approved by Date 2 Q� Application Disapproved by: Date for the following reasons Permit No. . U 09—o � Date Issued <t jj� E ter, No. Ui —Q pd Fee IUD- 4 a Entered in computer: THE COMMONWEALTH OF MASSACI WISETTS`' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplicatiou for aigponl * gtem Con0tructiou Permit Application for a Permit to Construct O Repair( { Upgrade( Abandon( ❑.Complete System Individual Components Location Address or Lot No. �2 7 S T f e e T Q p C l f Ck le Owner's Name,Address;and Tel.No. /lAas,a b% WAS FrO'Jk)iN � L0,o5 6, IN�I i Assessor's Map/Parcel /Sd C75ei ° Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. " 17c j1t9s 13fowtJ 50 _`pp- /S -Po we-.) Meyef Type of Building: DwellingNo.of Bedrooms '2 Lot Size 26,1 t, /Q') sq.ft. Garbage Grinder ( ) Other Type of Building 60Os No.of Persons 1 Showers( ) Cafeteria( ) Other Fixtures Design Flow,(min.required) gpd Design flow provided 33 y gpd Plan Date Number of sheets Revision Date Title i Size of Septic Tank 1 C OO j°x l S 1-i Type of S.A.S. ?, '3Q S 25 X 12,ICA,1� Description of Soil Nature of Repairs or Alterations(Answer when applicable) l NS�[°� �l w NPu) 5, A . Date last inspected: i Agreement: e - 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 Bo Health. j' Signed Date 2 ` / 7 - O?S Application App V=o ed by , Date Application Disapproved by: Date t for the following reasons I Permit No. U VA U, Date Issued / 0 ——————— _j-------------- ----- -------------- THE COMMONWEALTH OF MASSACHUSETTS f BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired Upgraded Abandoned ( ) Abandoned( )by %3 c I G s A 73, (ow tJ at n c',Cc Ln /V,G Sk ,AA,1 le has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.p p y _)y0t— 00 dated / 4 / f ems'-•z, ��.�,.... �t Installer _,(n J�i a Q rrx.�r` i Designer o PcJ /1/� r #bedrooms D Approved design flow -3 O gpd The issuance of this permit shall not be co trued s a guarantee that the system 11 ancJtton asry designed. �A Date � Inspector % / Ff�I.�I' / �j�j i�. V v J No. 'kq`U� Fee d d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwtgogal 6pgtem Collgtruction Permit ! Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at 'I i ra,!' firma (',f,-6 i1& i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Co I stnLiction must be completed within three years of the date of this, it. Date 2 U 1 - Q Q Approved by. � r), f t Town of Barnstable � E � Regulatory Services Thomas F. Geiler,Director wixarna�.E. • . �XAS& Public Health Division 1639. Thomas McKean, Director - — 200 Main Street,Hyannis,MA 02601 Office: 5037362-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Q 'Z� Sewage Permit# �;7r Assessor's Ma \Parcel LrO p Designer: i 6�1n►� in V " 11�- '� Installer: Address: _ Gib b'' Address: but On was issued a permit to install a (date) / (installer) �/+ septic system at ( 1Z'��c"- 3'i a IL6 L based on a design drawn by (address) dated (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved chanores such as.,lateral relocation of the distribution box and/or septic tank. 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 & Loca ns. Plan revision or certified as-built by designer to follow. OF MASS q�, N No. 1140 staller's Signature) Q{cCISTS¢� • sAAilTAB1k� ,"� t -� k4- a� (Designer's ISiunature),f (Affix Designer's Stamp Here) PLEASE RETURN 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 YOU. Q: Health/Septic/Designer Certification Form 3=2674doc f 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION Address of property 27 Fox Hollow Rom, DST rf Owner's name B. Thompson 00", Date of Inspection 9-26-95 C 1 3 l aA PART A e� 990 CHECKLIST r Check if the following have been done: ' 11 /Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. 1,11 The site was inspected for signs of breakout. . All system components, excluding the SAS, have been located on the site. _ZThe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. , The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. The facility .owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential .3 number of bedrooms number of current residents Al garbage grinder, yes or no laundry connected to system, yes or no AV seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: Last date of occupancy GENERAL INFORMATION Pumping records and source of informLat'on: /y+�/ �/ V(J ej ,�� Id A, 4 ! Va Il/r 1- System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: Typq. 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) Other (explain) Approximate age of all components. Date installed, if known. Source of information: !' i vx5 Sewage odors detected when arriving at the site, yes or no ' 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK: (locate on site plan) depth below grade: material of construction: _zconcrete metal FRP other(explain) IN dimensions: 1_j �/ '� 6 sludge depth 31,''distance from top of sludge to bottom of outlet tee or baffle a/ '? ' scum thickness " distance from top of scum to top of outlet tee or baffle __"2�'distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations gor repairs, etc. ) DISTRIBUTION BOX: (locate on site plan) _0 depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc. ) PUMP CHAMBE/sin (locate on lan) puworking order, yes or no Comments: (note condition of pump ch, tuber, condition of pumps and appurtenances, recommendations for main nance or repairs,etc. ) 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INNFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : 9/ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type leaching pits and number 1 -- 16 --0 s la )- �-, leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool, number Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) CESSPOOLS (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 (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) PRIVY: (locate on site plan) materials of construction dimensions depth of solids Comments: (note condition of soil, ,signs of hydra ic .failure, level of ponding, condition of vegetation, recommendatio s for maintenance or repairs,etc. ) 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 3yt 36 DEPTH TO GROUNDWATER 4- depth to groundwater method of determination or approximation: 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined", explain why not) Backup of sewage into facility? A-"'- Discharge or ponding of effluent to the surface of the ground or surface waters? ✓ Static liquid level in the distribution box above outlet invert? Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? ZRequired pumping 4 times or more in the last year? number of times pumped Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: below the high groundwater elevation? within 50 feet of a surface water? within 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well? within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? k within 50 feet of a private water supply well? A/less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysi for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. TOWN OF Barnstable BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D - CERTIFICATION -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 27 Fox Hollow Rd ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME B. Thompson PART D - CERTIFICATION NAME OF INSPECTOR W.E. Robinson Sr COMPANY NAME W.E. Robisnon Septic Service COMPANY ADDRESS P.O. Box 1089 Centerville MA 02632 Street Town or City State ZIP COMPANY TELEPHONE ( 508 ) 775-8776 FAX CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate, and complete as of the time of inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems. Chec one: System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have conducted has found that the system fails tc protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form. Inspector Signature 1A Z .� i�� Date One copy of this certification must be provided to the OWNER, the BUYER (where applicable ) and the BOARD OF HEALTH. * If the inspection FAILED, the owner or operator shall upgrade the system within one year of the date of the inspection, unless allowed or required otherwise as provided in 310 CMR 15 . 305 . partd.doc ASSESSOR'S MAP NO,. =dam, PARCEL -A` 60 CATION SEWAGE PERMIT N0. IrlL LAC E nINSTALLER'S:a: NAME` i ADDRESS �6B UILDE R OR OWNER DATE PIER:MIT ISSUED D A T E COMPLIANCE ISSUED / ;� �, � ', i .�_ '' �.:• ; �� iCy,� ya O � .. O a -�� ..t ASSESSORS MAP NO I jS No.......13?4G.SIA- PARCEL NO.: � O�6 *v. Fim THE COMMONWEALTH OF MASSACHUSETTS BC EALTH G �!Ll .....-.....OF.............. ............S/. ....................................... Alip iratiun for Uiuvuual Works Tonstrur#iun f rruti# Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: • ..........._....-----x..C....... .......tU.d. ............ ..------..................:... Loc d or Lot ••. •.•..•---••-•.. ..... `-C .... - �— f. .7...... . ......... -•- ner ''_----� Address � W /G. nst ler Address d Type of Building Size Lot Ao4:;�....._..Sq. feet U Dwelling—No. of Bedrooms......... .............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers Q, YP g ---•--------------••---•-•-- P ( ) — Cafeteria ( ) Q' Other fixtures ................................. . Design Flow............//0 .......................gallons per person per day. Total daily flow------------------ ...............gallons. WSeptic Tank—Liquid capacity6 gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-_----------------_ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,aa Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ -------------------------------------------------•-•----..................--••-••--.........---•••-•......................................................... ODescription of Soil.........................................................:.............................................................................................................. x x •-•-••••--------------------•------•---•••--•-•••••---•------•••..................-• ••---•--•--•••-••-••••••••---------••------•-••--••-•---•••--••---......--••-••--•-••••......••.•----•----------•- 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 ilTLij 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of p ianceWida of health.Sign ----•. •-- ..---•--•...........••.Application Approved BY•--•-----•-•-----•-•----•---- ......................•-•-•---•------ Date 'Application Disapproved for the following ----------------------•--------------------------------------•-•--------------------------------------•--....._ . ....•.•..................•-•-----.........-----------------••---...-•-•----------._.._...........---•-_...- Date PermitNo......................................................... Issued....................................................... Date No......................... Fizz.............................. THE COMMONWEALTH OF MASSACHUSETTS BOA R D--O-F-1 EA LT H ..........Ir............................ Applirtttiun for Diupuuttl Works Tonstrnrtion "nutit Application is hereby made for a Permit to Construct ( Repair ( ) an Individual Sewage Disposal System ate- ..`7 �X / J (�C !/ = ! Hr_i�/ ...... ............... ...:...--:--•... ........... .... . - ...... ... -~ "� ��~"•Loca'ion—Addces� �`�^-� � or Lot(o— ..... �_! r. % t/J. ...................................1 .......... -------- --.--..�JVz•L� f� %..... r J n� / Address l C ................... ......... ,.........--•-•--•••••-------••-•-......---- .....................-\ ...... I nstfller Address Type of Build ing i Size Lot_................_%........Sq. feet V DwellingNo. of Bedrooms..........:.. ........'--No. ofpersons nsion Attic Showers Garbage GrinCafetder — - P ( ) g ( ) Other—T e of Building Otherfixtures -----•------------------•------------------------------•-•-----------------------•------.......---•-------••-------------..........----•-••---•------- W Design Flow............ .......................gallons per person per day. Total daily flow--..............-_...."__/...............gallons. WSeptic Tank—Liquid capacity e c '_gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.--......--..--..... Depth below inlet.................... Total leaching.area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ •-••------------------------------------------------------------------------ -••------•-----•-•......................................................... 0 Description of Soil.........................................................---....------•-•-•-------•------------••-•----------------•--......-•-•---•-------................-••--•...... W 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 TITIE 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliince ha's been-issued by the board of health. Signed......'..... � ...... -� .............. ...........1 ......-- Date Application Approved By.............................................. .:. '' � Cd Date Application Disapproved for the following reasons:... .................................................................................................••...._._ ...................................•----......................---.........-----------------•-----...-•--------•--•...-••-•••-----------------•------------------------------•-------....-•-•---••••-•--- Date PermitNo................................................... Issued.................. .................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ ..~ .`! .........OF................ !vzca ............... (Irrtif irtttr of (fontplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( for Repaired ( ) by......................................................... Y•••••--••-- �►.t�' ...............- �` ` .............. ....._ "taller at-------------------•--- . ..r ...... rp •-- 1�t4.W.... -F......-.&-5�`4' .... has been installA in�accordan wl i tl4e provisions ofTITL of The State Sanitary Code described in the application for Disposal Works Construction Permit No...... �----.a-!--Sa dated..........7..a�.....?13C----------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................... (. .� .............................. Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r_......t "` rtW........OF................(` ' ................................... ..�^ FEJ ....... Disposal Works Tontriirtion Vprrntit Permission is hereby granted.................. _ �• --------------..........._......................... r ---•-- �� -�-..,,,ice--••--•.............. to Construct ( or Repai ( ) an Individual wage Dispo System at No......... • c� Zl ---.... a VvY 3-..._.....-•-SM as shown the applicatifo for Disposal Works Construction Permit No..... b_.. ��ated__..._..._414.0 r/ ....................................... oa He ---------------­-- DATE......... ... ... . .. .......... �.j. .��. .......... FORM 1255 A. M. SULKIN, INC., BOSTON ``S,` 6c, _ f / C/7 $t•t�IG+'`.E: . �AM1 L`( - 3 6Cu j2oo(y / L,O� .� � _' � :►Jc4G•f�iZC'�/�GG G1z�►.1DC2. I /�v�y� '- DAl0( FLOW l 10 x 3 33o G. P. D. SEPT"1� TANK 330 X 15oyo * 4q5 G.P.O. _ . USC IC?OQ C-AL,.TA►J�C.. DISPdsAt_ 9rr VSE toW GAL... 37S' 761 A L. "D CS IG►� = 42,5 o- P. D. t --t'"oTAL DA1LY R_OU3 = 33o GPO I RC-4bL J I o Q RATE I i►4 2 MIN: OF WILUAM be PATER -V o SULLIVAN g C. w -YE No. 2973.3 fw = No: 19334 g. C9 .... r LNb�L.C.1�GC- / } /coo I I cegC N . -7 • P,T A TAni,�c' } 't 7. W4.1HC-D ^• ' GE,er/,CY Tf/r4TTye'i�DUo%i��•�Si/ovc�.v '>cf ' '�.�%E,�Eov GD�lPG•Y,.S W/T7�T,yE Si��,c,iiuE � B.�xr�,e�,VYE; i�uc. d ! ;sETl�/�G� .e�4lJ/�'EN1ENT.S 4� Th'� .C�E6i,Sr�,P�� ivo.SU.eriEyo,�S z .Gacar�.O L✓/Tf1/ism T.�/E.�lcaovPG.4/its _ Ac 7.S/lt Al,4IV riY.sT,e- _-4�_i ' !✓itil,Eis/T.SU,et/EYstic/O T.�,�E o�icSr� �L..-_: I Shot-t�N.�,yE,2�GrV•S.�o000 N� T GCE USEp . L EGEND NOTES CONTOURS ROUTE'28 - FALMOUTH ROAD EXISTING - - - - - - - 50 x , . o, EXISTING EXISTING LEACH PIT IS TO BE PUMPED. COLLAPSED z x 1000 GALLON I MINIMAL GRADING PROPOSED AND FILLED OR REMOVED. EXCAVATE ALL ASSOCIATED y SEPTIC TANK CONTAMINATI_D SOILS IN VICINITY OF THE PROPOSED :LANE: LEACHING GA LLERY AND REPLACE WITH CLEAN MEDIUMoOO SAND PER T1.TLE 5. ozw EXISTING LEACH o LOCUS PIT/CESSPOOL O INSTALLER P'AY MOVE VENT PIPE TO A DIFFERENT LOCATION. o m < z a m W O L.m N TEST PIT D-BOX O m N 32 OSTERVILLE. MA ❑ i„ HYDRANT Q DRAIN ® f 3s 4 3 24 Ft x 125 f t x 2 f t WAG J 36 30 I___OCL1S MAP DECIDUOUS CONIFEROUS \ LEACHING GALLERY W zW TREE qQp TREE \ NOT TO SCALE O v p :•yS:.: O I 1- W" ,°:a:i ' (0 W N :6b 12-M �12-P 02{, I O D O . N It W O -NUMBER REFERS TO DIAMETER IN 38 1cJ0 j� W 0_ � C W z INCHES. LETTER DENOTES TYPE. / INE Q BENCHMARK O OO JU❑z� (n J 3 �Q O-OAK M-MAPLE P-PINE C-CEDAR /'�� , ./ GPS . .TP- maw TOP OF DRAIN GRATE ff�- «� 0<W = W W z 4j Np ELEVATION = 28.85 wW I W3 U _j > o ,�_ /�� J{ \�� / BARNSTABLE GIS DATUM J W } in t O z m Q 0_O W < W F- k�' T -1 O�}15-0 A0 �3 O e t,7 W F W \ .0 \ >W WZW m � � ° �� � 0 o \ a W2 ❑ < W 11 U _ :;:::>:,: W LOT 8 m o X -- 15-0 l ?7:.:. I W U W ::y:y: cn \ �—+ it+ry:y:y:. I O i u o J W N ;,< ;::;? AREA = 16054 sf +- �� VENT Z J WC O PIPE I 8 >� CD Ln W W O J X ► 4' \ � Z I \ �Lcj w Z p m m m (`N \ ql_z e 0 N m N Lr) o Z P \ o W ooaj 1 -z O JET W ZI z u W N ° ` GARBAGE GRINDER , W frp \ IS NOT ALLOWED I N \ W W Z Z(n \ WAT R LI \ Q_LC X o_w w z w WITH THIS DESIGN. \ / cne w "� < EI Z Z Z �_ cD cn (n m a\ S IN \ (H OF b1 OU I W gSgq jHOFMAs. O ~ W m ' I I AVI cy� 2� s9Oti D D �o DAVID J p w� w \ GAR �� o D. o D. W O z.. / COUGHANOWR W� m I ��� 28 COUGHANOWR 0 3 + Z N ` / I No. 1093 W > m N ri A: \ I � s < Jk0 _ m w \ m �i 30 G/gTER O j�'ENSrc Q- e W W �� 32 I TA /< 'PLO W '� 33 ✓�• �. Q (n v / s� 34 rr ` \ / �t 3s Feb -vgri ll, 20Ug W w z Z /t ,1?0?4 SEWAGE DISPOSAL SYSTEM PLAN H J LL z J \ /� 36, c1le ���ly -TO SERVE EXISTING DWELLING �— o o �'� T. RICHARD J. HEWSON. JR. O I J c.n c ../�� f DISTANCES A B C OWNER OF RECORD Z ❑ W �--� /. 1 143.0 32.3 25.0 O li m X �- TO LEACHING GALLERY � 27 FOX HOLLOW LANE j v s % 2 28.6 25.3 35.395 �' _ ALL DISTANCES ARE IN DECIMAL I w W FEET NOT IN FEET AND INCHES. 3 40.7 3F.7 45.0 O S T E R V I L L E. MA e NOT TO 3 �®�Ym��� PROPERTY ADDRESS FLAN SCALE A 2 43 TRIANGLE CIRCLE ASSESSORS MAP 145 PARCEL E-8 O m p SANDWICH MA 02563 PLAN BOOK 5 4 5 9 PAGE 227 u z z z SCALE. 1 in = 20 f f- 6 4-(�8 4 508 36 9 . ( � � N DATE. F�EBRIJARY 11. 2008 J _ WW �' x m 20 0 20 x w 48 JO #E T E-2 8 5 9 PAGE 1 RSION:e O F 2 vE w 0 10 20 1 THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM C DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER . SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. SOIL TEST LOG DESIGN CALCULATIONS DATE OF TEST: FEBRUARY 11. 2008 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. #461 SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL PERC NUMBER: 12102 CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) NO GROTUNDDWAT AL ENCOUNTER LD OUTWASH DISTRIBUTION BOX: USE 3 OUTLET D-BOX. TEST PIT SOIL ABSORBTION SYSTEM: A 24 f t x 12.5 Ft x 2 Ft LEACHING GALLERY CAN LEACH PERC AT 84 In - 2 MIN/INCH IN C SOILS Abot = ( 24 x 12.5 ) = 300 sf ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Asdvr = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 of Atot = 446 of (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING 35.25 - Vt 0.74 x 446 = 330.04 GPD 0-26 FILL USE A 24 Ft x 12.5 Ft x 2 Ft GALLERY. Vt = 330.04 GPD > 330 GPD REQUIRED 26-32 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 32-60 B LOAMY SAND 10 YR 4/.6 NONE LOOSE 30.25 24.25 60-132 C MEDUIM SAND 10 YR 5/4 NONE LOOSE L EA CHING GA L L ER Y T 500 GALLON NOT TO LEACHING DRYWELL(H-20 LOADING) SCALE 1000 GALLON SEPTIC TANK DIMENSIONS AND DETAIL NO T TO TEST PIT 2 NO GROUNDWATER ENCOUNTERED CONSTRUCTION DETAIL USE EXISTING UNIT SCALE PARENT MATERIAL: PROGLACIAL OUTWASH 2 MIN/INCH IN C SOILS ORYWELL UNIT STONE SEPTIC TANK IS TO BE PUMPED DRY AT TIME OF INSTALLATION AND IS TO ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 24.0 Ft BE EXAMINED FOR STRUCTURAL (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING INTEGRITY. INSTALL NEW PVC OUTLET 32.70 ro 4 � TEE EQUIPPED WITH A GAS BAFFLE. 0-10 FILL 41 m 1 in 10-18 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE ID::ll � TAPER N �� N 18-45 B LOAMY SAND 10 YR 4/6 NONE LOOSE m �r 28.95 45-144 C MEDUIM SAND 10 YR 6/4 NONE LOOSE m� o C 20.70 0 � 3.5 F t 6.5 Ft 6.5 f t .5 Ft o 24.0 Ft L` Ln GROUNDWATER ADJUSTMENT 500 GALLON DRYWELL 1m i0 EXISTING GROUNDWATER LEVEL DIMENSIONS AND DETAIL 6 f�-6 In A BASED ON TOWN OF BARNSTABLE USE H-20 UMT f GIS DEPARTMENT RECORDS. INSTALL ONE INSPECTION INLET OUTLET " RISER TO WITHIN THREE COVER COVER INDICATED GW 15.00 INCHES OF FINAL GRADE INDEX WELL M1W-29 AND INDICATE LOCATION ZONE D ON AS-BUILT PLAN —► �3 IN DROP OW LINE READING DATE JAN. 2008 FROM 10,,, = 14 TO Y f READING 9.5 BUILDING ,, D-Box ADJUSTMENT 6.3 48 In ADJUSTED GW 21.3 ;C�C�r 0 36 GAS 0 In LEVEL BAFFLE 00 00000 �0 00 0 0 o 00oOo0NOTES 10I CROSS SECTION` VIEW n 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF. SYSTEM REPAIR AND CHECKED CROSS SECTION VIEW FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. 2 in PEASTONE 2 in PEASTDNE SEWAGE DISPOSAL SYSTEM PLAN 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). o o -TO SERVE EXISTING DWELLING 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES za1 BEFORE EXCAVATING FOR SYSTEM. 28 -1iz ,"ixzrivs EFFEcr1vE si4,., ro 26 1n DEPTH 1-1121n�, In RICHARD J. HEWSON, JR 5) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. 27 FOX HOLLOW LANE OSTERVILLE. MA 6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES 46 In 58 In 46 in AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. 1501n ECO TECH ENVIRONMENTAL 71 SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL INSTALLER MAY SUBSTITUTE i AN n. APPROVED GEOTESPECFIED. 43 TRIANGLE CIRCLE SANDWICH MA. 02563 STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH FABRIC IN SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. ETE-2859 FEBRUARY 11, 2008 1 1212 � CONTOURS T�OIJ R S ROUTE - L LEGEND NOTES 28 FALMOUTH ROAD EXISTING EXISTING LEACH PIT IS TO BE PUMPED. COLLAPSED EXISTING - - - - - - - 50 i o AND FILLED,OR REMOVED. EXCAVATE ALL ASSOCIATED MINIMAL GRADING PROPOSED x 1000 GALLON S SEPTIC TANK CONTAMINATED SOILS IN VICINITY OF THE PROPOSED o<< LEACHING GALLERY AND REPLACE WITH CLEAN MEDIUM o�LANE0oSAND PER TITLE 5. Locus} EXISTING LEACHPIT/CESSPOOL INSTALLER MAY MOVE VENT PIPE TO A DIFFERENT LOCATION. � �UJ m < wa m-iCD m L. N TEST PIT ® D-BOX D m N >L ui 34 33 32 \ OS TER VILLE. MA HYDRANT DRAIN ED 1 ;� 35 �� -24 ft x 12.5 ft x 2 ft LOCUS MAP w�< ,:,:,.:,•, J DECIDUOUS CONIFEROUS r 36 ��/ /I 30 LEACHING GALLERY m=z �;', m zw TREE qQo TREE \ NOT TO SCALE O U ::i';;;, i W'" m W m< deb 12-M 12-P 15 ,02 f Q W J d ; +:a:y: N Ul 3 0 O W O O i.,?i tY w O -NUMBER REFERS TO DIAMETER IN 38 i Oa_ apt W oZ INCHES. LETTER DENOTES TYPE. � I 5 tNE Q BENCH MARK 0 J S O J Z > O O-OAK M-MAPLE P-PINE C-CEDAR }o Q m Q J �—+ Wcr �0 � �P TP-1/ Fti oo� TOP OF DRAIN GRATE wU mU3 = W > o ELEVATION = 26.65 Jw W� U _I J ,� o0 �/ \ \ BARNSTABLE GIS DATUM co z J� IIt fy < J W N QS / I Q w un Ll X a Z e C3 z Lc)F W < W W > -� 20 \ 0 (n C7 m ❑ ` Z W= o ZQ ::, :.,: w LOT 8 0 c� x �t b - / \ O� W I'ti .:::.iii.• C C7 () T rn o J W N :;<-sa's: .�RE.°� = 16054 s f+- �� VENT >e Z J� ii;:?a:i: WQ O � PIPE L Z I v W LLO J X � +i +i \ � W � Z pm m m � � \ �Z `—` 0z e m N m N rim r O Z 0 0o w ww m z m o \ + Z �� JEv� �C w ZI i W \ GARBAGE GRINDER U~ U O \ IS NOT ALLOWED I t LIN \ U lu z \ 0-� X o w wrco�c_n WITH THIS DESIGN. \ WAT R w �e w F-U ZZi �Z Q O ~ m I Gj� �jN OF Mg SS H pF w.z 3 z Z ` AGE I m� a�'� gOti �`�� Mgssgc -�~ o w T �' 4J \ GAR �o DAVID GN o�' DAVID y� WO zE I m \ \ 1 N U) 03 a+i Z I '�/ 28 D. D. COUG ANOWR y N a W > m N pi \ t1� / I 30 No. 1093 COUGHANOWR J O w m U \ rn I I J X \ 32. t Evy pA E S Q W CD O ��� 33 R �- 34 35 W Z J o z % ,/t 1?04 SEWAGE DISPOSAL SYSTEM PLAN 36 � UlL z J �' 38 fEST. -TO SERVE EXISTING DWELLING L � 3 mm '� J \ /� ' RICHARD J. HEWSON. JR. 0 CO (�` U \` � ' DISTANCES A B C OWNER OF RECORD L m X \ /� TO LEACHING GALLERY 40.1 28.6 20.0 ALL DISTANCES ARE IN DECIMAL 2 24.0 20.3 31.9 � 1995 �' 27 FOX HOLLOW LANE < w i FEET NOT IN FEET AND INCHES. 3 35.8 32.7 40.9 O S T E R V I L L E. MA W �I 7 ILL � + cn ®l�®N��`� PROPERTY ADDRESS O m FDLAN t SCALE E A NOT TO 3 ASSESSORS MAP 145 PARCEL 6-8 3 tL m 2 43 TRIANGLE CIRCLE 0 u c� z ? SCALE: 1 In = 20 f t SANDWICH MA 02563 PLAN BOOK 54ED PAGE 227 �. N N e 508 364-O8J4 DATE F"EBRUARY 11. 2008 p W w w w 28 0 28 40 JOB #E T E-2 8 5 J PAGE 1 Cl F 2 VERSION: 0 10 20 # THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM C DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER 1 SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. SOIL TEST LOG DESIGN CALCULATIONS DATE OF TEST: FEBRUARY 11. 2008 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. #461 WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PERC NUMBER: 12102 USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) NO GROUNDWATER ENCOUNTERED OUTWASH DISTRIBUTION BOX: USE 3 OUTLET D-BOX. TEST PIT SOIL ABSORBTION SYSTEM: A 24 ft x 12.5 Ft- x 2 ft LEACHING GALLERY CAN LEACH PERC AT 84 ,n - 2 MIN/INCH IN C SOILS A6ot = ( 24 x 12.5 ) = 300 sf ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf Atot = 446 sf (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 35.25 Vt 0.74 x 446 = 330.04 GPD 0-26 FILL USE A 24 ft. x 12.5 ft x 2 ft GALLERY. Vt = 330.04 GPD > 330 GPD REO_UIRED 26-32 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 32-60 B LOAMY SAND 10 YR 4/6 NONE LOOSE 24.25 LEACHING GALLERY 60-132 C MEDUIM SAND 10 YR 5/4 NONE LOOSE 24.25 USE SHOREY PRECAST 500 GALLON NOT TO 1000 GALLON SEPTIC THINK LEACHING DRYWELL (H-20 LOADING) SCALE DIMENSIONS AND DETAIL NO T TO TEST PIT 2 NO GROUNDWATER ENCOUNTERED CONSTRUCTION DETAIL USE EXISTING L.WIT SCALE PARENT MATERIAL: PROGLACIAL OUTWASH 2 MIN/INCH IN C SOILS DRYWELL UNIT STONE SEPTIC TANK IS TO BE PUMPED DRY AT ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 2 4.0 ft BE TIME OF FOR STRUCTURALAIS TO (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING INTEGRITY. INSTALL NEW PVC OUTLET 32.70 m 4 TEE EQUIPPED WITH A GAS BAFFLE. 0-10 FILL m �` 1 In 10-18 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE LolE�::1lE§::1 ' TAPER 18-45 B LOAMY SAND 10 YR 4/6 NONE LOOSE 28.95 45-144 C MEDUIM SAND 10 YR 6/4 NONE LOOSE C C 20.70 0 3.5 f t B.5 f t 8.5 f t 5 f't o 24.0 FL 4. Ln GROUNDWATER ADJUSTMENT 500 GALLON DRYWELL e I1m r EXISTING GROUNDWATER LEVEL DIMENSIONS AND DETAIL Ft-g !r, A :. BASED ON TOWN OF BARNSTABLE USE �� 11MT ' GIS DEPARTMENT RECORDS. INSTALL ONE INSPECTION INLET OUTLET RISER TO WITHIN THREE COVER COVER INDICATED GW 15.00 INCHES OF FINAL GRADE ;•n INDEX WELL M1W-29 AND INDICATE LOCATION az`=u'z-'' `zwzw:z'•a:.wz-z zz.zz z< z ..t. ZONE D ON AS-BUILT PLAN _� �3 IN LOW LINE READING DATE JAN. 2008 FROM ` READING 9.5 BUILDING 10,n Iq ADJUSTMENT 6.3 ,,, D- BOx t ADJUSTED GW 21.3 �0 36 48 LIQUID GAS oO� 0 in LEVEL po OO BAFFLE ooDO O O aoo�000000 00 a a 0 0 0 a 0 a 0 0 a a 0 a o o !` O o L 0 NOTES �0 CROSS SECTION VIEW 102 In 1) INSTALLER TO OBTAIN ,DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED CROSS SECTION VIEW FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. 2 ,n PEASTONE in PEASTONE SEWAGE DISPOSAL SYSTEM PLAN 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). o o -TO SERVE EXISTING DWELLING 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES 24 in BEFORE EXCAVATING FOR SYSTEM. 28 � � DPTH 26 In RICHARD J. HEWSON. JR 5) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. 27 FOX HOLLOW LANE OSTERVILLE. MA 61 ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES 46 1n 58 to 46 in AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. 150 !n ECO-TECH ENVIRONMENTAL Z) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL INSTALLER MAY OBSTIT 2Ein.AN APPROVED GEOTE PECFIEO. 43 TRIANGLE CIRCLE SANDWICH MA 02563 STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH FABRIC IN SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. ETE-2659 FEBRUARY 11. 2008 1 1212 , 't LEGEND t CONTOURS NOTES ROUTE 28 - FALMOUTH ROAD EXISTING EXISTING LEACH PIT IS TO BE PUMPED. COLLAPSED EXISTING - - - - - - - 50 z o 1000 GALLON AND FILLED. OR REMOVED. EXCAVATE ALL ASSOCIATED MINIMAL GRADING PROPOSED 0 x SEPTIC TANK CONTAMINATED SOILS IN VICINITY OF THE PROPOSED � do LEACHING GALLERY AND REPLACE WITH CLEAN MEDIUM om SAND PER TITLE 5. c ��LANE zr EXISTING LEACH Locus ozw PIT/CESSPOOL O INSTALLER MAY MOVE VENT PIPE TO A DIFFERENT LOCATION. �u_j � m < • F- O w Q (­ _ R\ N z„ mom m TEST PIT ® D BOX O N wa m L6 34 32 33 \ OSTERVI LLE. MA �„ HYDRANT Q DRAIN ® a >Q J I 3s_. 24 Ft x 12.5 Ft x 2 f L wa 36 30 LOCUS , MAP m :;:::,;;.:: DECIDUOUS CONIFEROUS LEACHING GALLERY NOT TO SCALE m=z m z w TREE q�p TREE 'j �� 0 Iv-F 6t>;�t n �F o00 I a ,,�J a ; >S 4,. N 3 Q t�Iz-M Iz-P 150 0���� �S w~ ; (o 2 I. I O a p O w p -NUMBER REFERS TO DIAMETER IN 38 �i 1 a dp�- c W OZ INCHES. LETTER DENOTES TYPE. ��� I 5 1NE % Q BENCH MARK > 7 O-OAK M-MAPLE P-PINE C-CEDAR F� o TOP OF DRAIN GRATE O O J U ZZ� (~I)J Z LL x O ��� / GP TP- c� U ,� �/ 1 / o ELEVATION - 28.85 wv N 3 = W > O z Jwa =�� U L o�? ��� I \ BARNSTABLE GIS DATUM Q T -1 � \ 9 (Dz W < w LDf r Q rn D ;00 3�2 ,� w LOT S o c� x 15-0 \ `� : :. ) W a U w CD -O rn �Q W Q N y;>:;:a.; ` \\ rn ` � VENT \\ ,:.>:.>.. AREA __ 16054 s f+- I e Q J 'ti' y C!J�. 70 � PIPE Z F- Qf Z IY W W E OQ X Ln M z I \ Q� Z O cr Z w w m m 0 �~ m m N � m , o z I P � pp w Ww = OD1 Z JET W ZI = �w O N a ` GARBAGE GRINDER 3 ��- U fro IS NOT ALLOWED I lull ui Ld Z Z w \ WAT R ON \ \ LL X ow w c z w WITH THIS DESIGN. / \ \ J (A I-U F O Ul e` \ ZZ Z w? cocnm a S ON \ c� w >O 3 zZ c �NOFMgs jNOFMgSS y O •_ S 9 \h R GE �� 9y JZ Lu \ - \ GA A 1 o DAVID �G o DAViD �s W Ld w O 3 - + m . ' / I � 28 �� D. o� D. 11 COUGHANOWR % " COUGHANOVIR J XW > m N \ �� 30 No. 1093 . OU m w R1 � OQ __ G - W O - 33 32 q R`P �VAA \� �t 35 34 w w z Z ; /tig0.?4 . ? ; (� O — 36 ®� Tee SEWAGE DISPOSAL SYSTEM PLAN I~'-+ J cn� Z —I ` ���' 38 /y � -TO SERVE EXISTING DWELLING L_L ~ 0.0 ~ cU %'��� A B c EST. RICHARD J. HEWSON, JR. Q Z o LL Cl� (� ,-� DI S T A NCES OWNER OF RECORD o m ,� 40.1 28.s 20.0 27 FOX HOLLOW LANE N ti X TO LEACHING GALLERY LL Z in / - rt 2 24.0 20.3 31.9 W ii ALL DISTANCES ARE IN DECIMAL 1995 lk' e l O W FEET NOT IN FEET AND INCHES. 3 35.8 32.7 40.9 O S T E R V I L L E. MA O + 60 NOT TO I'V®N��`� PROPERTY ADDRESS PL. A N SCALE A 2 3 43 TRIANGLE CIRCLE ASSESSORS MAP 145 PARCEL 6-8 O p „m z z SCALE: 1 in = 20 FL SANDWICH MA 02563 PLAN BOOK 5459 PAGE 227 N 506 364-0894 DATE, EEBRUARY 11. 2006 _J W N x w 20 0 20 40 ' W W JOB #E T E-2 8 5 9 PAGE I OF- 2 VERSION: LL 0 IB 20 i ® 1 THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM {• C DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER- SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. SOIL TEST LOG DESIGN CALCULATIONS DATE OF TEST: FEBRUARY 11. 2008 DESIGN FLOW: 3 BEDROOMS X 110 GPO = 330 GPO APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. #461 SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL PERC NUMBER: 12102 CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) GROUNDWATER NCOUNTERED OUTWASH DISTRIBUTION BOX: USE 3 OUTLET D-BOX. TEST PIT I SOIL ABSORBTION SYSTEM: A 24 FL x 12.5 Ft- x 2 ft LEACHING GALLERY CAN LEACH PERC AT 84 in - 2 MIN/INCH IN C SOILS Abot = ( 24 x 12.5 ) = 300 sf ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf At of = 446 sf (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 35.25 Vt 0.74 x 446 = 330.04 GPD 0-26 FILL USE A 24 FL x 12.5 ft x 2 ft GALLERY. VL = 330.04 GPD > 330 GPD REOUIRED 26-32 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 32-60 B LOAMY SAND 10 YR 4/6 NONE LOOSE 30.25 LEACHING GALLERY 60-132 C MEDUIM SAND 10 YR 5/4 NONE LOOSE 24.25 USE SHOREY PRECAST 500 GALLON NOT TO 1000 GALLON SEPTIC TANK LEACHING DRYWELL (H-20 LOADING) SCALE DIMENSIONS AND DETAIL NOT TO TEST PIT 2 NO GROUNDWATER ENCOUNTERED CONSTRUCTION DETAIL USE EXISTING UNIT SCALE PARENT MATERIAL: PROGLACIAL OUTWASH 2 MTN/INCH IN C SOILS DRYWELL UNIT STONE SEPTIC TANK IS TO BE PUMPED DRY AT TIME OF INSTALLATION AND IS TO ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 2 4.0 ft BE EXAMINED FOR STRUCTURAL (INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING m INTEGRITY. INSTALL NEW PVC OUTLET 32.70 m4 � TEE EQUIPPED WITH A GAS BAFFLE. 0-10 FILL �' ' � � 1 In 10-18 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE Lo m TAPER 26.95 16-45 B LOAMY SAND 10 YR 4/6 NONE LOOSE 45-144 C MEDUIM SAND 10 YR 6/4 NONE LOOSE m`` o 0 20.70 3.5 Ft 8.5 Ft S.5 ft .5 Ft o � 24.0 FL Lo L` GROUNDWATER ADJUSTMENT 500 GALLON DRYWELL EXISTING GROUNDWATER LEVEL DIMENSIONS AND DETAIL BASED ON TOWN OF BARNSTABLE USE H-20 L"T GIS DEPARTMENT RECORDS. INSTALL ONE INSPECTION INLET OUTLET RISER TO WITHIN THREE COVER COVER R INDICATED GW 15.00 INCHES OF FINAL GRADE INDEX WELL MIW-29 AND INDICATE LOCATION =a= w"=s z.zaz«z.azzz nz,-au:.z;: ZONE D ON AS-BUILT PLAN —► /l3 IN DROPFLOW LINE READING DATE JAN. 2006 FROM 10 to = la TO „ -t READING 9.5 BUILDING 1n D-BOX -- ADJUSTMENT 6.3 4B,,, LIQUID GAS ADJUSTED GW 21.3 �� 36 I �Q LEVEL BAFFLE 000000 000 �0000 In �0000000000 �DO NOTES 102 In 5 CROSS' SECTION VIEW 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED CROSS SECTION VIEW FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. 2 to PEASTONE 2 PEASTONE SEWAGE DISPOSAL SYSTEM PLAN 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). -TO SERVE EXISTING DWELLING 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES 2EBEFORE EXCAVATING FOR SYSTEM. 28Imm E�EcnvE 3/4,,ro n 1n �P� 1-LZ���- In RICHARD J. HEWSON, JR 5) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. 2� FOX HOLLOW LANE OSTERVILLE. MA 6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES 46 In 58 In 46 1n AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. 1501n ECOJECH ENVIRONMENTAL Z) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL INSTALLER MAY OBSTIT 2Ein.AN APPROVED GEOTESPECFIEO. 43 TRIANGLE CIRCLE SANDWICH MA 02563 STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH FABRIC IN SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. ETE-2859 FEBRUARY I1, 2008 12121 .... O ----------- Q O P LEGEND o \ -�- PROPOSED CONTOUR I i - - _ \\ ® PROPOSED SPOT GRADE S r - - - _ _ Gt� Or 88.E ——g8 —— EXISTING CONTOUR ac Qom' Q � , , '�' ��' �••�- � y - + 96.52 EXISTING SPOT GRADE o � o 1 93 W— EXISTING WATER SERVICE c o IP Q / - --=��• I t9 TEST PIT ~ LANE Li o r., p� STUD CAPT EY R aQ ` \' �� / \ � YO Q DE o V4j FR- � \\ ------ o �1\ �� O -- LOCUS MAP N.T.S. \ Q / Liv. a l Rm. opprox. water ervl GENERAL NOTES: ce 1 `•. . — . — . — . — . —. — . _. �. — .L �� \, - ___- / R i \ \•\ \\ v�� 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL \ \ BOARD OF,HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ` OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE TH-2 th B j, \ \ LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: \ c £ y \ � \\ - 310 CMR 15.405 (1) (B): _/ ark Lu I ` 1 A 1.0 FT, VARIANCE FROM 310 CMR 15.221((7)) TO ALLOW K A \ Q o --`� i \\ S ) LEACHING TO BE 4 FT BELOW GRADE VS REQ'D 3 FT. J1 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR \ \ / \ `� TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE \ Q \ \ DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN \ a ENGINEER BEFORE CONSTRUCTION CONTINUES. TH-3 \ \% 5. ALL ELEVATIONS BASED ONASS ASSUMED DATUM. \\ \ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF \ I �• THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF \ 1 \ I \ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. \, +� ° \ I `'•� 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. \ 1 a \ \ 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. \ 2 \ ° \ 1 �• 9. T SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY qC(3 \ \ 1 �• E LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING oQ0_0 qQp °p \ 1 `•� C STRUCTION. r\ � \• 10. EXI G LEACH PIT TO BE PUMPED, CRUSHED AND REMOVED TH-1 ?,L \\ \\ V 1. 48 HOU NOTICE FOR ENGINEER CERTIFICATION 0 \ �9 \ 1\21 THIS PLAN S TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY o\ �~ \\ \ \ AND IS NOT�O BE CONSIDERED A PROPERTY LINE SURVEY \ h \ \ \ 13;-NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING \ aoo \ 14. ALL PIPING TO BE 4" SCH 40 6 1/8"/FT LOT 48 H--4 \\ \�.; 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW --- \ Vent \ - \ FOR THE USE OF A GARBAGE GRINDER AREA = 26400 S f +/ �'`' ' 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING 17. PROPERTY IS NOT LOCATED IN A ZONE OF CONTRIBUTION. �-- \ '\� 203 8 MAP. 150 SURVEY REFERENCE: ( LOT.,054 BENCH MARK \ 12 i / / \,\ � r DEED BOOK. 9222 PLAN OF LAND BY SCOTT ASSOC. SURVEYORS TOP OF FOUNDATION ;—C Existing Leach Pit DEED PAGE., 290 DATED: SEPTEMBER 1965 ELEVATION = 79.88 \\ iy, , �HOFa (See Note 10) PROPOSED SEPTIC SYSTEM UPGRADE PLAN •BARNSTABLE GIS DATUM \ ,, 9 DARREN `yam 275 TREE TOP CIRCLE, M. MILLS, MA M. Prepared for: Oakley �E w MEYER Engineering by: Surveying by: SCALE DRAWN JOB, NO. O 'No. 1140 DARRENM.MEYER,R.S. Boo-Tech M2wironmenW 1"-20' DMM PO BOX961 (508) 364-0894 �of's S EASTSANDIMCH,AM 02537 DATE: CHECKED SHEET NO. ' I SANlTAR\P� 508"-2922 12/19/07- DMM 1 Of 2 t t - i ELEV. TOP FOUNDATION 4 ..� - vent required (Existing) 81.08 F.G.EL: 79.5 F.G.EL: 79.0 F.G. EL• 79.5 FINISH GRADE= 79.0 n f MAINTAIN 2% MIN SLOPE OVER LEACHING AREA COVERS TO WITHIN 6 OF GRADE s" INSPECTION PORT W/IN 6" OF FINISH GRADE L 27 ' 6" 4 SCH 40 PVC L = 5' •: ' : 1 0"1 0 0 0 0 0 0 0 0 0 0 0 0 (MIN.) 14" S= 1% (MIN.) 6• © S= 1% (MIN.) A: = TEE'S ARE TO BE w 4" scH 40 PVC INV.75.33 INV.74.28 0 0 0 a o 0 0 0 INV.74.1 1 EXISTING OUTLET BAF LE PROPOSED DB-3 o a o 0 HO o a 0 0 0 0 0 H-10 DISTRIBUTION BOX INV. 75.58 EXISTING 1000 GALLON SEPTIC TANK NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION RLTM FaeRI ovS02 g" MIN 2) D-BOX SHALL BE SET LEVEL AND TRUE TO PER TI TLE 5 GRADE ON A MECHANICALL COMPACTED SIX OF ,I/A3s INCH CRUSHED STONE BASE, AS SPECIFIED IN BREAKOUT EL. := 75.0 DA E 9�yG 3) REPLACE EXISTING 2 1,000 GALLON SEPTIC INV. ELEV.=74.06 R TANK WITH 1.500 GALLON SEPTIC, TANK s�s ' r''/z 24" -30.5" 1140 "' IF FAILED, DAMAGED, OR UNDERSIZED. DOME wasrrm sravF IN l/ER T SEPTIC SYSTEM PROFILE 4) INSTALL INLET & OUTLET TEES AS REQUIRED BOTTOM EL.- 72.06 �NITAR�a� � h 146" I SEPARATION 5.06 FT. BOTTOM OF TH-4 EL: 67.00 SOIL ABSORPTION SYSTEM (SECTION) (H2O LOADING) SOIL LOGS P#: 12036 DESIGN CRITERIA NUMBER OF. BEDROOMS: 2 BEDROOM ACTUAL % 3 BEDROOM DESIGN (NOT IN ZONE II) DATE: DECEMBER 12, 2007 SOIL TEXTURAL CLASS: CLASS '1 (0.74 GPD/SF) SOIL EVALUATOR: DARREN MEYER, R.S., CSE DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DONNA MIORANDI, RS, BARNS BOH t DAILY FLOW: . 110 G.P.D. DESIGN FLOW: 330 G.P.D. GARBAGE GRINDER: NO (not designed for garbage grinder) Elev. T'H-1 Depth Elev. TH-2 Depth , Elev. . TH-3 Depth Elev. TH-4 Depth� SEPTIC TANK: 330 gpd x 2 = 660 gpd USE EXIST: 1,000 GALLON SEPTIC TANK 78.5- A 0" 78.25 A 0" 79.85 0" 79.0 A 0" (330) = 445.94 S.F. SANDY LOAM SANDY LOAM FILL SANDY LOAM LEACHING AREA REQUIRED: 10YR 4/1 10YR 4/1 I 10YR 3/2 .74 78.0 6" 53.3 6" 79.02 10" 78.67 4" B e A B USE THREE (3) INFILTRATOR 3050 (H20) UNITS WITH 4 FT. STONE SANDY LOAM SANDY LOAM SANDY LOAM I LOAMY SAND ON THE SIDES & 1 .3 FT. STONE ON ENDS: 25' L x 12.1-6' W x 2'D 10YR 5/8 10YR 5/8° 10YR 3/2 I 10YR 6/8 32" 75.25 36" 78.44 17" BOTTOM AREA; 25 x 12.16 = 304 SF 75.83 i C1 Cl 8 f SIDE AREA: (25 + 12.16) X 2 X 2 = 148.64 SF LOAMY SAND 77.0 24' TOTAL SQUARE FEET PROVIDED = 452.6 vs. 445.94 REQ'D 2.5 Y 6/4 ( Ct DESIGN FLOW PROVIDED: 0.74(452.6 S.F.) = 334.95 G.P.D. vs. 330 G.P.D. req'd SILT LOAM SILT LOAM 77.85 24" 10 YR 6/8 10 YR 6/8 Ci MEDIUM SAND 2.5Y7/4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN c PERC ®75.18 PERC ®74.75 75 TREE TOP CIRCLE, M. MILLS, A ' MEDIUM , 2 L , LL , M SAND 2.5 Y 7/4 I! Prepared for: Oakley Engineering by: Surveying by: SCALE DRAWN JOB. NO. 68.0 126' 67.75 126" 68.85 132" 67.0 144" DARRENM.MEYER,R.S. Eco-Tech Environmental N.T.S. DMM PERC RATE <2 MIN/IN. (-Cl Ill HORIZON) PO BOX 981 MA02537 (508) 364-0894 DATE CHECKED SHEET NO. NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED 508-362-2922 12/19/07 D M M 2 of 2 1 I