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HomeMy WebLinkAbout0079 KING ARTHUR DRIVE - Health 79 :King Arthur Drive -Osterville 145 071 IR 'K ARM M� A "gj f 141,r REA' !g 4wg�r�'! yqqa I Lt j, MUM I IP 31 An a bpi U fflij�'1;F$v 'V Al ,-ig FX "R A �'Vj 0 Nil Al i k"'05AP111, "'AUi Pi� mug gr Roo ip pw'�jii P K "Af A O'l, 'I'M "W'4 11U.51j, I= WAR 11 W 14 �A� " --""U , " YOU t w V'ft i", %tg' 15 t'P JW ri� n 4s k!' 411N419 qmVl ,P,�m'gL 3 All, T6A Rpl� § 'NE g Ai N' Imeng mum Mo— nor no N"NUIS"'!.f;, Rim MUM �P. Sun I -WHY. _W I MUNI AD X NEED VIF g� %-,�q '41f vul ®r�' A 4"" '44 =1 emu M jj"��;J�44 W Xe OWL* EMU= 014 N"ME'T"' qe pi oi "g �- TOWN OF BARNSTABLE LOCATION SEWAGE# �.0 b '210 G VILLAGE �, ASSESSOR'S MAP&PARCEL l j,r-7/ INSTALLER'S NAME&PHONE NOJ'08-5'20-1733✓oS z9Ar*-c7%' SEPTIC TANK CAPACITY /D00 LEACHING FACILITY.(type),-SO lI C�l4s hgh ,15 (size) 2.tX/3 NO.OF BEDROOMS .� OWNER Jj oc%1/ rE f a PERMIT DATE: g 1-16 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 -7� LL 1��y yr 1 m� Nv�_- TOWN OF BARNSTABLE I LG ION 19 tln r`�_y/ U r SEWAGE # VILLAGE � �V�t� ASSESSOR'S MAP & LOT-1 5 0-? INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO'. OF BEDROOMS BOULDER OR OWNER F, PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin facility) Feet Furnished by�—/1 SiDO 71 r0rl� w Gl �Y ss as a ss a� 3 3 � A TOWN OF BARNSTABLE TI LOCAON 1O1 ��nq r- thy/ SEWAGE # 'k-VILLAGE O M-r A. ASSESSOR'S MAP & LOT -0-7 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �Ib �-�oX (t, AN LEACHING FACILITY: (type) P+ (axL , (size) NO. OF BEDROOMS 3 BUILDER OR OWNER L• ILL PERMITDATE: ��I S Oy COMPLIANCE DATE: 1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200-feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist ? within 300 feet of leaching facility) Feet Furnished by - c- r IA � Ss as a 0 , a� ss ag 3 3 sg �y F c r . q `/3 LOC A TION � I SEWAGE PERMIT NO. V LAG E INSTA LLER'S NAME i ADDRESS /Vi y /.7/.o 67- 7 4 clrte s C 4Ale h�S7 yAt/i•a of� BUILDER OR OWNER C:&S7'49 e- CpN,! GLdtC4 DATE PERMIT ISSUED 7� Z,o-? DAT E COMPLIANCE ISSUED l9 l .�;r S'' / 0 No. 16 ZIYV Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLAtion for Disposal bpstem Construction 3pPrmit Application for a Permit to Construct(4,< Repair(4-f Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot NoN /�Cl NL, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 8 Inptal�ler<s Nne,Addre�j and Tel.No. _© y 3 92 '�7 Designer's?4 m ,Address,and Tel.No.__ ®`L'-3640 3_3// tf ° S' FYI(=��/ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 570 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) fh Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by Date G �"6 Application Disapproved Date O f (0 for the following reasons Permit No.0.06 —7�( Date Issued No. Fee �VV� J / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION,,-TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for Disposal 6pstem Construction permit Application for a Permit to Construct(1,K Repair(40 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.7� /<-/nl Owner's Name,Address,and Tel.No. Assessor's Map/parcel/41j= 71 �/r In�taller</N1 e,Address,l3�ar�and Tel.No.3 0 '�/Z�' q7,3 9' Desi ner's N d ��Address,and Tel.No. i 7-� 045 .rNC. �eA W& Type of Building: Dwelling No.of Bedrooms .J Lot Size sq.ft. Garbage Grinder( ) ` Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 7 Design Flow(min.required) 3(' gpd Design flow provided - gpd s Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil _ 1 Nature of Repairs or Alterations(Answer when applicable)�j/STd�/�/�CUI" /�'!G/ /U �i5�!'>5- Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in 7/1 accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si a Date Application Approved by Date g 2/a"6 �Application Disapproved Date Z Z0 I (a for the following reasons Permit No.ZQ�� 7-C 2C�y Date Issued '910 /(o --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS `--ertificate of Compliance THIS IS TO/CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(4-). Upgraded(� ) Abandoned( )by✓GZSjl� ,p 1{/� at 7q /-/,i a �/Q]76—U/\ r I l//_= j�f!=A1/ ypgtrconstructed in a c//ordance I _ with the provisions of Title 5 and the for Disposal System Construction Permit No. ©dated Installer'As 1e9��<J� Designer CyJ� (,/f'� F ��0�1 s /VC_• #bedrooms oj' Approved design flo 3 Jy gpd The issuance of this ermit shall not be construed as a guarantee that the system wil Ion as designed. Date Inspector --------------------------------------------------------------------------------- ----- No. ' O -` 2�v Feeft THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction 3permit Permission is hereby granted to Construct( ) Repair(E-r ��jjUpgrade( t )' Abandon( ) { System located at 7 ��/yJr/ #_AT1 Lzg V/= 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. 1 Providedd:�y oustt ction must be completed within three years of the date of this permla't Date V Approved by 08/08/2016 01:03PM 17744139468 MEYER AND SONS PAGE 01/01 Town of Barnstable Regulatory Services � a Richard V. Scali,Interim Director • 1AlI�P11SI,>♦ � - MAML Public Health Division. Thomas McKean,Director , 200 MaW Street,ByaRnis,MA 02601 Office; 5D8-862-4644 Fax_ 508-790-6304 Installer&.Designer Certification Form ' .. . Date:. . . ` --, , r Sewage PeltiWO ''Assessor's MapTareel Designer: Installer: to Address:. _ f�?!JC Address; Strlew)�� on was issued a permit to install a (date) (installer) septic system at ,`�tJ6 r A � ,1 , Dpl _ based n d sign drawn by (address) Le'__ c� .S,rr1 c dated (de igxaer4, I certify that the septic syystemreEf`erenced above was installed substautially according to the design, wbich may include minor approved changes such as lateral relocation of the distribution box and/or septic tank Strip out (if required) was inspected axed the soils were found satisfactory. I certify that the septic system referenced above was installed with major chaugfs (i.e. greater than I01-lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constmet a with,the terms of the AA appr al letters(if applicable) ( taller' ipatrWe ! 19 1 (Designer's Signature) Design Here) PLEASE RETURN TO BARN TABLE PUBLIC HEALTH DT V ISION. C ERIMICATE OF COMPLL�NCE WML NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT:CARD ARE RECEIVED BY LM B ST LE RUBLIC T D S O . THANK YOE. QASapticUksigur Certification Form Rev 8-14-13.3oc r r I j Town of BAr nstable. Po Department of Regulatory Services , ereStB„ Public Health Division Bate 6 �1►RN F . tlresa. $ I ,bly �e 200 Main Street,Hyannis MA 02601 Date'Scheduled Time Fee Pd: foil Suddh laty Assess eft fog it e Disposal NA Performed B Witnessed By: �v cn LOCATION &GENERAL INI+'ORMATION _ Location Address y 141 tAG i Owner's Name p y ��l�twL .Address' '� M • Assessor's MaplP4rcel: �.�j �o�.l I Engineer's Name 1`�ey�� SAS y1L. NEW CONSIRU�'I;ION REPAIR X Telephone#Sot t 360 33 J Land Use yj'aloe, slopes(�o) '0: Surface Stones Distances from: Open Water Body (eft Possible Wee Area 20y ft Drinking Water Well �ft I)rainage Way _ft Property Line 2 / 0 ft Other A SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) R Y � v` \J`• ��S7 Parent material(geologic Depth to Bedrock Depth to(,roundwatdr. nding Water in Hole: i Weeping from Pit FAee e Estimated SeasonallVigh Groundwater. D ATION FOR SEASONAL HIGH WATER TALE• `- Method Used: I _io. Depth tq Sgll m9ttles; ln. Depth ObTrvedstanding in obs.hole: I -- in, araundwnter AdJuslment it Depth toiweeping from side of obs.hole: I Adj.Quundwater Level— Index Well# _ Reading Date Ind_ex Well level —� Adj.fietoC. _ PERCOLATION TEST'- Date Observation Tiine at 9" N .._--_— Hole# C Ll x Time at 61' Depth of Pere -I—�-- ' Time Start Pre-soak Time.@ { r• { �.13 End Pre-soak l i• _ , Rate MinAnch —_ Site Suitability Asse sment Site Passed r Site Failed; Additional Testing Needed(YIN) 41 Comp leted on Back-- •Original• Observa tion Hole Data To Be ,Public kfe$lth Division _ 1 ***If percolaion test is to be conducted within 100' of wetland,you must first notify the Barnstable C44servation Division at least one (1) week prior to beginning. DEEP OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure;Stones,Boulders. Consistent %Gravel ot, 4►, d ^' ►3 - �� C a� 5AV\d to DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sail Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones,Boulders. Consistent y.%Gravel) 6►1— H it 9'i1��31 aM 'S L R-� 4 �� �` wZ f 3�"- � '' 2•s 6 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell). Mottling (Structure,Stones,Boulders. Consistent 96 Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. Consistency, ra I .r Flood Insurance Rate May: / Above 500 year flood boundary No_ Yes Within 500 year boundary No V Yes, Within 100 year flood boundary No Yes Depth of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring p v.ous aterial exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring r4rvious material? Certification ql I certify that on 1 p (date)I have passed the soil evaluator examination approved by the Department of Envir mental Protection and that the above analysis was performed by me consistent with the required g, pertise a exp rience described in a.10 CMR 15.017. 7 Signature Date 6 Q:\,SEPTICVERCFORM,DOC f y DOO- 1 s O5y r 405,03- 12-20Ct7 12=27 BARNS-TABLE LAID COURT REGISTRY , NOTICE: The'rown of Samstable ..recommends that this nppfiCant seek legal advice to prepare a property worded deed restriction document DEED RESTRICTION WHEREAS, l/ irr owns s n e) MA (address) is the owner of 1*50 located (addreis at MA (hereinafter referred to as and being shown on a plan entitled "Subdivision of Land in MA, Property of et al, duly recorded in Barnstable County Registry Of Deeds in Plan Book f 7-3�) / , Page ; Or on Land Court Plan Number WHEREAS, / ����{�i� as the owner of said lot has (owner's name) ' agreed.with the Town of Barnstable Board of Health to a restriction as to the number.of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; - WHEREAS, the Town of'Bamstable Board of Health, as a pre-condition-to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a-single family home on this property, is requiring that the agreement for the restyicdg9 on the number of bedrooms in any house constructed on the lot be pirebQrd with the Barnstable County Registry of Deeds by recordnhis document, ; N NOW, THEREFORE, r v j" g does hereby place the M (owner's name) O • following restriction on his above-referenced land in accordance with his . agreement.with the Toaa mof , whieh restfietion thalt run with the land and be binding upon all.successors in title: r �s �r�'P may have.constructed (address) upon the lot a house containing no more than (3) bedrooms. '-' fCc �� /�©� .� z/ . agrees that this shall be.permanent deed 0 (owners name) restriction affecting located one �J� �� �v r A, and being shown on the plan recorded in Plan Book , Paged Or on Land Court Plan - 3'qlOU For title of see the following deed: Book , Page Or Land Court Certificate of Title Number Exec ed as a sealed instrument day of 0 n e signature C� ` Own` s signature Owner's signature COMMONWEALTH OF MASSACHUSETTS ti '�hE.l�►�- ss cLyG !�Z 206J Then person Ily appq ed a above-named J�Pf'r"i 1S r1Up�i''P-t�{J known to me to be the person who executed the foregoing instrument and acknowledged 03 the same to be e a and deed, before me, : m ��t,, Notary ; >ms . Q '*. Public F" . ;,.,'�� F;;..��!�,''�; � � �'� - �r- commission expires: _ ca (date) . � _..BARNSTABLE REGISTRY OF DEEDS COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS s DEPARTMENT OF ENVIRONMENTAL PROTECTION FARCE. LOT g_ TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 79 King Arthur Drive Osterville, MA 02655 Owner's Name: Linda Wiech Owner's Address: Date of Inspection: _ November 1. 2004 LRE 'G Name of Inspector: (Please Print) James M. For_d 2[104 Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville.MA 02655-0049 Telephone Number: F5081862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my, training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: November 9 2004 The system inspector shalYsubma'copyy 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 1.0,000 gpd or greater,.the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and'copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ""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. Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 79 KinQArthur Drive Osterville MA Owner: Linda Wiech Date of Inspection: November 1 2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: f B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: t 2 Page 3 of 11 OFFICIAL INSPECTION.FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 79 Kin-Arthur Drive Osterville MA Owner: Linda Wiech Date of Inspection: November 1 2004 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning.in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1.of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 f Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 79 King Arthur Drive Osterville MA Owner: Linda Wiech Date of Inspection: November 1 2004 D. System Failure Criteria applicable to all systems: You must indicate either"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''/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)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 System: , To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 79 Kin-Arthur Drive OstervA MA Owner: Linda Wiech Date of Inspection: November 1 2004 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes'of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No V _ Existing information. For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 ' Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 791'inQArthur Drive Osterville MA Owner: Linda Wiech Date of Inspection: November 1 2004 RESIDENTIAL FLOW CONDITIONS . Number of bedrooms(design): 3 Number of bedrooms(actual): 3 . DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach.a copy of the DEP approval - Other(describe): Approximate age of all components,date installed(if known)and source of information: Unknown Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 King Arthur Drive Osterville MA Owner: Linda 97ech Date of Inspection: November 1 2004 BUILDING SEWER(locate on.site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) . Depth below grade: 8" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: I" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: _Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The level was even with the outlet invert. There did not"ear to be any signs o leakage. An outlet tee was present. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels , as related to outlet invert,evidence of leakage,etc.): 7 { , Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 Kina Arthur Drive Ostervide MA F` Owner: Linda Tfiech Date of Inspection: November 1 2004 TIGHT or HOLDING TANK: None (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: allons Design Flow: allons/day Alarn present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Connnents(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.): The D-box was broken down. A new D-box was installed Permit No. 2004-585. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 79 King Arthur Drive Osterville MA Owner: Linda Wiech Date of Inspection: November 1 2001 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: _1 -6'r 6'(1000 ag 1) leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): The leach aL was dry, The scum line was qp 2rQx ite.1y3'u rom the bottom. There did not appear to be an si ns nf failurg. CESSPOOLS: None (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 or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: _ 79 Kinky Arthur Drive Osterville MA Owner: Linda Wiech Date of Inspection: November 1 2004 SKETCH OF SEWAGE DISPOSAL.SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. G' A' gn�k (3% � a ss as y a Ssca 3 a i__ 01 3� 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: _79 Kin z Arthur Drive Osterville MA Owner: Linda Wiech Date of Inspection: November I Intm SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 30+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain:_ topographic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Usinz Barnstable to o ra hic and water contours maps, the ma s were showin site. a roxitnatel 30 +/-to jzround water at this This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or-implied,relating to the system, the inspection and/or this report. 11 YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $ .00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required'by law. DATE �r Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME v BUSINESS YOUR HOME ADDRESS: /le TELEPHONE # Home Telephone Number -5-0- S �3el NAME OF NEW BUSINESSGGI/le- CD1J TYPE OF BUSINESS de"v7 e 1�7 / IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has,Jbeen infor ed of the permit req irements that pertain to this type of business. Authorized S gnature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has n n in o of the licensing requirements that pertain to this type of business. Authorized Signature"* COMMENTS: No. X&O Fee A0 V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migpo at *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. "� k t nq Ar w� R�, Owner's Name,Address and Tel.No. Assessor's Map/Parcel /�S �v �� 1 W 1 e,t,v\ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �ar(�0^ �>U/r u5 Type of Building: Dwelling . No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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) 1 J BOAC W A,r 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 Certifi- cate of Compliance has been issued by this JW d of Health. Si ed Date Application Approved Date Application Disapproved for the following reasons Permit No. a0_0� ^5 4'� Date Issued O . No. �j Fee (Q THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: T Yes PUBLIC HEALTH-DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS - -pplication for Mi5p0ar *pgtem Construction Permit ` Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No.—7 q t^� fk-N w� �`], Owner's Name,Address and Tel.No. Assessor's Map/Parcel G S e.0 1�- G-? ,1^ A W I ! Installer's Name,Address,and Tel.No. `Y l Designer's Name,Address and Tel.No. � ur(�on �un^ �S Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day.. Calculated daily flow gallons. 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) BOX ( &� . f Date last inspected: Agreement: _ . The undersigned agrees to ensure the construction and maintenance of the afor�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 Certifi- cate of Compliance has been issued by this Board of Health Signed .,ter /_-S w Date r Application Approved by Date 1 ( Application Disapproved for the following reasons Permit No. '7)0c`r-I Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate.of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal-System Constructed( )Repaired (,-I Upgraded( ) Abandoned( )by at "1 01 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. � G o t! k.Ylated )I/�Z) Installer G or8Un gumAyS Designer / The issuance of this permit s�hf 1 not be construed as a guarantee that the s stem- ill u ction ask.,esigned. Date_ I I J`t Inspector ,n -------------—--------—-----Fee �l�) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mt!405ar *p5tem Construction Permit Permission is hereby granted to Construct( )Repair( Upgrade( ' )Abandon( ) System located at 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:Construction must a completed within three years of the date of this permi�. Date: /Z Approved by LEGEND OSTERVILLE g PROPOSED CONTOUR BF PROPOSED SPOT GRADE 00 ,QT =— 98 -- EXISTING CONTOUR 4f3 A ,�, + 96.52 EXISTING SPOT GRADE ? Al � ROUTE 28 S N o� W— EXISTING WATER SERVICE I vent r^ ® 413 � * �°TEST PIT o.. { -r----- lv LOCUS y LOT 39 IOp 1 ,=�! /TP- o �S SCALE: 1"=20' V � ��� 25 °o / oAK c� LOT 41 o G� o 0 Vol C) (s OAK , -J JP-2`;� +' LOCUS MAP ti �5g ,,r' TBM= � � r COR. PAT)0 LOCUS INFORMATION ;4'T. t.°GGG I EL=46.9 9 \ j �i sEpnc TANK 1 �p p PLAN REF: LCC 34008 TITLE REF: CTF#175301 PARCEL ID: MAP 145 PAR. 71 ' t�\OAK --- , ----- ' 1 . . r ZONING: "RC" '". 4d FLOOD ZONE: "X" COMMUNITY PANEL: 25001CO544J DATED:07/16/14 > UPOLE OHW LPG\ _\ #79 CBAs r®�; `\ �` ` = TOF=48.00 SEPTIC SYSTEM l \ --- 17 ------------ -� t_----- REPAIR PLAN UTILS LOCATED AT: 79 KING. ARTHUR DRIVE YP 46 OSTERVILLE, MA. lV. ' o PREPARED FOR KERRI, L. BOUDREAU \ MAY 4, 2016 `LOT 4 0 MAs�q�y "AREA=15,000t S.F. D R E s S J, £4NITAR\P� / R'25.00 �-39.2 7 MEYER & SONS, INC. kGRAPHIC SCALE P.O. BOX 981 z° I sG 80 EAST SANDWICH, MA. 02537 PH: (508)360-3311 IN FEET FAX: (774)413-9468 i inch = zo ft. meyerandsonstitle50gmail.com SHEET 1 OF 2 J#1813 ELEV. TOP NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS _FOUNDATION BRING ALL COVERS TO WITHIN 3'= OF FINISH GRADE - T (Existing) r FINISHED GRADE (48.0) 448.0 F.G.EL: 45.0 F.G.EL: 45.0 F.G. EL: 47.0 VENT:d MAINTAIN 2% MIN SLOPE OVER LEACHING AREA a' 7 W. a. 2" OF 3/8 DOUBLE WASHED F.G.EL: 44.34 3/4" - 1-1/2" • . STONE OR FILTER FABRIC DOUBLE WASHED STONE 6 _ 4" SCH 40 PVC 4 ®®®®' p ®®I®® 011 1 6 (MIN. ®®®®®®®®1®®® 14" © S= 1% ®®®®®®®®®®® A' T " S ARE To C INV.42.65 2 Ek. DEPTH ®®®®®®®®®®®4' SCH 40 PVC - > •�Q.::a::: INV.43.05` NV.42.45 4' 2 X 8.5' 4' s� GAS PROPOSED DB 3 EXISTING OUTLET BAFFLE - . .. :...... .. DISTRIBUTION BOX EFFECTIVE LENGTH - 25' - INV. 43.30 :. . (H20) INV. ELEV. 42.0 EXISTING 1 ,000 GALLON SEPTIC TANK " GAS BAFFLE TO BE INSTALLED ON �����` of M�ssq� BREAKOUT OUTLET' UTLET TEE AS MANUFACTURED BY DA EEE M. TOP CONC. ELEV.= 43.0 ELEV.= 43.0 TUF-TITE, ZABEL, OR EQUAL NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING No 1 INV: ELEV.= 42.0 •®®� ®® PIPE INVERTS PRIOR TO CONSTRUCTION - ®E3®®EO®® ' ®®®®®®® 2) D-BOX SHALL BE SET LEVEL AND TRUE TO $ZE ®®®®®®® GRADE ON A MECHANICALLY COMPACTED SIX SANITAR\I' BOTTOM EL. 40.0 ®®®®®®® INCH CRUSHED STONE BASE, AS.SPECIFIED IN 3.75' 5 FT. 3.75' 310 CMR 15.221(2) 3) REPLACE 'EXISTING 1,000 GALLON SEPTIC TANK SEPARATION 5.30 nFT. 11.0EFFECTIVE WIDTH = 12.5' WITH 1500 GALLON SEPTIC TANK IF FAILED, DAMAGED, NOT H2O LOADING, OR UNDERSIZED. SEPTIC SYSTEM PROFILE - SOIL ABSORPTION .SYSTEM (SECTION) 4) INSTALL INLET & OUTLET TEES W/ _ BOTTOM. OF TESTHOLE EL: 34.70_ r GAS BAFFLE AS REQUIRED - (500 GALLON H2O LEACH CHAMBER) GENERAL NOTES: SOIL LOGS P#:14933 DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN I11UST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOOM 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: JANUARY 21, 2016 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF)' OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE LOCAL RULES AND REGULATIONS' EXCEPT AS REQUESTED BELOW: SOIL EVALUATOR:. DARREN MEYER, R.S., CSE #1614 WITNESS: DAVE DESIGN PERCOLATION RATE: <2 MIN/IN - 310 CMR 15.405 (1) (B): • STANTON, BARNSTABLE HEALTH DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. - ' 1)1 A 2.0 Fr. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING GARBAGE GRINDER: ' NO (not designed for garbage grinder) TO BE UP TO 5.0 FT (APPROX.� BELOW GRADE VS REQ'D 3 FT. (H20/VENT PROVIDED) - SEPTIC TANK: 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Elev. TP-1 Depth - Elev.' TP-2 Depth 330 gpd x•200% = 660 gpd, USE EXISTING 1,000 GAL. SEPTIC TANK ,:. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 48.2 O 0" 47.7 0" (330) = 445.94 S.F. DESIGN ENGINEER. 47.87 A 4" 47.37 4" LEACHING AREA REQUIRED: 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING LOAMY SAND LOAMY SAND .74 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 10YR 3/2 10YR 3/2 ENGINEER BEFORE CONSTRUCTION CONTINUES. 47.12 13" 46.62 13" USE TWO (2) -500 GALLON .H2O PRECAST LEACH CHAMBERS W/ 4 5. AILL ELEVATIONS BASED ON ASSUMED DATUM. E LOAMY SAND E LOAMY SAM STONE ON ENDS & .3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 10YR 7/1 10YR 7/11 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 46.70 18" 46.20 18" BOTTOM AREA: 25 x 12.5 312.5 SF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. B LOAMY SAND B LOAMY SAND 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. IOYR 5/8 10YR 5/8, SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF 45.12 37" 1 44.62 37" 8. ALL AREAS DISTWRBED DURING CONSTRUCTION SHALL BE RESTORED C G TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. PERC ® MEDIUM SAND MEDIUM SAND DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. lreq'd 9. IT'SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE EL. 43.80 2.5Y 6/4 2.5Y 6/4 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. PROPOSED SEPTIC SYSTEM UPGRADE P LA N 10. EXISTING LEACHPIT TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. 35.20 156" 34.70. 156" 11. 4B HOUR NOTICE FOR ENGINEER CERTIFICATION 79 KING ARTHUR DRIVE, OSTERVILLE, MA 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY <2MIIN/INCH IN "C" SOILS AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY NO GROUNDWATER OBSERVED Prepared for: Boudreau 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. Engineering and Surveys by: SCALE DRAWN 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. MEYER&SONS,INC. N.T.S. DMM • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310,CMR 15.017 p0 BOX 981 15. ALL PIPING TO BE 4" SCH 40 0 1/8-/FT (UNLESS SPECIFIED) to conduct soil evaluations and that the above analysis has been performed by me consistent with the DATE: CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October, 1999. EAST SANDWICH,MA 02537 508-362-2922 05/04/16 DMM 2 Of 2 vs 2007 HAF? 12 ' PM 2: 28 �...,_-�I'e� . , - � - { I : as� _ � \ h• Y s � 'j ' • '. _ '.to �,�, ,.. , n 4 , , a 44 , . 13 lez/ , _ a Y4P