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Home My WebLink About0602 MAIN STREET (OST.) - Health 602 MAIN STREET, OSTERVILLE A= 141 062 1 0 v 0 T WN OF13ARNSTABLE gg LOCATION ® SEWAGE#iV - d� VILLAG ASSESSOR'S MAP&PARCEL INSTALLER'S NAME�;PHyN$E�N�O.R V SEPTIC TANK A ACITY LEACHING FACILITY: � 4_Zo _ YYII►'YIb2 size NO.OF BEDROOMS OWNER + ray "�' PERMIT DATE: lam'2 q Z 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 Ru'r o II t�0 U No. � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plication for -Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) Komplete System -❑Individual Components Location�Ad ess or jLot o. Mao s Owner's Name,Address,and Tel No. Assesso s�aV) '� Pa+ ,LK -1"l O{1�6�• M� I Du Installer's Name,Address,and Tel.No. o� m 833 Designer's Name,Address,and Tel.No.509--3(.9—6911 RJ� V 1) U 01-�0��'- SOX (�� I Type of Building:pn Old A m g '02J�3 3 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design plow(min.required) A y 0 gpd Design flow provided gpd Plan Date '1 '-2A — I Number of sheets .9— Revision Date CQ Title eP1 WA Size of Septic TaA I s 6G ® 1®� Type of S.A.S. S Description of Soil `Nature of Repairs or Alterations(Answer when applicable) I S�- 0 S t/1 1 ' as "3 Date last inspected: V Q K4, OWL ozr Agreement: 0 kaki . The undersigned agrees to ensure the construction and mai nance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed �7 Date � �—' Application Approved by � v /cam Date Application Disapproved by q,Z Date for the following reasons Permit No. �(� � ( Date Issued— �✓ _-No. Fee 'S�✓ "''�_ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V.`Yes �? PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS application forisosaY 6pstPttt" construction hermit Application for a Permit to Construct( `) Repair( ) Upgrade, Abandon( ) DtComplete System ❑Individual Components -Location Address or Lot No. clif Owner's Name,Address,and Tel.No. Val I Assessors ap/Parcel Installer's Name,Address,and Tel.No. i 06 r9-.3 .q Designer's Name,Address,and Tel.No.509-- 1—orn U Type of Building:(�cdL rl Oi� CLQ M- Q2 t . j `�,�'1CA''YX�'I 02J3 "3 - Ar Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building t i No.of Persons _ Showers( ) Cafeteria( ) Other Fixtures 11 Dsign Flow(min.required) gpd Design flow provided 6 gpd Plan Date H Number of sheets Revision Date Title Sor 01,11'af, l u>A "u';h'm Plan Size of Septic Tank �'�� C. �,�d_� Type of S.A.S.(J) S CC Q oANt nn �,_..Y Y�m IN Description of Soil " tt Nature of Repairs or Alterations(Answer when applicable) Q (Y1ov j Cb0 (1(1 I 1 l�n �. .� n46A N ojk A V\ r,•.- 01) 1 C- )A n a] l n VA+r. � K n 1 �A ,( i`1 ,tA`,k;A n n)C, a r Date last inspected: \ �;Vo kill t Agreement: taxi The undersigned agrees to ensure the construction and main nce 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. �y r Signed ," F / Date 3 �`/ Application Approved by ,� d/,✓�3i C( ,f W A l Date '' / Application Disapproved by W ,� Date for the following reasons Permit No. (;Lo A-9{ Date Issued` ►; THE COMMONWEALTH OF MASSACHUSETTS } e .BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) : i Repaired( ) Upgraded( Abandoned by loulAr at f1i• _ Ciy . has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,� dated l,p w;LCJ✓ :. Installer Designer #bedrooms Approved design flow y VIM gpd The issuance of this permit hall not be construed as a guarantee that the system will function a.designed Date "� Inspector J� L't Xt, No, c 0� �. Fee fe " THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstrm Construction i3Prmit 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 recognized his/her duty to comply with s Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit:q_ Date .tf 8 "l Approved by ►'dJYq,Cj1,1.A*Ji _ _ Affidavit for a Pre-existing Dwelling June 7, 2021 Town of Barnstable Public Health Division ` 200 MAIN STREET, HYANNIS MA 02601 This letter is to provide a house plan and an Affidavit for a Pre- existing Dwelling with additional bedrooms at 602 Main Street, Osterville, MA 02655. Please find attached full house plans with dimensions of openings to/from rooms with labeling of the existing-use of each room within each level of the dwelling. All rooms have been included. I am submitting this affidavit as the*current owner of my home. The home has always had the same room configuration, inclusive of.4 bedrooms, since we purchased the home over 20 years ago. . SINCERELY,. PA K MCCULLOUGH ffsf , Master 6tx7'. Bedroom --- 3 Laundry :.. Room . .. E S g'xg' 6 X2 ................ f 6 Kitchen _..; - Family = _ _ � k FP! Room ? Livin 17xt8' g Diming Foyer .Room Room a f 1 'x1 f .. - _ _-.....-. .... ... .. E 35fx5� E I� t .. _...., ..... __ ...... .... __... [ All measurements are approximate and not guaranteed. This illustration is provided for marketing and cnnveninncP only_ All information shnijid hP vPrified indenendPntly. n PlanOmatic - _.........--..... ........................................................ _................................. �_. �::. Bedroom' -. - -- - - - . . 13 X9 Bedroom J 12�X12r 3w Mandan 11'X12° min 9. `X8` 4.'Xfa' Bedroom 1.$'X12P E � ti -................. All measurements are approximate and not guaranteed. This illustration is provided for ", marketina and convenience only. All information should he verified inclenendentIv. Cc3 PlanOmatic 6/9/2021 Town of Barnstable-Assessing Division- For up-to-date information on COVID-19 in the Town of Barnstable, please visit www.BarnstableHealth.com (http://www.BarnstableHealth.com). 337 Share Tweet Shares i Property Display 141 / 062/ - Use Code: 1010 Owner Information v MzapBlock/Lot: 141 /062/ Property Address 602 MAIN STREET (OST.) Village: Osterville Town Sewer At Address: No CWMP Sewer Expansion: Phase 2 (11-20 years) (subject to change with final engineering design) Road Type:Town GIS Zoning Value: RC Owner Name as of 1/1/21: MCCULLOUGH, PATRICK J&MOIRA A 67 OAK RIDGE AVE SUMMIT, NJ. 07901 Co-Owner Name Assessed Values V Appraised Value Assessed Value https://townofbarnstabie.us/Departments/Assessing/Property_ ]ues/Property-Displayasp?e)pand=true&ap=0&searchparcel=141062 1/5 6/9/2021 Town of Barnstable-Assessing Di\ision- f funding Value $ 280,500 $ 280,500 Extra Features $ 23,400 $ 23,400 Outbuildings $ 8,800 $ 8,800 Land Value $ 421,600 $ 421,600 Totals $ 734,300 $ 734,300 Past Comparisons 2020 - $ 753,200 2019 - $ 735,800 2018 - $ 652,000 2017 - $ 649,900 2016 - $ 653,900 2015 - $ 675,000 I 2014 - $ 675,400 20113 - $ 675,700 2012 - $ 668,400 Tax Information y G.O.M.M. FD Tax (Commercial) $ 0 C.O.M.M. FD Tax (Residential) $ 1,020.68 Community Preservation Act Tax $ 200.46 Town Tax (Commercial) $ 0 Town Tax(Residential) $ 6,682.13 $ 7,903.27 Sales History v Owner: Sale Date Book/Page: Sale Price: MCCULLOUGH, PATRICK J & MOIRA A 2000-10-26 00:00:00.0000000 13321/0125 $525000 WILSON, ROBERT M & MONA 1995-09-29 00:00:00.0000000 9864/0085 $200030 PEACOCK, JAMES & JOHN R 1985-12-30 00:00:00.0000000 4863/0153 $1312 0 NARDONE, ROBERTJ 1985-11-04 00:00:00.0000000 4785/0284 $110000 HALLETT, WILLIAM I&ANNE L 1984-01-13 00:00:00.0000000 3986/0094 $6200D MORIARTY, CATHERINE 1970-09-04 00:00:00.0000000 1483/0662 $0 E https://tovnofbarnstable.us/Departments/Assessing/Proper"lues/Property-Displayasp?e)pand=true&ap=0&searchparcel=141062 215 Town of Barnstable Inspectional Services 0. Public Health Division tb�¢ �� Thomas McKean, Director A 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form l Date:C< Sewage Permit 6 a/_L J Assessor's MapTarcel��_ Designer: 5) —Te( Installer: [� . v on j f Address: C _ . Address: () >� 1UL-fl2af in, Is HA On R M was issued a permit to install a - - (date) (instal a t,n uc,f jtt(1 septic system at 04er Vt I I e_based on a design drawn by w T (address 77 LC..O —Tech dated I -2- (designer) X I certi f� that the septic system referenced abuve was installed substantially according to the design, which may include minor,approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the. soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance With',State &. Local Regulations. Plan revision-or . certified as-built by designer to follow. Strip out(if requircd) was inspected and the soils were found satisfactory, I certify that the stern referenced above was-constructed in c liance with the to rms of the RA approv letters (if applicable) ��,OF,ygs. Y �o DAVID _ D.. _ 'A (Instal Signature) COUGHANOWR N No. 1093 � �, fisG IslEao.N (Designer's Signature) (.Affix DMJ0pWWmp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH TIIIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Utna1depts1HEALTMSEWER connecASEPTIC\D=signer Cenification Form Rcv 8-14.13.DUC COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL.PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617)292-5500 TRUDY CORE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE-SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 602 Main Street, Osterville, MA Name of Owner: Robert&Mona Wilson Address of Owner: Same Date of Inspection: September 18, 2000 Name of Inspector: (Please Print) James M. Ford I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: James M. Ford Mailing Address: P.O. Box 49 Osterville, MA 02655-0049 Map: 141 Telephone Number: (508)862-9400 Parcel: 062 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: ✓ Passes Conditionally Pass Needs Further Eva ti By the Local Approving Authority 'w ails Inspector's Signature: Date: September 19, 2000 The System Inspector shall submit py of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS «0D1 � � - .,..... ,�f;� .�i.! T f;r ?Ir-r....j*�.', Y�;';'1^'rt;�," 'f{ i• k�e, r:�, �- "'��r�`_ Q revised 9/2/98 Page 1of11 Printed on Recycled Paper � I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 602 Main Street, OsteMlle, MA Owner: Robert&Mona Wilson Date of Inspection: September 18, 2000 _. INSPECTION SUMMARY: Check A, B, C, or D.- A. SYSTEM PASSES: ✓ I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303'exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND).,Describe basis of determination in all instances. If"not determined",explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a.complying septic tank as approved by the Board of Health. 'Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. The system will pass inspection if.(with approval of the Board of Health) broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four 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 revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 602 Main Street, Osterville, MA Owner: Robert&Mona Belson Date of Inspection: September 18, 2000 .50%i Ao, ,f 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 the public health,safety and 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 THE PUBLIC HEALTH AND 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 YAI L 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 AND SAFETY AND THE ENVIRONMENT: -c j.)The system,has a,septic'tank.and soil absorption system(SAS)and the SAS_is within 100 feet to a surface water supply or tributary to-a surface.water,supply., E. . + The system has a septic tank and soil absorption system and the SAS is within a Zone 1 of i public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption,system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis 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. Method used to determine distance (appro3dmation not valid). 3) OTHER w revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 602 Main Street, Osterville, MA Owner: Robert&Mona Wilson Date of Inspection: September 18, 2000 D. SYSTEM FAILS: You must indicate either "Yes" or"No" as to each of the following: _ I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. i Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than'/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_ Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any porfiori 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. If the well has been analyzed to be acceptable,attach copy of well,water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria above: _ The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. i revised 9/2/98 Page 4of11 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST. ` Property Address: 602 Main Street, Osterville, MA s a; Owner: Robert&Mona Wilson tW1, x a - s Date of Inspection: September 18, 2000 Check if tllimllowing have been done You must indicate either"Yes or",No .as to each of the following ,, A �r. Yes No ✓ _ Pumping information was provided by the owner,occupant,or Board of Health. " ✓ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow . rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. z, ✓ _ As built plans have been obtained and<examined.rNote.if they;are not available 4with N/A ✓ The facility or dwelling was inspected for signs-of sewage back-up. ✓ The system does not receive non-sanitary or industrial waste flow." - ✓ The site was inspected,for signs of breakout. ✓ _ All system co nents,excludi the Soil Abso tion stem,have been located . • Y rP �' on the site. A ✓ The septic tank manholes were uncovered,3opened,and the interior of the septic tank was inspected for conditions of baffles _ or tees,material of construction,:dimensions;'depth of•liquid,,depth of sludge,depth of scum „F n The size and location of the Soil Absorption System on the site has been determined basedon `"° L ~ ::; x �a�,:•.� � ' :. t ".d'S r .`"t`�`& "8'�isL ` ." S.?.#'<:! a{' Aar# .i'.' ✓ _ Existing information. For example,Plan at B.O.H. ilr Y�' '•',: - !ii F •%'. 2r. : ; :..,.• }' .:.`4 �-Y fI .'i 3f Y.u-. _t a Determined in the field(if,any of.'3he failure criteria related to Part C is at issue,approximation of distance isunacceptable) ,' [15.302(3)(b)]: ✓ _ The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of . SubSurface Disposal Systems. ' ! o . } . _4 1. ',.i.�:,a.Ya,.. ° '� ,t'. ,ki"1 ♦ ,�Ai ,'rt:°?'6{�1 • revised 9/2/98 Page 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 602 Main Street, 0stemlle, MA yJ. Owner: Robert&Mona Wilson , Date of Inspection: September 18, 2000 Q�. FLOW CONDITIONS - RESIDENTIAL: Design flow: 110 g.p.d./bedroom Number of bedrooms(design): n/a Number of bedrooms(actual): 4 Total DESIGN flow n/a Number of current residents: 2 Garbage grinder(yes or no): No Laundry(separate system)(yes or no): No; If yes, separate inspection required Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last two year's usage(gpd): 1999-108,000 gals.;1998-127,000 gals. Sump Pump(yes or no): No Last date of occupancy: Currenth occupied COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: gpd(Based on 15.203) Basis of design flow 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: OTHER: (Describe) .. Last date of occupancy: GENERAL INFORMATION, PUMPING RECORDS and source of information: Punwed in 1999-per owner. System pumped as part of inspection(yes or no): No If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM a ✓ 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) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other " - APPROXIMATE AGE of all components,date installed(if known)and.source.of information: Jun 15187-per as built card. Sewage odors detected when arriving at the site: (yes or no) No revised 9/2/98 Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 602 Main Street, Osterville, MA Owner: Robert&Mona Belson Date of Inspection: September 18, 2000 BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction: _cast iron 40 PVC _other(explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting,evidence of leakage,etc.) SEPTIC TANK: ✓ _ . _. -_ (locate on site plan) Depth below grade: 36" Material of construction: ✓concrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age_ Is age confirmed by Certificate of Compliance_(Yes/No) Dimensions: 1500 gal. Sludge depth: 1" .. k.. Distance from top of sludge to bottom-of outlet tee or baffle: 30" ,, .x.; �;_ 4. ,_ ,:•, - -Scum thickness: 2,, Distance from top of scum to top of outlet tee or baffle: 10" �- Distance from bottom of scum to bottom of outlet tee or baffle: 12" How dimensions were determined: Measuring stick.. Comments: (recommendation for pumping,condition of inlet and outlet tees'or baffles,depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) The tees were present The liquid level was even with the outlet invert. There were no signs of leakage. The inlet cover was 10"below grade Recommend installing riser on outlet side of tank. 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: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, - -evidence-of leakage;etc.). revised 9/2/98 ; Page 7oftl SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 602 Main Street, Osterville, MA Owner: Robert&Mona Wilson ;3 Date of Inspection: September 18, 2000 •�.:; t a; ,, >_ TIGHT OR HOLDING TANK: None (Tank•must be pumped prior to,or at time,of inspection) (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene _other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm present: Alarm level: Alarm in working order: Yes_ No_ Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches, etc.) DISTRIBUTION BOX: ✓ (locate on site plan) ._..._..._..... ..._ ..... _..___ ..__ _.fit,`. .� .. ...�L: � a Depth of liquid level above outlet invert: — Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out'of box,etc.) The D-box was not dug up. 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.) revised 9/2/98 Page 8ofll SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 602 Main Street, Osterville, MA , Owner: Robert&Mona Wilson ' Date of Inspection: September 18, 2000 4' R �=•� "�-` " .�...ti: s=I> c. ,s s . SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan, if possible;excavation not required, location may be approximated by non-intrusive methods) If not located,explain: Type: leaching pits, number: 1-6'x 6' leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool, number: - Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.) The pit had 3'6"of water on the bottom. The scum line was at the same level. There were no signs of failure. The cover was 3'below grade. The bottom to grade was approximately 12'. Recommend installing more risers to bring the cover within 6"of grade. I CESSPOOLS: None (locate on site plan) Number and configuration: K Depth-top invert: of liquid to inlet ert: r• - ,,,; layer: Depth of solids la P Y Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection). mments: note condition of soil signs of hydraulic failure level of ponding,condition of vegetation,etc. 4 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.) revised 9/2/98 Page 9of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 602 Main Street, 0sterW11e, MA r Owner: Robert&Mona Wilson Date of Inspection: September 18, 2000 ' Map:' 141 Parcel. 062 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) C 3 g� la � O � ,4 /4j 131 - /9 rya - �y 83- /41 C3- �a revised 9/2/98 Page 10of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 602 Main Street, Oster-Wile, MA 1•. m ,a,,:,: _,; _ z. Owner: Robert&Mona Wilson Date of Inspection:,_ September 18, 2000 "' '' "' "■ �� i NRCS Report name Soil Type , Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater 18+/- Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) ✓ Determined from local conditions ✓ Checked with local'Board of Health " x Checked FEMA Maps .. , Checked pumping records Check local excavators, installers ✓ Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) The bottom of the pit to grade was approximately 12'. Using the Barnstable topographic map and water contours map, the maps were showing approximately 18' +l-to groundwater at this site. Using the Cape Cod Commission Technical Bulletin, the high groundwater adjustment for this site(Ml W 29, Zone B, 8100)was 3.0'. 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. I revised 9/2/98 Page 11of11 If _ i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property 60d �``1�� S�• - C>s�ec. ;\�c I 2�a2 q� Owner ' s name Sc.TT CO3,b, Date of Inspection PART A- SEP 1 5 1995 CHECRLIST ' Check if the following have been done : __i,,�Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspe ction. _y'_ As built plans have been obtained and examined. Note if they are not available with N/A. _v-" The facility or dwelling was inspected. for signs of sewage back-up. ,'- The site was inspected for signs of breakout . _ f All system components, excluding the SAS, have been located on the site . The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS . w.LorvDti 1. ..lolLCl 1t�0YGl.11VD1 t.V ica'i PART B SYSTEM INFORMATION FLOW CONDITIONS f residential 3 n u b ep�- b"'U e Q�r'a�csms nu be off "P�US'!'�r'ent� r sidents HO ga bage grinder.,,,, ye or no Iq FS layndry connected t system, yes or no o se sons q- o " no f nonre-deta. _ ated flow: ater meter readings, if available: rC o Last date of occupancy GENERAL INFORMATION umping records and source of information: _ lv/YI/JC%) lr Cr z),)4rc/ is r/ — nfas��i1C �1� /r9�• _o System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping : 'type of system v`� Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy . Shared system (yes or no) ( if yes, attach previous inspection records, if any) Other (explain) ,pproximate age of all components . Date installed, if known. Source of .nformation: 7TvNE 1oiu7 Xlo Sewage odors detected when arriving at the site, yes or no 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B JJ SYSTEM INFORMATION continued EPTIC TANK: 661 (locate on site plan) epth below grade : 3a aterial of construction: _Lfconcrete metal FRP other(explain) imensions• sludge depth distance from top of sludge to bottom of outlet tee or baffle scum thickness distance from top of scum to top of outlet tee or baffle /%" distance from bottom of scum to bottom of outlet tee or baffle omments : ( recommendation for pumping, condition of inlet and outlet tees or baffles , epth of liquid level in relation to outlet invert, structural integrity, vidence of leakage, recommendations for repairs, etc. ) GLl//► t ��n C/IF!/![C TVi. / lip! ivi OUi� Aawe ISTRIBUTION BOX: ( locate on site plan) c-cr/ depth of liquid level above outlet invert omments : (note if level and distribution is equal , evidence of solids carryover, vidence of leakage into or out of box, recommendation for repairs, etc. ) PUMP CHAMBER: (locate on site plan) pumps in working order, , yes or- no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs, etc . ) 10 SUBSURFACE SEWAGE DIBPOBAI' SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued TEM ( excavation not required , but may be SAS) : . exc L ABSORPTION Slan, if possible Cate on site p methods) roximated by non-intrusive not determined to be present, explain: %0oc� 6,9� �� lf pe and r.umber aching Pits and number aching chambers eaching galleries and number trenches , number, eaching fields, number, dimensions eaching cesspool number ,verflOw level of ponding , failure , or repairs, etc . ) ;omments: signs Of hydraulic Of soil , tiq.ns maintenajjnce ;note condition recommenda r�� / i 'Ondition of vegetation, r� A� on site plan) * CESSPOOLS ( locate and configuration number depth-top of liquid to in invert solids layer depth of scum layer depth Of dimensions Of cesspool materials of construction indication of groundwater pumped as inflow (cesspool must be pum p part of inspection) o•f ponding , failure, level airs , etc . ) of hydraulic or rep Comments: of soil , signs for maintenance (note condition recommendations condition of PRIVY ' site plan) (locate on materials of construction din�a1i t)�aha h of solids of ponding, dept failure, level airs etc. ) Of hydraulic or rep Comments of soil , signs maintenance vegetation recommendations for (note condition condition Of g 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued KETCH OF SEWAGE DISPOSAL SYSTEM: nclude ties to at least two permanent references landmarks or benchmarks ocate all wells within 1C0 ' l 3L/ I'PTH TO GROUNDWATE _ R depth to groundwater !thod of determination or approximation: 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA ndicate yes, no, or not determined (Y, N, or ND) . Describe basis of etermination in all instances. If "not determined" , explain why riot) Backup of sewage into facility? Discharge or ponding of effluent to the surface of the ground or surface waters? Static liquid level in the distribution box above outlet invert? NA Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? J� Required pumping 4 times or more in the last year? number of times pumped Septic tank is metal? cracked? structurally unsound? substantial, infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS , cesspool or privy : below the high groundwater elevation? within 50 feet of a surface water? within 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well? within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the ) • within 50 feet of a private water supply well? less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water qualityY analysis? If the well of well water analyse has been analyzed to be acceptable, attach copy for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 13 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D ' CERTIFICATION Name of Inspector BRUCE MACALLISTE Company Name SHORELME CONS"TRUCI'10 Company Address 87 POND STREVJ OSTERVILLE, MA 0r 655 Certification Statement I certify that I have personally inspected the sewage disposal system at this .address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage disposal systems. Check one: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303. Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15 . 303 . The basis for this determination is provided in the FAILURE CRITERIA section of this form. Inspector ' s Signature cc�� , ��11C��V/ p 9 i Date ,0¢? %/��i Original tolsystem owner Copies to: Buyer (if applicable) Approving authority TOWN OF BARNSTABLE LOCATION (000k- ✓NAM ST SEWAGE # VILLAGE O S j'GrV, ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. LV• l+P.�✓t S SEPTIC TANK CAPACITY /Sw LEACHING FACILITY: (type) P (size) '( 6X NO.OF BEDROOMS "7l- w BUILDER OR OWNER Qdb�T LAeJ1 Slar1 PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: s r .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 f within 300 feet of leaching facility) ` Feet Furnished by SAP 1c --TxNspcG "f 0'1 - - 3 3_ Iy B c 3 — Pia io I r TOWN OF BARNSTABLE LOCATION Er; r SEWAGE # 'PILLAGE fp!%,ff ASSESSOR'S MAP & LOT/, -� NSTALLER'S NAME & PHONE NO. Y63 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 4 d o o (size) a NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 'cs,eo ef?6 a DATE PERMIT ISSUED:, DATE .COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � :� o '�� A �% f/ i J� Q� � '� � r �- �.� ��' � � � � � �. Jf- • TOWN OF BARNSTABLE LOCATION j�QoZ. P29L/ SEWAGE # :117 I T 4 VILLAGE IC, y�ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NOI�Rrr SEPTIC TANK CAPACITY LEACHING FACILITY: (type) l (size) GO NO.OF BEDROOMS _3 BUILDER OR OWNER :S-P MC s �caasc� PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility. /B Feet Private Water Supply Well and Leaching'Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin acility Feet Furnished by NOVW' Pr sq t � IY 3'7 ` `�• t a�r� - G1 �� No. .....f C FE$ ......................... THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH co4.. .............oF..:... ..a - 5.t. � .............................----.------ ApplirFa#ion liar Uhipl s al Works Tonstrnrtinn ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 1 �.._....... Location- dress or Lot No. . --•---- ------------------------•-------------•....... - - - ----- ---- Owner . S. i ddress --- -----------•-----•-----••-_.---•- --•_....0�. �.. ' ................................................ Installer Address Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms......?..................................Expansion Attic ( ) Garbage Grinder ( ;o '4 Other—Type of Building - No. of persons........_................... Showers — Cafeteria Q, g Other fi�ures -------•-- g P P P ._...Y y W •Desi n ,Flow.---•-- --3............................ allons er erson er da . Total dail flow.._........................................_ lons. WSeptic Tank—Liquid'capaci-y............gallons Length................ Width................ Diameter................ Depth................ xDisposal Trench—No.......... ......... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................................................................... Date........................................ a Test Pit No. I.................nmutes per inch Depth of Test Pit.................... Depth to ground water........................ (T4 Test Pit No. 2................minutes per inch` Depth of Test Pit.................... Depth to ground water.-...................... ....... ... -•------------ ..-- ---- --------------- . ......................................................... 0 Description of Soil........................................................................................................................................................................ V --------••------... ... UW ---at'r of Repairs or Alterati....................-•--------------•----------•------ . -•-•• .....--- p ' or�s—Answer when applicpa�bblie-- / �i,/�/j�TJ�/� P/6�?��5 - j .......... �(/..C.l..---...�-(....... �r ....._a"�ta�-f-T -'�--.._�C_.Z?!_../...oC, d Agreement: The undersigned agrees"to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI.i, 5 cf the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i s theboar f health . .... . ' .................4 'Signed- / Da e Application Approved By....... .....� --------------------------- ............. Date Application Disapproved for Me following reasons:......................................................................................... ...................... .........-•---•--•...............•--------------------••---.......----•-------------•---....--------•----------------------•----------•-----•----•--•-••-•-•---•••-------------------••--••------------ Date Permit No. .�`��5.....-- .-r- '..-...:.. Issued....................................................... Date No.M.—Til THE COMMONWEALTH OF MASSACHUSETTS BOAR®,OF HEALTH ......................OF...€.:1 9{trjY' ' , ------------------------------------------- AppfirFatinn for Dhivoii al Works Tomitrnrtiun ami# ,Application is hereby made for a Permit to Construct ( ) or F4epair (A an Individual Sewage Disposal System at ...fi t ...�r...... •.. .. t Location-Address or Lot.:No. ..... = -• O-ner v. .� t 4 Address •---;� i3�'.<l�'' /+ ..._.....'.'°` .................................. .•----•- •'="---'d---:f"^r'7---=' -L.J. --'-•- '-............................................... Ins-aller Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bed>•ooms___...:............:.....................Expansion Attic ( ) Garbage Grinder (k#0 `a Other—Type of Building ........ No, of persons............................ Showers QI YP g -------------------- P ( ) — Cafeteria ( ) 0.1 Other fixtures ----------------••-•-----------• . W Design Flow........: ..:............ _...............gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Y 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........................ G% Test Pit No. 2.................ninutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------- •.............. .-------- •............ .--------------------------- --•--------••-------------- •-----------•------- ---------- ODescription of Soil..................:...-----------•-•-•--...._...--••------•---•--------•---._...---------------------•-•---•--------.....----•-----••----••--------------.......-•••---- V .................................................._..................................................................................................................................................... UW --••----•---- - ------------------------------------------------------•------- --------•----•--•--------••--•-- ;:•-• v .. 4.............. Nature of Repairs or Alterations—A�nn++swer when applicable G `� .. �c f aS �p 8 �1 --'_........ tI 1 ... ,-C--c....... ........... s1 <" `< f=r.d -...... s �`f ." �'r Agreement: ` -` 1 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITiZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate cf Compliance has been i s>.W-by the board of health. r Signed ....:. . '��`` _ , w �. -..— - r )fate Application Approved B ' 'c.�..... --•�---------------------•-•---•--- ?/ ------_--- Date Application Disapproved for the following reasons:.............................................................................................................. .................................................-...................................................................................................................................................... / Date Permit No. .--------(o•......•----__ (9 1 ._.. Issued...........................................Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT�I l r ...... .....`./ .............OF..`.: 4. l..f" '? ,y.......... ............................... Tnr#ifirtttp of f ompfiaanrr THIS IS TO CERTIKY,..That the Individual Sewage Disposal System constructed ( ) or Repaired (( by :t.. ...... ..... ..... ..%. ' staller d s¢ s n at..... ' --- yf ri ..........................r�n . .. . .' ... w d ' has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the .1-9�•1--• dated---- �� ----------------• application for Disposal Works Construction Permit No-------------_�O_. '�-n.. _. "•` THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................... ` ._ ...g..7.......--•-•-•--_... p... Inspector V----•---•- ------•----•-----•----•--•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � A Nb�rarf/ .. FEE...... OF....f <t � �», x; �' " ^ l . ; guiposFa1 orkg �nnstration rrntit r Permission is hereby granted_....'7°ram G`�":'.:_ %--- ------r,�r to Construct ( ) or Repa1 n ( an Indlvldual Sewage Disposal Syst r= z. _- Street r- as shown on the application fDr Disposal Works Construction Permit ;.___` _!-_- Dated.......................................... Board of Health DATE--------- 1� ' G------------------•-•---•• FORM 1255 HOB .WARREN, INC.. PUBLISHERS a j EXISTING SEPTIC SYSTEM IS �a iOSTERVaLE ntaf aeSD ° t t ° (e4 t TO BE PUMPED AND REMOVED. 3 R °06A—_0 REMOVE ALL ASSOCIATED PROPOSED SOIL SOIL Let REMOVAL let, !, a%''PQ `• >l y„.vp` CONTAMINATED SOILS AND ABSORPTION AREA IhsCQet SYSTEM ' 2 � ,,.2d REPLACE WITH CLEAN MEDIUM I° F� ` o }°s Ser$ane B SAND PER TI TLE 5. -SEE DETAIL ' � ON BACK O . : ® L �IC� PO� 46 Ai MainSfeety-•�q��7�o� �2•In��. , ��k .t,,- $ G R p OT A OWED O \O \, LS` O c v S UW A P sGRADING �9�0 PROPOSED a 13! �N�pBLE GIS DAT( �� /0 ELEVATION r 22.06 .Y. 0 \0 r . P OF FOUNDP� \AliI_ G 22 CID PARCEL 82 LEGEND el rn AREA = 19008 sf+- pZ SEPTIC COMPONENTS v ASSR MAP 141 vu 62 < i REMOVE M EXISTING 1000 GAL SEPTIC TANK c j INSTALL NEW 1500 GAL ® \ \ G SEPTIC TANK • EXISTING LEACH PIT/ PLANCESSPOOL �t"nio-, DISTRIBUTION BOX E 22 41s p`Z SCALE: 1 in = 20 ft TEST PIT ® 0 20 40 CLEAN OUT TO GRADE O 10 20 yY PRINT ON 11 x 17 in y v PAPER FOR PROPER SCALE " .. VARIANCES REQUESTED MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT OR HEALTH INSPECTOR. T§L T§ES 1 WATER LINE 310 CMR 15.221(7) — COMPONENT DEPTH TO FINISH GRADE. 36 in Gas LINE MAX REQUIRED — VARIANCE TO OVERHEAD w►R off 60 in OF COVER REQUESTED. UTILITY$ POLE - 310 CMR 15.2110) SOIL ABSORPTION SYSTEM TO CELLAR WALL. 20 ft MIN REQUIRED — VARIANCE TO 10 ft SEPARATION REQUESTED. 0 NOTES e t • t e• i SOIL REMOVAL AREA - REMOVE ALL FILL N AND UNSUITABLE SOILS DOWN TO THE ^ C STRATUM AND REPLACE WITH CLEAN / r> MEDIUM SAND PER TITLE 5 (310 CMR 15.255(3)). THIS IS A 4 1 INSTALLER MAY MOVE VENT PIPE TO COLOR l 1 A DIFFERENT LOCATION. PLAN fl THE SOIL DEPTH WILL BE WITNESSED BY USE COLOR PLAN ONLY TV nix A HEALTH INSPECTOR AND CONFIRMED FOR INSTALLATION AT THE TIME OF INSTALL. FULL VDETAIL IEWED IH BEST / 1 FULL COLOR �tH �F'�s °F AMSS s DAVID 9�ya o� DAVID 9ryG D. D. Jo. = SEWAGE DISPOSAL 1 c, COUGHANOWR v� COUGHANOWR N \ ` SYSTEM PLAN No. 1093 No. 461 �o -TO SERVE EXISTING DWELLING • ER�� s0/!PpRO� � ,. . . � PATRiCK & MOIRA SgNri 1 McCULLOUGH OWNER(S) } w• S ��' `. R(S) OF RECORD ?36 f� ReV,`S ___. �.. 602 MAIN STREET v Fo v OSTERVILLE. MA Pd S THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM 155 Geo R der F y€ / Ojc� _ DEPICTED ON FOR ANY OTHER CHANGES PROPERTY ADDRESS THE PROPERTY INCLUDING Chatham, MA 0263& PLACEMENT OfF S ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. DovidCOUGHOtmoII.COlIt DATE: APRIL 19, 2021 FAT 508 364-0894 PG.ii2 loB� ETE-4545 �E co" SOo L TEST LOo [IGN cC A LdCUUL ATTMI O[NG SOIL EVALUATOR: DAVID D. COUGHANOWR, ASE *461 WITNESSED BY: DAVID STANTON. HEALTH DEPT. DESIGN FLOW: 4 BEDROOMS X 110 GIRD = 440 GPD TEST PIT 1 3 MIN/INCH NO nDWATER IN,C SOILSNCOUNTERED SEPTIC TANK: INSOTALL NEW 1500SGAL880 LON SEPTIC TANK ANK. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: INSTALL UNIT DEPICTED 22 2O INCHES HORIZON TEXTURE (MUNSELL) MOTTLES 0-52 FILL SOIL ABSORBTION SYSTEM: 52-60 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 15 87 60-76 Bw LOAMY SAND 10 YR 4/6 NONE FRIABLE SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES 76-126 C MEDIUM SAND 10 YR 5/4 NONE LOOSE PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. 11.70 THE 33.5 ft x 12.5 ft x 2 ft LEACHING GALLERY DEPICTED BELOW CAN LEACH: NO GROUNDWATER ENCOUNTERED BOTTOM AREA =446.45 sq. f i TEST PIT 2 PERC AT 86 3 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SIDEWALL AREA = 95.12 x2 = 190.24 sq. ft. INCHES HORIZON TEXTURE (MUNSELL) MOTTLES TOTAL AREA = 636.69 sq. ft. 22.05 0-48 FILL FLOW CAPACITY = 0.74 x 636.69 = 471.15 gal/day 48-58 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE INSTALL THE LEACHING GALLERY AS CONFIGURED 16.05 58-72 Bw LOAMY SAND 10 YR 4/6 NONE FRIABLE BELOW. FLOW CAPACITY = 471.15 gol/day WHICH EXCEEDS 72-132 C MEDIUM SAND 10 YR 5/4 NONE LOOSE THE 440 gol/doy REQUIRED FOR A FOUR BEDROOM DESIGN. 11.05 TEST PIT 3 ELEVATION S O STEM B S O R p N O N APRIL 20, 2013 14.35 NO GROUNDWATER S 1/4/M STLS CONSTRUCTION DETAIL UNWITNESSED HAND WAS OBSERVED TO USE-,SHOREY PRECAST 500 GALLON LEACHING DRYWELL. AUGURED.TEST PIT 7.85 A DEPTH OF 6.5 ft. DRY 26.00- STONE PERIMETER 1500 AL�L�OoNI SEIP,77C� TANK � 4 �� .1 ��4 2300 12.83 DIMENSIONS & DETAIL a /O.S6 c cd cli 10.50 USE SHOREY ST-1500--H-10 9.50. 3.67' 'O N 10.56 AREA o 4 4 8.23 I in NOT (26+10.5)xl2.83 = 468.30 sf -1/2(4.bx9.5) _ -21.85 sf o 95.12 TAPER TO 1 446.45 sf 12.83' SCALE 500 GALLON DRYWELL I; 5 f t- DIMENSIONS & DETAIL INSTALL ONE INSPECTION �� t RISER TO WITHIN THREE oggvsel 8 in INCHES OF FINAL GRADE ° . P 4 „ USE & INDICATE LOCATION H-10 , . � � ON AS-BULL T UNIT A(A 33 in f t-6 �D c� INSTALL EFFLUENT FILTER INLET (ZABEL OR EQUIVALENT) OUTLET 85 ft A COVER IN OUTLET TEE. COVER CROSS 3 /N DROP SECTION VIEW -► Al FLOW LINE --► INSTALL AN APPROVED GEOTEXTILE-\ FROM _ FABRIC OVER STONE 10 in _ • BUILDING : 14 TO1n D-BOX 48 in GAS To,... 24 in o314 In TO LIQUID 28 .,- n EFFEin IVEo - n G LEVEL BAFFLE in 1172 in GRAVELo DEPTH a; 11/2 !" GRAVEL . nt 46 in 58 in 46 in b In STONE BASE i SEPARATION BETWEEN INLET & OUTLET 150 in TEES NO LESS THAN LIQUID DEPTH ALL STONE TO BE DOUBLE WASHED AND CROSS SECTION VIEW FREE OF IRONS, DUST AND FINS IN PLACE DISTIT §B T§OUV BOl/� USE SHOREY INSTALLER TO OBTAIN DISPOSAL WORKS II\VII PERMIT BEFORE STARTING WORK. DIMENSIONS 'PIPES EXITING D-BOX-,TO. RUN LEVEL �IIJJ��JJ -ALL COMPONENTS INSTALLED SHALL MEET AND DETAIL FOR 2 FEET BEFORE THE MINIMUM REQUIREMENTS OF PITCHING DOWN MASSACHUSETTS TITLE 5 SEPTIC OCODE (310 CMR 15). .. M- -INSTALLER TO VERIFY LOCATIONS OF ALL i 12 /n � UNDERGROUND UTILITIES BEFORE c MIN l9 EXCAVATING FOR SYSTEM. -� fr -ECO-TECH RAPID RESPONSE RECOMMENDS U) FROM i S = THE INSTALLATION OF LOW FLOW N TANK I to to TO FIXTURES & APPLIANCES, AND PERIODIC �" s a ^ SAS L PUMPING OF THE SEPTIC TANK. -SYSTEM IS NOT DESIGNED TO WITHSTAND 6 in STONE BASE � VEHICULAR LOADING. DO NOT PARK OR CROSS SECTION VIEW DRIVE VEHICLES OVER SEPTIC SYSTEM. p 0 [ L� E TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO 4 in BE SCH. 40 PVC VENT AND TO PITCH AT 1/8 in/ft MIN EL = 22.06 +- 6 in OF FINAL GRADE PIPE 22.25 ��//// D-BOV 5 H 20 USE H-20 ,. MAX UNITS �� T LL 18.25 18.3+- 1500 GALLOoN PRECAST � °a �b000 0000° oa�oo 0000 EXISTING 000 000°oo 000° SEPM TANK 17.75 17.30 DRYWELL 00�0 o0 oaooC 700000o OOo 18.00 REFER TO DETAIL BOX STONE SO�� QBSORpT�0N 17.47 BASE 17.25 M n�1 -REFER TO 4- 10 ft 6 in STONE BASE 27 ft 6-7 ft SYSTEM STEM 0 DETAIL BOX NO GROUNDWATERVy BELOW 15:25 MOTTLING OBSERVED _ 7.85 SEWAGE DISPOSAL SYSTEM PLAN 602 MAIN STREET OSTERVILLE, MA APRIL 19, 2021 ETE-4545 PG 2/2