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HomeMy WebLinkAbout0125 OLD EAST OSTERVILLE ROAD - Health 125 OLD EAST OSTERVILLE A = 145 018 T � No. I J M Fee 0 H ETT Entered in com uteri THE COMMONWEALTH OF MASSAC US S Ye s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0(pplitation for Misposal *pstrm Construftiou permit Application for a Permit to Construct( ) Repair(; Upgrade( ) Abandon( ) ❑Complete System individual Components Location Address or Lot No. ��$' �) ( � (� �0(� Owner's Name,Address,and Tel.No.rl g/rt-?a?_ Z-61 Assessor'sMap/Parcel (j/� oskrut'0e-tRN �n Ai57b-//)O fit( Sat) ��caaQ,�r• LA2ffh04- In Her's N e dress and Tel.No.Job r,, ` �2g_Ff� Co Designer's Name,A dress and Tel No ii �'to��Ct o1A pps, Type of Building: Dwelling • No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Environmenta a and n to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed A Date l9 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued c�tU- 3 No. U I L�� Fee U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: l/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliration. for Disposal 6pstrm ConstrUttiojx;;'Vrrmit Application for a Permit to Construct( ) Repair(J1 Upgrade( ) Abandon( ) ❑Complete System endividual Components Location Address or Lot No. 1 as Of C.4.tru;(fie Pj Owner's Name,Address,and Tel.No.r7 8/_ 9.29 5 � 51 1 T� ;Soo b a Sa,) o-i44,J_Z)r, Assessor's Map/Parcel Uo Tv4 CteeK , C A Y.S,940 Installer's e,AOSkess and Tel. o. Designer's Name,Address,and Tel.No Type of Building: Dwelling No.of Bedrooms 13 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Oilier Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date t Title Size of Septic Tank Type of S.A.S. Description of Soil E Nature of Repairs or Alterations(Answer when applicable) CZ!►,� Date last inspected: Agreement: The undersigned'agrees to ensure the construction and maintenance of tl afo e described—on-site wage°disposal system in accordance with the provisions of Title 5 of the Environment oC�o e and n fto,.place the system in operation until a Certificate of , Compliance has-Been issued by this Board of Health. Signed A Date �9 Application Approved by ; Date / Application Disapproved by Date P for the following reasons Permit No. ?U!q- 3 t f Date Issued (ql - ---------------------------------------------------- i THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS vw� Certificate of Compliance THIS IS TO CERTIFY,that th�et_On-site Sewage Disposal system Constructed( ) Repaired({'� Upgraded( ) Abandoned( )by 3f �ot C.t. �yr-�5f ruc`�-t Vy� �a-4-C at 115 00&k5 f--04,1,L) Ue PJ, USAe r J'l le- has been constructed in accordance _ 2- r�-310 G 1 with the provisions of Title 5 and the for Disposal System Construction Permit No. dated �l o' f L _Installer &+(6,lb-t L ar--s t'c,C4%C4, Designer #bedrooms - Approved design flow gpti The issuance of this permits ll n t be eo st�e ias a guarantee that the system fu ct• as de ign d.�� Date Inspector ---------------------------------------------- ---- - ------------------------------------------------------ No. )o r I —M Fee / 0U THE COMMONWEALTH OF MASSACHUSETTS 1 PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair X Upgrade( ) Abandon( ) System located at �����l� �rt��$ ,9(fj/Ile �� C/sk-,x&`le 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. ti z, Provided:Constrpctloq must be completed within three years of the date of this permit. Date T(q ( Approved by V' / \-r pYw '�V r y I , Ile ,y� a •,p� WAS, t i �r. t L� .� do it f K ', ,. ;,i- •; .,�:< . - ' � a �. • . `' r r. J • f ry.� ; Y ��.� t � ;� -;� i- ` Yi `t� �, '•y_� •- -�. Vie. �.� .r r),. ' • ,�,._,..,,,*.yc .����, ^,. �A.. �. . . '' ti � i.. ��! �.. �'4 ire` f�' �� - .�` I. - �.�� ���' t N a _ 4��. P• .�. t _ �� . �,. e ,r, �� �, ��� 0�.� ���� D.���-�: �, ��a ��5��/8 ����-� Town of Barnstable Barnstable Regulatory Services Department 1 i HARNST M 94' oA� 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 # 7014 1200 0001 03.58 0239 September 23,2014 Mr&Mrs Anthony Ristaino 2011 San Miguel Drive Walnut Creek, CA 94596 ,r ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 125 Old East Osterville Road, Osterville,MA was last inspected on 9/5/2014, by Michael Di Buono, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the.guidelines of,1995 TITLE 5 D 10 CMR 15.00) due to the following: • Need to replace rotting distribution box. M You are ordered to repair/replace the above listed septic system components within sixty (60) days 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 ?ccKean,R.S., CHO Agent of the Board of Health F Q:\SEPTIC\Conditionally Passes Ltr\125 Old E.Osterville Rd Ost.Sept 2014.doc Commonwealth of Massachusetts � R. Title 5 Official Inspection Form- _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,w 125 Old East Osterville rd Property Address Tony Ristaino Owner Owner's Name information is required for every Osterville Ma 02655 9/5/2014 page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information �y on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return key. Name of Inspector DiBuono sewer and drain Company Name 8 Johns path Company Address B� S Yarmouth ma 02668 City/Town State Zip Code 508-364-9587 Si13522 Tele hone Number P License Number - rk,B. Certification C1%/ ''I l have y that certify § personally inspected the sewage disposal system at this address and that the —informatiomreported below is true, accurate and complete as of the time of the inspection. The inspection �- c was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ❑ Passes ® onditionally Passes ❑ Fails ® Needs Further Evaluation by the Local Approving Authority 9/10/2014 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. to t5ins•3/13 Title 5 Official Inspection Fo :Subsurface Sewage Disposal System•Page 1 of 17 Y �® r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Old East Osterville rd Property Address Tony Ristaino Owner Owner's Name information is required for every Osterville Ma 02655, 9/5/2014 page. City/Town 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: This system has a 1000 gallon tank that sits up within approximately 2ft from the foundation. A concrete distribution box that is rotted and leaking. Dbox is also within 5' of foundation. Leaching area seems to be leaching properly. House is occupied and receiving normal flow. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a.Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ® N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r . Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal,System Form - Not for Voluntary Assessments • 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every .Osteryille Ma 02655 9/5/2014 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumpslalarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health)- ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 125 Old East Osterville rd Property Address Tony Ristaino Owner Owner's Name information is required for every Osterville Ma 02655 9/5/2014 page. Citylrown State Zip Code Date of Inspection B. Certification (cont,) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts N F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3/13 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 °� ,••'' 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 r Commonwealth of Massachusetts Title 5 Official , Inspection Form _ a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. City/Town State Zip Code Date of Inspection D. System Information Description: This system has a 1000 gallon tank that sits up within approximately 2ft from the foundation. A concrete distribution box that is rotted and leaking. Dbox is also within 5' of foundation. Leaching area seems to be leaching properly. House is occupied and receiving normal flow. Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): 2013 78,000 2012 82,000 Detail: 222.2 GPD over the last two years. Sump pump? ❑ Yes ® No Last date.of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: occupied Date Other(describe below): General Information Pumping Records: Source of information: Pumping records indicate last pump was 2012 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form . Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Old East OSterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. Cltyfrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of al"components, date installed (if known) and source of information: Leaching was upgraded in 2001 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 22"s feet Material of construction: ❑ cast iron ®40 PVC ® other(explain): Distance from private water supply well or suction line: NA feet Comments (on condition of joints, venting, evidence of leakage, etc.): No evidence of leaking Vented through the roof Septic Tank(locate on site plan): Depth below grade: 12"s feet Material of construction: ® concrete El metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1000 gallons If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Gallon Sludge depth: 3"s t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 24"s Scum thickness T s Distance from top of scum to top of outlet tee or baffle 42"s Distance from bottom of scum to bottom of outlet tee or baffle "Sludge stick How were dimensions determined? Tape Measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,, etc.): Baffles are in place. Levels are normal. Grease Trap (locate on site plan): Depth below grade: feet 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: Date (Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of.17 Commonwealth of Massachusetts Title 5 ®fficial Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osteryllle Ma 02655 9/5/2014 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.): No evidence of leaking. levels are normal. Baffles are in place Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts w W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -.Not for Voluntary.Assessments wM 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. City/Town 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 Needs to be replaced. Decayed 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.): leaking , And decayed. 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 working or alarms are not in pumps king order, system Is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: II t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 r Commonwealth of Massachusetts q. W Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,••''• 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 33x10x1.3 ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of hydrualic failure. Four enviro chambers Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No 15ins-3/13 Title 5.Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 C Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is OStervllle required for every Ma 02655 9/5/2014 page. Cltyfrown 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.): No signs of failure, ponding or break out Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17. l r Commonwealth of Massachusetts i nle 5 official ;Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments ,� •y'"F 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 TOWN OFBMUNSTABL1-Ef Q . SEWAGE 11LOCAJION I VIi,LAGEv,` (�¢ r�~ ASSLSSQR'S MAP 8 LOT INSTALLER'S NAMEPHONE NO. >'R..IITIC TANK CAPACITY I LEACHING FACILI7 Y: (type) 3� l>� 1, (size) 'lrzeS NO. OF BLf�ftOOMS BUILDER OR OWNER ' t PERtMITDATEc,' `��` � COMPLIANCE DATE: e0r) I Separation Distance Between thc: Maximum Adjusted Groundwater Table and Bottom.of Leaching Facility Feet Private Water Supply Weil and Leaching Facility (If any wells exist on site or-within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300'feet of leaching facility) /16 N Feet Furnished by I r : Commonwealth of Massachusetts Title 5 Official Inspection F0rM kat Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments wM ,. 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is required for every Osterville Ma 02655 9/5/2014 page. CityTTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 10 + ft 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: Topographics and availible well data ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Topographics and availible well data Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/1.3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official, Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary.Assessments 125 Old East Osterville rd Property Address Tony Ristaino Owner Owners Name information is Owner's required for every Ma 02655 9/5/2014 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑. Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑ System Information— Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Page l of 1 Soto, Kathryn From: Anthony Ristaino [anthony.ristaino@gmail.com] Sent: Friday, November 21, 2014 7:39 PM To: Barnstable Rental Registration Subject: 125 Old east Osterville Road Rental Hi Katherine, I hope I spelled you name properly. It was nice to talk with you today and thank you for heads up on the property rental•notice. As we had talked about I have sold the property at 125 Old East Osterville Road-V51he renters Adnilson & Irley Santos in October and no longer rent this property. Please feel free to close out this property as a rental. If you have any furth at any time. er questions please contact me z Again, thank you for the information and have a wonderful holiday season. All The Best !!! Tony Ristaino anthony.ristainoP,gmail com 781-929-5661 t 11/24/2014 TOWN OF BARNSTAB�LE® LOCATION ! ti � �-E ®S y t�G SEWAGE # 7•�� - 0 VILLAGE OA-f-C,-y f t6L- 777 ASSESSQR'S MAP & LOT y INSTALLER'S NAME&PHONE NO. � D G- SEPTIC TANK CAPACITY ®De LEACHING FACILITY: (type) �2 >e, (size) t2d �5 NO.OF BEDROOMS ,� f BUILDER OR OWNER . PAtjd kA PERM IITDATE: 7 -AF" :�` C COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and beaching Facility (If any wells exist on site or within 200 feet of leaching facility) `-7;WV OJ Feet Edge of Wetland and Leaching Facility(If any wetland`s exist within 300 feet of leaching facility) +- - � /U6 Feet Furnished by r V7 46 N� f 'x No. t/ r— 7i �Z , Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Y✓ Zfppficatton for Mtgool *potem Congtrurtton Verna Application for a Permit to Construct( )Repair(VJ-U-"Pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 114;' 0141 G^S+ (jSf j/. fed Owner's Name,Address and Tel.No. Assessor'sMap/Parcel a �ev`GL� Kale`y v1,4s¢2 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 P `'1'1 d�2 t►t) F dAbU *,- 4e I"lA- Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �3y gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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. ' 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by th s oard Signed Date ` Application Approved by Date q —Z 7—ZAD/ a. Application Disapproved for the following reasons Permit No. Date Issued b r —�Imo,,` ��. �.•-'.! No. ��/ f— . ,:., tJ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes / PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ✓ 2pprication for Migaaf 6potem Congtruction 3permit Application for a Permit to Construct( )Repair( v4pgrade( )Abandon( ) D Complete System, ❑Individual Components. Location Address or Lot No. 1.11; Old E A S{ oSf v. Rd Owner's Name,Address and Tel.No. ►y5- ai8 j Assessor'sMap/Parcel C�STE4eVl,( E R.tg1dy 6��se2 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 314AtU5.64 k Aye /4�+ Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow 3y gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title ` Size of Septic Tank Type of S.A.S. Description of Soil • Nature of Repairs.or Alterations(Answer when applicable) ' I Date last inspected: Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions off-itle�5 of the Environmental.C,ode and not to place the system in operation until a Certifi- cate of Compliance has been issued/by thi B and Signed Date Application Approved by Date —2 7—Ze0l Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance x THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(A,/)Upgraded( ) Abandoned( )by Flo /; 3 - _ ' % at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. —t4V I—ZS �— dated Installer Designer Q `i The issuance of this perrfut shall not be construed as a guarantee that the systeth ill funuioouras designid. 1-9-4 ., L't .. c, �� 2�� inspector Qi(i`c'Datey /�� ------------------------------------------- No. 2-"1— 2-1—Z— Fee "�— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS igogarp�tent Con0truction Permit Permission is hereby granted to Construct( )Repair Upgrade( )Abandon( ) System located at /A S� e�) "40- and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of t his Date: 7/T� Approved by d A u6igg NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (-WITHOti-T DESIGNED PLANS) p Itita2 rw hereby ceruzy that the application for disposal work construction permit siped by me dated I[-2 S— a-°D concertina the property located at S CW&4�,_ d P4 meets all of the following criteria: • The failed system is tonne✓ed to a residential dwelling only. i here are ao commercial or business uses assccated with the dwelling. • The soil is c!assined as CLASS !and the pe:colation rate is less than or equal cc 5 minutes per Inca. • Tizere are no wetlands within 1OO fee;of the proposed septic system • There are no private wets within Leo fee;of the proposed septic srsem • There is no inc-ea_see in flow and/or change in use proposed • There are ao variances requested or ae`ded. • i ne boaom of the proposed leaching faclity•viil not be located less than five fee;above the tna.•amurn adjusted groundwater table e!evation. (Adjus the goundwater table using the Fnmacor me;hc<i when applicable] • If the S.A.S. will-be located wit!t 2fO fe`,or ant vegetated wetlands. the bottom of the proposed leac!ung facility will net be located less than fou.re_n (I,) feet above Ll e -nacimum adjured ..Gundwater cable�!evation, Please complete the following: A) Too of Cround Sunace elevation(using CIS information) S) G.W. cic adon -the:NLA:(. -igh G.`,V. Adjus-,meat D T-FERENCE a c i�,V E_='N a.and SIC ED : D a.i c: (Sketca proposed p of s s-zem on bac'c q: caith;aidc-.-c ? n. n,. i Z X t 0 3ZA � Z Y-. 3Zc1 jyari� � � 'x{ r�' RSt '' a -'n TOWN OF BARNSTABLE � E, }: A -E' �S y SEWAGE #: Zgz11::- Z "Z VILLAGE . DiS- Cv i /tom ArSSESSQR'S MAP & LOT I INSTALLER'S,NAME&PHONE N.O. I SEPTIC TANK CAPACITY U OJ LEACHING FACILITY: (type) X i' (size) 1Qd �5 NO.OF BEDROOMS _ BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the. . Maximum Adjusted Groundwater.Table and Bottom of Leaching Facility Feet I Private Water Supply Well and�;eaching Facility, (If any wells exist on site or-:witlun 200 feet of leaching.facility) Edge of Wetland and Leaching Facility.(If any wetlands exist =t within 300'`feet.of leaching facility) /fib�� Feet Furnished by R J ��q', +..� f r>.'f yr.., � ; f S.!.cwne..'u ,; .. ,.. �-•�+'•r� <�M' `"--''r�r� .��',..n '4.t �`...,.�q�'�r �;: i . . h fr •3�fr�� 5 f -eArL/r b 67 S E.WAGE PE NO. VILLAGE 1WA LLER' NAME !� ADDRESS. _ S U1LDE R OR OWNER DATE PERMIT ISSUE p_112_�� DATE COMPLIANCE ISSUED _ 3 ��. -�- r,. "�'�.. ._ � �� � � , �� �� � � 3� 3�,� .�. FFi&............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH .........OF.......j6 ....................... Appliration for Bifq' paaal Workii Tomitrurfivit ramit � HEA....... ........ Application is hereby made for a Permit to Construct (,--) or Repair an Individual Sewage Disposal System at: e 9. . .............................------------------------------------------------------------------- Location-*VMss or Lot No. W-5 Z_.............. Rl.r....................... ...........*..................................................................................... Address Installer Address Type of Building'. Size Lot ;,.. Zi�.........,, feet U ...... Dwelling—No. of Bedrooms..........................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons___._______.-___._._-._._.__ Showers Cafeteria Other fixtures .............................................. ......... . ................................ --------------------------------------------------- W Design Flow..................7_�rJ..............gallons per person per ay. Total daily flow-----------a...........................gallons. 9 Septic Tank—Liquid 'capacity,/ W ,00-gallons Length.__5�d_ Width________________ Diameter__.____._._._.__ Depth__-______._..... Disposal Trench—No. ..................... Width.................... Total Length..__.______/....... Total leaching area....................siQ. ft. Seepage Pit No----------/------- Diametere//.._�...... Depth below inlet...4/...70_./Total leaching area,�i.1-1-5s­q ft. Z Other Distribution box ( ) Dosing tank -----------X�.Percolation Test Results . ........... Date../ ./4/Performed by ............ Test Pit No. I................minutesperinch Depth of Test Pit__._________________ Depth to ground water_.___....__.___._.___._. f14 Test Pit No. 2................minutes per inch Depth of Test Pit_____.__-____.__--_- Depth to ground water_______.._..___.__.___.. -----•--•• •-•-------- = --------r------------/................................................ 0 DescrPition of Soil.jO.:7A.....- .....�!-=� ... ........�� W .......................................................................................................................................... U W x ..................................... ................................................................................................................................................................. U Nature of Repairs or Alterations—Answer when applicable-------- ...................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ...b Wn ' sue by the d of health. S*hed .. ............................ te ............................................................................ ..... Application Approved By.. _R----------------- / Date fo Application Disapproved jo the following reasons:............................................................................................................... .. ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued...................................................... Date -A NO. 3 '.. FEic �_.............. THE COMMONWEALTH`'OF MASSACHUSETTS .�--- BOARD OF HEA TH --------...OF.......4'./ .....: , , pplira#ion for Bispaaal Works Tontitrurtiott Prrmit Application is hereby made for a Permit to Construct (4,0 or Repair ( ) an Individual Sewage Disposal System at: Locatio --P75roess or Lot No. C Lam)Qwner Address A..) % Installer Address U Type of Building Size Lota�'�,_. _Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a04 Other—T e of Building No. of persons.................:.......... Showers — YP g ---------------•------------ P ( ) --•---Cafeteria ( ) d Other fixtures ---•- W Design Flow.................... .............gallons per person per ffl�ay. Total daily flow---.---_.-•__�__��......._..........__gallons. WSeptic Tank—Liquid'capacity�!�©0.gallons Length___ar�'�7.._ Width................ Diameter------------_--- Depth................ x Disposal Trench—No..................... Width ....... Total Length..........Pw� �botal leaching area_. y�_ ft. Seepage Pit No.---------/----__-- Diameter//.._.�_..__. Depth below inlet...:Gi_t............. Total leaching area.--:.__.__�._-._sq. ft. Z Other Distribution box ( ) Dosing tan '-' Percolation Test Results Performed by.......... _ . - ,( �'%" +� W 6 -•-----... Date-- ----------------------•--...._. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a+ ............ ....... �.. 4 . -----•-----------------_--- O Description of�Soi 7A .. .I s4+ t?/ ._.... d..x w --• ° -- !-3-• ------.... --------- ---------------------------•---. -------------------- VNature of Repairs or Alterations—Answer when applicable............................................................................................... ...........................----•-------------....---------•-------------------•----------.......... -•••-•--•---.=----••.....•-••--------•--•-------•-•--•----------------------•-------•--......-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has*bsue�.tb t e d of health. S• tied- --••- --------- -•----------------------•••--•---.........------ Application Approved By.. < , Is -� Date Application Disapproved f o the-following reasons---------------------•-------------------....--------------------------------------------------------------•-•--- .....-•-----------------------------------------------------------------------------••-•---------•---•--------•....................................................................................... Date PermitNo...............................................-.......... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS �,-�--- BOARD OF HEALT ....../ 4-:`...........OF..........�*...........:......::...:... 11�- ................:................ kTrdifirate of Tompfiattre THIS I$ TO J?TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.....�`�.1�`1_!�.._.A -, •-------- nstall e/ G-�' ....................................... • . 1-------------------•. has been installed in accordance with the provisions of TITLE r of The State Sanitary C was gibed in the application for Disposal Works Construction Permit No.. _' ................... dated_...._.._......_.......____.___...._....._..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WI L F NCTION SATISFACTORY. DATE... . .,�. ...................................................... Inspector....---..... .--------------•--••----•-----•---.........__..._-•-------....---- THE COMMONWEALTH OF MASSACHUSETTS -� BOARD_.OF HEALTH .OF...... > A""..........................� fl 1 ............. N ........ ... , p FEE....................... Permission is hereby granted.-•--.--I 'J ... ---------------------------------------•----------.......------....----...._.........._._.. to Construe (P) or Re jr n Individual Sewn Disposal System ', . �- At Street Y/ as shown on the a li ion for Disposal Works Construction Permit No----------- --------------- _ ted.._.. ........................ . . -------••-----•------•-•-- DATE oara of Health ._...._ FORM 1255 HOBBS & WARREN. INC._ PUBLISHERS r r V 044- , 0. 30 / L /OOD O 1 \ S MN. f s F .� y, 30 c +c4Rq R` - { t`.iF A, ;4e RObERT, ti o BUNIKIS ti Nu 22162Q Gist �rs�ONAL%N%/ LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO _ EXISTING CONTOUR --- 0 '-- L0T --7 LvVE-- L.'s FINISHED SPOT ELEVATION. 6L5 7 E`: /? . "% l L > ' FINISHED CONTOUR — 0 IN APPROVED : BOARD OF HEALTH J �� h 8 tAS 1 to N ASS* DATE AGENT SCALE: '/- 3 f) DATE I /° / A v LDREDGE ENGINEERING CO. IN (SST CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER URVEY R DR.BY OF BARNSTAB E, . MAJS�S. CH. BY= p / 712 MAIN ST. !G ` �Q 44 HYANNIS, MASS. SHEET-L OF Z DATE REG. LAND SURVEYOR A z6 FT. M/N. NOTE /F THE JSArAT/C TAw,Y /S MvRF THAN /2 /NC,"----' Q EL O N/ 4)tA0&, A 2 4 �/O FT. M/N. /NCH O!Al�16TAaR CoNc,r�TB G'D vt'R SNi4L t �— 4"PVG P/PE Qt@BROt/4rNT TO CiR.4pE, �iaN ,& (7,T A NEAYY G'O/VCRrETE MAN. All 7-COYCA3 T 1 A?0" COVER SN/4L L BE LJS4wp ,F /N e`, /0 tl•O COVERS ���PlR_FT- DR/YENiAy v F[owD�FFuSoQs A JN. DE L/GV/D LEVEL �--- CLEAN -STA WV0 --�� -.a 4'CASTK -rft /ROA"l P/PE " 4. /N. PITCH GAL. Nf SEPTIC TANK D/ST •.• =:::t =::j:•..:••' i= ✓..9 3 S . . DOX LEV L C3A 5E� i° LE.AC14I1VG SZCT/ON OF.Z ., 40ROU/VD WATER"TACLE SEWAGE O/SPOSAL SYSTEM TABULR7/ON L.EACI IM6 FIELD X--j A 3 FT. 4 , T aP- p" D/MENS/ON 8 H S FT... TEST yr i 2'LAYLR SOIL SOIL. LOG . GF �d•- /B,. l SOIL TEST AL/ _ .SOIL TEST 2`5 DATE OP JO/L TE3T __/_ V. RESUI.TJ H�/TiNESSEO eY/ZP 13uAs WI-T _ �E - CL�A N. PERCOLATION RATE j*I L�3 s MIN /AIC11 �'� • es SAND: PERCOLAT/ON RA72F 00,i Tt/Aid M/N�/NtM SvA.S 11L DES/GM CRI TERIAZL , N!/MQER Of NEDRDOMs 3 M 0�0/0'0-1 AS.VFD JTO NS V. _ C�4R�E D�SPlO�SAL• [JJV IT d ' �rvc�EX�_.. S A n• p �. .:. ._ 7 ES77MATED FLOW 33O GALIDAY � "'.'s9��` LCACHIN6 AREA & SQ. FT, 7c'i Wit? SECT/ON X—X SOBER YE AREA 7"S4.Fr SCALE : �fr s I —O•' o BU P' ci j (] NOGROC/ND YVATER L�NCOUNTE,rrEO c, No.221 S 0 G/'tOUKO WATER AT rELEY. '9o� no.z2isz o INVERT EL"A77ONS �G/STEQ`,�`��� ,. O S'T• /w � T/�^. Frs'ONAI �a6 I:?yVE AT Ql//LD/NG 9 7.n <.° ILET SEPt'/G TANK 26.s FT. �sS ME , V.I 4-G E D UTLET SEPTIC TANK . 96, FT /NLeT D/5rg1&mO/V jpox.. ss FT ELDREDGE ENG/NErER/N6 CO,/NC. OUTLET D/SM145VT/ON BOX 95.7 FT, 712 /''AIN.ST. J) I~I� Ef � � f��� kv,o FT. NYANN/S., MASS. +_ JO8 No. 0 JNEET OR