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Home My WebLink About0035 RENOIR DRIVE - Health 35 Renoir Drive O Aerville A = 146' '113 IF � 1 l i, n Commonwealth of Massachusetts { W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is required for Osterville Ma. 02655, 10/18/2007 ' every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out �L1( • . � forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC Company Name _ P.O.Box 763 Company Address Centerville Ma. 026321 a, Cityrrown State Zip Code (508)428-4028 S14454 Telephone Number License Number - B. Certification 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 10/18/2007 Inspectors Sign ure 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. . 35 renoir dr.•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is Osterville Ma. 02655 10/18/2007 required for every 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: The septic system is in proper working order at the present time. 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. Answer yes, no or not determined(Y, N, ND)in the ❑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. ND Explain: ❑ 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 ❑ obstruction is removed 35 renoir dr.•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is Cisterville Ma. 02655 10/18/2007 required for every page. City/Town state Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 obstruction is removed ND Explain: r 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 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. 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 1 • Commonwealth of Massachusetts r - Title 5 Official I Inspection Form rm Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is required for Osterville Ma. 02655 10/18/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health(cont.): ❑ 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 coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow ❑ ® 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. 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is Ostervifle 'Ma. 02655 10/18/2007 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® 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. ❑ Z 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 El ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ 11 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. 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Renoir Drive Property Address Jodi Donovan. Owner Owner's Name information is required for Osterville Ma. 02655 10/18/2007 every page. City/Town State. Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ 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 ® El 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)] 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 I ' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is Osterville Ma. 02655 10/18/2007 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information ' Residential Flow Conditions: Number of bedrooms(design): .4 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? Z Yes ❑ No Seasonal use? ❑ Yes Z No Water meter readings if available last 2 ears usage d 2006:75,000 g ( y g (gpd)): 2007:24,000 Sump pump? ❑ Yes ® No Last date of occupancy: 10/18/2007 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 1 Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: bate Other(describe): 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 w , Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is required for Osterville Ma. 02655 10/18/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: 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) ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: New leaching installed 2003 Were sewage odors detected when arriving at the site? ❑ Yes ® No 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts' = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is required for Osterville Ma. 02655 10/18/2007 every page. City[Town State Zip Code Date of Inspection D. System Information (Cont.) Building Sewer(locate on site plan):, Depth below grade: 2' feet Material of construction: ❑ cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: 10'+ feet Comments(on condition of joints,venting, evidence of leakage,etc.): Joints appear tight.No evidence of leakage System vented through the house vents Septic Tank(locate on site plan): Depth below grade: - 2' 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: 8'6"x4'10"x5'7" Sludge depth: Distance from top of sludge to bottom of outlet tee,or baffle 29" Scum thickness trace 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 14" How were dimensions determined? Measured 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is psterville Ma. 02655 10/18/2007 required for every page. Cityrrown 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.): Pump septic tank every 2-3 years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears to be structurally sound. Grease Trap(locate on site plan): Depth below grade: feet t 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 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): 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is required for Osterville Ma. 02655 10/18/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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 Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert NO 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.): - Box is level.Box has 3 outlet laterals with equal flow.No evidence of solids carryover.No evidence of leakage into or out of box. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of'15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Renoir Drive - Property Address Jodi Donovan Owner Owner's Name information is required for Osterville Ma. 02655 10/18/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (Cont.) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Soil Absorption System (SAS)(locate on site plan,excavation not required): If SAS not located,explain why: Type: ❑ leaching pits number: ® leaching chambers number: 3-500 gallon ❑ leaching galleries number: ❑ leaching trenches number, length: leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): Sandy dry soil.No signs of hydraulic failure.No ponding or damp soil. 35 renoir dr.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection. Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is Ostervllle reg uired for Ma. 02655 1 Oil 8/2007 every page. City/Town - State . Zip Code Date of Inspection D. System Information (cont.) 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 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 etc.): failure, level of ponding, condition of vegetation, 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Map ' Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size Zoom Out g fl B E E lIn 'I a S _ a - •% z O 0, Y i6 QF Set Scale 1" = 20 I Aerial Photos • rn—rinhf 9MF-9M7 T—n of P—ne}ahle RAA All rinMe rocnna http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertylD=146113&ma... 10/19/2007 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is required for Osterville Ma.-- 02655 10/18/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. t 35 renoir dr.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w 35 Renoir Drive Property Address Jodi Donovan Owner Owner's Name information is required for Osterville Ma. 02655 10/18/2007 every page.a City/Town State Zip Code Date of Inspection _ D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated round depth to water: Bottom of chambers 20' p g 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: As-Built Card ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:Gaherty&Miller Model 12/16/94 ground water elevations. USED: USGS Observation Well Data June 1992. USED:Technical Bulletin 92-000-01 Plate#2 annual ranges of ground water elevations. 35 renoir dr.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15 5. Town of Barnstable o� Regulatory Services Thomas F. Geiler, DirectorBAMSTABM MAn " 16.19.A••� Public Health .Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-9624644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts,Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the"Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. TOWN OF BARNSTABLE LOCATION 35 k0�o r✓ ��v SEWAGE # 2C L?Z VILLAGE ().3'4,--V.t/te- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. "s, A--ion. S®11 L' 77V-Y36" o zi SEPTIC TANK CAPACITY ®00 qe LEACHING FACILrrY: (type) f- v �� (size) 50() A NO.OF BEDROOMS 5+4 BUILDER OR(C:WNE PERMIT DATE: F-f 2 -O 3 COMPLIANCE DATE: ?'' Z y- 2 nab Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 r 2-2 to-------------- F, Rewole DPIV� No.-Ab3-382- t: i' FEE JCl� COMMONWEALTH OF MASSACHUS ETTS Board of Health, 13A a*J 6--1 , MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individi,\,>mponents l Location 3-5 Of-tj o l rL D(X-�- oc Owner's Name 6A flc_to O /3 ► Map/Parcel# 'L 6 l l d3 Address -3-5 pi2 2 Lot# 73 Telephone# Installer's Nam kt`Sm Designer's Name Address 31 t•. Address .� u 3 -7 S c. M O25�2 Telephone# ? (p(� 2�� Telephone# Z5,p 5 000 Type of Building Gle Lot Size 1�, sq.ft. Dwelling-No.of Bedrooms Z. Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.required) 3220 gpd Calculated design flow Design flow provided_3y3 gpd Plan: Date /,Q J_&Nf, Zuo_7 Number of sheets l Revision Date Title OWN , ��wyaG'E�/�s(��Snl �'154YcaA �/-6a,X Co��/ 2-0 4NOyL 1oe-., V1. A e Description of Soil(s) ScC_ So..` Lc:- G 6r4 P ,44 pp Soil Evaluator Form No. // Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS 4 1ftix4 E IVS9J/LfG +LipN i/� /��% wr �r'Z�.� cof-rl�s-�B►�l �'ys-ark c�,,�ryr s�'n �F .3- y �8'c�/u�9s K,�y a� si�.,�,�,4xe�-. The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and f ees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date 0 t a� rev �: �-'C 2-0 3 Inspections �r. ^'*.r?^v-.�� , «- ^s. ..++. ..,1. "-•--. vJ'4'iri" r'`�.. '.-r,,�ri✓�rr'Y��".w•. ... ..;�.-.rA�a,.".. �..,.,,,.,-,�.--`['"">1- -�.. ,, ;.-.r_;•�•--,;'•'r . Y No.2W! 382r FEE cc Board of Health, eAQ4 1 5,-A 6 MA. APPLICATION FOP, DIOW SYSTEM CONSTRUCTION,PERMIT ., Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location 15 fzf-jJ Q j 2 >Lkv t Owner's Name �� t'q f O MA 5 f3gri-i t I P, Map/Parcel# , '�P /, 3 # /Address -3,5 F{NQlL olz. , 4,1,a Lot# '?.� 1 Telephone# Installer's Name, cJYI J -Z# A Designer's Name G•N6EA%NG Address (3 x 3 C Address 2-9-7 d k� t � bgale Telephone# "� 1 L - 3 _ O a t-6 Telephone# p g g08 K S 68 Type of Building Lot Size 083 sq.ft. Dwelling-No.of Bedrooms / Garbage grinder ( ) Other-Type of Building N&of persons Showers ( ),Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Calculated design flow Design flow provided -3y 3 gpd Plan: Date TONt- Z00-7 Number of sheets 1 Revision Date Sti11-44 V106146CK tv-r 2O4Nuv,- 01,, Oss Description of S.oil(s) Set- 5�,w. t-o 6 6rA ft AN pp Soil Evaluator Form No. // Name of Soil Evaluator�:W"+DG1+?4E'i'T"•- Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS )d/wG/se4 4401r-N^C 1"1 (.✓r i7tr �%^rZ�L J� ccw►PL pn.T S�s ski rt Coa-�,�a r row C2& J'�- L/ c�"G/1�c•�y w�H o d Sid A.�r�vn�, The undersigned agrees to install the above described Individual Sewage Disposal System-in accordance with the provisions of TITLE 5 and furtheragrees to not to place the system in operation until a Certificate of�f-Compliance has been issued by the Board of Health. Signed Date C, A -e V Inspections No. 2w3- 38;- FEE 151?)"""' C'®MMONWEAlLTH OF 9[� ASSACHUS ETTS Board of Health;' &r151&16t0- MA. CERTIFICATE Of COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired Upgraded ( ),Abandoned ( ) by: at 3S e4i0�1 Jf• 614e-l1.Mr.- 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. 240--3?2 dated $-(2."0 3 . Approved Design Flow (gpd) Installer Designer: Inspector: Date: 2 U o rr The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No.2003-3?2 COMMONWEALTH U FEE SETTS Board of Health, &-y'r l Sr�61—. , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( Upgrade( ) Abandon( ) an individual sewage disposal system. at f� �tOt✓ J?'• O'g-e";IL as described in the application for Disposal System Construction Permit No. 2tD3-3k2. ,dated k-Q-0-3 r Provided: Construction shall be completed �/within three years of the date of this permit local, ition�s must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Q`l2-a 3 Board of Health a! J Q TOWN OF BARNSTABLE LOCATION 35 ^�®"' �� SEWAGE # VILLAG °Ile- ASSESSOR'S MAP & LOT f 6 `/l INSTALLER'S NAME&PHONE NO. So K 2� 77V SEPTIC TANK'CAPACITY ®® LEACHING FACILITY: (type). � ",^ �� (size) (3)500,q Lf NO.OF BEDROOMS BUILDER ORCM PERMITDATE: �t 2 3 COMPLIANCE DATE: j Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of.Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist i Feet on site or within 2o0 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by 2-2 I p}3 s �2�`1„ 63 , 113 A q 33`(a" 4 S- 5Zd�« � �'�s �l�°fie' LOCATION i SEWAGE PERMIT NO. 944-S 9 VILIAGE IN TA LLER'S NAME: & ADDRESS � `� - . iAn"-to ns A,�� Is S UILRE R OR OWNER I'-�kll0ATE �PERMIT ISSUED pDATE C 0 M P L I A N C E ISSUED �_�� -� t { f E f E � E � t F{ F �u7 E T w � � 1 ��\J � � ;� � � � a r ca ' -�� E � � � f € � �� F Ii C 1 No.....j�. ...... FEB..J. ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliratiou for Uiupuual Worku Tomitrurtiuu Prrutit Application is hereby made for a Permit to Construct (��' or Repair ( ) an Individual Sewage Disposal System at: . ' .1.............. ...D................... .........D<.!.-L--------------------e2...5 z...... . tion-Address or Lot No. ----------------------_...---••........6 L...� ........ r� x...s:r , ............ r Address a ......................................... • ,....._..... �------------------------------------- Instal" fer Address � Type of Building Size Lot_.___r.5� �` Sq. feet Dwelling—No. of Bedrooms............ ...........................Expansion Attic ( "� Garbage Grinder ( ^ Other—Type of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ................................. . W Design Flow.................. 75 ..:........_...gallons per person per day. Total daily flow............... ............gallons. WSeptic Tank—Liquid capacity[t0_0_Pgallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area...................sq. ft. Other Distribution box Dosing tank Z ( ( ) — J ►-' `�/ .... Date--••-../J/l `�. . Percolation Test Results Performed by..................•---... ...: (e2 .... ------- - —ll-._.-. -----• 14 Test Pit No. l..�.� .f.;..minutes per inch Depth of Test Pit....... ..... De h to ground water......�/ , Test Pit No. 2- . ✓�I,�,,e:.minutes per inch Depth of Test Pit.._...j...__....... Depth to ground water....._:�r .z- -------------------------------------- ........................................... Description of Soil..................................0�- :=.2..... oeT....-•-• -..... U ---------•------------------------•..........------------------... — ,rt - --------- ---------------------------------.•-.-------- W •-- •----...-•---------------•--•--••----•-••----•------------•-•--•-•.................••---•......_..•----•-•----•-•---•-•••---••--•-•--•-••-••......-•-•-•••----•-•••-•-•-•..._....•--.....-•-•-•••-- 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 iITLij 5 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 h - Signed............... ..•••. .................� .G - Application Approved By....`....- .../ .... � --•-••................................................••......•--•-•......•....---- ••--• -----.......... Date Application Disapprove or a following reasons:.............. .......................... .................................................................................................................................................................................................... , Date PermitNo......................................................... Issued................. t Date r No..__y.... ......... ............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... .0W..fV.......OF..................'f, , r' I �' ......................... Applirtttion for Biopoottl Workii Tonotritrtion Vantit Application is hereby made for a Permit to Construct ( J or Repair ( ) an Individual Sewage Disposal System at: r , .....:J�......-- .....:�x�:`' ^. i�------._..�D_+_:!�........... - ?...5 :...... tion-Adder gss or Lot No. ____ x_....... ..__ __...?....._�._......r..:l.t...: --....... r .ems ^ .(). �:: �'r !', , wner Address a .y�"�E!k!' .�_......---- ..........................................�7�`:� :�+.....----......_. ......._. Instalf er Address � O �'` Type of Building Size Lot....._-__J-......_.��5__Sq. feet U Dwelling—No. of Bedrooms_._..___._.............................Expansion Attic ( Garbage Grinder PL, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures _________________________________ _ W Design Flow.................5-T...............gallons per person per day. Total daily flow.............. . 0_............gallons. WSeptic Tank—Liquid capacityl_t_V_Pgallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( Dosing tank ( ) _ f.`—� aPercolation Test Results Performed by-____.___ - - , _._.r .w ..._. Date........ 1..-�_`��__/��j a Test Pit No. 1__L�_3.I__minutes per inch Depth of Test Pit--••••.- • De th to ground water------�Qt�tZ, Test Pit No. 2__:�( - --minutes per inch Depth of Test Pit______ __________ Depth to ground water._..___:7C�:•`._. W -•---------------••----•-- ,... Descri Description of Soil-------------•••••••-•••••••••••• A/ II t�ffi- ....... ••••1-.-----•---- 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 TITLE 5 of the State Sanitary Code—The undersigned furth r agrees not to place the system in operation until a Certificate of Compliance has been issu d by the boar of lie yam, c r Signed '= ._....1'........_••---------...•---•-_.._. .& .. ... ........ .......... Application Approveoithe -- �------�a- ---- t Application Disapproollowing reasons:--••--••••••••••••-----..._..•--•-••......................••---•••-••••--•--._...--••--••.•••-••-•---•--------- ......................................................................................................................................................................................................... Date PermitNo........................................................ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH .......... .D.. '.........OF.............�>.. .................... .................................... �rr#�f irtt#r of f�ont�rlittnr • THIS IS TO CERTIFY, That the Individual Sewage Disposal Syst constructed ( ,3� or Repaired ( ) by........................................:.........:..............;U--,�ryy�x _-•PD." ;.._..... .... Installer at...................................................... Q--7--.....................- --- IQ.F !._v t._----•--� -- -----• --•---• .57 - ----------------------- has been installed in accordance with the provisions o � L 5 of The State Sa.nitar ode a s ribed in the application for Disposal Works Construction Permit 1 , ________________________ da. __�:iF`... ".__::___..._.._.__..._______. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® G ARANTEE THAT THE SYSTEM WILL_ N I N SATISFACTORY..`, Gl DATE. c .. .. ll .................................................. inspector........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF.. HEAL o.._..._.... ........ ............... FJ..*.....---_.... Ropoottl Wor�k~�—�/u�n,,Ao rttr�tuan r nti Permission i11 hereby granted...........................�.�-.,3--/- l!lsp's-----•-- - :_ .. ..:............................................ to Construct (. or Repair ( ) an Individual .wage Disposal System-, atNo......................................... ................. dA-•--U•th- �. O --- ......---•• ----•-• ....... s Street as shown on the application for Disposal Works Construction Permit N ___ •___ Dated__________________________________________ •••-•••--•-••--••-•-•••-_---••- ;...• ---.....-•-•-•-•-•••--••••••••._.....•••-••--••••••--...._•--- .. 3 J Lr.e�........................ Voard of Health DATE-------------------•-------••----•...•••.....••••• FORM 1255 A. M. SULKIN, INC., BOSTON s; -1, I N y l 3 R ga / I / 3 / 3 ,. T 5-�, C17�5. tip 1 V 7 y �.. w t �b r ZU y1 Div �,2ur�5 `1i92�Tj oG� G ul h^e •- 5 z UL. A2 yg2e:� o {WORSE 10951 p �' O9 pFr, �sS\ONALEN�' LEGEND EXISTING SPOT ELEVATION OAO CERTIFIED PLOT PLAN EXISTING CONTOUR ---- 0 --- 1H OF CERTIFIED FINISHED SPOT ELEVATION .. 7z � �i ? >rc� c. ROBER7 �a 7 !�FINI SHED CONTOUR 0 - p C BRUCE LQRE G APPROVED ®oARD OF HEALTH IN DATE hn SuRv Retia�vlo /3i AGENT r`83 SCALES / ''=4�` DATE Ft /%3 LDREDGE ENGINEERING Ca CLIENT,._, EGISTERE REGISTERED Sz.2 0 I CERTIFY THAT THE PROPOSED ' JOB NQ........,..._,,,, BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFOR.M8 TO THE ZONING LAWS ENGI EER URVE DR-BY+ , OF BARNSTABLE, MASS. 7.12 MAIN STREET CH. BYE �A t HYANN I S, MASS. SHEET OF ..:? IDATE REG. LAND SURVEYOR ,; „. _. F NOTE /F ElTNLR TX� 5=r�T>G TANK OR ! 20 FT_ Ml/✓• ,.1 '7'EAExinro P/T ,4.4E MORE 7Af-A.•/ .12�8ELOis/, /Q fr p0lN I 1,RAOEM4 24 0,01AM FTF.4 COrYCR TC CGt/ER i S.MA1LL BE BR0U6A#T TO Gr7AOc.��,v CONGqCT� is 4�PVC• p/PE �yE,4Vy CA S'T ,H/N. P/TCN ccbl4e S GAL. �.• � . • • r e > .tee WAStrFO 5MYC M/N.nlTtC D/ST. 1 �4•PAR'./T._ .SFpT/G',' Ti4/V 314 BGX t • r 'H a • • • s �' •' ` , it i t F�FFC1"/VE . � • • • • DfPTt/ •.• • ', • . WAS,4EO STOXE t t r • • • . • • ► 1 ova • f, .3 . • . • • � • • • . . • .` oa . r • • • t .• r r • P PRECAST SE�.4GE' L ./D q ;:.' .'` a. . i . cr �' a•�o P/T D'R V/Y. E ptT es� r'.wcr� Y 476 / J' l.VYB ' & "AWAVA&S' r 6 iT. IPIAM. /ttiIYERT AT BUl1D/Nb n 3�. /Z. 0 SFC TAdLLAT10N,�' i GROUND 1VATER T.+5L f j /IViCET D/S7Jfi18t/T/�Il! BD.tC_ Fx SECS/O/V OF 1iNTLETD/3TR/BtITIQJV _ _ Lt''AC/WIJ�cG P/T_ ' : �c� SPN�i4G�` L�l3PAS�4 A. .SYSTEA'f. I !: LF.�4CH!/Vd'. JO1T T.4dtlL.4TtON i _ ?CAL r. f�` = f—O DtMENSI O/V R� D.+ESl6JY •CRlT1�1tl�t .. __ - DI.MEIvs/a�I ��-FT•- /vuar�E� of��ao/ys �oN� SOlL LOG . f �R8/R�F DISPOSAL[JX/T t T37.1 L. E?Tl/rL4TFO F1A rt/ . 33 0 G.4L.1aA 50/L TEST At SD/L-TEST**Z XJM9E,P'aF L�.+ICXlNG P/TS l ALE✓. 37.5 FLAY, LL47'E OF SO/L 7*E3T SltiE SACK/NG PER P/T !S/ S1Q �'T.. ' RESClLTS is/ITNESSED dYJ,R.0 d cTrom LXT4.CN/NG pER O/T /� 54. FT' PE.4C4LAT/ON .LATE , I �c`-'s MINaIINCK TOTRL LEt7CN/NG. AREA` Z SQ .FT. L. fl'cRCOGiAT/GN IPATF r 2 f >.a.Es�ROE LEAG'/�1N6 ARE^ SQ. FT. i! L v 7' A rV!Z L ROBERTCE w o WORSE Z; a'v ko' 10951 O . .p F'EL DREDGE iYv/IVR/NG C00/NC2/1 . f LEI; ZSS 7/2 l+ A./,y ST. f/Y NHS. ISTy ( AY Fss . tol3� �3 i. o �/ F (6NA1 . ® NO GROUND rtG4TCR ENCQ[JNTLre�D CLIENT: �� ,�z r4TE : ��I fF3 Q GRO[J�YD -YvATEAll A 7 DESIGN CALCULATIONS f ,. "�� +- if CAPACITY REQUIRED - RESIDENTIAL USE �� ' t, . DESIGN FLOW: i 3 BEDROOMS O 110 Gd edroom = 330 Gallbay 4i. CAPACITY PROVIDED: .; SEPTIC TANK: DESIGN FLOW -330 Gd/bay MAP 146 LOT 114 � �, , 1 ,°,*� r ,`",♦ X 2001i .�' ,I + h�l' REQUIRED SIZE - 880 Gd/Day N/F 40 SIZE PROVIDED - 1,000 Gd/bay ERIC J & MEGAN AR�� «�.. wj fr , ;° «y, : "ii LEACHING FACILITY SABATINELLI ' "" w � DESIGN PERCOLATION RATE S2 MPI SOIL TEXTURAL CLASS: CLASS LONG TERM ACCEPTANCE RATE (LTAR): 0.74 GPD/SF BOTTOM AREA: 20' x 16' 320 SF ;` .: w, ,y •, SIDEWALL AREA: 2x(2Ox2 t 164) = 144 S,O.`� • u ,,� z"". . TOTAL AREA-464 SF x LTAR 0.74 Gd/bay/SF 43 40,E LOCUS TOTAL CAPACITY • 343 Gd/bay N f 135( 6O, E 1 =2083 SYSTEM IS NQI DESIGf;VED FOR A GARBAGE GRINDER , LEGEND TP ,°s DEEP OBSERVATION HOLE _. .. -' MAP 146 LOT 113 �. i /".� 6i' 1 07 PT °s 15,083 SF '- PERCOLATION TEST "RESEI3VE � i':' ! I tt x9e.8 EXIST. SPOT GRADE AREA MAP 146 LOT 112 16' 20' ' - se - EXIST. CONTOUR CO N/F p ' - l`� �` ' i r m ROBERT J & MARY D p Crl DECK 76 SALZER r �+ M 0. -� PROPOSED CONTOUR �' r �� a+w 100.5x PROPOSED SPOT GRADE m f DECK `0 EXISTING TREE f #20 ` pHw o, ; �� k'h o� EXISTING SHRUB t 0' 1.5 STORY d,1w ,. Q;�" WOOD BEDROOM ,. i �V r i 4` �� a, ; EXISTING FENCE GARAGE `-DRIVEWAY •. Sp�l' ., � q4 �� cA 104 ^ A 6s O\ �\`�O!' � Jan••�.t !�h• 1 '�•.:tia`102._J_""� � ,rdt�i' , LEACfIWGOF yf. obss jIMO?HY BRADLEY NETT Flrz ECiRAtD T w No.36070 \\ G�� ?`• Vie='` N0.3a65Q 9 CIVIL �!. e9 001 01 i/ N89.54�Q8"E ss �ffsS QN L �q DATE DESCRIPTION INIT. REVISIONS BENCHMARK DESCRIPTION TOP OF FOUNDATION ELEV.= 107.97 PLAN OF SEWAGE DISPOSAL SYSTEM (SCALE: 1„=20' TOP of NOTES AND SPECIFICATIONS TEST PIT INFORMATION FOUND PROVIDE RISER(S) 5 1 PLAN REFERENCE j 107.97 FINISHED GRADE TO WITHIN 6" OF 1. All risers are to be made watertight. OBSERVATION HOLE 1 DATE: 7 24 03 107.4 FINISH GRADE TOP EL -101.5 SOIL EVALUATOR: TIMOTHY R. BI.'NNETT, PLS BK 146 PG 11 3 2. All pipes to be Sched. 40 or equivalent. DEPTH FROM SURFACE SOIL HORIZON SOIL TEXTURE SOIL COLOR SOIL OTHER FINISHED GRADE 3. All joints are to be made watertight. FEET INCHES (USDA) (MLN�SELL) MOTTLING (snelcW S%NX eoucm o:Iesma Z eulal 106.5 � g 0 - B A LOAMY SAND NONE 4. All stone is to be double washed. 1 ' INISHED GRADE „ „ 8" - 32" :: PERC. 9 LOAMY SAND 10 YR 6/8 NONE NO STONES, SINGLE GRAIN 101.5 - 103.5 5. All components are to have a minimum of 9 and a maximum of 36 of cover. 2EL - 9ft :::: LOCA. 24" 6. The contractor is to verify all elevations and utility locations prior to construction. Any differences 3 . _ ,20" G ►N MEDIUM 2 SY�ig NOI CLEAN, No sTONEs, ANGLE GRAIN )) . r---I PROVIDE TEE AS PER shall be brought to the attention of the engineer. 4 L= 12AFT. 3" MIN. 3" MIN. 310 CMR 15.232(3) 5 L= 16'FT. 7. The existing 1,000 gallon sepric tank is to be inspected and if found to be sound, reused. New PRESENT OWNER L= 2 FT. Minimum 6 FLOOR S= .026 FT/FT 12" L= 23 FT. S= 0,00 FT FT S= .00 FT/FT tees and an outlet as baffle are to installed according to to Title 5. If the existing tank is not found T H 0 M AS & B E N I TA G A R C I A ELEV. 6" " S= .171 FT/FT / g g g � 1 oa 1 3" _ 2" to be sound, it is to be replaced with a new, H-20, 1,500 gallon tank and the existing tank is to be 8 20 R E N I 0 R DRIVE -� .°•° removed or drained, crushed and filled. 9 12" 6" 4'x 8' LEACHING CHAMBERS { 3 REWD.) 8. There are no conflicts with Title V, Section 15.220(4)(k) - location of public and private water 10 9t'S OSTE RVI LLE, MA L 14 (SEE SECTION) 11 4•0" MIN. MIN.* •. • ,� • • . ; ° ', 9. The existing leaching it is to be pumped d and filled. 12 PERCOLATION RATE: < 2 M.P.I. O 12" LIQUID DEPTH '° " ' ' ° g g p p p dry 13 ON-SITE SEWAGE DISPOSAL SYSTEM _-�- 11INLET INV. 16. 10. The ends of the perforated pipe are to be joined with same. 14 CORROSION RESISTANT GAS BAFFLE 10017 11. The use of the B soil horizon is being used as allowed by DEP policy#BRP/DWI/PeP-P00-6. 15 UPGRADE HOUSE INVERT GROUNDWATER: NOT FOUND 104.67 * B OUTLET INV. BOTTOM STONE LOT 5q 1 INSTALL TEES IN ACCORDANCE WITH TITLE V S. 15.227 100.00 98•00 013SERVA11ON HOLE 2 DATE: 7 24 03 20 RENIOR DRIVE TOP El- - 107.3 SOIL EVALUATOR: TIMOTHY R. BENNETT, PLS 6.5' INVERT ELEV. Compacted Earth Fill (2% Min.) Finish Grade DEPTH FROM SURFACE SOIL HORIZON SOIL TEXTURE SOIL COLOR SOIL OTHER TANK INLET IN P 104.35 TANK OUT-INV. 100.00 FEET INCHES (USDA) (MUNRIQ MOTTLING SIM 2au� 0STERVILLE 104.10t 100.00 I 1 2 Min. 1 0• - 8• A LOAMY SAND NONE 2" .... .°..G° .... .... ° ° ° • C °° 2 6" - 30• 9 LOAMY SAND 6� NONE NO STONES, SINGLE GRAIN (BARNSTABLE), MASS ..tfftttt : b•:: 10YTt MIN. OF 2" OF o0 0 °o 00 00 4 (0.25 ) 3 MEDIUM 1/8" TO 1/2" 0 ° 4 30" - 120' C SAND 5Y8/3 NONE CLEAN, NO STONES, SINGLE GRAIN WASHED STONE. o 0 5 = GROUND WATER ELEV.= 91.5 , ° ° 0 2•0' 6 BENNETT ENGINEERING ° ° o ° 7 LAND SURVEYING,ENGINEERING,&DEVELOPMENT SERVICES 000 ! 0p°0o 000 00 0 0 0 00 ° o00 000°o0 8 PRECAST CONC. 9 EXISTING 1,000 GALLON PRECAST CONC. SEPTIC TANK DISTRIBUTION BOX SOIL ABSORPTION SYSTEM 4' 3 ® 4' each --�--- 4' 10 EL. ` 97.3 WITH BAFFLE 3/4" TO 1-1/2" PO BOX 297 ni-(508)88&4868 (4000 PSI CONC., H2O WHEEL LOADING) H2O LOADING WASHED STONE. 20' 12 SAGAMORE BEACH,MA02562 FAX.(508)833-7754 13 14 DRAWN BY: TRB DATE: 10 JUNE 2003 SYSTEM PROFILE SECTION (not to scale) 15 CHECK BY:BSF SCALE: 1"-20' (not t0 Scale) GROUNDWATER: NOT FOUND JOB 0327 SHEET NO. 1 OF 1