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0081 WEST WIND CIRCLE - Health
i 81 WEST WIND CIRCLE OSTERVILLE A= 121 - 011 -034 a TOWN OF BARNSTABLE LOCATION V,C-,97' �/1/J�G/{�G/r SEWAGE VILLAGE l Jr,--r I'll r ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.,PZJ1?D SEPTIC TANK CAPACITY M0? LEACHING FACILITY:(typed Ado /s�l�L!%�' (size) NO.OF BEDROOMS OWNER( ,4,r �rl9r�D� PERMIT DATE:J^25,-9® COMPLIANCE DATE: q -G 02 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 Fran F l3 : 3 � � a� 13 C a7 122 _ 3`y 3 3 �3.3 No Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for 3h5po5al *p5tem Conttructiou Vermtt Application for a Permit to Construct(b--"Repair(grade( ) Abandon O El Complete System ❑�Individual Components Location Address or Lot No.g` W��W 1 ` ll-e/ Owner's Name,Address,and Tel.No pg— bil COP/ P691!$04 Assessor's Map/Parcel '/ //gJy y� Aw p Ins aller's Name Address,and Tel.No.pg 7 !/�C Designer's Name,Address and Tel.No. �os�ej>G Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers(' ) Cafeteria Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs/or Alterations(Answer when applicable) Gf/ — Date last inspected: Agreement: h The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date + Application Disapproved by: Date for the following reasons Permit No. Date Issued t� S� ` {y NoT'� y 1 Fee �1 v „�. 'I r ;.. ? THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes wF.. Zipplication f r Dtq o5or b item Con.5truction Permit Application for a Permit to Construct(4e"kepair(,)/YVpgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No.B f Owner's Name,Address,and Tel.No.j-ac- Assessor's Map/Parcel Ins aller's Name Address,and Tel.No.s�o / / Designer's Name,Address and Tel.No. aS �'Li E L3/�f'YOS /'69S Type of Building: ` 1- Dwelling'N No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow(min.required) gpd Design flow.p�rovaidled)1`� gpd Plan Date Number of sheets,t t `" Revision Date Title: Size of Septic Tank Type of S.A.$,-- r Description of Soil d Nature of Repairs or Alterations(Answer when appli able) , ��� /��f� a "1-3Ox /7' Date last inspected: l 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 He th. Signed 11111, Date Application Approved by 111" Date Application Disapproved by: '—- Date for the following reasons "'` Permit No. 'Date Issued c� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certiticale of Compliance THIS IS TO CER IFY,that the On-site Sewage Dis osal System Constructed Repaired Upgraded g P ; Y ( ) P ( �--- ( ) � y i Abandoned( )by ( / at z / �(�/!�/ /- r�,,r'�"/=d�j�j has been constructed in accordance with the provisions of Title 5land the for Disposal System Construction Permit No.p� dated c i Installer (11-4 , , Lq/��''® S Designer #bedrooms Approved design flow gpd The issuance of this pe it shall t be construed as a guarantee that the system 1 f'un do des�ggne . Date Inspector Inspector i �. No.�A��r=�4�. �z%��• .-- . . . . -, .._ .-, , _. -- .. .-,-. --Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS BiOpo�gaY *p!gtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( Up .rade O- Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The a licant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constructi,n must be completed within three years of the date o this pe, it. Date 9 Approved by d , TOWN OF BARNSTABLE LOCATION lU ,p�' G(/l`J /1/'G//.; SEWAGE#,40,2O_ Z$'r v1LLAGE 6j-L6"1/ LF ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE c/p&, Lg, H, SEPTIC TANK CAPACITY LEACHING FACILITY:(type—S(10 ?�ryJhL }' (size) NO.OF BEED+ROOMS; OWNER4,� r Pr�r�ar� PERMIT DATE: �^25- 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 .G (57 ' Fra�n-F � IM I Town of Barnstable Inspectional Services s Public Health Division • el►1;ivST,lBts, i6J9 161 Thomas McKean,Director . 1� n 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: I ZZ- za AeWage Permit# �O,<79-,;'&J—Assessor`9 Map\Parcel t2 It"dm Designer: Installer: , s c Address: �� e 2 9 Address: -�SA09ci) I L4, '• & a2SG.3 On -73a�y5 was issued a permit to install a (date) (installer) septic system at kN,P t,-/ccs..E based on a design drawn by (address) dated (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. Strip out (if required) was inspected and the soils were found satisfactory. 1 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. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructedYi_ ce with the to rms of the IAA,approval letters (if applicable) tD D. X ER1Y, Jet. (I stal er's Si na ) No. 1211 + •°" ►>sY 'O�taraas�► esi s Si ature) ( x Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE UF COMPLIANCE WILL NOT BE ISSUED U BO.T1J THIS FOBN AND AS- BOLT C4RD ARE RECEIVED BY THE BARN TABLE PUBLIC HEALTH DIV SIGN. THANK YOU. WooWgWEALI MSEWER eonnedWEPTJCIDeWp"Certification Form Rev 8.14-13.DQC THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m 'A= F 7 �C&L DATA o {_ ...... Islon - (�.Soil SuilabiW Assessmeilljor SewageDisposull al -,-AnON r y f�l�'I1���'I�pl�� ..�. ■gyp i��']�` .�.�. ' f [1 �Z skm b °°"' i Ste► " .`. _ i't Pm ' '_ %W WWI w' M oom F.V"tuft a• - 1 �. DqM tr} '. . iAnO OVA► A T .-:PnCOIAT1019 TM -_ _ r _ Does;it� 'tow,f of t Wlm._-1y : -wul MilEfiat&it L4,W,0 ym--:d' Wig,`m4 thpa;r ex praRmcdMai Iho a cr splcm? ifflak,ow bee Lh p�e Fyy In, yam 11.0 {yg■y� -P r__.. �n CWR MAIL E (or Ia SCPNWC s o4 � 4:"' � " q 0'r 4d ,:.`Ls L-o �r P 4B 4. 4 f i t 1 1 Sm Tau"ARM r�t is i t §t $ z;-�x V. ' a yy Wl CAW � . M .._�.._ i PEW M 400 fig} mob RM � Y v i Crocker, Sharon From: Stanton, David Sent: Thursday, September 03, 2020 9:06 AM To: Bellaire, Dianna Cc: Crocker, Sharon Subject: Permit/Application:TPT-20-169 at 81 WEST WIND CIRCLE, OSTERVILLE for Health - Percolation Test I approved it, I put a note in the comments, Ed has the wrong map\parcel in his picture he submitted and I e-mailed him as well to let him know. Thanks, Dave 1 Town of Barnstable SNF Tp� Inspectional Services Department y anMsrna`��, Public Health Division 9 MA9S. ib39• 1� ATFD MAg 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2847 9336 August 27, 2020 PEARSON, CARL F & DEBORAH A 81 WEST WIND CIRCLE OSTERVILLE, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 81 West Wind Circle, Osterville, MA was inspected on 07/30/2020 by Chad Hathaway, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: A Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF TH OARD OF HEALTH c ean, S., Agent of the Board of Health C:\Users\mckeant\AppData\Local\Microsoft\Windows\lNetCache\Content.Outlook\KQKJQ6SW\81 West Wind Circle Osterville.doc �T►+rE r� Town of Barnstable + BARNSf UM ` Inspectional Services Department ArFD MA'S A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS E 1 YEAR DEADLINE CRITERIA Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well ❑ A portion of the cesspool is located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER El Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts ld.( - oii- 03 f ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments % 81 West Wind Circle Property Address Pearson Owner Owner's Name / informatifor every on is required Osteryille V Ma 7/30/2020 6 page. Cityrrown State Zip Code Date of Inspection:' Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. Inspector Information . .. filling out forms / on the computer, use only the tab Chad Hathaway key to move your Name of Inspector cursor-do not Hathaway Septic Inspections use the return Company Name key. P.O.Box 151 Q Company Address Forestdale Ma 02644 Cityrrown State Zip Code 774 274 2581 12866 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 7/30/2020 Inspector's Si ure Date The system inspector sheior a cop of this inspection report to the Approving Authority(Board of Health or DEP)withinf pleting this inspection. If the system has a design flow of 10,000 gpd or greater, th and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 81 West Wind Circle Property Address Pearson Owner Owners Name information is required for every Osterville Ma 7/30/2020 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 2) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑. N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owners Name information is required for every Osterville Ma 7/30/2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y- ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ® Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � F Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal cofiform 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. c. Other: 4) 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 I— Commonwealth of Massachusetts Title 5 Official Inspection Form i nsp Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 81 West Wind Circle Property Address Pearson Owner Owner's Name information is Osterville Ma 7/30/2020 required for every page. CityfTown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ® El or 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 ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5)' 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 CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15M2(5)J t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments f 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page.. CitylTown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): no Design Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Description: Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: currentDate t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts ,ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. 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: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form-Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1986 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line. 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 1.5 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) H10--- 1000 gal tank If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal 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? tape and sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): tank was overful during inspection inlet and outlet tees under heavy scum layer. reccomended pumping tank to prevent a backup issue t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 L c Commonwealth of Massachusetts rn - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osteryille Ma 7/30/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): overful t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 West Wind Circle Property.Address Pearson Owner Owners Name information is required for every Osterville Ma 7/30/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No' Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts !� Title 5 Official Inspection Form Subsurface Sewage-Disposal System Form-Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): pit overfull level in riser. causing tank to be overfull 12. 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.): t5insp.doc•rev.7/26/201E Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 L Commonwealth of Massachusetts �r Title 5 Official Inspection Form �n Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where'public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately I o A W l�1^ l)6 Iq�- �� �3 �9 (33 t5insp.doc-rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts r Title 5 Official Inspection Form Su bsurface Sewage Disposal System Form Not for Voluntary Assessments g p Y rY u% 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: unknown feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed_site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe,how you established the high ground water elevation: unknown. perc required for title 5 upgrade Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 West Wind Circle Property Address Pearson Owner Owner's Name information is required for every Osterville Ma 7/30/2020 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 lL. r 10 a � rti��l3C S E 3 CE� P.5 I 930. l Y - VILLAGE Cx3 4 1 N S T A LLEWS NAME A ADDRESS i sd . l4ot Uf A U I L D E It 00 AwI�711 ®0.v�v`' S 19 P Otis , DATE PERMIT ISSUED 7 � " DATE C 0 M P L I A N C E ISSUED 31 (D fox f GJ ST r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE , TMH" .... .. :........OF... .... .. .. .. --- --------- Appliration for Uiipusal Wurkg Tonotrurtion prrutit Application is hereby made for a Permit to Construct (1 ' or Repair ( ) an Individual Sewage Disposal Sys ..o..... � - = Loc i -Address or Lot No. --....(?.,.tea .... .. ter` .... ........ Owner Address Installer Address d Type of Building Size Lot---ITjO -0._..Sq. feet V Dwelling—No. of Bedrooms........... _Expansion Attic ( ) Gage Grinder ( ) aOther—Type of Building _y ����No. of persons........6................ Showers (10 — Cafeteria ( ) Otherfixtures --•V........................................................................••--•----•----------........................ W Design Flow................. .. gallons per person pey day. Total dailyow..........�_�..4Q................gallons. - WSeptic Tank—Liquid capacity$ .gallons Length_/O.,6..... Width.__,'...... Diameter________________ Depth._ x Disposal Trench—No..................... Width.................... Total Length................_.._ Total leaching area....................sq. ft. Seepage Pit No........(---------- Diameter------------.---- Depth below inlet........d........ Total leaching area.., , -- .sq. ft. Z Other Distribution box (�- Dosing tank aPercolation Test Results Performed by--- �1�.../,�/(�+. /f ��if .._ Date_----•--- ... ... --`-- / Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water___ . _.___ jj_ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water d_l✓Y. � a --- ---- -•---------•-------------•-------------------- 0 Description of Soil-----•--•-. Ff-/1�......Vk-lf1-TE --..� / x U. 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 TITLiE 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 health a Signed.. >eP W- -----------------------•-------- Dat Application Approved BY !, _.. /� Date Application Disapproved for the following reasons-............................--------------------------------•----------------------------------------......... ..----••------------•--...-•---------------------•------------•----.......----------------...--------•-----•--------•----•--•-----•---••-------••-••-----••-•-•••--••••-••--------•-•---•-••-••...•••--- Date Permit No.....................:................. ................. Issued........................................................ Date No................_....... Fss.. ' ...._............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE TICS'' ..:- ApplirFation for Disposal Works Tonstrnr inn ramit Application is hereby made for a Permit to Construct ►-) or Repair ( ) an'+Individual Sewage Disposal Systqm at• 1 . 70 y .... .l........ A. . ^..' ...�. ...... ..�y^'.'•yq ..3...+P .:..�_ r. ........:1.�-. ._=M�.. .. .._. ,. Lo r n-Address or Lot No. >Owner Address , a Installer Address Type of Building U Dwelling g .No. of Bedrooms........... .........------------------Expansion Attic ( ) Size Lot__ -- q feet Garbage Grinder ) a Other—Type of Building A''y4 .�' '" No. of persons 6 ------ Showers ) Cafeteria ( ) Other fixture --•- .......................................... W Design Flow............... gallons per person peer dy. Total daily fflow....... . ._._......_.gal�onss< W Septic Tank—Liquid capaciti..0 -gallons Length/ (�4..... Width._.,r. . _ Diameter________________ Depth_ . x Disposal Trench—No..................... Width........ .......... Total Length........... Seepage Pit No_______ ____________ Diameter.._..._. Total leaching areasq. ft. pag .6°______: Depth below inlet.......° .. +" .-P!...... Total leaching area. sq. ft. Z Other Distribution box Dosing tank ( ) '-' Percolation Test Results Performed by. �y �' /� .✓✓ ...... ,- W Y r 1 -r desY`� fe .� . Date. a Test Pit No. 1...........:....minutes per inch Depth of Test Pit.................... Depth to ground water __._ G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water/ _ a D Description of Soil............ 7�1_ ._..,� ,✓t/i .....• - -- x V ---••-•-•-••--•-••••.........••------•--•---•-••-•••--•----•-•••••••••--------------•------••-•-••.....--------....----------•-...---•--••--_.---- W UNature 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 TITIE 5 of the State Sanitary Code— The undersigned further agrees not t6place the system in I operation until a Certificate of Compliance has been issued by the board of healt t Signed J Da p ,'Application Approved BY E ----------------------------------- ------d 1- -y......... j Date 'Application Disapproved for the following reasons- -------------------------------------------------------------•-----------------------------------._............ Date Permit No......................................................... Issued---........_.___.__ .....---•- ----------•- ....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH %Crdifiratr of TuntpliFatta THIS IS TO CERTIFY, That the Individual Sewa e Disposal Sy tem constructed ) or Repaired ( ) bY..............................r'f _ —a--- .. .•--- Installerf at = _ ... has been installed in accordance with the provisions of TITIW 5 of The State Sanitary C. d . as e ribed in the application for Disposal Works Construction_Permit No----- _ "..-': ............. dated_..._�2P ...�_ _.._ ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RA TE THAT THE SYSTEM WILL FUN 1 NN SATISFACTORY. --� DATE...------•--•--.._... .... .................................... Inspector-------/--.ga. ....................•--........------------------...-•-•-----•- THE COMMONWEALTH OF MASSACHUS TS BOARD OF' H AL H ........ t���a��al �ark� �n nr�ann err t# Permission is hereby granted..... ... � l�d! ........................ to Construct ( ) or�,Repair ( ) an Individual Sewage Disposal System at No.- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... � ark d of Health , FORrj 1 255 A. M. SULKIN, INC., BOSTON fr . LOCUS DATA EXISTING LEACHING PIT TO J BE PUMPED, CRUSHED AND J z UTIUTY / ABANDONED IN ACCORDANCE cr a m CURRENT OWNER CARL PEARSON POLE // / WITH TITLE 5. k' m � DEBORAH PEARSON // G� / o 3 J / z PLAN REFERENCE 290-55 // Oy,� G\� // 20 0' PROPOSED 13'x25' S.A.S. 28 (2) 500 GALLON H-20 DEED REFERENCE 6850-186 / / LEACHING CHAMBERS WITH 4' G`� dT.H. #1 OF STONE ALL AROUND. �O LOCUS ZONING DISTRICT RC / WP / �\ // Oyu $ �� N. O — _ _ 0 LOCUS MAP FLOOD ZONE "X," /// �'� /� i NC - \ \\ 11.0' %P NOT TO SCALE: ASSESSORS MAP 121 // �� // tiN r0 4- - -� 011A D.T.H. # J" , 20-0130 PARCEL 034 �� 15.0' EXISTING 1000 OVERLAY DISTRICT ZONE II -52 / 4 \ \ F GALLON SEPTIC /\ / _ \.y �s TANK TO REMAIN O LOT AREA 15,000E S.F. / SITE & SEWAGE // � � ��`� \ LOT 32 COMPONENT REPAIR ,� i �^ #81 F HYD / / / / / EXISTING < DWELLING ' WE S T WIND CIRCLE IN °x�OoJJ�o�o 0 S TE R VI L L E, MASS F°1�� GARAGE BENCHMARK CELLAR FLOOR DATE: AUGUST 28, 2020 ELEV=33.35 DECK OWNER/APPLICANT: LOT 31 CARL & DEBORAH PEARSON ti 15,000t S.F. LOT 43 'TM q� 81 WEST WIND CIRCLE 3r���, a U� EDAARD OSTERVILLE,. MA 02655 `��•• Nti°� N 289E 508—428- 1822ro SHEET 1 OF 2 s°°' ` PREPARED BY: � / EAS SURVEY, INC. LOT 44 P. O. BOX 1729 LOT 30 SANDWICH , MA 02563 0 20 30 40 CELL (508) 527-3600 GRAPHIC SCALE: EAS.SURVEY©YAHOO:COM 1 INCH = 20 FEET II t - SYSTEM DESIGN RAISE COVERS TO WITHIN 6" OF FINISH GRADE CENTER CHAMBER RISER DESIGN FLOW SLAB GRADE 33.35 FINISH GRADE RAISE TO WITHIN 6" ;e: � .��' '• ///,�� ELEV. 33.4 FINISH GRADE OF FINISH GRADE 3 BEDROOMS AT 110 GPB/D 330 GPD /\ /\ \ \ ELEV. 33.5 ELEV. 33.4 ELEV. 32.6 ///�� REQUIRED SEPTIC TANK 1' MIN.-3' MAX. COVER TOP ELEV 30.5 330 x_2 _ 660 GAL. ' EXISTING 4" PVC 18'C�DS=o.05 EXISTING SEPTIC TANK = __�00 GAL SCH 40 4' PVC SCH 40 4' CaDS= 0.025 0000 0 0 o 00000 0 INV.= 2 MIN-3 MAXt • INV.= EX. O O O o o O O O 1 SIZE OF LEACHING FACILITY REQUIRED 30.83 10"TEE 14"TEE INV.= TO REMAIN OOOpO 00000pOpO ` ,= INSTALL 30.63 6„ O p O p o o p DESIGN PERC RATE <2 _MIN./INCH GAS BAFFLE 3 OUTLET TWO 5'-0'xB'-6'x3'-0" H-20 CHAMBERS LONG TERM APPL. RATE_0.74 GPD/S.F. 4'-1" LIQUID LEVEL H-20 DB3 INV.=29.77' INV.=29.50 S.A.S. (13.0' x 25.0') o SIZE OF LEACHING SYSTEM PROVIDED: DATUM: INV.=29.60 v. 27.so ry b 330 - 0.74 SF/GPD = 446 S.F. MIN. REQ. 0 0 o to L6 VERTICAL DATUM: EXISTING 1,000 GALLON ELEV. 22.3 MSL± / BARNSTABLE GIS SEPTIC TANK TO REMAIN USING H CONCRETE LEACHING CHAMBERS OF STONE ALL AROUND BENCH .MARK USED: WITH 4' OF CELLAR FLOOR 00000 0 o O p O p 0. BOTTOM (13.0' x 25.0') = 325 S.F. ELEVATION 33.35 CONSTRUCTION NOTES: O O O o o O O O SIDE WALL (13.0'+25.0') 2x2 = 152 S.F 20-0130 pO0Op0Op o o OpoOpopO 477 S.F. 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING 477 S.F.x 0.74 G/SF = 352 GPD SITE & SEWAGE WORK ON THE SITE. I---4.0' 5.0' ��4.0'---I 352 GPD PROV > 330 GPD REQ. = 22 GPD RES. 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE NO (GARBAGE DISPOSAL / GRINDER ALLOWED) COMPONENT REPAIR WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT 13.0' IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. SIDE VIEW TP #20-169 #8 3. VEHICULAR TRAFFIC, PARKING OF VEHICLES AND PLACING MATERIALS OVER THE SEPTIC TANK, DISTRIBUTION BOX AND D.T.H. #1 D.T.H. #2 WEST WIND CIRCLE S.A.S. AREA IS PROHIBITED I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DATE: 8-19-20 DATE: 8-19-20 DEPARTMENT OF ENVIRONMENTAL PROTECTION TO CONDUCT GROUND ELEV. 33.5 GROUND ELEV. 33.3 GENERAL NOTES: SOIL EVALUATIONS AND THAT THE RESULTS OF MY SOIL NO GROUNDWATER NO GROUNDWATER IN 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. EVALUATION ARE ACCURATE AND IN ACCORDANCE WITH 310 0 S TE R VI L L E, MASS TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS CMR 15.100 T ROUG 5.10 . A A FOR SUBSURFACE DISPOSAL OF SEWERAGE. LOAMY SAND LOAMY SAND 2. AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE -- --' - 1OYR 5/2 1,OYR 5/2 DATE: AUGUST 28, 2020 ACCESSIBLE WITHIN 3" OF FINISH GRADE, WITH ANY REMAINING EDWARD A. STO C IFIED SOIL EVALUATOR 12" 8" ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE. B B 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE LOAMY SAND LOAMY SAND OWNER APPLICANT: CAPABLE OF WITHSTANDING H-10 LOADING UNLESS �� 7.5YR 6/6 7.5YR 6/6 OTHERWISE SPECIFIED. y�Fp� 32" 34" 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION ci' DAVID EL. = 30.A EL. = 30.5 C A R L BC DEB 0 R A H PEARS O N OF ALL UTILITIES PRIOR TO ANY EXCAVATION. INDICATES DEEP C-1 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE FL RT � , to TEST#1 TEST HOLE COARSE SAND 81 WEST WIND CIRCLE OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. 1 2.5Y 6/4 C-1 48" OSTERVILLE, MA 02655 6. FINISH GRADE SHALL HAVE A MINIMUM OF 0.02 FEET PER 48" COARSE SAN FOOT OVER THE S.A.S. AND DISTRIBUTION BOX. TE INDICATES 2.5Y 6/4 508-428-1822 7. SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCTED OF 'TAR`P� O P-1 48" PERC TEST 60" SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE SHEET 2 OF 2 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND I Y �� NO MOTTLING C-2 C-2 LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES. NO WEEPING MEDIUM SAND MEDIUM SAND B. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN 2.5Y 7/3 2.5Y 7/3 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT �� 132" INDICATES ADJ. GROUNDWATER PREPARED BY: ELEVATION OF THE OUTLET PIPE. NO G.WATER NO G.WATER NO OBS. GROUNDWATER 132" 132" E A S SURVEY, INC. 9• THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES EL. = 22.5 EL. = 22.3 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS B.O.H. P. O. Q 0�//� 1729 11.BAFFLE, 4 INCHES IN DIAMETER AND CONSTRUCTED OF 4" PVC NO OBSERVED GROUNDWATER DON DESMARAIS ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE DEPTH TO BOTTOM OF HOLE 11' SOIL EVALUATOR SANDWICH MA 02563 FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL ED. STONE BE LEVEL VARIANCES REQUESTED BACKHOE OPERATOR. 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION JOEY DeBARROS TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW NONE SOIL TYPE: CELL (508) 527-3600 AND APPROVAL. PERC RATE: <2 MIN. PER INCH EAS.SURVEY©YAHOO.COM 13. MAGNETIC TAPE ON ALL COMPONENTS. LOADING RATE: .0.74 GAL/SF/MIN +.ro<vraar. w.w�r..rtaa.x+•ess..•a,rnu:w....-,-.o.....,a.-.a•_:.,,........rr.:.-....:n..«•.c....:-,.:-,.-....e..r-.r•.ww+.,�.w....wi.�.,:,,c.:.-.utr.......�;re.:......w-.,.-+s,-.•,•sows^w�.:wn•+^astxc..aw.w 9r'-nwr�,�rwR�.we..�a.:......+r.<.,•car.ew.:.e:�,.�arus. �+g).v, ien_. .. ,...u..v w ..•.�. .,.,_w.w,ww.w.•..,waw.,...:r _...-. ,. ,rs,.+'.r++r+�.+a'w•-,,....•....r•v.-...�+e+a•rw.+.e.<s,y._..u-:+rssna..a�.wr;,.ewe•+-.v:awr.-•-rrr.�;e�s:�:tFk�!!- . • .. f `!�. -. p ( t x' �' ; _A L �Lbz'.l' i. .'ae�"er lifcas... ;:ti'b•. ti.e1'fi1,_ � y .)�fNJJUw� ;. t ,e.-_.-..� p:..iq e � � r _ __ _w �$y� �r�•' ':.) ..'O.AR•.: ��`�{/�`s �. 4. 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