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Home My WebLink About0017 REBECCA LANE - Health 17 Rebecca 'Lane Osterville . A = 146 0624 J, k , f o I Commonwealth of Massachusetts rp Title 5 Official Inspection Form Subsurface Subsurface Sewage Disposal.System Form-Not for Voluntary Assessments 17 Rebecca Lane Property Address Nathanael Cote Owner Owners Name ,y information is Osterville MA 02655 3-19-15 required for 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 ram, way.Please see completeness checklist at the end of the form. ' Important:When filling out forms A General Information ��tpuunufU��i on the computer, VtN OF AygSsq use only the tab key to move your . ` cursor-do not 1 Inspector: �� :�' JAMES. :Nc use the return James D.Sears key. Name of Inspector =c�: :to CapewideEnterphses,LLC IC-11 Company Name 153 Commercial Street ��F'S;INISp-� `��`` Company Address Mashpee MA 02649 Cltyfrown State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 3-19-15 ors 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. t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of'A9assachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Rebecca Lane Property Address Nathanael Cote Owner owner's Name information is required for every Osterville MA 02655 3-19-15 page. Cityrr'own state Zip Code Date of Inspection B. Certification (cunt.) 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: The system is a 1000 Gal Tank D Box and five chambers. Note: Old pit on site, not filled in. 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-3113 Tide 5 official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 i Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is Osteryiile MA 02655 3-19-15 required for every page. Cityrrown State Zip.Code Date of Inspection B. Certific'ation (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cunt.): ❑ 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-3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts A Ts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3-19-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has 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 ate'is less than 6" below invert or available volume is less than %day flow 4 t5ins-3113 Title 5 Official Impaction Form:Subsurface Sewage Disposal System-Page 4 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 'f 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3-19-15 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 TWO 5 official Inspection Forth: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 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is Osterville MA 02655 3-19-15 t required for every 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) N ❑ 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)1310 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 Commonwealth of Massachusetts Title 5 Official Inspection Form UVSubsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Rebecca Lane Property Address Nathanael Cote Owner owner's Name information is required for every Osterville MA 02655 3-19-15 page. CitylTown State Zip Code Date of Inspection D. System Information Description: Thevsystem is a 1000 Gal. Tank. D Box and five chambers. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2013-33,000Gais 2014-42,000 Gal s Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present • Date CommerciaUlndustrial 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-3113 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 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02665 3-19-15 page. Citylrown State Zip Code. Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 06/09/13 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•3N 3 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 p� 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3-19-15 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed(if known)and source of information: Tank NA-D Box and leaching-2003. Permit#2003-082. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 20"feet Material of construction: ❑ cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4"PVC SCH 40. Septic Tank(locate on site plan): Depth below grade: 10"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: 1000 Gal. Precast H-10 2 Sludge depth: t5ins•3n3 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 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3-19-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness lit Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Asbuilt-Tape Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tank at working level. Tank and cover's at 19'below grade. Inlet old type wall baffle, outlet tee. No sign of over loading or leakage. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑metal [I fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3113 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 "t 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3-19-15 page. citylrown State Zip Code Date of Inspedion D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee.or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction. ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3-19-15 page. cityfrown 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 0 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.): D Box is clean and solid. No sign of over loading or solid carry over. D Box insspected w/camera. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is Osterville MA 02655 3-19-15 required for every page. Cigdrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 5 ❑ leaching galleries number: ❑ leaching trenches L number, length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs"of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is five high cap infiltrators w/4'stone. Ck D Box=prob. and Auger Hole at leaching. No sign of over loading. 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•3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �t 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3-19-15 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.): 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 a Commonwealth of Massachusetts Title 5 Official Inspection form Subsurface Sewage Disposal System Forth-Not for Voluntary Assessments 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3.19-15 page. Cityfrown State Zip Code Date of Inspection D. System Information (cunt.) 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 ejjcl� 8 1 O3bP-r 9 �-3 I t5ins-3113 Title 5 Official kispectim Form:Subsurtace Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3-19-15 page. City/Town 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. 14'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: 2-24-03 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: T.H.on Design Plan 2-24-03 no G.W.at 14'. Bottom of leaching at 4' below grade..Bottom of leaching at 7'above T.H. Depth. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•3/13 Tide 5 Official Inspection Forth: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 17 Rebecca Lane Property Address Nathanael Cote Owner Owner's Name information is required for every Osterville MA 02655 3-19-15 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 j TOWN OF BARNSTABLE ll LOCATION SEWAGE # i VILLAGE ,j ASSESSOR' &LOT i INSTALLER'S NAME&PHONE NO. G� SEPTIC TANK CAPACITY LEACHING 'FACILITY: (type) ��° �CNF�fit�TO�lS (size) NO. OF BEDROOMS - AlUILDER OR OWNER ram\ I PERMIT DATE: 2'd't - /�-- COMPLIANCE DATE: . Z 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 Feet within 300 feet of leaching facility) I Furnished by 7 lty )1-a 9 TOWN OF BARNSTABLE �ll LOCATION SEWAGE # VILLAGE 1 ASSESSOR' & LOT INSTALLER'S NAME&PHONE NO.'-�6 f j 1—P t-W I SEPTIC TANK CAPACITY LEACHING FACILITY: (type) It��i Sw J L rrr'Toc< (size) NO.OF BEDROOMS BUILDER OR OWNER 'r,A Q- A- 1: 12 PERMIT DATE: COMPLIANCE DATE: t 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 SJ 71� J � �1 �J �a No. L' FEE C®MMONWFALTH Of MASSAC14USETTS Board of Health, tlS`\Gb�� MA. APPLICATION FOP DISPOSAL S YSHM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) - Complete System ❑Individual Components Location LA �� K I JS Owner's Name Map/Parcel# MAP 14LO E Address J-� •M A\S Lot# W's Telephone# Installer's NameRbg&S -C J Designer's Name Address St Address - �• a Telephone# (Q _6?:>\® Telephone# Type of Building �^�1 \ Lot Size 1 (0 1 sq.ft. Dwelling-No.of Bedrooms Garbage grinder WIA Other-Type of Building F c No.of persons _Showers ( <Cafeteria Other Fixtures "'i -rop,'e . K'yr( &' k�L g" ZY Design Flow (min.required) 33 gpd Calculated design flow 3 30 Design flow provided &34 gpd Plan: Date a 1 P.5 1 O Z> Number of sheets Revision Date Title �► �� Description of Soil(s) Soil Evaluator Form No. Name of Soil EvaluatorOAQ4-�F4 &AAY Date of Evaluation o1 Jag I o3 DESCRIPTION OF REPAIRS OR ALTERATIONS s �l� The unde rm 'fined agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agr, es ton t to place th a in p lion until a Certificate o Comp ante has been issued by the Board of Health. Signed Date 6 A � Inspections No. f tom. FEE Board of Health, MA. APPLICATION FOP, ➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( Repair(' Upgrade( Abandon( XComplete System. ❑Individual Components Location 7 1 ij Owner's Name t Map/Parcel# A F Address c Lot# Telephone# Installer's Name Designer's Name s Address Address w Telephone# �� _ Telephone# , _!.� Type of Building „r .�: (�'�r C'� Lot Size lam( _ryJ CQ sq.ft. Dwelling-No.of Bedrooms �� t= Garbage grinder Other-Type of Building No.of persons t —Showers ( J,-Cafeteria Other Fixtures Design Flow (min.required) 2,-2, -N gpd Calculated design flow !L Design flow provided ^��,4.,� gpd Plan: Date - ` `1 ' -1 Number of sheets 1 Revision Date � Title �--� 'y �-,-••� s - "Description ofSoil(s) ,� z -�- �21r_�r:� Soil Evaluator Form No. 1 i `E Name of Soil EvaluatorcdA-,�.;r \ Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONSf The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further e s,`o not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Sign e � . ��h , ' �," A tf) Date '3 //^ (�,, j[/{/ff./� / ' ,y'!/ ram/} f _/ '~ �l1J' it'F d "/! T. r.l� t ./1fil:ll� l' �!1/Z-, y Inspections 1��'d I No. f/(l } FEE C'®�'�[�'1 ONWEAlLTII OAF MASSACHUSETTS > Board of Health.../ CERTIrlGAVE OF COMPLIANCE Description of Work: �O Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaire• (r:),Upgraded ( ),Abandoned ( ) ' at r.I�! ( t'% {r`1 ✓Y has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to , application No. . dated Approved Design Flow (gpd) Installer tDesigner: Inspector: Date: The,risy uan�ce of this permit shall not be construed as a guar e a f unction as designed. r `' L o No f`"/`? � j t FEE COMMONW- ALT14 OF MASSACHUSETTS Board of Health, i �' -"/, .l MA. �. DI��® L $T[M CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) "R pa tr ) ,Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. Za.2 ated Provided: Construction shall be completed wip in t ree years of the date of rimer local conditions must be met. Form 1255 Rev,5/96 A.M.Sulkin Co.Boston.MA bate. : Board of Health 1 i CARMEN E. ,SHAY (508)=548-0796 ENVIRONMENTAL SERVICES, INC. P.O.Box 627,East Falmouth,MA 02536 February 28 2003 RE: Certification of Title V Septic System Installation: Residential Property— 17 Rebecca Lane, Marston Mills, MA Dear Sir or Madam: On February 26, 2003, Roger Roberts, Inc. was issued apermit to install a Title V Septic System at 17 Rebecca Lane, Marston Mills, MA, based on a design drawn by Shay Environmental Services, dated, December 28, 2002. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at(508)-548-0796. Sincerely, r CARMEN E. SHAY ENVIRONMENTAL SERVICES,INC. cs 1 C en E. hay, R.S , C� No. 11181 President CGIs f r Sepi20-01 13 : 52 BARNSTABLE HEALTH DEPT 5087905304 P . 02 NOTICE: This Form Is To Be Used For the Repair Of Failed L' Septic Systems Only. PERCOL,%TION 'PEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered pian signed by rye dzteC b? , concerning the property located at _ �E2CCC� L�S12 M�I�S meets all of the fol!ow�n, c-�tt°ha� • This failed system is connected to a residential dwelling only. There are no _or-im--r,: a'' or business uses associated with the dwelling. • 'P? e soil is ciasst;:ed as.CLASS I and the percolation rate is less than or equal to rt:nutes per inch. The applicant may use historical data to conclude this. fact or may _or:duct pre!tmi:,ar% tests at the site without a health agent present. • Thert :s no increase inflow andlor change in use proposed • There are no vanances requested or needed. o . ee r osed leacher, facility will t e located less t an fourteen The bottom of the o tl t l no b oc l a h proposed .7 y ;1'4) i.et aonye the maximum adjusted groundwater table elevation. (Adjust the �unc.va:e: cable usin,- the Frimptor method when applicable) Please complete the following: �.: Top of Ground Surface Elevation (using GIS information) B; G.w' Ele vat:or, ad;ustment for high G.W. F FRE�c F BETWEEN and B :c3.a1ED -- C 3 Basec j-ern t�,e at.ove r.formation, a reoair perrrut wtl! be issued For 5edroerr.s No bedrooms are authorized to t`te Future wi!ho!.it enatneerec :optic s_yste^t plans. _ --- — QF* Permit Number: c //ii Date: Completed by: C 9 apmc "Ay HIGH GROUND-WATER LEVEL COMPUTATION Site Location: + 2e,\c_QC('ri_ 1-ni- e M. M, b S Lot No. �A Owner: �t� D>,1(o Address: \�- �_� l�tJ, M. Contractor: Address: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. ...................... ................................................ .Date RJrgXAJo2> mon h/day year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: -SOLO OAppropriate index well.................................................... o� Water-level range zone ..................................................... C STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well ........... ............... mo th/Year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) �°_1 determine water-level adjustment ......................................................................:................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ...............:.................................. .......................................................... 5 = 6 i Figure 13.--Reproducible computation form. 15 Cape Cod Commission: USGS Well Data - January 2003 Page 1 of 2 United States Geological Survey Observation Wells As a service to Cape officials, engineers and other interested parties, the Cape Cod Commission publishes monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly from United States Geological Survey (USGS) observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience, we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. For further information, please contact Hydrologist Gabrielle Belfit at the Commission offices (508-362- 3828). January 2003 e.1SGS Site Departure from '`lumber**** Water Record Record a** (links to t.IS(:�S Location Well No. Level* High* Low* Average" Monthly Overall national water-level database) Barnstable A,�� 24.1 20.5 26.6 -0.5 -0.5 413956070164301 Barnstable [:ff1EE[: Ell: 28.6 11:H] -1.2 4141540701.65001 Brewster BMW 21 12.6 6.9 13.6 -2.0 -2.4 414518070020301_ Chatham CGW 138 23.6 20.9 26.6 0.6 0.3 414100070011101 Mashpee MIW 29 NA NA NA NA NA 413525070291904. Sandwich SDW 47.0 45.9 48.2 [::0.4][:0.3 41 4.18070241601 Sandwich SDW 532 45.8 55.1 -2.6 -3.1 4141.24070265901 �53 Truro TSW 89 11.2 10.2 13.0 0.8 0.9 420206070045901 Wellfleet WNW 17 10.6 7.3 12.8 0.1 -0.1 415353069585401 2/25/2003 http://www:capecodcommission.org/wells.htm LOFCAZa'±', � �m] SEWAGE P RMIT N0. - �-- � VILLAGE INS A LLER'S NA E & ADDRESS j B UI'LD R OR '/OWNER DATE ERMIT ISSUED > DATE COMPLIANCE ISSUED �� /2212 `f. N Ua� � ��! �, � �r r Now-.__X77 Fes$ .......................... THE COMMONWEALTH OF MASSACHUSETTS BOa4RD F HE G .Uv��C2 -----OF. ..... ............................ Appliration -for 'Mipaoal Workfi C ontitrurtion Vane t Application i hereby made r a P rmit to Construct or Repair ( ) an Individual Sewage Disposal System a . Cl.oca-* n-A dd � or-I:ot•N-.. ....... .........i---------------C ......:�'!�........................... --•-------------- - -- •--••-•---•----- Oy� t Addres a ...................- -•-•-- ------- ----------------------- ----------------- ----------- ---------------- Installer Address d Type of Building Size Lot_-.__---_ __----_-----?Sq. feet U Dwelling—No. of Bedrooms______________________________ .____Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ------------•---•--•-------- No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther fiat;re.§ ------ " ------------- ------------ ----------------------- -------- --------------------------=---------------------------- W Design Flow----------------4h_-_ ______________ Mons per person per clay. Total daily flow----------_-----��_ _____._gallons. WSeptic Tank—Liquid capacit,✓ � gallons Length................ Width------------._.. Diameter--------.------- Depth__.______.__--. x Disposal Trench—No_ ___________________Wi ___________________ ength______ ota cuing area--------------------sq. ft. Seepage Pit No.._._ ll l� D er _____________•___ e 1 _.__.______ ___-'11al leachin area.___�l.G!�-sq. ft. z Other Distribution box ( ) Dosing tank '?- aPercolation Test Results Performed by------------........................................._.................... Date__________--------------------_--_-----. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-----------.-._.__.-__-- �14 Test Pit No. 2................minutes per inch . Depth of Test Pit.................... Depth to ground water-_._.._____-________---- tx .._.._.._•--------------------- 7 O Description of S il_____ '_ .__.-_�_ _ — �--� r -- x ' -----h........... vt .('�. - W 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 Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the boa d of health. gned--- =- --- ------ ---- ---- ---------------------- ------- ----- /ate m Application Approved By.-..----; --- ------- - -------- --- -- ---��'�--------- -�----- ------�1-----..�-�----7 Date Application Disapproved for the following reasons--------------------------------------------------------------------------------------------------------------•- ---------•---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued...................... ................................. Date �. ...�. .. -- ----- No..•-----------5Z7 Fa$../... ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE41_-TH -,j Appliration -for Biiipoottl Workii To uarurtion Vrroiit Application i hereby made f.c!r a Permit to Construct r_,-j or air ( ) an Individual Sewage Disposal System'at;: i - i Location-Addre's r� or Lot No, f................................. ��..�r ......................................... ..................'f �'rZ�.�. .�� f Owner I / Addres � Installer � Address Q Type of Building // Size Lot......./...% .u.'�. Sq. feet U Dwelling—No. of Bedrooms_______________________________ _ .Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons. Showers — Cafeteria a YP g P _� ( ) ( ) 0.' Other fixtures ......�• ==j: _ W Design Flow_________________�G............____.allons per person per day. Total daily flow......._.._....___ �_�_a---.--gallons. WSeptic Tank—Liquid capacitv/��___gallons Length................ Width................ Diameter---------------- Deptl;---._-_-_--- x Disposal Trench—No-- ------ ------- Wi , '------------------- �w,I..Length----- otaY hing area--------------------sq. ft. O Seepage Pit No..._._______f ____ Diameter________._:_''____ D. rYh-lSlt>v- lr _.__... '`' o ching area._._` :=- q. ft. z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by----------------------------------------------------------- ---- Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ G14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to,ground water-----------.___--_-__.-. ...............•---. ------------ - -•--------------- x - ��-----�--- Description of Sil_.. " --- --- . ----------------------------------------------------------------------------------- .................--------------------------------------------------------------------------------------------------- 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ` J'' i u ' .. f.. l/ ,...ice ...F' -- i 'Z Date Application Approved BY------ • - --- ------ ---- --- - --- ------- 7_' ----•- /-- �-t - 6 Date Application Disapproved for the following reasons: ------•-•-•-----•---------------------------- ------------------- ---•-----•-------•--------------------------------------------•--•---------------•--------_----------------------------------------•-------------------------------------•---.--•---•------------------- Date PermitNo--------------------------------------------------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............,1.... �° ..�... .....OF.......1'.., ti'' .................................. �rrtifirtle of f�ontlittorr THIS,. ,-TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) bY------------/?.--' ;.-.�-------------/Gfr,A 1 - ----------- r Installer / at------n -- f rt.✓iI .�, --------------------=• --•-•------..---- has been installed in accordance with the provisions of Articl of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-____ _ ____ ___S`._7__7--_- dated------11-- 2-17.:__-7_`....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------�1XIJ-----------/------ ,:L 1.. Inspector._ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD ¢F HEALTH_ -------------------- No.........1�..7.7... �. FEE....................... BinVotial - ork ( oo tr�trt�toit r'rutit Permission is ranted f-'+✓sue`- �� " C ....... Y g �. to Construct '� or Repair ( y an �dividual Sewage Disposes System / _., at No-2--e Street as shown on the application for Disposal Works Constructo Per ��Dated r --- & •--•- ' -----•---•-•---- -A- ---- -- --------------------------- - DATE. I�9 —I (�' - Board of Healt FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r - .7 1�2 oaf, L So 6- ab i 1 "J t t 6, La P�OP45EU �E� �2At,�t,,'►, k- l000 4AL SEPTIC -MW14- pp CHARD k ►o, 2448 } Ll ��SUS 1.aC T_t o;,-t 0 � � r 1 C!�:—V I - TI4AT T'1•1 r-- 1`ouWT)A'I04 4-i= ,'L�..0 i J Cl.?��1�i..`•(•ri \,l/!'3"3-+ �4�1"a ✓l ZJ�;,.�,.�:`.%�' ! —_._.�. _--_-._.._........_._..�....._.. ._.. L,.L1.1.# �" �G c91 t CAS 3 2 ZZ 1I.}:('i:.U+1{1 F=r..Z'1" .5U��J��'( � �"Ei E C3 F=C�c�^�•� ,��'n�:, .� ,.,. F3 ems', 'ti7 '(7t �1"E�. '�f��.!a::.. !..;•'i" r..t�- .--,.' SECTION A —A 1' = 2000' +r— ALL OUTLET PIPES FROM THE g O L. 10' min. from ADDITION TO LEACHING SYSTEM DMTRIBUTION Box SHALL BE In 0 a1 house to septic tonk NOTE: ALL PIPES ARE TO BE d" SCHEDULE d0 P.V.C. PROFILE VIEW OF Existing FoLmdation Septic 6 tank of tirt mu rode 3 4" t 1 t�" CONCRETE COVER 0J SET LEVEL FOR I, LEAST 2 FT_ N Septic tank covers must be 3" of /8"= 1/Z" Washed Peostane ` Q / 0 1 1/2 Washed Crushed Stone �r�. 3- S"OUttET "N' j.> �' ul Q� t1rOd! Over Septic Tonk - 94.00 /'—Groat over D-Box ".� /---GrOd!OVN $A$ '•99.� •. i KNOCKOUTS 4- ta( P\� OUTLET ..� 12' INLET < s S 0.02 3 HOLE H-10 �o o SITE v oQ 70 vG �O L DtST. BOX 3' Maximum Cover Top of SAS - Elev •96.00 "; i,,. • 12' EXIST. S.O.Ot or Greater t5.5 \ EXIST. atfE �' N to1,000 GAL. S- O.Ot' per root � 4" - SCH, 40 Te � rROH EXIST. FOLNDA7ID w 6 N SEPTIC TANK O 20' Effective Depth - NQthQ 0 H-10 , 3 30 PLAN SECTION CROSS—SECTION 0 0 5 Units e 6 FALMOUTH ROAD - ROUTE 28 _ 11 CONCRETE FULL FOUNDAT1Ot+ y I' II LLD 1r1 o 30 m " N 3 HOLE H-10 DISTRIBUTION BOX SYSTEM PROFILE 6 in-of 3/4"-1 1/2" a a 0) rn 6' compacted stone > y y II H Effective Length NOT TO SCALE Not to Scale ; L Cl C U S M A P c S ai 4� _ �2.5� 4 u , SOIL ABSORPTION SYSTEM (SAS) GENERAL NOTES 6 in.of 3/4"-1 1/2" � compacted stone Effective vldtt; m CULTEC MODEL 125 (H-10 LOADING)/ SHOREY PRECASTE 1. Contractor is responsible for Digsafe notification @stts -st?aat D_--_-_. (OR EQUIVALENT)Not to Scale and protection of all underground utilities and pipes. NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 12" 2. The septic tank and distribution box shall be set level on _6" of 3/4"-1 1/2" stone. LOT #44 3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation L0T #43 by Carmen E. Shay - Environmental Services, Inc. PERCOLATION TEST N 89d 24 LOT #42 5. The contractor shall install this system in accordance ' 10" E with Title V of the Massachusetts state code, the approved plan and Local Regulations. Dote of Percolation Test: FEBRUARY 24, 2003 120.00' 6. If, during installation the contractor encounters any soil conditions or site conditions that ore different Test Performed By CARMEN E. SHAY, R.S., C.S.E. TEST HOLE #1 from those shown on the soil log or in our design Results Witnessed By. WAIVER ( per Barnstable B.O.H.) 2 Excavator; Roberts Septic Services ELEV.= 99.00 Installation must halt & immediate notification be Percolation Rote: Less Than 2 MPI 36' 26' made to Carmen E. Shay - Environmental Services, Inc. LA7. No vehicle or heavy machinery shall drive over the w,,,,t•�,,,`, septic system unless noted as H-20, septic components. --- , 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends_ Test Hole o x �; T.:ti.� •F. :,<<. `� ' O y�ts .�.;;,,, •,. �a s., '..;.;�.t:;;,� p ' 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. No. 1 _ _ 10. All solid piping, tees & fittings shall be 4" diameter DEPTH SOILS ELEVy.I �J Schedule 40 NSF PVC pipes with water tight joints. 0 9900', Failed--� �-�� 11, Municipal Water is Connected to The Residence and Abutting Loomy Leach Pit Sand 1 D-Box Properties Within 150 Feet. 10 YR 3/2 0-_6- A. 965c1 EXIST t000 got. THE PROPERTY LINES ARE APPROXIMATE AND Septic Tank 3 ' COMPILED FROM THE SURVEY PLAN GENERATED BY Loamy BAXTER & NYE, OF OSTERVILLE, MA Sand ENTITLED " PLAN OF LAND IN BARNSTABLE, MA" 10 YR 5/6 9, 96 oe; DATED OCTOBER 9, 1975, LC - 32225C 6"- 36" AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN F Medium IT SHOULD BE USED FOR NO PURPOSE OTHER THAN Sond THE SEPTIC SYSTEM INSTALLATION. I 2.5 Y 7/4 I DECK 36 168 500 LOT #50 99----------------------------- ____ ___ gg LOT #48 EXISTING LEACH PIT TO BE PUMPED & FILLED IN PLACE. NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE EXISTING FROM THE EXISTING LEACH PIT TO BE DISPOSED 3 BEDR00h! - - - _ _ OF-AS PER BOARD Orr HEALTH-SPECIFICATION' CARAGE HOUSE W 17 Perc #1 s Depth to Perc: 36" to 54" O LEGEND Perc Rate= Less Tho 2 MPI ko ko O Groundwater Not Observed ' DENOTES PROPOSED No Observed ESHWT ADJUSTED H2O Elev. = None M i z M 104X 11 SPOT GRADE - I o LOT #51 t3 ASPHALT x 104.46 DENOTES EXISTING I f6,200 Square Feet +/- DRIVEWAY SPOT GRADE ----`� i PL PROPERTY LINE t I 96P PROPOSED CONTOUR 98 --- -------f-------F------{ -- ----------------------- 120_ .00 ___—----- --- 98 — — — — — —97 EXISTING CONTOUR I 89d 24' 10" W DEEP TEST HOLE & 2-18" DIAL+ AccEss MANHOLES PERCOLATION TEST LOCATION e - 6 FOOT STOCKADE FENCE (40 FOOT RIGHT :OF WAY) f � THE ACCESS COVERS FOR THE SEPTIC TANK. DISTRIBUTION BOX AND LEACHING COMPONENT OUTI ET SET DEEPER THAN 6 INCHES BELOW FINISHED GRADE SHALL BE RAISED TO WITHIN 6" OF P fNISHED GRADE LOT PLAN INSTALL TUF-TITE GAS BAFFLES OR EQUALS OF PROPOSED SEPTIC SYSTEM UPGRADE STEE. REINFORCED PRECAST CONCRETE PREPARED FOR PLAN VIEW 3-24" REMOVABLE COVERS M R . G E R A L D A R M S T R O N G AT 4 - - # 17 REBECCA LANE 3' min.•clearance 13 6" min. wLET T t3" min.T_ J2_ min. inlet to outlet - - - - -- Li ,d level -- -OUTLET M A R S T 0 N S MILLS , MA c� Design Calculations E u 4'-0" min. 1/ <�� ` �' � REPARED BY: cwean. `. Liquid depth Number of Bedrooms: 3 Equivalent to 330 Gol /Day (330 Gol./Day Min. per Title V) Garbage Grinder: No _ - r/� /,/f��T ��e , Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V� E. -- hf� i . , " Septic Tank : - 3 x 330 Gal./Doy = 660 USE 1,500 GAL. Septic Wank. 0 20 40 50 ENVIRONMENTAL SERVICES, INC. g_p 4' -10" SOIL ABSORPTION AREA: Using percolation rote of <2 min./inch I0. '10 CROSS SECTION END—SECTION Bottom Area: 0.74 gol/sq. ft. x 360 sq. ft. = 266.4 gallons 1P �. I P.O. BOX 627 Sidewoll Area: 0.74 gal./sq. ft. x 92 sq. ft. = 68.08 gollons MMMIN Is ' ' EAST FALMOUTH, MA 02536 Providing: = 3,�4.48 golions `sAlylTAFa�i'� +� " ,w.w w TEL�FAX 508-548-0796 USE EXISTING 1000 GALLON H- 10 SEPTIC TANK Use. (5) CULTEC MODEL 135 UNITS, HAVING A 1' EFFECTIVE DEPTH, SCALE: 1 '=20 -- TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3' OF 'WASHED STONE SCALE: 1 "=20' DRAWN BY: CES DATE: FEB. 25, 2003 NOT TO SCALE ON THE ENDS. No STONE UNDER. PROJECT#SD392 FILENAME: SD392PP.DWG SHEET 1 OF 1