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HomeMy WebLinkAbout0589 SEA VIEW AVENUE - Health t 14 G51 009 & 010 i 1 0 f i I N Ol�� O� { FEE COMM®NWEALT14 OF MASSAC14USETTS Board of Health, 8a49.P J.5-,14 9?t-r- , MA. . LICATION FOR DISP®SAI SYSTEM[ CONSTRUCTION PERMIT Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) - JdsC'.omplete System ❑Individual Components Location 7�� 5 o-W A y,E Owner's Namej9A�� Map/Parcel# ( -Op/ Address 5-89 Sk" 4—r w 14,Ic Lot# ` Telephone# Installer's Nam V - 15 Designer's Name Address 3 � �S '�' �G A- Address �� / �3 GAr�v!?G �,s��/�► Telephone# Telephone# Type of Building /� e�f�D �0/1/L/� �C�,91BN /✓/ Lot Size 7:�_ l.5 sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.re fired 3 3 O gpd Calculated design flow ZOO Design flow provided -370 gpd Plan: Date Number of sheets Revision Date /✓ Title A/%X Description of Soil(s) e<Dt*ti44 AN Q ENN Soil Evaluator Form No. Name of Soil Evaluator !m'ayetrf ; "-4"45 Date of Evaluation /C> /S O / /e, DESCRIPTION OF REPAIRS OR ALTERATIONS NS�l2Uc� e-41 r 0 coo R- $ri " SL/� fd AA-,,.c/ !A GE/�,a2n/ JFk aF � m GARY 0.JAMES The undersigned a ees to ins the bove describ Individu. Sewage Disposal S tem' accordance with they ro d4 14f 5 d further afire of to plat a em in oper until a icate of Com ante as been issued by the,,, o FHe �e Signed Date Ins �ions r�..-+rf,�..,��.,e'�...p+-�!�-.-�y:risri�...r-,,;;,,�.,,r��. ,s ,�;=;.; w.�t�„�y�-»..a"'*�e�.^�`��s-*v,�.�`•-'�"�.f�. �t' r��--`'=`S . .. '� t( it -- O� N Ol/li o�i * a ,e �' ,. FEE 50 COMMONWEALTH OF MASSAC14USET'IS' ~ Board of Health, 12A 4/J 5 47 i--f- , MA. APPLICATION FOP DISP®SAL4 R-CM CONSTRUCTION PERMIT Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) - IKComplete System ❑Individual Components Location 791 ��� V A Owner's,-Name ;;,Q2 e61e.4COJ4 40-nVe4F Map/Parcel# / j �"� ` Address •y 89 5f, Vt o—:r w A'e Lot#,, f 1 Telephone# Installer's Name J �� � 5 �) 1 Designer's Name 4p41 'j Address SW F S 5� l N Address f L� �Cnr+olt�/�Est c•,IA Telephone# �0 q �.+�Z� _ GfO� Telephone# 5'4 e:l, Type of Building Aaetd,91" 6A e2/� 1,A14N AJ,/ Lot Size '77 ��� sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria( ) Other Fixtures 1 T s Design Flow (min.refired ® P gpd Calculated design flow ?To Design flow provided ��� gpd K Plan: Date //7i Z©f Number of sheets 1 1 Revision Date Title �^► X",i c "'di fa ,Ac4c. Description of Soil(s) 144P G�ne%r SE .5 AN r dNNrE�"�Soil Evaluator Form No. Name of Soil Evaluator ff-r r CAI'.ee•��� Date of Evaluation I /07 DESCRIPTION OF REPAIRS OR ALTERATIONS (�NS�"�✓ems r+l 11/ LaJ /Z�D.Eexa M 3 5eEi"'! 'TfJ The undersigned a : ees to ins the above describe'�Individul Sewage Disposal System in accordance with the provisions of TITLE 5 and further agreesdt mot to plac a sys�em in operation until a G`er-tificate of Com 'ance as been issued by the Bo d of Health Signed // l / / /I/T-�7 N"/ Date g - - Insppetions f � r f A(2—10�-� No. 'L.®MMONWLALT14 Of MASSACHUSETTS y Board of Health, �i -A�5"i�.3 L(s' MA. F 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: o rt h 5 ESa' A-✓A_7_i) r /1A 0/2 H 6 at has been installed in accordance with t��.he,,,,�pprrrovisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relai ng to application 1JoW�i'1Q date? Z017r . Approved Design Flow T30 (gPd) t� X Installer ' Designer: `Z l�3�/ Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed i lam/ No. ( W I— G'j 4 FEE /60�J COMMONWEALT14 ®F MASSAC14U ETT Board of Health,1WtJ15 A I e t,F � MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT ft' Permission is hereby granted to; Construct) Repair( ) Upgrade( ) Abandon(, ) an individual sewage disposal system at �( {� �,_�y�l V`t�/f! as described in the application for Disposal System Construction Permit No.�l2- 10� dated 4/2,0 7ol %_, Provided: Construction shall be completed within three years of the date of this'peDmit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date 4/2;3/? _ Board of Health � � TOWN OF BARNSTABLE LOCATION % r'to t. )E()1 SEWAGE# ,�0 J VILLAGE 5��yzV��� ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. UALT J U yx F,: v-056 m 233 -a5�—CO SEPTIC TANK CAPACITY 15-CO r LEACHING FACILITY: (type) Y'S`00 CrA ZLOAA X (size) NO.OF BEDROOMS OWNER PERMIT DATE: L �� � COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY a= oui `' -moo .• t 3$ . a . .-i Town of Barnstable P# 1 Z Department of Regulatory Services uMsrner.s, Public Health Division Date MAS& �039. �� 200 Main Street,Hyannis MA 02601 Fp N11N� l Date Scheduled �� Time Fee Pd. / Soil Suitability Assessment for Sew Disposal Performed By: Witnessed By: LOCATION& GENERAL.INFORMATION Location Address 569 4` c2 v!e J Owner's Name ©cpCi cJ!/f�l�/� dZ�aJ~S' Address l(o �+7cJ! re !y/4. U!G€ZL Assessor's Map/Parcei: ��-y ��� r Engineer's Name / I m NEW CONSTRUCTION REPAIR Telephone# Land Use 6/a� Slopes(%) 3 Surface Stones (07 Distances from: Open Water Body —700 ft Possible Wet Area N�� ft Drinking Water Well N/�L ft i Drainage Way /"4 ft Property Line 410'7 ft Other ft. SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) 12N�k fl& /( 7 \S% 49' f e Parent material(geologic) Depth to Bedrock /✓/� Depth to Groundwater: Standing Water in Hole: ✓" O Weeping from Pit Face Ale) Estimated Seasonal High Groundwater / �Z DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST' Date: <` Tune = Observation - .. Hole# Time at 9" 0; Depth of Perc 7U a. Time at 6" /dj%�3 _ Start Pre-soak Time @ ld Z f Time(9"-6") End Pre-soak /0 ;JG Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation'test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC P ,�i DEEP OBSERVATION HOLE LOG Hole# '' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.,%Gravel) -7 /0(/2 3 HAD, I'l ) t y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Graven I DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other " Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. r j Consistence %Graven Flood Insurance Rate May: Above 500 year flood boundary No `� Yes / Within 500 year boundary No— Yes / Within 100 year flood boundary No_ Yes Depth of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? 'Ye 5 If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of EnvirAmental Protection and that the above analysis was performed by me consistent with the required trainin expertise and ex a ience described in 310 CMR 15.017. Signature Date Q:\SEPTIC\PERCFORM.DOC Town of Barnstable Regulatory Services Thomas F. Geiler,Director > & Public Health Division 059. `� Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 9/12/12 Sewage Permit# gal- -/olf Assessor's Map/Parcel 114/51 Installer& Designer Certification Form Designer: Gary D.James,PE Installer: UAL; RVz-V--L Address' Green Seal Environmental, 114 State Rd. Address' J 2y��-� • Sagamore Beach;MA 02562 Sg N0 tnr�e.►-t On x1,?;Q11 ���� ������ was issued a permit to install a (date) (installer) septic system at 589 Sea view Dr. based on a design drawn by (address) Green Seal Environmental dated (designer) V I certifythat the septic stem referenced above was installed'substantial) according to P Y Y g the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-bui y designer to follow. Stripout (if requir i& pected and the soils were found sfactory. �� �a�1"OF&JAssq C, 1P chi GARY D.JAMES (Installer's Signature) _ CIVIL NO.32531 90, 9FGISTIS FSS/ONAL ECG (Des' ne s Si nature) (Affix Designer`' Stamp Here) PLEA E T TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPtirANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\office forms\desipercertification form.doc TOWN nOF BARNSTABLE y LOCATION r �I �v�'Qj„�. u,.k SEWAGE VILLAGE QJ-.�fw 11 f ASSESSOR'S MAP&PARCEL _— INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY '' U LEACHING FACILITY:(typ ,2,fq �p d d c-A DES (size) Ski l o nX NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: U Separation Distance etween 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 of leaching facility) Feet FURNISHED BY 4 :o .01 10 N IF WHITE &SUSAN - I o C ro TREE LNE q lac POR RVAAON q3.3 EgI E I#5 y QUs o0 vENr one 5 BED 8.72 F .19:5 04 03 F 7 0s 06 P a EX1S71NG, EXIS77NG 1,500,GAL m D-BOX SEPr/G'TANK � b TOWN OF BARNSTABLE I;OC;AVON S?9 St-AV(t W Alit, SEWAGE# 'i VILLAGE 4 S7' ASSESSOR'S MAP&PARCEL 6'4!�/ W10 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITYou LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER J pw►.S�n PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY tt�an Fore . �Ask 3� � 3� .. . ,TOWN OF BARNSTABLE LOCATION SEWAGE# 206'%- 137 :VILLAGE DSl�'r ASSESSOR'S MAP&PARCEL 11q 6S/ -INSTALLERS NAME&PHONE NO. y2V Y02e SEPTIC TANK CAPACITY "5-0 U Ja /O LEACHING FACILITY.(type)�fg C 00 Lc !-f /U (size) /U -)j 5(o NO.OF BEDROOMS S OWNER Ffgdef(CIC PERMIT DATE: � COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and.Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ¢��;{� i�t,p;%;3c� LLc. ho-Yo ri 7 v t,� g •�4 � Z iQ tib 49 l h 9 /o i l'1 St/ U#_% No. ! V j' [ i`'� y Fee THE COMMONWEALTH OF MASSACH tiSETTS Entered in computer: PUBLIC HEALTH DIVIS'iON -`TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYicatfon for �Dfzpozar *raem Con0truction Permit Application for a Permit to Construct( ) Repair( ) Upgrade a Abandon( ) ❑.Complete System,❑Individual Components Location Address or Lot No. !;69 SEAvi Q.W A�.e v�.,e. Owner's Name,Address,and Tel.No.04 d ade,,, La f,-W oS�RmNe r��►� s;. Assessor's Map/Parcel 11 Ll ®-5 1 kyp,.f¢-- AAA Installer's Name,Address,and Tel.No.CAp26,V e-.t te.,p-J S Designer's Name,Address and Tel.No. km ell €n fah ez( Gt4, MA S *- gewc Type of Building: Dwelling No.of Bedrooms Lot Size 55 l�S± sq. ft. Garbage Grinder ( ) Other Type of Building ,rl C ,a+y►t No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) sin gpd Design flow provided (00-L • ` gpd Plan Date 3-Q 10 Zo aSs Number of sheets Revision Date Title .SQL 5,fA-j`, w Size of Septic Tank 1_S00 j pL 0j 0 Type of S.A.S.(_5 F-i 06 f l u G 1-�J^-LrtA �►°f,• �Jf STt Description of Soil a4"OQ /oil •• (o t Nature of Repairs or Alterations(Answer when applicable) �j ew1 iyr/e /_ 1500 W1 r404 rb piers'EAS Date last inspected: Zoo I Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system"in operation until a Certificate of Compliance has been issued by this Board of Health. ,,,,yy Signed m Date /'y-Z O? Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. '� Date Issued j }it r .Z. .• � r'�"`-n.����� _.- ,oaa: kc— Fee THE COMMONWEALTH OF MASSACHLOSETT'S Entered in computer: PUBLIC HEALTH DiV!S`IdN _--il.OWN OF BARNSTABLE, MASSACHUSETTS Yes Application for 30i4#66ar 4ip5tem Conotruction Permit Application for a Permit to Construct(') Repair(') Upgrade V Abandon O ❑.Complete System❑Individual Components ,..,. Locaiidn Address or Lot No. S GAV i a,w Owner's Name,Address,and Tel.No. / cK•jCa � 11ed" Law Assessor's Map/Parcel Installer's Name,Address,and Tel.No.eAP W r 1e E•a+e.,e,K S Designer's Name,Address and Tel.No. Fekln -elf P.O. (Iax !74.3 y86k Rd.a0A Z57 GATE/Zv� (� �1 .Sa i►rxarF' rwL�i Type of Building: _ Dwelling No.of Bedrooms Lot Size fJ rJ �J J� ± sq.ft. Garbage Grinder ( ) + Other Type of Building rj i n q1 e a No.of Persons Showers,( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided �,0Z • gpd k Plan Date 3-C b` Zo aS Number of sheets /t Revision Date Tithe SM 5 C A.J i r 0 t{ Size of Septic Tank IS'oe3 Type of S.A.S.C5 :, J6 >r i J�V na•!d L Lam- /STiA VZ • Description of Soil —<"OQ p� / (!e 3 re i Nature of Repairs.or Alterations(Answer when applicable) Al eul 1111 f V 5-00 - /-41 r. yj/r A) Date last inspected: ZOO"1 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed C' CO Date Application Approved by Date .Application Disapproved by: 7 Date for the following reasons . ^ - Permit No. " Date Issued Vh• ————————— —— —————— — THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliahre THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded'(V) Abandoned( )by �,a�P( r r�P (;"?t�I"/ Q/�S e S LL C at SfS ei ! F,OU,fw.l �j E nS r E 17u1 1? +' has been constructed in accordance with the provisions of Tittle 5 and the for Disposal System Construction Permit No. dated i Installer C�ADt w d. &J1&1PV 6 e f L4.C Designer ?etm.p 15' d? #bedrooms Approved design flow / gpd The issuance o t i pe t shall of be construed as a guarantee that the system ction as designed. P 0 Date Inspector No. / �--------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Digpont *p5tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (V ) Abandon ( ) System located at 584 St Ad to W AV6 0 ST E2U; III and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her dutyto comply with Title S and the following local provisions or special conditions. Provided: Construction'ust be completed within three years of the date of this p it. Date Approved Approved by `* i •� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Public Health Division . Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 4/14/08 Sewage Permit# `ZboB 13T Assessor's MaplParcel 114/51 Designer: Bennett Engineering,Inc. Infer: Capewide Enterprises Address: PO BOX 297 Address: 4507.Fabnouth Road Sagamore Beach,MA 02562 Cotuit, Massachusetts 02635 On "4' Z`'L$ CnPeur�c ✓te�,pr�° 5 was issued a permit to install a (date) (installer) septic system at 589 Sea View Avenue based on a design drawn by (address) Bennett Engineering,Inc. dated 3/6/08 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such-as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10'lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. is �'(N OF RICHARD M s er's Si tore o CHURCHILL _ - ..�) STRUCTURAL y 9No.40696 Q�BTEA L�Designer`s Signature) (Affix Desi Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BYxTHE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. Q.HealtWSeptiMesigner Certification Form 3-26-04.doc Commonwealth of Massachusetts �`r y .. l // �0 .. .t-I- 11 City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal PEP has provided this form.for use by on-site professionals and local Boards of Health. Other forms may be used, but the information must be substantially the same as provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information 1. Facility Information. r� - Owner Name :7�� � � Few /b•r � � f " . Street Addres�j Map/Lo city/Town State ,Zip Code B. Site Information 1. (Check one) New Constructio Upgrade ❑ Repair 2. Published Soil Survey available? Yesl " No ❑ If yes: Year Published Publication Scale Soil Map Unit /'' '� Soil Name Soil limitations 3. Surficial Geological Report available? YeeNo If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes IM No ❑ Within the 100 year flood boundary? Yes ❑ No . Within the 500 year flood boundary?_ Yes ❑ No Within a Velocity Zone? Yes ❑ No ' ] 5. Wetland Area: National Wetland Inventory Map Map Unit Name s Wetlands Conservancy Program Map Map Unit Name DEP Form 11 Soil Si itahility AccGcamant fnr r)n_Ciln Commonwealth of Massachusetts Cityrrown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 6. Current Water Resource Conditions (USGS) � � Range: Above Normal ❑ Normal Below Normal ❑ -Month eer 7. Other references reviewed: C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: Date Time Weather 1. Location Ground Elevation at Surface of Hole Location (Identify on Plan ) 2. Land Use: &1 (e.g.woodland,agricultur field,vacant lot,etc.) Surface Stones Slope(%)r ���-✓ems/�zv�� - Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body Drainage Way 1'� Possible Wet Area _ r feet feet feet Property Line Drinking Water Well ✓`l- Other feet feet G. h , 4. Parent Material: Unsuitable Materials Present: Yes ❑ N If Yes: Disturbed Soil❑ Fill Ma rial❑ I pervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ N If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 2 of 7 Commonwealth of Massachusetts City/Town of , Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal inches elevation, Deep Observation Hole Number: Soil Soil Matrix: Redoximorphic features Soil Coarse.Fragments Soil Structure Soil Depth Horizon/ Color-Moist o ept Layer (Munsell) (mottles) (USDAe' �° by VolUM6 Consistence Other ,v Depth Color Percent Gravel Cobbles &Stones ✓ p/ - It < C" oe f 7 1 �'7 l 1 - l /. Additional Notes DEP Fnrm 11 RAH.Cl;if2hilihi A000*emnn4 fnr nn 04^ Qr......,... Commonwealth of Massachusetts Cityffown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal qFS C. On-Site Review (Cont.) Deep Observation Hole Number: Date Time Weather 1. Location Ground Elevation at Surface of Hole - Location (Identify on Plan ) 2. Land Use: (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body Drainage Way Possible Wet Area feet feet feet Property Line Drinking Water Well Other feet feet 4. Parent Material: Unsuitable Materials Present: Yes ❑ No❑ If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s)❑ Weathered/Fractured Rock❑ Bedrock❑ P 5. Groundwater Observed: Yes ❑ No ❑ If Yes: Depth Weeping from Pit - - Depth Standing Water in Hole Estimated Depth to High Groundwater: Inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 4 of 7 Commonwealth of Massachusetts City/Town of s, Form 11 - Soil Suitability Assessment..for On-Site Sewage Disposal j Deep Observation Hole Number: 39 c4 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Depth Horizon/ Color-Moist o y (mottles) Texture /o b Volume Structure Consistence Other (In.) Layer (Munsell)-_ (USDA) (Moist) Depth Color Percent Gravel Cobbles &Stones r 1� y,, 7/ L r, Additional Notes Commonwealth of.Massac.husetts ' Cityfrown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal p D. Determination of High Groundwater Elevation 1. Method used: ❑ Depth observed standing water in observation hole 'A. B. V 0 tj inches inches � Depth weeping from side of obse n hole A. B. � ` { inches Inches ❑ Depth to soil redoxi is features (mottles) A. B. Inches . inches ❑ Groundw adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring,Pervious Material. a. Does at least four feet of'nat acurring pervious;material exist in all areas observed throughout the area proposed for the soil absorption system? Ye> ll cNo❑ b. If yes, at what depth was it observed? Upper boundary: Lower boundary: Inches inches F. Certification certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. 1 further certify that the results of my soil ion,as indicated in the attached Soil Evaluation Form,are accurate and in accordance with 310 CMR 15.100 through 1 Si nature of Soil Evaluator Date Typed or Printed Name of Soil Evaluator/License Number Z�/ "A1� *DateoIl Evaluator Exam { Name of Board of Health Witness Boar of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing,and to the designer and the property owner with Percolation Test Form 12. DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 6 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal IVP` Use this sheet for field diagrams: 1� e ✓' v V VV e---------`:_ .... .. ... - - - m p . frl.l • r-3 . . rl O Postage $ 0 Certified Fee •�5 r/ NY Postmark C3 Return Receipt Fee r Postmark 0 ,(Endorsement Required) a+ D / �Here T� l N O Restricted Delivery Fee O _D (Endorsement Required) � 4i O '-R Total Postage&Fees $ 054 , LrI I3 Sent To lti Street Apt.No.; �/ {VIP ----��---6--hQa50� ------------------------or PO Box No. s q S (� Y ,v to Q� s------ �;�Srare,L a0st-c-wy' 4J, e kA 0�L�5� Certified Mail Provides: (asjanay)zooz aunt'ooee Wood sd o A mailing receipt e A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. o Certified Mail is not available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS ForrTt!811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. n For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". , e If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 589 Sea View Avenue _ CIO? Osterville MA 02655 Owner's Name: Vinton Johnson Owner's Address: 3�s� Date of Inspection: Semember 24. 2006 /. Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508)862-9400 .CERTIFICATION STATEMENT _ I certify that I have personally inspected the sewage disposal system at this address and that the inf`rmation'r port below is true,accurate and complete as of the time of the inspection. The inspection was performe based o=y : training and experience in the proper function and maintenance of on site sewage disposal systenast I am a EP C!, approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The sy*=- : --- T' 'Passes Con 'tionally Passes _ a Nee Further Evaluation by the Local Approving Aut ority ✓ Fail ca r~ Ln Inspector's Signature: Date: - .September 24'2006 The system inspector shall sub it 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. Notes and Comments ****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. Title 5 Inspection Form. 6/15/2000 page 1 I Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 589 Sea View Avenue Osterville MA Owner: Vinton Johnson Date of Inspection: September 24 2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: 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 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: 2 Page 3 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 589 Sea View Avenue Osterville. MA Owner: Vinton Johnson Date of Inspection: September 24, 2006 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. I. 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. 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 colifonn bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 f Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 589 Sea View Avenue Osterville, MA Owner: Vinton Johnson Date of Inspection: September 24. 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/2 day flow ✓ 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 groundwater 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. r ✓ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)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. NOTE.SINGLE CESSPOOLS A UTOMATICALL Y FAIL IN THE TO WN OF BARNSTABLE. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. . 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 589 Sea View Avenue _ Osterville.MA Owner: Vinton Johnson Date of Inspection: September 24 2006 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ — Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part-of this inspection? _ ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ — Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS, located on site? ✓ — Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location.of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ — 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(3)(b)]:. 5 . r Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 589 Sea View Avenue Osterville, MA Owner: Vinton Johnson Date of Inspection: September 24, 2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no):. n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL - Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of infonnation: Unavailable Was system pumped as part of the inspection(yes or no): 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(tote 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: Approxiniately 1960 Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 589 Sea View Avenue Osterville MA Owner: Vinton Johnson Date of Inspection: September .4 2006 BUILDING SEWER(locate on site plan) Depth below grade: None Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: None (locate on site plan) Depth below grade: _ Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 7 Page 8 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 589 Sea View Avenue ` Osterville MA Owner: Vinton Johnson Date of Inspection: September 24 2006 TIGHT or HOLDING TANK: None (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: allons Design Flow: allons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes.or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 i Page 9 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C j SYSTEM INFORMATION(c1I ntinued) i Property Address: 589 Sea View Avenue i Osterville MA Owner: Vinton Johnson Date of Inspection: September 24, 2006 SOIL ABSORPTION SYSTEM(SAS): None (locate on site plan,excavation not required) i If SAS not located explain why: i i Type leaching pits,number: i leaching chambers,number: leaching galleries,number: 4 leaching trenches,number, length: leaching fields,number,dimensions: j 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.): i i � 4 I CESSPOOLS: ✓ (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 1 single cesspool Depth-top of liquid to inlet invert: Depth of solids layer: 12"sludge 1 , Depth of scum layer: -- Dimensions of cesspool: 5'W x 5'T x 7'bottom to grade Materials of construction: Cesspool block Indication of groundwater inflow(yes or no): None Comments (note condition of soil,signs of hydraulic failure,level of pondin g,g,condition of vegetation,etc.): The cesspool was dry with 12 slud e. The cover was IL below zrade. Sin le cess ools automaticall ail in the town o Barnstable. PRIVY: None (locate on site plan) Materials of construction: Dimensions: - Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): i i f 9 i i Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 589 Sea View Avenue Osterville. MA Owner: Vinton Johnson Date of Inspection: Segtember 24 2006 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. 3O 3� 10 Page 11 of 11 J a OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART C SYSTEM INFORMATION(continued) Property Address: 589 Sea View Avenue r Osterville. MA Owner: Vinton Johnson Date of Inspection: September 24 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 14+/ feet Please indicate(check)all methods used to determine the high groundwater elevation: Obtained from system design plans on record-If checked,date of p Observed site design plan reviewed: (abutting r g ( g p operty/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain:_ topographic and water contours naps Chec ked ed with local excavators, installers-(attach documentation) _. Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours mans the mans were showing approximately 14'+/ to Around water at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, - relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 Commonwealth of Massachusetts City/Town of Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the f - computer,use c�e✓_�� v only the tab key Owner Name to move your .5.1v C), cursor-do not Street A or Lot# use the return key, ' i'- �- City/To?. State Zip Code --e Contact Person(if di Brent from Owner) Telephone Number B. Test Results Ile A4 Date Time 'Date Time Observation Hole# Depth of Perc Start Pre-Soak End Pre-Soak Time at 12" Time at 9" Time at 6° .Time(9°-6") Rate(MinJinch) Test Passed: Test Passed: Test Failed: ❑ Test Failed: ❑ Test Performed By: Witnessed By: Comments: t5form12.doc-06/03 Perc Test•Page 1 of 1 Town of Barnstable pF tHE Tp� do Regulatory Services aaxxsrns>re. Thomas F. Geiler,Director 16A39. ••� Public. Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 October 30, 2006 Mr Vinton Johnson 589 Sea View.Avenue. Osterville, MA 02655. ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located at 589 Sea view Avenue, Osterville,MA was. last inspected September 241h 2006 by, James M..Ford, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system"Failed".under the guidelines of 1995.TITLE 5 (310 CMR 15.00).due to the following:. Single cesspools automatically fail in the Town of Barnstable. You have.2.years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to.contact the Barnstable Health Department.. BARNSTABLE HEALTH DEPARTMENT Tho cKean, R.S., C:H.O. Agent of the Board of Health �c.rT;�jg aL d ;i. ��ii °�} ;�j f T ,-!i ' �. �i" a3?�36 ei�; 'ifA F . ,�i.i. i�..7 r Fl��9.i...'1. ii-L R.F1 �t.iis�4tv(�li i�f ^`C; �Mft.k..s. � �iY.•', -;'t r)�.�3et . Y`` t�.n. 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( BOTTOM) 10.65' OWNER: FREDERICK & COLLEEN LOTUFF EFECTIVE DATE JULY 2, 1992. 4 73.8' 67.3' S.A.S. - No.38M BENNETT ENGII`IEERItNG.. ADDRESS: 589 SEA VIEW AVENUE 5 89.5' 83.6 S.A.S. — �a..�e� — BARNSTABLE, MA 6 72.2' 68.6' D—BOX — LAND SURVEYING,ENGINEERING,&DEVELOPMENT SERVICES 7 - I - D-BOX ELBOW 13.79' LL-a` - t PLAN REF: LC 6851 M BENCHMARK a — — D-BOX our 13.59' ;` CERT. REF: 168841 T.O.F. = 18.72 9 — — D—BOX OUT 13.63' / PO BOX 297 TEL.(508)SO- 868 D—BOX OUT 13.59' SAGAMORE BEACH,MA 02562 F (508)888-4867,.- C? JOB NO. 0999 i y // 0 20 4 �- 60 If DESIGN CALCULATIONS R CAPACITY REQUIRED - RESIDENTIAL USE: BPS DESIGN FLOW- 3 BEDROOMS ® 110 Gal/Day LC PL 6857 L 330 Gal/Day REQUIRED 11. CAPACITY PROVIDED: SEPTIC TANK: DESIGN FLOW = 330 Gal/Day 1/2" HANDLE X 200% /-4SANITARY 111 + 1 REQUIRED SIZE = 660 Gal/Day NECK \ \ SIZE PROVIDED: 1,500 Gal/Day PARKER 18' FILTER •ONCE - �� 2 70 ` " LEACHING FACILITY: POND 2 ,�. _ -~ _ \ DESIGN PERCOLATION RATE: <2 MPI /CAR'TRIDGE ���o „ _ +ts. SOIL TEXTURAL CLASS: CLASS 1 �4" SEVER 000 S j4�T20 E _ +15-.7--- _ \ ` LONG TERM ACCEPTANCE RATE (LTAR): 0.74 GPD/SF PIPE ��2�2<" - f 53:01'`- 14.67 u / +, + , SEA 1_0SEW q VE (4) 4.8 x8.5 CONCRETE CHAMBERS WITH 2 OF STONE PINE ', 6 BOTTOM AREA: 35.0 x 8.83' = 309.0 SF �a �cn Er _ _ +15.35 BINMIN9US 5 46 \' SIDE AREA: 2[2(35.0')+2(8.83)] = 175.3 SF ,. _z__--- // .••` L4.3 SF ---- _-CO�wgY � �...-�\ �� \ � TOTAL LTARAREA•: X �0.74 Gal/Day/SF LOCUS so GAS BAFFLE - �3.. _ S DR GAS 5. \� TOTAL CAPACITY ( ) _ 358.4 Gal/Day LOCUS MAP GAS �' �• NOT TO SCALE 1s.7 .4 04s.� ` A\ o SYSTEM IS W T DESIGNED FOR A GARBAGE GRINDER ZABEL A1800 RESIDENTIAL SEPTIC TANK _ - `• OSED �' EFFLUENT FILTER FOR SINGLE FAMILY HOMES. / - / -� 6.0 +16. PROP VAnpN / +15.7 �- 15.50 _�- OBSER \ G NOTES (800) 221-5742 f J 6/ '�+16.5 5.95 `•.� O \ \\ PoRT \ .s FLOW RATE: 800 GPD. _ ' S6 a �''� ~'sue 24' BEEC •`••� � � o y0 � \` , \�- -� ✓ ,�,� CBDH - LOCUS: 589 SEA VIEW AVENUE 2 / TREE OSED H '' EA �� F fnd MAP 114 PARCEL 051 INSTALLATION: FITS ANY 4" SANITARY TEE s 9 1� 1s.s 1 __ PR X AR +15.2 N AND SEWAGE PIPE USED AS A / +16.7 AB06lT� '�, - 0� � D=-8 RES ��� N 2 E OWNER: FREDERICK & COLLEEN, LOTUFF SEPTIC TANK OUTLET BAFFLE. +iss / �,��'� "� CLEAR�tI ER �o. T3 ` �., \ � o ; '�pF Nv oPOSED J _ ` \ moo- PJE CBDH EXTEND SEWAGE PIPE AT LEAST Gns � Q PROPOSED \ c` fnd ADDRESS: 16 ELM ST. ONE INCH BELOW BOTTOM OF +is.s eJ 1s.s5 �s OSED 15OU rl - TANK o W '" V �ss� 0 0 "�� WARE MA 01082 FILTER CARTRIDGE GASKET. LOf 10 t6.3 \ �,' B/1UMIAll FAME AND �20 150 \\ 85.5 zc - � z, 0I �120 4 3� 1 ' N/SVSAN �' Y�11� _ \\ CONCRETE TO URE NI I, W P R 12 DRIVEWAY s - PLAN REF: LC 6851 M HAE� D. $Fs - - // TO BE REMOVED PROP SOUS GRADE ` . pRE _ cn I, M► +is.5 NO AD • �PIPE � SLOT >0 �� CERT. REF: 168841 B17 E7F / `� \ -= 5-155±S F• LINE , N +tss AY s \\ `` • \ \ GUY WIR + .4 LOT 9 o LOT-_� ,6.92 DR1� l S\ +15. T 7 s �r1 Egi5T1 89 / / IW +17.5 .•� OHW� OH d coo a� MICHAELFD & TP3 16.4+ Q HOUSE #O 11 \'' \ `� __ OHW-'�_ OHW `�,\ i� �_ �i SUSAN L WHITE FLOOD ZONE _ 16.2+ I BEDg 7 ,� OHW ` v,\ ti E -06 11NG SE C S 5TOF_'$.57 W 'I t7.os 1 4" 5TEE DONW �+H-1s 5 P 08IP56A \ �� � c�,'� LOT 10 � XIS / FF.'19 VuFo �Atg� SITE IS LOCATED +15.6\ti _ +,57 �\ 16.7+- , oHw B 1 25 k. �\ , II IN FLOOD ZONES "B' AND "C„ TMCS LA 0 _ _ -� u, ON FLOOD MAP NO. 250001 0016 � 16\\ DCOi1 \�` MEIER 16 +16.3 ~ \ �, ,.� EFECTIVE DATE JULY 2, 1992. \ � v - + \ \ m )7.017.0 - +156 _ m BENCHMARK TP4 mz �o - -- � � LOT 20 TO CDA 0'f Qrz +15.s J�� h '' _ __---- - - N 1g5.7g E , W T.O.F. = 18.72 STAL BANK +15.9 \ yF` N $j4 Q ------------------------------------------------------------------------------------+16. --------------�---- ---------4�7+�Ja------------ a0 C) e+\ TO- +15.9 I J \ N -H 6.6y O \ LEGEND DEPTH FROM DEEP OBSERVATION HOLE LOG 3 DEPTH FROM DEEP OBSERVATION HOLE LOG 4 DEEP OBSERVATION HOLE LOG 5 LOT 19 � 338.58' I -� __ S 0255'10' E / SURFACE SOIL TEXXTTUL SOIL RE COLOR SOIL onER(SlIll SURFACE SOIL TEXTTUL SOIL RE COLOR SqL o1NER(SIMIRM SURFACE SOIL TEXXTTUL SOIL RE COLOR SOIL OAER( CBDH HORIZON (USDA) (MUNSELL) MOTTLING CM%Ma,Xgtlgl fnd `� DEEP OBSERVATION HOLE FEET INCHES SIOtES,Ol lDF85 FEET INCHES HORIZON (USDA) (MUNSELL) MOTTLING S1�'6111l FEET INCHES SmIll BUIIIDPRS LOT 10 TOP EL-15.7 HORIZON (USDA) (MUNSELL) MOTTLING caslsleicv X qAS) TOP EL-15.6 ool19539 er.X WE) TOP EL-15.6 N/F 0-12' A S.L. 7.5YR 5/1 0-12" A S.L. 7.5YR 5/1 0-7" A S.L., 10YR 3/2 Pr PERCOLATION TEST HOLE MICHAEL D. & 1 1 1 Q ' +15.9 +16.s--- SUSAN L. WHITE 10YR 5/6 2 12-36' 8 L.S. 10YR 7/8 2 12-36" 8 L.S. 10YR 7/8 2 7-54" a L.S. LAYER REDOX' fnd \ 00x0 EXISTING SPOT GRADE - - - 3 COARSE 2OX GRAVEL 3 2ox GRAVEL 3 - - --oo-- EXISTING'CONTOUR 4 Ct GRAjr 10 4 4x COBBLES 4 CI �p tOYR 7/4 47X COBBLES 4 50'-66' S.A.S. LOT 20 Ln floilim PI P A s. c M IUM 0--11.70 REDOX NANCY S cn WATER SERVICE 5 5 5 _ �• q 5YR 6/2 LAYER a• SMICHES TR. `w 6 EL-9.95 6 6 " 1L,;H WATER SHUT-OFF 64"-92" C2 MEDIUM 5YR 6/2 REDOX 7 MEDIUM 2X GRAVEL 7 MEDIUM 2R GRAVEL 7 SAND LAYER 3' CATCH BASIN 48-156' C2 10YR 8/3 48-156" C2 tOYR 8/3 ►w�® g SAND zx COBBLES 8 SAND zx coaBlEs g �, OO NAIL ��OF MgSS Cy P��N OF MgSSgcyG� 9 9 9 MEDIUM REDOX �- 90•-132• c3 SAND SYR 6/2 LAYER 3" �; ■ CONCRETE BOUND TIMOTHY G`"� �� ��' j ti ► - GARY O•JAMES N 10 10 10 R. LIGHT POST BENNETT ► 531 WOOD STAIRWAY SITE PLAN $ No.36 56 TT CNIL"0- 0 11 11 11 0 10 20 30 4_1ss r o �• 13 EL.-2.7 13 13 METERS ?j \G FEET l 14 14 14- FEET NO GROUNDWATER ENCOUNTERED TO ELEV=2.7 NO GROUNDWATER ENCOUNTERED TO ELEV=2.6 NO GROUNDWATER ENCOUNTERED TO ELEV=5.0 0 20 4o so so THIS MAPPING IS MADE FOR THE SOIL EXAMINATION PERFORMED BY: SOIL EXAMINATION PERFORMED BY: SOIL EXAMINATION PERFORMED BY- GRAPHIC �,� PARTY NAMED HEREON, HIS OR HER GRAPHIC SCALE 1" = 20' TIMOTHY R. BENNETT, PLS TIMOTHY R. BENNETT, PLS GARY D. JAMES, PE 3/24/12 SCALE: 1" s 100' MORTGAGEE AND GUARANTOR, PROPOSED NOTES AND SPECIFICATIONS TEST PIT INFORMATION EXCLUSIVELY: NO FURTHER PEAR RISER TO FINISHED INSTALL RISERS TO LIABILITY IS ASSUMED. FINISHED GRADE PERFORATED INSPECTION 1.All risers to be watertight. DEEP OBSERVATION HOLE LOG 1 DEEP OBSERVATION HOLE LOG 2 17.25 16 8± GRADE W/ LOCKING WITHIN 6 OF PORT NTH SCREW CAP TO 2.All joints to be watertight. DEPTH� �� FINISHED GRADE DEVICE ON COVER BE BROUGHT WITHIN 3" OF g DACE SOIL SOIL 0M(So mI� SWAM sal AIL oT1Ex cs © 2 112 GREEN SEAL ENVIRONMENTAL FINISHED GRADE SOIL TEXTURE COLOR SOIL SOIL 'TEXTURE COLOR SOIL 16.7± FINISHED GRADE. 3. All pipes to be Schedule 40. FEET INCHES sTaES BMWs%.XWAV FEET INCHES15.5smlfs 6oumis • TOP EL-16.0 HORIZON (USDA) (MUNSELL) MOTTLING 0A195ENCf•X pgyEl �P E1.=15.5 HORIZON (USDA) (MUNSELL) MOTTLING �;X palgl FINISHED GRADE PROVIDE 4. All stone to be double washed. REVISIONS 16.5± VENT 5.All components to have a minimum of 9"and a maximum of 36"of cover. 1 0-12" A S.L. 7.5YR 5/1 1 0-12" A S.L. 7.5YR 5/1 FINISHED GRADE 6. Contractor to verify all elevations and utility locations prior to construction. Any differences shall be 9" Min. 24 17.2 MAX. brought to the attention of the engineer. 2 12-36" a L.S. 10YR 7/8 2 12-36" B L.S. 10YR 7/8 15.7 7.All septic system components to be marked with magnetic marking tape. 8. There are no known conflicts with Title V, Section 15.220(4)(k) 3 �" C1 SRAVp 10YR 7/4 20 COBBLES 3 c' ,,,`p 10YR 7/4 O GRAVEL L= 15' FT. 3" MIN. 3" MIN. (location of public and private water supplies) 4 CC PERC C2 4 s4-72 S= 0.02 FT/FT 6" 12" L= 13.0 FT. COBBLES 3 MAX. TOP OF CHAMBER 0„ 9. There are no known sources of water supply, streams or drains within 100'of the premises. 5 5 m PERC C2 „ S=0.02 FT FT ELEV=14.20 4" SCH 40 �''3" _ 9 / 2" " SCHHIP40 ° FILTER FABRIC 10. There are no known wetlands within 100'of the proposed system. 6 6 DATE DESCRIPTION INIT. PVC PIPE - PVC 11. The existing leach pit is to be pumped dry and removed. Remove any spoiled soil within S of the 4" SCH 40 o a o o 0 0 0 0 o E3 o o proposed soil absorption system. 7 j 7 12" INTALL--ol PVC PIPE " e°^ 01300000 4.83'x 8.5' LEACHING CHAMBERS r3o ��� o 0 ZABEL " 6 2 ° °o•° ° 0o0 0 000 o0o nao 0 12.A Zabel Filter is to be installed at the outlet end of the septic tank. 4s-156• c2 MEDIUM 10YR 8/3 2x GRAVEL I 48-156• C2 MEDIUM 1oYR 8/3 2a'GRAVEL Z FILTER 14 * :.0- 0 0 0 0 a 0 0 (6 REQ D.) (SEE SECTION) o 0 0 a a a °° g SAND 21X COBBLES ,` 8 SAND 2x COBBLES 4'0" MIN. MIN. ° ° 13. The Zabel Filter is to be cleaned on a yearly basis. ON - SITE SEWAGE DISPOSAL LIQUID DEPTH (� DETAIL) DB INLET INV. ` 14. Use(6)500gal. leaching chambers,with 2.5'of crushed stone all around. 9 9 CORROSION 13.94 15. The existing cesspool is to be pumped dry, filled with clean flowable material and abandoned. 10 10 SYSTEM PLAN RESISTANT----' 35. 16.The surface elevation surrounding the proposed S.A.S.will be 15.7 MAX. The area surrounding the PROPOSED GAS BAFFLE proposed S.A.S.will have to be regraded. 11 11 INVERT DB OUTLET INV. 14.75 13.78 BOTTOM CHAMBERS 12 12 MAP 1 14 PARCEL 051 • . .•• . . : • ;. •.: ; ... . .•.. •• PROPOSED 11.7 • •* FINSTALL PVC TEES •IN TANK OUT INV. 13 30 13 Z EXISTING 14.20 589 SEA VIEW AVENUE TANK INLET INV ACCORDANCE WITH TITLE 5. 7.25 INVERT ELEV. (2% Min.) Finish Grade 14 14 14.73 " 3/4" TO t-1/2" 13.70 BARNSTABLE, MASS. 6 CRUSHED STONE INVERT ELEV. Compacted Earth Fill NO GROUNDWATER ENCOUNTERED TO ELEV=3.0 i NO GROUNDWATER ENCOUNTERED TO ELEV=2.5 13.70 DOUBLE WASHED _ _ STONE. „ SOIL EXAMINATION PERFORMED BY: SOIL EXAMINATION PERFORMED BY: 9 M. TIMOTHY R. BENNETT, PLS i TIMOTHY R. BENNETT, PLS /---- °000000 0p°o ° 00°oo°0c 9„ )) O00�°000 00 0 0 O CI C� 06 000000°00 FILTER FABRIC 0 0 00 0 00 00 NO GROUNDWATER ENCOUNTERED TO ELEV = 5.0 0° ° FROM SOIL LOG 5 0 ° 0 Q 0 � � p ° PERCOLATION TEST DATA i e ed Green Seal Environmental, Inc. O° °° ° o o °° ° 24 N0. DATE ELEV. ; RATE NOTES 114 State Road, Building B °00° 0000 0$ O 00 °°0 0 I Sagamore Beach, MA 02562 PROPOSED 1,500 GALLON PRECAST CONC.(H-20) SOIL ABSORPTION SYSTEM 1 10/15/07 50"-68" <2MP1 Tel:(508)888-6034 PRECAST CONC. (H-20) SEPTIC DISTRIBUTION BOX „ „ 2.0' L 4.8' 2.p' 2 10/15/07 54"-72" <2MP1 Fax:(508)888-1506 TANK 3/4 TO 1-1/2 www.gseenv.com DOUBLE WASHED 3 03/24/12 50"-68" <2MP1 STONE. 8.8' i DRAWN BY: SGL DATE: 4/12/2012 ° WITNESSED BY: Donna Mioraidi - 2007, Desmarais, RS -2012 - 'CHECK BY: GDJ SCALE: 1"=20' SY.ST'EM PROFILE (not to Scale) SECTION (not to scale) JOB # LTFF-0999-002 SHEET N0. 1 OF 1 DESIGN CALCULATIONS R CAPACITY REQUIRED - RESIDENTIAL USE: 6P� DESIGN FLOW- 5 BEDROOMS A 110 Gal/Day 550 Gal/Day REQUIRED LC PL 6857 L 9ti� CAPACITY PROVIDED: 9� 1 2" HANDLE SEPTIC TANK: / 4" SANITARY 11 X 200% TEE � DESIGN FLOW 550 Gal/Day REQUIRED SIZE = 1100 Gal/Day PARKER POND t2; + T SIZE PROVIDED: 1,500 Gal/Day �y POND 18' FILTER LEACHING FACILITY- /CARTRIDGE / 4" SEWER FENCE DESIGN PERCOLATION RATE: MPI SOIL TEXTURAL CLASS: CLASSS PIPE •--."` --, _aLp A 2.70 \ � LONG TERM ACCEPTANCE RATE (LTAR): 0.74 GPD/SF �% SEA VIEW A VE S 14.07'2�» +15.7 �, BOTTOM AREA: 56'-0" x V-10" =550.4SF FILTER GASKET 153:01' �i +1 + S!DE AREA: 2'[2(56'-0")+2(9'-10")] =236.3SF+14.67 O +�1 TOTAL AREA: =813.7SF PINE ` �''� ., - F Locus MA �cAs BAFFLE 7 -- +1s.3s ` 6A5 � \ (LTAR):-X 0.74 Gal/Day/SF LOCUS P as TOTAL CAPACITY 602.1 Gal/Day sAs p NOT TO SCALE 63 CA$� ?•n SYSTEM IS NOT DESIGNED FOR A GARBAGE GRINDER ZABEL A1800 RESIDENTIAL SEPTIC TANK cAs�C EFFLUENT FILTER FOR SINGLE FAMILY HOMES. �� is 7+ -- 4o rr►S� �� '* Q 4 4 NOTES (800) 221-5742 _ _ �cs _... _ c ......... +15.7 1 ��asf s.o \ \ o LOCUS: 589 SEA VIEW AVENUE B/TUM/NODS G MAP 114 PARCEL 051 FLOW RATE: 800 GPD. 9 INSTALLATION: FITS ANY 4" SANITARY TEE +16s 595 CONCRETE \' \ 7 AND SEWAGE PIPE USED AS A OR/VEWAY SEPTIC TANK OUTLET BAFFLE. Z56 +1 .8z OWNER: FREDERICK & COLLEEN, LOTUFF 5.9 �� +15.2 EXTEND SEWAGE PIPE AT LEAST +16.7 � \N o ADDRESS: 589 SEA VIEW AVENUE ONE INCH BELOW BOTTOM OF 6 0 's o FILTER CARTRIDGE GASKET. +15.6 i6-03 woo_ / BARNSTABLE, MA F +16 f W `�^ G i PLAN RE : LC 6851 M +,s.s � 16.55 m CERT. REF: 168841 slO +16.32 �W �t 6 3 �r W ' \ n 1 s. PROPOSED 144.4 k b b W �' 1,500 CAL. +,s 5 � - W LOT 9 +1 SEP TIC TANK �' W �� \ OT 7 TREE UNE 16.92 +16.8 W '�� '° +15.8 GUY W1R 4 L N/F y{N7 - o x ', LOT 10 ��. + .4 to T1 (�B Mtn+.` a' o w2�� +17.'i1 55 155± ONW S ICHAE L WHITE FLOOD ZONE =;P AK :Y ►� [ S.F. ov+W-'� INSPECTION r 'S' 1 O `�O VI'" '� W OHW--� OHW ENTIRE SITE IS LOCATED PORT (TYP.) 16.2+ O10" - '�]'�i C ►u-3 IV J' -U16 ONW n n /68 56A to o,�� W ' 43 4" STEEL oHw- 6.5 \ ON FLOOD FM MAP 250001 0016 cn� 17.08 V VE ON PROPOSED +156 +15.7 !�6.}, 16.7+ � p �G1 oH'`� -� - EFECTIVE DATE JULY 2, 1992. 15; ,3.9 A �cD 1�.1 ONW �717 - 56'-0" X �;, 9 10" SOIL _16'' ��1E[EC7lhC Q17.26' ABSORP TION - - +15.6 O ID ME 7£R 16.5 % +16.3 \ SYSTEM +15.7 16.8+ 1r1 \ BENCHMARK s s 15 + `t `` 17.0 LOT 20 - + r17.0 T.O.F. - 18.72 10 7P4 7P2 .0 09' FU TURE Q�72 4, - RESERVE +1s.5 19 7 2D E + `� `" S14i 16.7+ W r ti LEGEND o +,s.6 N LOT 19 k, +16.8 DEEP OBSERVATION HOLE LOG 3 DEEP OBSERVATION HOLE LOG 4 DEPTH FRW FROM SURFACE SOIL am(mr� �Acx SOIL �� ow(S TP v +15.9 FEET INCHES SOIL TEXTURE COLOR SOIL SWISS,BDADM FEET DEPTH SOIL TEXTURE COLOR SOIL Sim BMUM DEEP OBSERVATION HOLE TOP EL=15.7 MNSIM 1 ,9 CPAI TOP EL=15s HORIZON (USDA) (MUNSELL) MI (USDA) (MUNSELL) MOTTLINGCW%Mv,z wAI P7 S 0255`10" E 1 0-12' A S.L. 7.5YR 5/1 1 0-12" A SL 7.5YR 5/1 O PERCOLATION TEST HOLE 2 12-36" B L.S. 10YR 7/8 2 12-36' B L.S. 10YR 7/8 00,KG EXISTING SPOT GRADE 4 I, IOYR 7/4 4zco�s 4 ct WAANo 10YR 7/4 4% C`OBBBLEESS LOT 20 "--00- EXISTING CONTOUR N/F -•-•- WATER SERVICE 5 5 NANCY S 6 6 SMICHES TR. 4& WATER SHUT-OFF 7 ❑ CATCH BASIN 48-156' C2 MEDIUM 10YR 8/3 22 GRAVEL 48-156' C2 MEDIUM IOYR 8/3 2% GRAVEL 8 SAND 2% COBBLES 8 SAND 2% COBBLES O NAIL 9 9 ■ CONCRETE BOUND N MASS P�tN °F MASS LP 0 LIGHT POST �c, 9 SITE PLAN o=� I A M. c �o=�� TIMOTHY q�yG 10 UR HILL kp R• 11 11 �v TRU RAL n BENNETT 12 12 0 10 20 30 N .40 No. 5 METERS F 6/STO�� L14- 27 13 FEET Al a 14 ,� V 0 20 40 60 80 0 � -3 I b NO GROUNDWATER ENCOUNTERED TO ELEV=2.7 NO GROUNDWATER ENCOUNTERED TO ELEV=2.6 •P� THIS MAPPING IS MADE FOR THE GRAPHIC SCALE 1" = 20' SOIL TIMOTHY II ATIONPERFORMED BY: SOIL BENNETT, PLS TIMOTHY II AT10N BENNETT, FORMED BY: �/1 V PARTY NAMED HEREON, HIS OR HER LS MORTGAGEE AND GUARANTOR, EXCLUSIVELY: NO FURTHER EXISTING NOTES AND SPECIFICATIONS TEST PIT INFORMATION LIABILITY IS ASSUMED. T.O.F. RISER TO FINISHED INSTALL RISERS TO FINISHED GRADE PERFORATED INSPECTION 1. All risers to be watertight. DEEP OBSERVATION HOLE LOG 1 DEEP OBSERVATION HOLE LOG 2 18.72 16.9± GRADE W/ LOCKING WITHIN 6 OF PORT WITH SCREW CAP To FROM sI FINISHED GRADE DEVICE ON COVER FINISHED GRADE BE BROUGHT WITHIN 3" of 2.All joints to be watertight. S INCHES SOIL SOIL COLOR FRDM SOIL M( emsUR INCHES solL ,�urzE COLOR solL © 2008 BENNETT ENGINEERING, INC. FEETLIM 16.6 MIN. FINISHED GRADE. 3. All pipes to be Schedule 40. HORIZON (USDA) (MUNSELL) MOTTLING c s>EIc1 t1a1 HORIZON (USDA) (MUNSELL) MOTTLING gyp=,%VUa) FINISHED GRADE P Pe TOP a.= 16.o TOP a.=ts.s 1 -116± PROVIDE 4. All stone to be double washed. REVISIONS VENT 0-12' A S.L. 7.5YR 5/1 0-12" A S.L. 7.5YR 5/1 FINISHED GRADE 5. All components to have a minimum of 9"and a maximum of 36"of cover. 1 1 9" Min. 24" 116.0± 6. Contractor to verify all elevations and utility locations prior to construction. Any differences shall be 2 12-36' 8 L.S. IOYR 7/8 2 12-36" B L.S. IOYR 7/8 brought to the attention of the engineer. 15.81 7. All septic system components to be marked with magnetic marking tape. 3 couRSE 3 RSE 8. There are no known conflicts with Title V, Section 15.220(4)(k) 4 So-se• SAND 207 GRAVEL 4ND 2oz GRAVEL Ct GRAVEL 10YR 7/4 4X COBBLES Cl AVEL 10YR 7/4 4X COBBLES L= 29.0 FT. - MIN. 3" MIN. (location of public and private water supplies) PERC 62 [r FLOOR S= 0.05 FT/FT12" 3 MAX. TOP OF CHAMBER PERC C2 ELEV. T6- 9. L= 28.0 FT. ELEV=14.25 0" 9. There are no known sour-es of water supply, streams or drains within 100'of the premises. 5 5 m _ 11.47 3" S= 0.02 FT/F-- 4' SCH 40 FILTER FABRIC ° • 10. There are no known wet!ands within 1 00'of the proposed system. 6 6 DATE DESCRIPTION INIT. 4" SCH 40 2" PVC PIPE ° 11. The existing leach pit is to be pumped dry and removed. Remove any spoiled soil within 5'of the PVC PIPE 4" SCH 40 � oOo OOO 000 O00 ° , 12' INTALL�� PVC PIPE �°°:a°`; 0000000 4gSx 8.5' LEACHING CHAMBERS 000 000 ° o o proposed soil absorption system. 7 7 ZABEL 6- 2 °o°° ° OO D O OOO 000 0OO ° 0 48-156' C2 MEDIUM IOYR 8/3 2%GRAVEL 48-156' C2 MEDIUM 10YR 8/3 2%GRAVEL i FILTER 14"* . ° °° 0a00 00o (6 REQ'D.) (SEE SECTION) 000 o00 °•°• 12. A Zabel Filter is to be installed at the outlet end of the septic tank. g SAND 2X COBBLES 8 SAND 2% COBBLES ON . SITE SEWAGE DISPOSAL 4'0" MIN. MIN. . 13. The Zabel Filter is to be cleaned on a yearly basis. LIQUID DEPTH (SEE --DELAK) DB INLET !NV. 14. Use (6) 500gal. leaching chambers, with 2.5'of crushed stone all around. 9 9 SYSTEM UPGRADE PLAN 13.9' 15. Contractor is to remove all loam, subsoil and other unsuitable material to C2 layer)In the area beneath and for 5 CORROSION ( Y ) 10 _10 RESISTANT-f 56' feet on all sides of the leaching facility. Excavated material is to be replaced with clean coarse sand free from clay, EXIST. HOUSE GAS BAFFLE fines, or other unsuitable material, in accordance with 310cmr 15.255(3). 11 11 INVERT ---- DB OUTLET INV. BOTTOM CHAMBERS 16. The existing cesspool is to be pumped dry, filled with clean flowable material and abandoned. 12 12 MAP 1 14 PARCEL 051 16.18 a• 13.75 - EXISTING 11.50 a0 25 * INSTALL PVC TEES IN • . TANK OUT INV. IN RT V. 13 13 589 SEA VIEW AVENUE EXISTING 14.48 TANK INLET INV ACCORDANCE WITH TITLE 5. 5.75' VE ELE (2% Min.) Finish Grade 14 14 BARNSTABLE MASS. 13.50 14.73 6" CRUSHED STONE - INVERT ELEV. 3/4" TO 1-1/2" Compacted Earth Fill NO GROUNDWATER ENCOUNTERED TO ELEV=3.0 NO GROUNDWATER ENCOUNTERED TO ELEV=2.5 ' 13.50 DOUBLE WASHED _ _ STONE. „ SOIL EXAMIINATION PERFORMED BY: SOIL EXAMIINATION PERFORMED BY: 9 Min. TIMOTHY R. BENNETT, PLS TIMOTHY R. BENNETT, PLS *ALL INVERTS TO BE VERIFIED BY CONTRACTOR PRIOR �� °0000 0 000° O o 0 000000 9 l J ,r Oo0000°00°00 00°0 0000°00 " �r TO CONSTRUCTION. FILTER FABRIC Q 00 0 00 O O O O O 00 0 0 NO GROUNDWATER ENCOUNTERED TO ELEV = 5.75 0 o C� O O C� o ° 24» PERCOLATION TEST DATA BENNETT ENGINEERING )10 000 0 00 0 0 °o$ 0 0 0 0 0 0 0 0 °o$ N 0. DATE ELEV. RATE NOTES LAND SURVEYING,ENGINEERING,8;DEVELOPMENT SERVICES 00 0 0 Oon- PROPOSED 1 ,500 GALLON PRECAST CONC. SOIL ABSORPTION SYSTEM 1 C2 LAYER <2MP1 PRECAST CONC. SEPTIC TANK DISTRIBUTION BOX 3/4" TO 1-1/2" 2'S' 4•8' 2.5' PO BOX 297 TEL. (508)888--0868 DOUBLE WASHED SAGAMORE BEACH, MA 02562 FAX.(508)888-4867 STONE. 9.$' DRAWN BY: TCR DATE: 3/06/2008 SYSTEM PROFILE (not to scale SECTION (not to scale WITNESSED BY: Donna Mioraidi CHECK RMC SCALE: 1"=20' JOB # 099999 SHEET N0. 1 OF 1