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0070 OAKVILLE AVENUE - Health
f7101 Oakville Avenue ' Osterlv1i.11e TOWN AO<FyBARNSTABLE LOCATION Q & V/Ak-, !�,f� SEWAGE# ®®S— r y VILLAGE ASSESSOR'S MAP&PARCEL I LI - OOGf INSTALLER'S NAME&PHONE NO. g4-��, A,-5Ae� SEPTIC TANK CAPACITY �,5 �z LEACHING FACILITY:(type) 5-Od C} Pize) NO.OF BEDROOMS OWNER t°�l✓ PERMIT DATE: COMPLIANCE DATE: I 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 13 4®0 0 i No. l Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in-computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplitAtion for 30' SAY &pstpm Construction Permit Application for a Permit to Construct( ) Repair( upgrade( �) Abandon( ) 2 Complete System ❑Individual Components Location Address or Lot No. 70 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel1113 5 I/r V C Installer's Name,Address,and Tel.No. Designer's Name,Address, d Tel.No. h "5SuriveTAIC - Type of Build' g: Dwelling No.of Bedrooms / Lot Size sq.ft. Garbage Grinder( ) Other Type of Building �1�j� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �yl� gpd Design flow provided Y�J gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500 �'lri, Type of S.A.S. f Description of Soil Nature of Repairs or Alterations(Answer when applicable) /,f k Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed J Date /Z Application Approved by Date /J Application Disapproved by Date for the following reasons Permit No. �J L��� Date Issued �"'J 4r i �."r�•�i. ,".�y.,r:a• ..;. -n•.:q N .°S.+v � ... "rr.r "ix'... " .. .. .. . . ✓ 4 � ..ti;� � :'^^err* ;; .� No.C9�0_ ✓ `� ' Fee THE COMMONWEALTH OF MASSACHUSETTSEntered in computer: 1; , f Yam— �. 1 PUBLIC, HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Mi8 oral pst v'ZonstrUction Permit Application for a Permit to Construct( )' Repair ,)' Upgrade(. ) .Abandon( Complete System ❑In'divid'ual`Components Location Address or Lot No. ®��j v�f/� j j y Owner's Name,Address,and Tel.No. +' Assessor's Map/Parcel14 3 DD 1 arJ Yi +y Installer's Name,Address,and Tel.No. U Designer's Name,Address, d Tel.No. - t h .Siitr2 Jay \Type of Build g: Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder( ) x Other Type of Building 9-e!2 I wf p No.of Persons Showers( ) Cafeteria( ) Othei Fixtures Design Flow,(min.required) gpd Design flow provided 9 gpd , 1 F r Plan Dae t Number of sheets Revision Date Title S e of Septic'Tank 1 'o0 & l Type of S.A.S. Description of Soil P r � Nature of Repairs or Alterations(Answer when applicable) L � Date last inspected: Agreement: f The undersigned agrees to ensure the construction and maintenance of the afore described orn-site sewage disposal system in ` accordance with the provisions of Title 5 of the Environmental Code and no to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed ` ¢� s# Date 17:f Application Approved by Date / Application bisappr oved-by r Date for the following reasons e` is Permit No. r✓ 4-) Date Issued -- - t---- ------------ - -- - - ------ ----- " ----- -------'-------------------- -----"------ 1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY tha the On-site Sewage Disposal system Constructed( ) Repaired(V) Upgraded( ) Abandoned( )by at 776 io 4 yi/%e,- - j � ,.�. - has been constructed in accordance L �°f /with the provisions of Title 5 and the for Disposal System Construction Permit No�d/'J— ,;-I� dated,. jc3-/ Installer Designer �jevcv #bedrooms (� Approved design flow Z76e—V gpd The issuance of this permit shall not b construed as a guarantee that the system will furic'on as'designed. , Date V Inspector t - - - - -- - - ------------- -- -- - - - No.(:: 1 t 5 ,.. L, "� �7) Fee AV THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoBal6pBtenC�ConBtrnction ertnit s Permission is hereby granted to Construct( ) Repair(V) Upgrade( ) Abandon( ) . System located at 7_�Q N i//lle VC 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. r Provided:Construction must b completed within three years of the date•of this pe , it. /0- // p�� 1----- Date Approved by _ Y 14 I't I Town of Barnstable r Regulatory Services Richard V. Scali,Director >aAMST"B> .MM ` Public Health Division s6gq. �0� ��I,orA Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: _S 18 -1 G Sewage Permit#61U /��T71 Assessor's Map/Parcel -i_4_5,t� Installer& Designer Certification Form Designer: .S :E3NJ9-fG C 2� Installer:�_� Address: j- arc nZ,2 Address: On j" � �S�`e✓ was issued a permit to install a (date' (installer) septic system at 70 O, Kljdye ��(J �' based on a design drawn.by (address) tltrJ D• �-c.��c uu.— dated l 'ol z� (designer) I certify that the septic system referenced above 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. Stripout (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. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in c i p)-I' with the terms of the U approv letters (if applicable). 11 ZI / DAVID cyGN o DVIA • X FIAHERTY,JR. cA ( ristall s ignature) No. 1211 �Fc/S TER�O SgNITARk X esigner's i a e (Affix Designers tamp Here)) PLEASE RETURN PTO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formsWesignercertification form.doc Town of Barnstable P# Department of Regulatory Services a,xraarnet� = Public Health Division. Date MA89• naa39 t +200 Main Street,Hyannis MA 02601 PED AAh`I A Date Scheduled + Z- Time' Fee Pd. Soil Suitab ' ity Assessmentfor S5 wage 'sposal Performed By: �� Witnessed By: / i^ ' A & L INFORMATION Location Address �1�;D(/7 / �Ef Owner's Name �- ' Address �/� Assessor's Ma /Parcel /ijj i J v�/z. Da 9 (( P Engineer's NamlbFy "7 aw NEW CONSTRUCTION REPAIR .Telephone#(f2e', z 2_545; J/ of o' Land Use !c: e , -ry Slopes(S6) Surface Stones n 'n;JIL' / x!� , Distances from: Open Water Body 4GeJ � i i t —a P Y�ft Possible Wet Area ft Drinking Water Well ft Drainage Way _ft Property Line l�G ft Other 17 y �- ft SI(ETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) � 4t f IY/'C v . e. I � Parent material(geologic) `2C17?'A115 � 12 VZ b'14 (g g ) � Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping*am Pit Face Estimated Seasonal High Groundwater - DETERMINATION FOR SEASONAL'HIGH'WATER TABLE Method Used: Depth Observed standing in obs.hole: In In, Depth to soil mottles:_ ,� in. Depth to weeping from side of ob .hole: ex Well levoi ln, Groundwater d usttnent q l f[. Index Well# Re ding Date: Ind Adj,flaCt4r Adj.Groundwater Level L,,-7/Z ` PERCOLATION TEST Dili Thne //,� Observation #x A Hole# Time at 9" Depth of Perc �d%t'"'( �z Time at 6" Start Pre-soak Time @ l Time(9"-6") End Pre-soak Rate Miu./lnch . GEC[ c Z !� � ` / t Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back------- ***If percolation test is to be conducted within 100' of wetland,you roust first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC 1 VS f`D V DEEP.OBSERVATION HOLE LOG Dole# Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsistency.%Gravel) T 6 'L z 711 s DEEP OBSERVATION HOLE LOG Holey# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) <• ZO DEEP OBSERVATION MOLE LOG Hole3# -3' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ?6 Co i to c Q 1" .Q l v F J 7 DEEP OBSERVATION HOLE LOG Holey# �- Depth from Soil Horizon Soil Texture Soil Color Soll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories,Boulders. Consistency. &12— 4-, �or�ed 3 Zi .^ p 5P I U V�1 ev nw erne�✓ Flood Insurance Rate Mau: Above 500 year flood boundary No— Yes 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 perviou material exist in all areas observed'throughout the area proposed for the soil absorption system? 2 \ If not,what is the depth of naturally occurring pe vious material? Certification I certify that on 9S (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 traini a se and x erlenc described in 10 CMR 15.017. Signature �- ' Date Q:\SEMC�FERCFORM.DOC Town"of Barnstable A. Regulatory Services Department Public Health Division KAM � 200 Main Street, Hyannis MA 02601 i63q. ,$o Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7014 1200 0001 0358 0369 Feburary 24 2015 M &M Realty Group Inc. 190 Flume Avenue Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 70 Oakville Avenue, Osterville, MA was last inspected on July 1,2014 by Douglas A. Brown, a certified septic inspector for the State of Massachusetts. • The inspection of the septic system showed that the system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: • Single cesspools are automatically failed in the Town of Barnstable. • Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH leanean, ,CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\70 Oakville Ave Ost Jul 2014.doc 24/2b15 Print Page f` Ont this page ``• Owner Information-Map/Block/Lot: 143 /009/-Use Code: 1010 Owner Map/Block/Lot GIs, MAPS, 143 /009/ M&M-REALTY,GROUP INC' property Addre s s Owner Nam_e:-as-.ofi t190 FLUME AVE 1/1/12 MARSTONS`MILLS,.MA. �70"OAKVIILE AVENUE? .02648 Co-Owner Name Village:(Osterville) Town Sewer At Address: No GIS Zoning Value: RC • Assessed Values 2013 - Map/Block/]Lot: 143 /009/-Use Code: 1010 2013 Appraised Value 2013 Assessed Value Past Comparisons • Building Value: $ 35,600 $ 35,600 Year Total Assessed Value Extra Features: $ 3,700 $ 3,700 2012 - $ 164,100 Outbuildings: $ 900 $ 900 2011 - $ 170,500 Land Value: $ 123,400 $ 123,400 2010 - $ 170,800 2009 - $ 212,900 2008 - $ 221,800 2013 Totals $ 163,600 $ 163,600 2007 - $ 221,700 Residential Exemption Received= $88,785 • Tax Information 2013 - Map/Block/Lot: 143 /009/- Use Code: 1010 Taxes C.O.M.M. FD Tax $ (Residential) 242.13 Community.Preservation Act $ 20 07 Tax $ Fiscal Year 2013 TAX RATES HERE Town Tax (Residential) 668.88 http://www.tov.n.barnstabl e.ma.us/assessing/printl3.asp?ap=0&searchparcel=143009 1/4 _ x i m .. F F d LrI CO Postage $ kSnj Mq Certified Fee O, P p Return Receipt Fee t Here c t0 p (Endorsement Required) # - Here — _ O Restricted Delivery Fee ' O (Endorsement Required) p .Total Postage&Fees $ OS P S A John E. & Beatrice L:-Hurrt C/o M & M Realty. GroupInc. 190 Flume Avenue M a stops Mills, MA 02648 Certified Mail Provides o A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent:Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". e If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the iCertified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 " Town`, of Barnstable IN. t4 Regulatory Services Department Public Health Division 34RNffABM 200 Main Street, Hyannis MA 02601 MASS. MA'S SECOND NOTICE Office: 508-862-4644 Richard V.yScali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012'1010 0000 2851 3993 . December 4, 2014 t John E: &Beatrice L. Hurtt c/o M &M Realty Group Inc. 190 Flume Avenue Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 70 Oakville Avenue, Osterville, MA was last inspected on July 1,2014 by Douglas A. Brown, a certified septic-inspector for the State of , Massachusetts. x The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Single cesspools are automatically failed in the Town of Barnstable.'. . • Liquid depth in cesspool is less than 6" below invert or available volume is less than V2 day flow. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system°within the deadline period will result in future enforcement action. , PER ORDER OF THE BOARD OF HEALTH omas McKean, R;S CHO Agent of the Board of Health w Q:\SEPTIC\Letters Septic Inspection Failures or Future Ev1\70 Oakville Ave`Ost Jul 2014.doc »999999 1 T . Town of Barnstable Barnstable . Regulatory Services Department i 9q � ' 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# 7012 1010 0000 2851 4174 • July 25, 2014 John E. &Beatrice L..Hurtt 'r c/o M & M Realty Group Inc. 190 Flume Avenue Marston Mills, MA 02648 ORDER TO,COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 70 Oakville Avenue, Osterville, MA was last inspected on July 1,2014 by Douglas A. Brown, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Single cesspools are automatically failed in the Town of Barnstable. • Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result:in,future enforcement action. PER ORDER OF THE BOARD OF HEALTH Gam, <-4,\ Tho s McKean, R.S.; CH �a Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\70 Oakville Ave Ost Ju12014.doc Town of Barnstable Barnstable . Regulatory ServCft ices DepartmQ>at .: 1 i 9 I: Public Health Division • 200 Main Street, Hyannis MA 02601 2007 Office: 508-8624644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 4174 July 25, 2014 John E. &Beatrice L. Hurtt c/o M &M Realty Group Inc. 190 Flume Avenue Marstons Mills, MA 02648 ORDER TO COMPLY WITH.STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 70 Oakville Avenue, Osterville, MA was last inspected on July 1, 2014 by Douglas A. Brown,.a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: •, Single cesspools are automatically failed in the Town of Barnstable. • Liquid depth in cesspool is less than 6" below invert or.available volume is less than V2 day flow. You are ordered to repair or replace the septic system within one (1) year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Tho s McKean, R.S., CH , Agent of the Board of Health , • r Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\70 Oakville Ave Ost Jul 2014.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System.Form=Not for Voluntary Assessments r wM 70 OAKVILLE AVE Property Address HURTT f Owner Owner's Name - information is . r •" required for OSTERVILLE' MA 7/1/14 ; every page. City/Town, State. Zip Code Date of Inspection Inspection results must be submitted on this form.,Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. } r ,mP° nt:. A. General Information When filling out forms on the computer, use .1.' Inspector: only the tab key to move your DOUGLAS A BROWN _ cursor-do not � • Name of Inspector 6 use the return t key. D6UGLAS A BROWN INC Company Name *, - � P.O BOX 145 • •r , Company Address ` • fi 4. n/ r CENTERVILLE ,,. �,. MA. ,C7 02632 City/Town State "'- :.Zip Coda- . 508-420-4534 _ S14297 Telephone Number', License Number " CIO . y , B. Certification I certify that I have personally inspected the sewage disposal system at this address and ttg thern , 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. e • 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 r. ❑ Conditionally Passes ® Fails ; ❑ Needs Further Evaluation by the Local Approving Authority 7/1/14 Inrpecto,Signature '. Date r The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a;deaign flow of 10;000 gpd or greater, the inspector and the system owner shall submit the' . report to the appropriate regional office of the DER 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 inspe tjpptd;oeA�q ,,ddress,howM1the system will perform in the future under the same or different;cond tions of,use: t5ins•3/13 ; Title 5 Official-inspection Form:Subsurface Sewage Disposal System•Page 1 of'17 Commonwealth of-Massachusetts Title 5 Official Inspection Forma' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments S e 70 OAKVILLE AVE Property Address HURTT _ Owner . . . - -:• _.- _ .. Owner's Name information is required for OSTERVILLE `• MA = ' 7/1/14 • _ every page. Citylrown -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: B) System Conditionally Passes:' El 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. w 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 metaland over 20ryears 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): e`- t5ins•3/13 Title 5 Official Inspection Formh:Subsurface Sewage Disposal System•Page 2 of 17 - r Commonwealth of Massachusetts Title 5 Official Inspection. Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 70 OAKVILLE AVE Property Address HURTT Owner Owner's Name information is required for OSTERVILLE MA 7/1/14 every page. Cityrrown State Zip Code Date of Inspection.. B. Certification (cont.) ❑ Pump Chamber'pumps/alarms not operational. System will passwith 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): ❑ r` 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 L❑ 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: ' El 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 r • t Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments wM ,. 70 OAKVILLE AVE } Property Address HURTT Owner Owner's Name information is MA 7/1/14 required for OSTERVILLE every page. Cityfrown " State ' r Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health,,. safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ' ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply., ` ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. • ❑ The system has a septic tank and SAS and the SAS is less than 100 feet_but 50 feet or more from a private water supply well*. Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal, to or less than.5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. ' 3. Other: '. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No h El El 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 x. 0 ❑• 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, El than 1/2 day flow t5ins•3113 _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 r Commonwealth of Massachusetts ` Title 5 Official Inspection Form. r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 70 OAKVILLE AVE , Property Address HURTT Owner information is Owner's Name required for OSTERVILLE MA 7/1/14 every page. Cityfrown State ;'Zip Code Date of Inspection B. Certification (cont.) Yes. No ❑ El . Required pumping more than 4 times in the last`year NOT due to clogged or :- obstructed pipe(s). Number of times pumped: ❑ ❑ Any portion.of the SAS, cesspool or;privy is below high ground water elevation. ` Any portion of cesspool or privy is within 100 feet of a surface water supply or, tributary to a-surface water supply. f ❑ •❑ Any portion of a cesspool or privy is within a Zone 1 of a,public well. ❑ r7 Any portion of a cesspool or privy is within.50 feet of*a private water supply well. ' -4 " ❑ ❑ 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• • t 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.] r The system is a cesspool serving a facility with a design flow of 2000gpd- ,. a ❑ ❑ 10,mgpd. 1 ' The system falls. 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 p 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 4 ❑-r ❑ 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 supplyr - the system is located in a nitrogen sensitive area (Interim Wellhead Protection ❑ Area-IWPA)or a mapped Zone li of a public water supply well If you have answered"yes"to any question in Section E the system is considered a sign ificant: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-3113 'a r _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments- 70 OAKVILLE AVE Property Address HURTT Owner Owner's Name information is required for OSTERVILLE MA t . 7/1/14. F every page. City/Town 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 P ❑ " ® 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? 0 ® Have large volumes of water been introduced to the system recently or as'part of ,r this inspection? El ® Were as built plans ofthe system obtained and examined? (If they were not available note as N/A) Z ❑ 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?` ❑ Z, 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 .11 ® 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 •" f Residential Flow conditions: Number of bedrooms(design); Number of bedrooms (actual): 3 PER -T,OWN DESIGN flow based n 4 0 3 0 CMR 15.203 (for example: 110 gpd x#of bedrooms):" i t5ins•3113' Title 5 Official Inspection Forth: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 M 70 OAKVILLE AVE r, Property Address HURTT Owner Owner's Name information is required for OSTERVILLE MA 7/1/14 ' every page. City/Town State Zip Code Date of Inspection D. System Information . Description: _ A SINGLE CESSPOOL WAS FOUND Number of current residents: ' Does residence have a garbage grinder? ' ❑ Yes' ❑ . No Is laundry on a separate sewage system?(Include laundryrsystem inspection ' k, information in this report.) El'-'Yes ❑ No. Laundry system inspected? ❑ Yes ❑ No 17 Seasonal use? ❑. Yes ❑' No Water meterreadings,'if available'(last 2 years usage (gpd))p Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/industrial Flow Conditions: '. Type of Establishment , Design flow(based on 310 CMR 15.203): �R Gallons per day.(gpd) , Basis of design flow,(seats/persons/sq.ft., etc.): Grease trap present?: ❑ Yes ❑. No 4 Industrial waste holding tank present? ❑ Yes' ❑ No ` Non-sanitary waste discharged to the Title 5 system? "t El Yes ❑ No * Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 ' Commonwealth of Massachusetts Title 5 official 'Inspectiory-� Forrn Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . 70 OAKVILLE AVE r Property Address HURTT Owner Owner's Name information is required for OSTERVILLE MA' 7/V10, , every page. City/Town State Zip Code Date of Inspection ` D. System Information (cont.) Last date of occupancy/use: Date Other(describe,beloW): 4 yGeneral Information Pumping Records: ^' .. ;: � Source of information: ' Was;system pumped as part of the inspection? ❑ Yes ❑ Ao _ If yes, volume pumped: , gallons How was quantity pumped determined? Reason'for pumping ` Type of System r ` - pia., ,+ +' • R. - { w- .. »y _l ❑ Septic•tank, distribution box, soil absorption system ® Single cesspool ❑: Overflow cesspool r ❑• 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•3/13. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts- W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-,Not for Voluntary Assessments'' 70 OAKVILLE AVE Property Address HURTT Owner Owner's Name information is required for OSTERVILLE MA. 7/1/14 every page. Cityfrown State Zip Code Date of Inspection D. System Information.(cont) Approximate.age of all components, date installed (if known)and source of,information: ORlUGINAL ` Were sewage odors detected when arriving at the site? ,. ❑ Yes ❑ No Building Sewer(locate on site plan;: Depth below grade: feet 'Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain):., Distance from private water supply well or suction lire:., feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic'Tank(locate on site,plan): " Depth*below grade: ' feet' Material of construction: ❑ concrete. ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal; list age: Years, Is age confirmed by a Certificate of Compliance? (attach a copy of certificate), ❑ Yes ❑ No { Dimensions: . ~ Sludge depth: t5ins-3/13 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts m Title 5 Official Inspection.: Form Subsurface Sewage Disposal System Form -Not forVoluntary Assessments M 70 OAKVILLE AVE Property Address . HURTT Owner Owner's Name J information is OSTERVILLE • MA '7/1/1.4 required for every page. Citylrown 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' 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 How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or'baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): c r Grease Trap(locate on site plan): ' Depth below grade: feet Material of construction: El concrete E1 metal r �; ❑fiberglass R 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 4 Date of last pumping: Date t5ins•3/13 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 - 70 OAKVILLE AVE Property Address T HURTT Owner Owner's Name information is OSTERVILLE MA ' 7/1/14— d required for • every page. CitylTown 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.): Might or Holding Tank(fank must be pumped`at time of inspection) (locate on site plan): . Depth below grade: Material of construction.+ `❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: -: - - Capacity: 4r' r r gallons, Design Flow:` gallons per day Alarm present: ❑ Yes ❑ No Alarm level °` Alarm in working order: ,❑ Yes El No Date of last pumping: r Date r ' t Comments"(condition of alarm and float switches;etc.):, *Attach copy cf current pumping contract(required). Is copy attached? " ❑ Yes El,No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection .Fof-M r Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 70 OAKVILLE AVE Property Address HURTT Owner Owner's Name, r information is required for OSTERVILLE ." MA .711114 every page. 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 .NA 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.): 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): 1f SAS not located, explain why:, r _ t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts, Title 5 Official Inspection ,Form4 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments wM 70 OAKVILLE AVE Property Address HURTT a ,. Owner Owner's Name, a information is required for OSTERVILLE MA 7/1/14 every page. CitylTown State` . Zip Code Date of Inspection D. System Information (cont.) Type , leaching pits number: ❑ leaching chambers number: ❑ leaching galleries „* number: El leaching trenches number,,length:. ,. ❑ leaching fields number, dimensions: ❑ overflow cesspool " number: El 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.): Cesspools (cesspool must be,pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert ' ..Depth of solids layer Depth of.scum layer* Dimensions of cesspool. , ,. Materials of construction Indication of groundwater inflow . , ❑ Yes ❑' No t5ins 3/13 '' Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official In� e s i . p ct on Form • Subsurface Sewage Disposal System.Form-Not for.Voluntary.Assessments „ 70 OAKVILLE AVE Property Address HURTT Owner Owner's Name information is required for OSTERVILLE MA ' 7/1/14 every page. 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.): SINGLE CESSPOOL AUTOMATIC FAILURE 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.): .4 t5ins•3/13 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 70 OAKVILLE AVE Property Address HURTT Owner Owner's Name information is OSTERVILLE MA 7/1/14 . required for every page. City/Town State` Zip Code Date of Inspection D. System Information (cont.) Y 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 , . , l5ins-3/13 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 , 70 OAKVILLE AVE , Property Address HURTT Owner Owner's Name information is MA 7/1/14 required for OSTERVILLE - every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope r ® Surface water ® Check cellar Shallow wells Estimated depth to high ground water: feet Please indicate all methods used.to'determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain` ❑ Checked,with local excavators, installers-(attach documentation)-' ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts i - Title 5 Official Inspection Form.: r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 70 OAKVILLE AVE - Property Address HURTT Owner Owner's Name , information as required for OSTERVILLE MA ' 7/1/14 every page. Cityfrown State Zip Code Date of Inspection .. ° E. Report Completeness Checklist ® Inspection Summary: A, B, C, D;or E checkeds ® ,Inspection Summary D(System Failure Criteria Applicable-to All Systems) completed 3 i ® System information—Estimated depth"to`high groundwater - ® Sketch of Sewage,Disposal System either drawn on page-15 or attached in separate file! t5ins 3/13. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 .� a _ 1 OSTERVILLE C� \ BENCHMARK: TOWN OF BARNSTABLE TOP OF STAKE AND TACK TOWN OF BARNSTABLE PARCEL ID: tEV:_58.95 PARCEL ID: �'� LOCUS 0 143 012 143/011 7�\ / \ C� I N p 7 4f o 0) (CALC.) �' 0 \ � � JOSHUA � (� 41.2' ��� POND- 0o U PARCEL I: LOCUS MAP 4 1 � 3/ , 21.0 S LOCUS - INFORMATION \ DEEDS AND PLANS USED: PLAN REF: SEE NOTE DEEDS: PLANS: TITLE REF: 28254/118 PARCEL ID: MAP 143 PAR. 009 \�1% RO,pO 11 �� iQJ 28254/118 LCP -14442-A ZONING: "RC" SETBACKS: 20'F-10'S-10'R S 10325/262 169/73 FLOOD ZONE: "X" NOT IN ZONE II, GWD:"AP" TOE\��iQ� 1 / HOC \ 1440/695 262/62 COMMUNITY PANEL: 25001CO544J DATED:07/16/14 S O '9T 4285/201 264/59 PARCEL ID: `.0 VENT 264/62 1 � PROPOSED SITE AND ,43/022 1 57 0 399/94 57 oq 595/94 SEPTIC PLAN LOCATED AT: � 1 PARCEL ID: 1 143/009 70 OAKVILLE, AVENUE 21.0' o / 'AREA=40,740t S.F. 1 1 { - - W 1 � 11 (cALc.) OSTERVILLE, MA. w 10' o 1 \ 1 PREPARED FOR 1 1 \ �, M & M REALTY n O� \ , PARCEL ID: GROUP, INC. 0 . © o 0 1 -� 1 -o � 56 143/007 09/08/14 REV: 12/07/15 , 0H OF I{/,gss9 #88 ,1 RESE-VE J \�1 TM \ 1 o Y #52 DAVID cs� �o�, EDWARD 0 3 5 \ A. 11 57., 2 1 0 , P. STONE �, � CPO E 1 1 57.1 No.289 Q m 1 #7 0 FC \ SgNIT PN D 1 hl3 1 1 �57., 59.4 1,161 1 / 1 (HOUSE TO BE RAZED) �W I � E. A. S. SO, \UPOLE UPOLE SURVEY, INC. 141 ROUTE 6 A - - - - - - - - - - -1- - - - 271'f (CALC.) - - - - - - - - - - - - - - - - P LT PO 1D7BUILDING 29 NOTE: 0 A K VI LLE AVENUE 30 0 ,s 3o so SANDWICH, MA. 02563 1) THE LOT SHAPE SHOWN WAS _ _ _ — — — _ _ — _ _ DERIVED FROM A LIST OF DEEDS, ABUTTING PLANS, BENCHMARK: THE LOCATED EDGE OF THE ANCIENT WAY "JOSH LUMBERT ROAD" AND ASSESORS PARCEL 143/009. AN INSTRUMENT TOP OF STAKE AND TACK BUS:(508)888-3619 CELL:(508)527-3600 SURVEY IS HIGHLY RECOMMENDED BE PERFORMED IN ORDER ELEV.=56.68 GRAPHIC SCALE TO PRODUCE A RECORDABLE PLAN. 1'= 30' SHEET 1 OF 2 J 1687 TOP OF FOUNDATION EL= 59.0' 4" SCHEDULE 40 P.V.C. PROFILE OF 1 LAYER 2" MIN. PITCH 1/8" PER FOOT SEWAGE DISPOSAL SYSTEM DOUBLE"WASHED STONE 10' MINIMUM-►� (NOT To SCALE) OR FILTER FABRIC EL= 58.3' EL= 58.0' EL= 57.3' EL= 57.1 %.., ..... " .., EL= 57.1 MAX.' .;;a1 6 ;;x�::;; s° MAX. atrauti;: ,6 MAX. ,6 MAX. .. ... ... ttiiiii PROP. PROP. TRIPOU CLEAN SAND FILL " 5.0 4" SCHEDULE 40 P.V.C. CONC. TRIPOU RISER RISER 0 MED. '� ' MIN. PITCH 1/4" PER FOOT RISER & EL= 53.5 PER 310 CMR 15.255 2.85 0 MED. EL= 56.25' - LEVEL SAND INVERT ��� - 22' S=zzi .o3 COVER FOR 2' (IF NEC.) (IF NEC.) 2.a' s- .41 -J =o EL- 54.25 FLOW LINE "T" 110�� 14" 0 0 0 ° C� O 0 O ° O C� om o 0 0 �EL=56.0' EL=55.25' MIN, EL= 55.0 EL= 53.83' 6" SUMP EL=53.66' I " ° 0° °° °° o INVERT INVERT 4' GAS INVERT INVERT INVERT 24 e o 0 0 0 u c� BAFFLE s" BASE OF MECHANICALLY o 0 00 °Q' i EL=51.5 . COMPACTED SAND. PROP. DB3' ' DISTRIBUTION 4.0 8.5' 4.0 8 BASE OF MECHANICALLY » " 3/4" TO 1-1/2" TYP. COMPACTED SAND BOX W/ T DOUBLE WASHED TONE ( ) 33.5' PROPOSED 3-500 GAL. •(H-10) DRY -WELLS (5"' X 8'-.6" X 2'-9") �. 1 ,500 GALLON TANK I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT SOIL ABSORBTION (TRENCH FORMATION) (H-10) SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED - BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE SYSTEM (S.A.S.) 13' X . 33.5' DESCRIBED IN 310 CMR 15.017. 1 FURTHER CERTIFY .THAT THE RESULTS OF MY SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, ARE ACCU TE AND I DANCE WITH 310 CMR 15.100 THROUGH 15.107. BOTTOM OF TEST HOLE #1 ELEV.- 45.1' GENERAL NOTES (No GROUND WATER) 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. EDWARD A. STONE, CERTIFIED SOIL EVALUATOR TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS k. FOR SUBSURFACE DISPOSAL OF SEWERAGE. DESIGN - DATA: 2. ALL ACCESS PORTS OVER TANK TEES SHALL BE TEST PIT RESULTS: P#14449 ACCESSIBLE WITHIN 3" OF FINISH GRADE, WITH ANY REMAINING ACCESS PORTS BROUGHT TO WITHIN 3" OF FINISH GRADE. SOIL TEST DATE: JULY 28, 2014 ! NUMBER OF BEDROOMS........ .--- 4 -- 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE B.O.H. AGENT: DON DESMARAIS GARBAGE -DISPOSAL.................--NO-- CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE SOIL EVALUATOR: EDWARD A. STONE UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY TOTAL ESTIMATED FLOW MUST WITHSTAND H-20 LOADING. BACKHOE: RODNEY FISHER (110 GAL./BR./DAY X 4 .BR.) __440 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION 440GPD 'X 200% = 880 GAL OF ALL UTILITIES PRIOR TO ANY EXCAVATION. USE PROPOSED 1500 GAL: SEPTIC .TANK 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE TH#1 EL.= 57.1 OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. INSTALL: 3-500 GAL. DRY WELLS (W/4' CRUSHED STONE 6. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE ELEV. DEPTH IN. HORIZON TEXTURE COLOR MOTTLING OTHER ON THE SIDES, 4' ON THE`ENDS) AND BACKFILL OVER THE S.A.S. AND DISTRIBUTION BOX. 7. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF 56.8 0"-4" A LOAMY SAND 10YR4 3 N/A WITH CLEAN SAND FILL PER, 310 CMR 15.255 SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE 55.1 4"-24" B LOAMY SAND 7.5YR6/6 N/A THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND 53.1. 24"-48" Cl SANDY LOAM 10YR6/4 N/A LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. SOIL CLASSIFICATION................_- -_-- ' 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN 45.1 48"-144" 1 C2 IMED. COARSE SANDI 2.5Y7 6 I N A I DESIGN PERCOLATION RATE..... 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT TH 2 EL.= 57.1 PERC @66" <2 MPI EFFLUENT LOADING RATE..........-_74 ELEVATION OF THE OUTLET PIPE. 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. 56.8 0"-4" A LOAMY SAND 10YR4/3 N/A REQUIRED LEACHING CAPACITY.....440 GAL/PAY 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS 55.4 4"-20 B LOAMY SAND 7.5YR6/6 N/A LEACHING CAPACITY PROVIDED......459_GA_DAY BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. 53.6 20"-42" Cl SANDY LOAM 10YR6/4 N/A SIDEWALL: 13' �- 33.5' X2X 2 SID"ES 74 = 137 GAL DAY 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND ( ( )( ) / FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL 45.1 42"-144" C2 MED. COARSE SAND 2.5Y7/6 N/A PERC BOTTOM: (13' X 33.5')(.74)= 322 GAL/DAY BE LEVEL. TH 3 EL.= 57.1 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION TOTAL= 459 GAL/DAY TO EAS SURVEY, INC. FOR B.O.H. AND DESIGN 56.8 0"-4" A LOAMY SAND 1OYR4 3 N/A ENGINEERS REVIEW AND APPROVAL. 54.8 4"-28" B LOAMY SAND 7.5YR6/6 N/A 459 GPD PROVIDED - 440 GPD REQUIRED = 19 GPD RESERVE 45.1 28"-144" C MED. COARSE SAND 2.5Y7/6 N/A �H OFMgs �VZFA OF Mgss' CONSTRUCTION NOTES: " TH 4 EL.= 57.1 PERC 042 <2 MRI ��DA ID sycy �o�� EDWARD °tip SEPTIC SYSTEM DETAIL PAGE 56.8 0"-4" A LOAMY SAND 10YR4 3 N/A `,^ 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND � �°' 4 o �, #70 OAKVILLE AVENUE ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING 55.1 4"-24" B LOAMY SAND 7.5YR6/6 N/A -� c� STONE ; F H TY JR OSTERVILLE,.MA. WORK ON THE SITE. 45.1 24"-144" C MED. COARSE SAN 2.5Y7/6 N/A PERC N 2 p No.28980 m 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE ` p p oc �FG y� WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT `LI, `� ``� 1g sTER �' SEPTEMBER 8, 2014 IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. NO GROUNDWATER, NO MOTTLES (ALL 4) s N AL qNr A REV: 12/07/15 3. ALL SYSTEM COMPONENTS SHALL BE MARKED-WITH MAGNETIC MARKING 2j TAPE OR A COMPARABLE MEANS. 1 Z SHEET 2 OF 2 J# 1687 . . .. , ,. "F:i' NOTATED OQJ ARE _L = __ RESIDE. - . . . 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