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Home My WebLink About0547 MAIN STREET (OST.) - Health 547 Main Street Osterville, MA. 02655, A = 141=100 TOWN OF BARNSTABLE LOCATION ��7 kJ t,4 SEWAGE# i VILLAGE ASSESSOR'S MAP&PARCEL Jz4-j- 100 INSTALLER'S NAME&PHONE NO. 2-G. O. SEPTIC TANK CAPACITY t'c 1 C�I FUd, l dz5b 4,�__ f J/a LEACHING FACILITY:(type) t rQ� (size) Lk) X 15' NO.OF BEDROOMS '� '�� OWNERi�t2�N- PERMIT DATE: ,-I 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) 1'Q Feet FURNISHED BY X2J Ile - � I „ 1 No. 1` ��' t Fee 49 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliLation for Bisposal 6pstrin Construction jhrmit Application for a Permit to Construct( ) Repair( .) Upgrade kk Abandon( ) ❑Complete System endividual Components Location Address or Lot No. Owner's N LeAss,qpd TehNo. ,` �feels'2Q. b• SSA Assessor's Map/Pazcel f I 9 0>4115!s' Installer's Name,Address,and Tel.No. 7 U$_ya$_�Aa(p .gner's Name,Address,and Tel.No:5Z*-vsJ;D2 �'cys ® '7S Type of Building: �Q.x l Dwelling No.of Bedrooms .43 Lot Size sq.ft. Garbage Grinder( ) Other , Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures f/,//� Design Flow(min.required)) 7 Y49 gpd Design flow provided �y� gpd Plan Date 1)oUP� -19 c_1011E Number of sheets Revision Date Title i+fp o,& G d y► '=#b ? per' O%M& A L Size of Septic Tank eX WL qd Type of S.A.S. Js�X VO d�quag-F-S{CJYI�' Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainten a afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C and to place the system in operation until a Certificate of Compliance has b:en issued by this Board of Health. d r Date Application Apprcved by;/_ '- —� Date Application Disapproved b °r Date for the following reasons Permit NO. Cots Date Issued No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplicatlon for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System individual Components Location Address or Lot No. y7 /uQh f t Owner's Name,Address,pd Te�No. ` C.4 x�a / Assessor's Map/Parcel 1 Ij t Installer's Name,Address,and el.No._J�FS•��Z$-fSS lCF Designer's Name,Address,and Tel.NoS7� fo tx t.`vrtstCt�ica%nrX 1451,-)dtcf,-0( %L�ie�r c ► tc.��,err. �139�,dGr! Type of Building: Dwelling No.of Bedrooms Lot Size SJ r�:, 3 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) y l'& gpd Design flow provided I/jV gpd Plan Date -P9. Number of sheets Revision Date Title 1 S .!;Gy-L- 1110.. 4- --S90 L0 LA Size of Septic Tank £Xi 4;re_ j1YY,54d Type of S.A.S. /S t T Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in i' accordance with the provisions of Title 5 of the Environmental Code E do to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. d Date /�! ,,. Application Approved b _ -" Date Application Disapproved Date for the following reasons Permit No. 710l Date Issued --------------------------------------------------------------------------------------------------------------------------------------- - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site/Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by jL�pr'Fc>'O_L�L C LnS�fi 9c:� ,+ i at `%`;') ` 1�6 t_i i SF . %�`l en tx C L�-C has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Nol dated Installer ;�oC v t_ �. r6� �t�LTtCJ1�, < Designer c't') (. t_1CIO ;jm"CAh Cn tA7- #bedrooms Approved design flowj Ij! l gpd The issuance f thi permit shall not be construed as a guarantee that the system wil 'o as desi ed. n Date �- � � �! Inspector ✓ K --------------------- -------------------------------------------------------------------------------------------------------------- No.ZO)r —l 06 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct(,(�j Repair( ) Upgrade( ) Abandon( ) System located at f� 1��7 j 'jam_/;s, and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Co tructto must be completed within three years of the date of this permi Date f: Approved by -26-2019 03:30 From: To:15087906304 Pa9e:1,'1 `71V Town ®f Barnnstablle Regat ato ry Semees Thomas F.Gener,Director ]Pamlac'Health Division +° Thomas McKean,Dior 200 Main Street,his,MA 02601- r Office: 508-862-4644 i Pax: 509-790-6304 DDeae Ceric:mimom]E'®rmm Date'.. 7-1Zc l Seepage]Pea�mi►t# '�� ( .A�agesamr's MapWareel 1�/ Zoo s— f t7. Address: • 0•. 8'X- 0 -- - On %e21.2 /8 i �/Isii'1.r�H�» *as issued a pe 000it to install a . ( (installer) septic system at (Pt. libased on a design&awn by ;< (a dtess) &vote� �}. ja ea &S dated I\lolf ✓ I certify that the septic system referenced above was installed substantially according to the design, which may include.minor approved cbanges such as lateral relocation of tbz distabudon box and/or septic tank. I certify that the septic system referenced above was installed with major changes (Le. greater than 10'lateral relocation of the SAS or any vertical relocation of any component of the septic syst=)but in accordance with State&Local Regulations. Plan revision or certified as- designer to follow. iiA OFhL ° DANIELA. �� OJALA austaner 8Signature) o CIVIL No.46502,IN o- (Desip&'s Signature) Designer's Stamp Here) ggMUMNCE WEUL NO-Y 10 AMM YJINTXL FORM AM AURP—MI CARD ARE• REC M, p AY TfM AABNg.X6M PMLIC EMAILTR IDIVMON. Tj5&NKYOU Q.HPhc/Das�gnedth/Se er CertificEdonPo=3 26.04.doo Town of Barnstable P# 162,30 IKE �y o Department of Regulatory Services BMWSTABLE, Public Health Division Date 7 MASS. �Ar 1659.n`�� 200 Main Street,Hyannis MA 02601 6D Mptl Date Scheduled ] )�� Time 0 Fee Pd. gloto. 114d Cr Soil Suitability Assessment for Sew Disposal Performed By: y Witnessed By: � �_ 'LO.CATION,&'GENERALRINFORMATION: Location Address « 1 �7 '1 Q/.ti �� Owner's Name Q�r Address Assessor's Map/Parcel: /!ram(, Engineer's Name NEW CONSTRUCTION x REPAIR X Telephone# Lands Use 6s;h t)C,1 Slopes 16 Surface Stones IVA- Distai from: Open Water Body)) ft Possible Wet Ar''eaan 10 ft Drinking Water Well ft Drainage Way lC. ft Property Line �IJO ft Other ft SKETCH:(Street name,dimensions f lot,exact to ions of test holes&pert tests,loca wetlands in proximity to holes) A Z. �L ' ►} � ram,� Parent material(geologic) ►Q� �� ,.� Depth to BedrockC�L(/ r !� y Depth to Groundwater: Standing Water in Hole: ,I1� Weeping from Pit Face. Estimated Seasonal High Groundwater _. E ^ATION-FORSEASONAL HIGH WATER TABLE Metho'd Used: " —Dep i Observed standing in obs'hole. 'J Z6tf —"'in r Depth to soil mottles: �" in, µ Depth to weeping from side of obs.hole: in. Groundwater Adjustment o ,� ftf: Index:Well# t ?, Reading Date: Index Well level l Adj.factor + Adj.Groundwater Level�6etC aPERCOLATION::TEST; -,Date .Time. Observation Hole# .y _ Time at 9" Depth of Perc ,. Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Inch f �K '(01 f. Site Suitability Assessment:,,SitePassed V Site.Failed: Add itional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- -`"r*',If ercoiation testis to be conducted within 100' of wetland y p ,you must first notif the"' 3 Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole#.:�>y Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel U 6 LS tG Y DEEP:OBSERVATION HOLE LOG Depth from Soil Horizon.. Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling '(Structure,Stones,Boulders. Consistency_%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.%Gravel) -5 q obG S 16, '1C80 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel G.1,9 Y �1 Flood Insurance Rate Man: Above 500 year flood boundary No Yes �r Within 500 year boundary No ✓ 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? Vr_ If not,what is the depth of naturally occurring pervious material? Certification I certify that on 5 t�—_p (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15,017. Signature Date " 2 Q:\SEPTIC\PERCFORM.DOC P of r Town of Barnstable Barnstable Regulatory Services Department caM ANnad &IRNSTABLE. g p 1 y MASa eg q, 1639. ,m Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7015 1730 0001 4990 5695 August 15, 2018 BORGHI, MARIE IRENE TR PO BOX 554 OSTERVILLE, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 547 Main Street, Osterville, MA was inspected on 08/08/2018 by Frank Nunes III, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. G ' Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF TH OARD OF HEALTH o an, R.S., CHO Agent of the Board of Health I , Q:\SEF'TIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\547 Main Street Osterville.doc r' Town of Barnstable > BARN3TABL$ ' b Regulatory Services Department ArfD NI!►�s Public Health Division 200 Main Street,,Hyannis MA 02601 Office: 508-862-4644' Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA o Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool r O E 1 YEAR DEADLINE CRITERIA tatic liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well o Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). . TWO (2) YEAR DEADLINE CRITERIA o Single Cesspool ❑ Any"conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER a Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts �T� -100 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments < 547 Main St.M � Property Address "` .fwe Borghi Owner information Owner's Name is required for h-+ every page. Cisterville ✓ MA 02655 8/8/18 7 City,?own State Zip Code Date of Inspectionell Inspection results must be submitted on this form. Inspection forms may.not be alteredr any way. Please see completeness checklist at the end of the form. A. General Information �-�#, 13 a1 R 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 Cityrrown State Zip Code 508.272.6433 13010 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Eval ation by the Local Approving Authority 8/8/18,.. Inspector' ignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6/16 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 �.o v� f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 547 Main St. Property Address Borghi Owner information Owner's Name is required for Osterville MA 02655 8/8/18 every page. CityiTown State Zip Code` Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: There are 2 systems at this property. 1 is a single cesspool which fails due to regulation and the other fails due to hydraulic loading 13) System S Conditional) Passes: Y ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below):' t5ins.doc-rev.6M6 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M "< 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 , Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑_Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by.the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ^ ' ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh - t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M ' 547 Main St. Property Address , Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has aseptic 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 aseptic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 547 Main St. Property Address Borghi Owner information Owner's Name is required for Osterville MA 02655 8/8/18 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped- ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. r iv i whin 1 feet f a surf water I r ❑ ® Any portion of cesspool o privy s It 00 e t o ace ate supply o tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply Q ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 547 Main St. Property Address BoMhi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal"flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of.the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ _ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example:"110 gpd x#of bedrooms): 330 t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments N SVOyec 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 City/Town State Zip Code Date of Inspection D. System Information Description: The system in the front was installed 1993 and the infiltrators are flooded at this time. The system to the right side is a single cesspool and fails due to BOH regulation Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of-design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osteryille 4 MA 02655 8/8/18 Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: _ No recent pumping per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: - ® Septic tank, distribution box, soil absorption system ® Single cesspool ❑ Overflow cesspool ❑ Privy . ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 �3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 CityrTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1993 and cesspool per age of home Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18'feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10'feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 2' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) H-10 tank appears to be structurally sound If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000g 511 Sludge depth: t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 547 Main St. Property Address ` Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle >12 1/2" Scum thickness 1 >2, Distance from top of scum to top of outlet tee or baffle ° Distance from bottom of scum to bottom of outlet tee or baffle >2 How were dimensions determined? measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping suggested every 3 years to prolong the life of the system Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete El metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): i Dimensions: Capacity: gallons , Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level.' Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Oil 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.): - H-10 D-box is 3' below grade, effluent level is 3"above the outlet invert Pump Chamber(locate on site plan): Pumps in working order. ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osteryille MA 02655 8/8/18 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type. ❑ leaching pits number: ® leaching chambers number: 3 infiltrators ❑ 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.): Infiltrators were video inspected and are in a state of hydraulic failure at thie time Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 Depth—top of liquid to inlet invert 4 Depth of solids layer 1, Depth of scum layer 1/2 Dimensions of cesspool 6x6 Materials of construction block Indication of groundwater inflow ❑ Yes ® No t5ins.doc•rev.6116 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc•rev.6/16 Title 5 Official Inspection Form: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 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 City/Town State Zip Code Date of Inspection D. System Information (cont:) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately fA�o t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA4 02655 8/8/18 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 lT Lt � a C C7- - y - t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 Cityrrown State . Zip Code Date of Inspection D. System Information (cont.) Site(Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12' ` feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: j Home is at 16' msl and wetland at rear is 4' msI You must describe how you established the high ground water elevation: see above Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 547 Main St. Property Address Borghi Owner information Owner's Name is required for every page. Osterville MA 02655 8/8/18 Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Z Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed System Information'-Estimated depth to high groundwater !® Sketch of Sewage Disposal System either drawn on,page 15 or attached in separate file t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION X7 C-6lSlJ" `9 SEWAGE # ` ,?- LU.-- VILLAGE ;61�41LLe ASSESSOR'S MAP & LOT/Wl 160 INSTALLER'S NAME 6i PHONE-NO. SEPTIC-TANK CAPACITY LEACHING FACILITY:(type) / �"L� ((s-izzee) 7 o NO. OF BEDROOMS `-� PRIVATE WELL OR Pd•BLLC WATER BUILDER OW . 40a DATE PERMIT ISSUED: \\)ATE COMPLIANCE ISSUED VARIANCE GRANTED: Yes C::No_ ~� _� f � '�c�.%J% a� HcvS'E '� �� i ° Jf �� `/� : t ,, j ,- _ i _ _ _ No.... 3APP'RU VED Fas ............. ea b HE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Dim TOWN OF BARNSTABLE Ali.pliration for Diri.puut l lVnrk.6 ( onfitrurtiun Permit Application is h reb made for a Permit to Construct ( ) or Repair D<j an Individual Sewage Disposal System at: Z�f17 U C ..--•---•----------•------------------------------------------------.......-•----•...-••-•-••-•--. -•----------...--•-.._...•-•-••••••••-•-•--••-•--•--•-•-.•--••--••-.........._..••••............... Loton- idress or Lot No -� � c /G•--____„----.i iJt c e_ O cote �_ ddres d,j --- . Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms----------------•......__---____-_-______..Lspansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures .........---------------------------------------------------------------------------------------------- W Design Flow................ :. per person per day. Total daily flow........: _____.._........................gallons. WSeptic Tank—Liquid capacity/_.gallons Length-............... Width----------_..... Diameter_............... Depth................ x Disposal Trench--No. .........1........ Width.......7._._------ Total Length._c:P"? ._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........................ rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a '-------------------------------------------------------------------•-•-----------------------.....-.... ......................-........-------------------•-- ODescription of Soil........................................................................................................................................................................ x w .. . ......... .............-------•------•-•--•-•••---'-----------••---•----------------•----••-••-----•------------'-------- .............................. •--- n :.0 Nature of Repa s or Alterations— nswer w en applicablel � ..... . l.Q Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant as bee is ed e oa of health. Signed ........... ..... ....... .............................................................. .�� ............... Dare Application Approved By ---- ........ .-.-..... ....../I.......1^13.. Application Disapproved for the following reasons: ................... ..... .. ..................................................... . ......................... ...................... . ...... . . ............................................................................. .... .----- ........--... -- .. ........................................ Dare PermitNo. ...........C?....3...... ...` -... ........ Issued .................................................................... Dace .............. THE COMMONWEALTH OF MASSACHUSETTS 3BOARD •OF HEALTH TOWN OF BARNSTABLE . pphratinn for Di►ipwial Wnrkii Tomitrnrtinn rumit Application is hereby made for a Permit lto Construct ( ) or Repair ! an Individual Sewage Disposal System at: .. 1-0-t- " .........---..f---•••----...--•-----------------••--------•-••--•-•••._...•................... ...----•----•-•--••••---••••-••-•-••••-•..........-----••---••----•••-•••-.----- Location-Address �y7---•--• //J�J ./ or Lot �fLlJ/LL Owner ddress W � G C d/i7 C! ,.J S% �J Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms----------------�-------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building -:-------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ------------------- ------------------------------------------------------------------- ---------- W Design Flow................. ----------gallons per person per day. Total daily flow...... d.._.._............._...gallons. WSeptic Tank—Liquid capacity/__gallons Length---------------- Width---------------- Diameter................ Depth................ x Disposal Trench-- No. ......... 7-......... Width....... Total Length__:`--P..2.5'`Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Ot"aer Distribution box ( ) Dosing tank ( ) t•" Percolation Test Results Performed by.......................................................................... Date........................................ 0..1 Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit_................. Depth to ground water........................ �+ --•---•--•.....................•-•-•-•...----••-•------••...---••-••----••••••....---•----•-•---••-•.........••-•...•--••-...--•...................... O Description of Soil...........................................................................................................................................- . .................•--- U --- ----------------••-•---•-•---------••-------------------•---•--------------•------.....------------.....--------.....--•----------------------•-••------•--........--•---..........----••.. W --•----............................................................................................. ............................................................... U Nature of Repairs or Alterations—Answer when applicable.. U9_...r�.- �S •C:•-%/-' u 7 1 ....................................... ;.....-`..... ........................................... /r-fY /(.� .. ..�......_. Agreement: i The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance/has been is ed by-the boa d of health. ` Signed .---._ l, l. .......................................-...........-........... /5 :...... Dace A lk:ation Approved B ------ _. ..... ............._.......................... �.. ... �.. ..PP PP Y .............�-s Q Mte Appli.:ati,on Disapproved for the following reasons: ................................................................................................... ............................. ..... . .................... . ..................................................... . . ..................................................................... . ... ................................. . Dare PermitNo. ..........� :3......I/ a- ............ Issued .... ............................................................. Dace --_. THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE t1-TT �` PrtifiratP of UjaraylianrP THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired( �) by ..................................................... �' .- - ...........('�V ' rd ....... ... . ..... . .......................... ........ . .. ` mstauer at ...... -....._..._................... -----------------✓1`-------'/!�1 T"".------------------- .. s v/LL.c............-.-.....-....... has beer installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..........l... ..— �P.. -... dated --------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM,WILL tFUNCTI�O�N SATISFACTORY. DATE............... .......1....t.-.�.-..�-.�.. -.._........._....__.-.... Inspector --- X0 _................_:... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i v p TOWN OF BARNSTABLE No.../- ?__ �� FEE........................ �i��nsttl nr�� un,�tr�r#i.�n �>erntit Permission is hereby granteLe 71-7 d---•-------------'-----•--•----••-------............................. to Construct { ) or Repair (>'an Individual Sewage Disposal ystem . atNo...---••---•---•--•..._....--•--------••---•- ..........................� � �JS ilL tJ� LL Street as shown on the application for Disposal Works Construction Permit No.?_IJ�. Dated........................................... Board of Health DATE. �.1...- ._:. ................................ FORM 36508 HOBBS&WARREN.WC..PUBLISHERS SYSTEM PROFILE LEGEND SYSTEM DESIGN. (NOT TO SCALE) NOTES PROVIDE MIN. 20" DIAM. WATERTIGHT MARK CORNERS OF LEACHING FIELD W PROVIDE INSPECTION PORTS TO ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 1. DATUM IS NAVD 88 s --- 99 - EXISTING CONTOUR GARBAGE DISPOSER IS NOT ALLOWED REBAR SET 4" BELOW WITHIN 3" OF FINISH GRADE c ro TOP FOUND. EL. 17.0' GRADE 2% SLOPE 2. MUNICIPAL WATER ISEXISTINGa� a 6�0 '�' t' X 99.1 EXIST. SPOT ELEV. EXISTING 3 BEDROOM DWELLING \ -y MINIMUM .75' OF CO FILTER FABRIC COVER OVER PRECAST TOP 12.52' 3. MINIMUM PIPE PIT PROPOSED 4 BEDROOM SEPTIC CH TO BE 1/8" PER FOOT. -[99]- PROPOSED CONTOUR FINISHED GRADE- 4" LOAM & SEED OR PAVE AS REQ. O PRECAST H-10 13.3'-14' 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS a�\ (98 4 ,'' RISERS (TYP.) 4"MSCH40 PVC TO BE AASHO H-12 ] PROPOSED SPOT EL. CLEAN FILL TH1 DESIGN FLOW: 4 BEDROOMS @ 110 GPI = 440 GPD 6" MIN. SUMP PIPES LEVEL 1ST 2' '' ''A ;' 5. PIPE JOINTS TO BE MDE WATERTIGHT. c� USE A 440 GPD DESIGN FLOW e PERFORATED PVC 31 D.C. S=o.005-� ° A a TEST HOLE "•, 10" ** EXISTING 14" _ ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH � TEE SEPTIC TANK TEE *15.50' 9" STONE3/4"-1-1/2" LEACHINGFIELD LE WASHED o L1. " EPTH MIN BELOW INV. 310 CMR.'15.000 (TITLE 5.) Sou h o 2� SLOPE OF GROUND SEPTIC TANK: 440 GPD (2) = 880 0 0 ° o ° o WATERTEST D'BOX o 5 GAS BAFFLE ::` °'o°o°o°o°o° FOR LEVELNESS 12.15' UTILITY POLE **USE EXISTING 1000 GAL. SEPTIC TANK ^ " LEVEL BOTTOM ° �~ 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO 12.42 112.25 BE USED FOR LOT LINE STAKING OR ANY OTHER Lo us FIRE HYDRANT :.;..r ° ..t.:..:•:.:..•; .;:..•.•..: .-.:, �e5 LEACHING: 40.o PURPOSE. "°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°` East w °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° 11.40' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 0� NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING ^,o,,o o_�_n_n o.o 0 0 0 0 o r.�_�_°_n_o.o o o 440 GPD / (.74) = 579 SF REQUIRED - � Bay 15' X 40' = 600 SF OK 6" CRUSHED STONE OR MECHANICAL 5 0' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 15 SF X .74 = 444 GPD OK COMPACTION. (15.221 [2]) WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. ADJUSTED GROUNDWATER 6.4' USE A 15' X 40' PIPE AND STONE LEACHING FIELD ( 4 SLOPE) ( 2 SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE ' LEACHING LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP FOUNDATION 17 SEPTIC TANK 72 D' BOX 5' FACILITY PRIOR TO COMMENCEMENT OF WORK. SCALE 1"=2000't 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL "INSTALLER SHALL CONFIRM MINIMUM SEPTIC REMOVED BENEATH AND 5' AROUND THE PROPOSED UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY LEACHING FACILITY. ASSESSORS MAP 141 PARCEL 100 MA PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM FOR RE-USE. REPLACE WITH 1500 GALLON ' � �� SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF 12 EXISTING LEACHING FACILITY SHALL BE PUMPED AND LOCUS IS WITHIN FEMA FLOOD ZONE X, AE (EL 12), APPROVED DATE BOARD OF HEALTH NOT SUITABLE REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. AND VE (EL 14) AS SHOWN ON COMMUNITY PANEL 11 #25001 CO544J DATED 7/16/2014 16 SITE IS NOT WITHIN A ZONE II 13 D:1 0 14 ,( TEST HOLE LOGS h16 Y� �h J ENGINEER: CRAIG J. FERRARI, SE #13871 16 DONALD DESMARAIS WITNESS: G-W ADJ. DATA: O DATE: 11/26/2018 WELL: MIW 29 PERC. RATE _ < 2 MIN/INCH ZONE: B ADJ: 3.4' CLASS I SOILS P# 15830 OCTOBER 2018 0 � ELEV. � ELEV. � ELEV. � ELEV. 0" 13' 0" 13' 0" 13' 0" 14 W 96 ova o /• FILL FILL FILL FILL o / 24 18pl 24pt 18 c -)30 790 g A A A A w SFR�F LS LS LS LS N 32 00 74 _�� 10YR 3/2 10YR 3/2 10YR 3/2 10YR 3/2 c� SLEEVE SEWER - - 28 20 28 24 LINE 10' EITHER v J' SIDE OF WATER �, B B B B SERVICE,-' �� _ -- LS LS _ LS - LS �' S RE AL OF UNSUITABLE SOIL ktQUIRED .Q v,,, AROUN PERIMETER OF FACILITY, �, 1 OYR 5/8 1 OYR 5/8 , 1 OYR- 5/8 1 OYR 5/8 , �12 6 \ DOWN 0 SUITABLE . LAYER.�PLAC „ 1 0 oy� �� • T 1 , WITH EAN MED. ND, TO MEET ` 40 9•7 48 9 54 8.5 40 10.7 f�j \ c / TH2 SPEC (CATIONS OF 3 0 CMR 15.255(3 f BENCHMARK: H _ \ I GARAGE SLAB PERC-� C C PE C C RC �s = 16.6' NAVD88 \ \ ' \�� \ T 4 3 PROVID 52' OF 4 MIL LINER AT 5' �..o PAVED ( -'� \` ' OFF SA IN AREA $HowN. TOP AT V E BVW 11 DRIVE � , \ ELEV. 12. BOTTO AT EL. 8.59� MS MS MS MS oy 108 5' O 8 VW 1 10YR 7/4 10YR 7/4 10YR- 7/4 10YR 7/4 9 ) 1 � N 0 \ �'� �� 120" 3' 120" 120" 3' 120" �'•\ 3 4 GROUNDWATER ENCOUNTERED AT 120" EL. 3.0 G) AGE i EXISTING 16�., DWELLING W - ' L TOF o - 17.0 Lu 3 TITLE 5 SITE PLAN PATIO B OF \ 12 10 547 MAIN c"' TREET LOT 4 8c 5 �7 14 75 7,69 S. F. � OSTERVILLE �o Cp PREPARED FOR i� B0RT%0'NLu0m% TTICOINOSTRUCTION/ 0 /B 3 MARIE B' 0 1 DATE: NOVEMBER 29, 2018 VW 8 8 8 •� � ° � Scale: 1"= 20' 5 - 0 10 20 30 40 50 FEET \, �• � �H OF Mqt o- ��N 0F&I'I 7 6 DAME a-A ) .,1.�11 off 508-362-4541 U 48 V1L fax 508-362-9880 -�. No.409&0 I.� 46502 ,' 2 �; Po �.,' �° �eJ` downcope.com 4 6 ' 4 M� 0 o ,. c j �F 'can S T E �� • • 5 f BVW 4 'a�uF;;h - °ti,A `% ,/'" down cape engmeerme inc. '.. � . s 4 civil engineers 3 --� land surveyors I`--2.1 ` Q) < 939 Main Street ( Rte 6A) 4- YARMOUTHPORT MA 02675 DATE DANIEL A. OJALA, P.E., P.L.S. LICE ## >8-409 18-409