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HomeMy WebLinkAbout0451 WIANNO AVENUE - Health 451 Wianno Avef U A= 163-002 n i A a I v 1 C } j i Ire f �i � TOWN OF BARNSTABLE a �8 -GICI"TiO ' , SEWAGE#. 0 / -s% jGE Cj ASSESSOR'S MAP&PARCEL IN 51, .LLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY j r' LEACHING ACILITY:(type) J—/0' u C- (size) Z NO.OF BEDROOMS OWNER 279, I: l",-., a y PERMIT DATE: `Z COMPLIANCE DATE: 615- 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 f r� A, Q C s c.J No.�LL(f J(D� ",� * Fee f THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for ;igpogal bpaem Construction Permit Application for a Permit to Construct(h Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. y 51 W 14N►y)O Ue' Y Owner's Name,Address and Tel.No. e. M i Cho e i .V7 CA�`T i Assessor's Map/Par cel (�?)� a 45t Wl'oLf)oo A4,,p- :, 03ieroL Ile, ? Installer's Na a -7 7S (p ddress,and Tel.No. Designer's Name,Address and Tel.No. -3(Qq_6ggLj Type of Building: Dwelling No.of Bedrooms Lot Size sq:ft. Garbage-Grinder 0A 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) &_LL Q— 1)e-ko 7�= ZTE C-9 g 17 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the En ironmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board He th. Signed 1 Date . tf'A/ :0 Application Approved by I I 1k I Date Application Disapproved by: Date for the following reasons Permit No.�(��� ` �� Date Issued / D Fee *rj, .� r`�-�s• v �� Entered in computer: THE COMMdNWWE ►LTH OF MASSACHUSETTS p Yes 1 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Rpprication for �Digogal �bpgtem Con-5truction Permit Application for a Permit to Construct Repair(, ) Upgrade O Abandon O ❑ Complete System ❑Individual Components Location Address or Lot No.H 51 W! nt7 A-reA Ue Owner's Name,Address and Tel No. chO-e-A e1,r"nP.�r Assessor's Map/Parcel (p JI a L45� W irQ. O(. k. A4"p— _w C)S t��r 0 I 1\e_ -- Installer's Narc�ie,,Address,and Tel.No. Designer's Name,Address and Tel.No.bLoy-OegH o �c O V9 C�4C-v �.c.� T�►O_A�ie �- Type of Building: YC 7_.. � . ' Dwelling No.of Bedrooms 5 Lot-Size � sq.ft. Garbage Grinder 0) , Other Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures Design Flow(min.required) gpd Design flow provided ` gpd r Plan Date Number of sheets Revision Date t Title Size of Septic Tank Type of S.A.S.. 1 r' Descriptio of Soiln r Nature of Repairs or Alterations(Answer when applicableji(1`A&L + +u e.,. 51.I� .-�r0 v2 p\C1�n5 61�. ELO-.-T e c. ) :Ai- ATE c9 S 17 Date last inspected: i4 Agreement: The uncle`signed 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 En ironmental Code and not to place the system in operation until a Certificate of l Compliance has been issued by this Board ' Signe Date �- Application Approved by Date ��l( Application Disapproved by: Date for the following reasons Permit No. Date Issued / Q THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS `ri 0-n Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (Y, ) Repaired ( ) Upgraded ( ) Abandoned( )by VLJm _e _?_6`0\'n511<1 Si' Se&1 C- at'1 m !Q-Ul.►�l`� A1'�2,t(1 l�'e... (' 1���V! �� C— has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.0p�j dated Installer Designer #bedrooms �_ Approved design ow fP14,.,, gpd The issuance of this e Ij it all not be construed as a guarantee that the system wi u t'o s des::' d. ( r Date � � Inspector No. .>�i�U Feel />0, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1wi!5 pogal 6pgtem Construction Permit Permission is hereby granted tto•Construct �( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at L4 k W t n A n c) ��1J Q 6 S�Vt' L i f, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Con truction must be completed within three years of the date of t is pl Date �H Approved by _ Town of Rar tabe . Iato Seees ananssrnHa� * Thoznas:F:defier,:Bisector MASS. -' 'ubcealth:DivisioII a639• ♦e Thomas:lYlci�ean,Director 200-Main Street,Hyannis,AIA 021601-- Office: 508-862-4644 ` , Pax: 508-790-6304 Installer&-Desi; er Certification Form- Date: (O �� a Sewage-Feromit#: % "��� Assessor's lYlaptPareei C0�J Designer: ��'O - \ Iustaner: Address: i'1 1 � 0�5 1 �. Address: On v ���4 '7 f''l IZu� ��--was issued a permit to.install a (date) - (installer) -- (� aC_ septic system at � 1' lip n r° v i�- based`on a-design drawn by (address).- _6 (designer) certify that the septic system:referenced above was iiistalied substantially accordingXT to the.design, which may-include.minor-approved-changes_such-as-lateral-relocatian-of the. distribution box and/or septic I certify that the tic referenced above was installed unth-ma or chap es i e sep system l g (�. :.: .. -.....greater than lfl' lateral relocation of the SAS or any vertical relocation o...any component_.; of the septic systemy bdt in aecardauee with State&local Regulat hobs. Plan revision or certified as-built by designer to follow. �IH OF MASSq DAVID y (Installer's Signature) COUGH ANOWR N No 1093 JJ1/pp G�3TE� N I BAR\PN gn` ) (Affix-Deli tamp.Here) (Designer's Si a ture - PLEASE RETURN TO- -:BARNSTABLE- .PUBLIC HEALTH_ IIIVISI0 CE MCATE' OF COMPLIANCE WILL NOT:-BE. ISSUED.-UNTII. BOTH THIS -FORM AND AS-BUILT-CARD ARE. RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q.Health/Septic/Designer Certification Form 346-04:d6c:.- - Y� TOWN OF BARNSTABLE 170N /`-°/ 'Gf�17 r)D G���- SEWAGE # VILLAGE I f./� {�l l I-�, ASSESSOR'S MAP& LOT/ •3• INST!'sLLER'S NAME&PHONE NO. !)Noo �C�¢!G ���D�A el SEPTIC TANK CAPACITY JCS Q � LEACHING FACILITY: (type) cP 7410116,4 fJ (size) �p NO.OF'BEDROOMS— � S V\', G\ d111-10 0J Gil/ BUYER OR OWNER 0 I- 2°� 7 �0 PERMTTDATE: ^�� - COMPLIANCE DAT•E:r �' Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet F"shed by _„ 7P 63 a _ D O � 1� 0v.2- �3 00 7_ No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE} MASSACHUSETTS 01pplication for Wgponl bpgtem Congtruction Permit Application is hereby made for a Permit to Construct( )or Repair L w On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. a Installer's Name,Address,and Tel.No. Designer's Name, ddress an el.No. I l Type of Building: A Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Show s( ) Cafeteria( ) Other Fixtures r Design Flow ' gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title ' Description of Soil v Nature of Repairs or Alterations(Answer when applicable) s— Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue�his / Signed Date � C(�- Application Approved by ° Application Disapproved for the ollowing reasons Permit No. z lA ( � Date Issued 2- No. � .�'., Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS° 2pplication for Migogal *pgtem Congtructfon Permit . i Application is hereby made for a Permit to Construct( )or Repair On-site Sewage Disposal System at: Location Address �or�Lot No. 1� _ Owner's Name;Address and Tel.No. t�/ Wj AV °�A DJ� #N� 1`�. e��° r '' � L Installer's Name,Address,and Tel.No. �Jesi'gner's Name, ddress an el.No. Ui Type of Building:, Dwelling No.of Bedrooms Garbage Gri der( ) Other Type of Building No. of Persons Show s(' ) Cafeteria( ) Other Fixtures t Design Flow gallons per day. Calculated daily flow '[ gallons. Plan Date Number of sheets Revision Date Title "' Description of Soil (90 ..'r Nature of Repairs or Alterations(Answer when applicable) Ae� C J f 0— G —r"U0 H 0 11M Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title-5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued%I this B f- '1,�5 ` A Sig ne� Date -7`t& .-7 Application Approved by (� Application Disapproved for the ollowing reasons Vim•;,:-/ j. Permit No. (o ` 3 a n Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Certificate of Compliance / THIS IS Tq_C t*Te-Ors ewage Disposal System installed( )or repaired/replaced(t4on tl ry by ill c-r, I d�P* S for "" "► `� N as V L r C.-Vv p 05k�uA S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Use of this system is conditioned on compliance with the provisions rth below: 42 No. � �✓ Fee / 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE, MASSACHUSETTS aig M6 C pgtem ConMruction Permit Permission is hereby granted to yJ to construct( )repair(vpan On-site Sewage stem located at A rw•wt? I and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. Date: " f & Approved by f F Ilk 1. CERT1rICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANSI hereby certify`that the application for disposal works construction permit signed by me dated �C ��� , concerning the $ .�, property located at meets all of the x `` following criteria: m f There are no wetlands within 300 feet of the proposed septic system +. There arc no private wells within,-150 feel of the proposed septic system The observed groundwater table is 14 feet or greater below the bottom of the leaching facility ifs ` • " There is no increase in flow and/or change in use proposed a ° 4 �• There arc no variances requested or needed. S"J z X. ��•°: �N't'SfiS.3�' s, SIGNED: DATE: 4 Y >' tY LICENSED SEPTIC SY TEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER r [Attach a sketch plan of the proposed syslcm.Also if the licensed installer posesses a certified plot plan y'# r M s this plan should be submitted]. pp �., 4 fA _ - - �f �l .•.F - ° F M�'�1. f t i �r t i eQ o 4 4 a Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments / A) b ?S-TOW 14 Pro y Address Owner Owner's ame U information is required for every 0Y zaJwT z page. City own S to Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, I use only the tab 1. Inspector: key to move your / cursor-do not use the return key. Name of Inspector ;om/any t4ame ompany Address City/Town State Zip Code �sr4!78 7 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the.time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site. sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority nspe or's Signature Date The system inspector shall submit a copy of this inspection re ort to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared syste6 or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. V v VV t5ins•11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal Syst m•Page 1 of 7��. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments P P d ress Owner Owner's Name information is required for every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System P ses: 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 I� indicated below. Comments: A � ><' LC7�1a 2 aV\ pow B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes","no"or"not determined"(Y, N, ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•1 Ill 0 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 s Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments IIA Pr ddress G Owner 0 er's Name information is �7904 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Pr ddress Owner Owner's Name information is required for every page. Cltyrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. I . ❑ 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 DBP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ❑ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ❑ Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/z day flow t5ins•11/10 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 ii Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ?Pr ddress Owner Owner's Nam information is requiredfor every �. page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: [Ell ,L�d'/ Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official Insp ection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Pro dress + c� Owner Owner's Name information is ,/ required for every page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no"as to each of the following: YesNo l/d'/❑ Pumping information was provided by the owner,occupant, or Board of Health p ❑ L✓J Were any of the system components pumped out in the previous two weeks? ''❑ Has the system received eceived 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) L!�' ❑ Was the facility or dwelling inspected for signs of sewage back up? l� ❑ Was the site inspected for signs of break out? ❑ Were all system components,excluding the SAS, located on site? ❑ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge and depth of scum? ❑ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ❑ Existing information. For example, a plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design • G� Number of bedrooms(actual): 4 4 s�..� DESIGN flow based on 310 C R 15.203(for ex ple: 110 gpd x#of bedrooms): �— t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurf ce Sewage Disposal System Form-Not for Voluntary Assessments M f �l ti Prope dress Owner Owner's Nam information is required for every page. City(Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? 6.016 ❑ Yes 'Co Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes R`go Laundry system inspected? ❑ Yes Ra- No Seasonal use? ❑ Yes (No Water meter readings, if available(last 2 years usage(gpd)): goof Cn Detail: I f� Sump pump? / ❑ Yes E,�O Last date of occupancy: Ca f Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 57/ Pro.01' �'A�'ddrre;;�Address Owner Owners Name information is Y�� required for every �/�J�y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: D � Was system pumped as part of the inspection? ❑ Yes No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of S m: Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no)(if yes,attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments P Address �� Owner Owner's Name - information is required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed(if known)and source of information: o !o g Were sewage odors detected when arriving at the site? ❑ Yes PNT Building Sewer(locate on site plan): ,.A: �-/ Depth below grade: feet Material of construction: cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet�� Comments(on condition of joints,venting,evidence of leakage,etc.): Septic Tank(locate on site plan): Depth below grade: LA Zo feet Material of c nstruction: concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑Jes No Dimensions: A/ Sludge depth: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Pro ,ddre��ss Owner Owner's Name information is required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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? c�i �^ c-5774 — Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid I s as related to outlet invert, evideof leakage etc.): 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 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts _ = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments PrqpaAyjkddress Owner Owner's Name information is �.&dJ� ,�u�� required for every (/�/ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches,etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-11/10 TiOe 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subs rface Sewage Disposal System Form-Not for Voluntary Assessments ProddreG/ss�� Owner Owner's Name ej information is required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(,if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 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(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.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't P a ess Gt ro Owner Owne � information is m ���1� 'k! Tn,/_ ,rC/`-i./ required for every rj�'(�( page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑, �• leaching pits number: L� leaching chambers number:C3> ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comment (note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetatio etc.)• C> � D�Y�l Imo ' tIAURe Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurfac e Sewage Disposal System tem Form_ Not for Voluntary Assessments e 2Protddre&ssL Owner Owner's Name information is 5 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation., etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•11/10 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form c Subsurface Sewage Disposal System Form-Not for Voluntary Assessments jPropddres$,,� Owner Owner's meww information is required for every �[ page. Clty/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two rmanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where p c water supply enters the building. Check one of the boxes below: hand-sketch in the area below drawing attached separately � a y _ r i .. Coro Y4 I V 9 � _ t5ins-11/10 . Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official 'Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments �V- PrQuarty Address Owner Owners Name information is required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: Check Slope Su ace water Check cellar Shallow wells Estimated depth to high ground water: 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 Ell' �/ Observed site(abutting property/observation hole within 150 feet of SAS) LJ 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 water elevation: fj Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 22, General Notes -- - _ 24'X 12"X-CONTINUOUS CONCRETE 24, 1 I 4'CONCRETE FLOOR I • �' FROST FOOTING WITH 3=112'REBAR ON VIRGIN -' UNDISTURBED GROUNG,@SCREENED PORCH' �REINFORCINGROVER j• 4"OF 2B STONE AND { •d' I VAPOR BARRIER 10"POURED CONCRETE WALL li UNEXCAVATED 1:• l - _ WITH REINFORCING, - .I •I I• @ SCREENED PORCH 2 ,off 416 l �I `i a-1oz-I ! 1 . ... ._: j. .._. .._...�. •• .._ ._..._. ...:..... _ ._..._... :t - _ X,6 STEEL -- - (•: 1-BEAM ON 4'PIPE j. CONCRETE FLOOR F ,A COLUMNS AND ` (4)-1 3/4"X'11 71V W RH B x 8 WIRE -(3)-1 314'.X 11 718- -. _ ,•.. 1 ff •) VERSA-LAM VERSA-LAM 1 BEAM POCKETS IN -.._..._..:_.,._..._ : .:.�..._ _ ._.._..._ { REINFORCING,OVER - : yyAL� I` r .y 32'LONG - 4`OF 2B STONE AND 2.0 3100 SP VAPOR BARRIER 34'L NG 5'-2. � I II 1 L. .I 14.8' .. .. 4'STEEL PIPE COLUMN TYPICAL W6 X 16 STEEL �• I I BEAM O STEEL PIPE t -� • I •` I• ` ON 36"SQUARE X 12"DEEP I-BEAM ON 4'PIPE F '_?I A - 11 COLUMNS AND COLUMNSAND FOOTING BEAMS POCKETS IN IL.. ...]I �' - I I BEAM WALLS INWALL kj .ice ' ,4 BASEMENT - (,. - ..:_..,_.._:.• ... 3 I IG.. ...y IL.. ...]I IG... T 10 - X 11 5-116 VERSA-LAM 1 12/05/07 2.03100SP i - f.. •� 10"POURED No. Revision/Issue Dote CONCRETE 10'LONG j ') r' j ..G -•j. WALL 10' 12' UP 10'POURED CONCRETE 1 _ HIGH WITH LANDSCAPE RETAINING WALL, I _ REINFORCING, 3• THOMAS J.O'NEILL WITH REINFORCING,AND i 14•S FACED WITH PENNSYLVANIA 14 I. i 1: TYPICAL 1 -2' I � 2' 26 BATES ROAD RIVER ROCK,AND BLUE STONE 1 -! I. I 1 MASHPEE COMMONS CAP.TYPICAL t i MASHPEE,M.A.02649 FOOTINP W XUN 3 1/2-REBAR ON VIRGNN U X CONTINUOUS COR DISTURBED. {{ 508-477-5600 f ..G TYPICAL ..1 _..J T7ERNEY _ 6•-6' —. .—.— —..— NO AVE 31 -._..� �.—. _ 6 BASEMENT 451 WIA Ii.i.F'M.A.02655 07.1009 I1/17/C 7A3 General Notes 3070 WDH2446 WDH2446 WDH2446 .• - 6'-6" STORAGE 1 o I I e POOL tj L __ __ _ 10 -SCREENED PORCH GARAGE 6•-6- 1 756 S.F. 3 - PATIO 6 `� _____ _ — 6'.6" - WD WDH2432 — — - - DW 5. KITCHEN • ' L e s^ 3D S� ' FWG60611 WOH244t0, FWG60671 WOH24410X ..6" • WD 10 6061f W 4410 3'-6" - 6•-2" 3•'8• — DBL. F RI - FLOOR EXTERIOR ® _ �= DEN WALL • _ n .. $ �LMNG ROOM q•© UNDRY 3 MASTER BEDROOM DEN > IIII 3 1 LB,UT,L,EM 10 6" LL-3 IT is in 12'-10" BUFFET ..•o IIIII (4)11 718-LVL BEAM m c ,9WB MPOSTS �0. HALL 3' 3 3' 0'4^ 1 34' III'' 66 III � - 2 HALL f`-5-g-- 1(---� '2" 3670 ' �� . �� No. Revision/Issue Date 1 a wo xz FARMERSPORCH 10_ - Flan Nano mq Atrh... as OO' r$ 3 THOMAS J.O'NEILL 3'a" 2G BATES ROAD MASTER �^ MASTER � MASHPEE COMMONS s BATH cLosEr r-1 113" O 4V, �^ n DINING MASHPEE,MA.02649 .3 2' 6'-6 10-8" 8• 4 POWDER 3•-a pp 5OH-477-5C)OU S 3 OM ENTRY 17:1 2666 L= m WTTIE�. Y7 WDH2446 X 3 . RNEY WDH244 X2 SL1670 3 0 SL1670 WOH2 46X2 451 WUNNO AVE.. 6' 17 6'----4-6" 6. �. OSTERVII LE,MA.02655 5'-6 _ Ste" 8' 21'-8 1 ' "°"` 07.1009 FARMERSPORCH 33o s.F. 1ST FLOOR -7A4 �' 1/4"-I f . _ P"` <V;M ' - General Notes 22 _ WDH2442 W 2442 WDH2442 IF ,. 4n t - .t .: •' .. Y y , n � _ a a r - ro • 0 0 s , .:. .: y: BONUS ROOM �,, Y ,a a r.. a 3 a , ^ P n , V 5 :.-. •,. , , , F, _ y, - f' , ..yam _ DECK x _ -i 6'-6 -10. 2'-10' '$, o - -WD 24370E 2 -• ` .. -e. WD 2442; •-• .,.:WD 442 •. '-� ... - - - - .: .... ,. 3 • w 442 W 462 -.` J-6 3 _ . ,. wDH2402 y _ FWG60611 WDH2442 1- _ 11.0" • •• - 'r:, _ ._ 6' • " BATH :' .- ..� r �i3-2" . . '� , am 5' BEDROOM � BE , c 3'-6" y c .. ir BEDROOM 1r BATH nr , s LAUNDRY - - A 7 ' a r a a H' LL LINEN CLOSET �S 2w _O _ - -6 - .. 3066 .. - - HALL BATH s' gg d " ..HALL`• '� • x _ No. Revision/Issue Date a - _ `9 .. 30.- '-4 . - ,v" _ r - FTHOMAS ,RAILING _ ' CLOSET -'. 442 WDt�442 L 0 3'4 r D ' - - ,. x J.o�NEir�. - N - •.,- - • . - 2G BATES ROAD MASHPEE COMMONS MASHPE ..02649 .. • y E>MA - o $ L�J I�AIUN� BEDROOM ' 508-477-56N a- ,. BATH. - 3$" K .. , v ••+ p ter_0-. CL ET UTILITY- - LOFT - c , - wyx+x.,•.�a aam , - " D TIERNEY UP TO ATTIC.3•-T. wHuaz HmH2a4z zD 6" wD aaz ram ; wD zaa2 1 WIANNO AVE. 6=--I-- 4 r 3 r OSTERV=,E,'ML 02655 - -7p H24427 -7 WD 3$" WD •-7p WD _ ... . r " FLOOR i I S 63 + os /IV 07 a J w . II < 5 n Cenerol Notes 22' W0112442 WO 2442 WOH2442 21 -41 3 3 - C 3• BONUS ROOM. 7'6^ T 6" N 756 S.F'. N ir DECK N N o 1 c 3 3 ' +' WU '4310E 2 '` w0 2442 s WD •.3'-10"- w0H2442 - FWG60611 woH244z - 10 BATH DOWN I'—�3•_2" 5'--* r N 868 BEDROOM - 1 ' FAMILY 3'•8^ a 3 2668 - BEDROOM ®oo 14' LO 8 I O 18 LAUNDRY HALL w O , N CLOSET LINEN 3068 - HALL BATH 3 _ 3. ; HALL 0'-9 m v'si n I sue Date � No. Re� o/s IN RAIL G 30 'd CLOSET D 442 w 442 ' 3068 21 THOMAS J.O'NEILL r13-f F —T D 1 _ 26 BATES ROAD TL_ �� II s s^ 3 MASHPEE COMMONS m I�11.4^ RAILING 1 5 8HP 5 OOMA.02649 OBATH L J 1 8^ 1 $^ BEDROOM N CLOSET g UTILITY LOFT N o UP TO TIERNEY w ►uabz wOHza42 3 zo s^ w0 aaz T 6" w0 OSTERVILLEVIANNO MA.02655 .... - —$•-. H2442 •-7" w0f124a2 6,•� WDF�?A62 6,-7 L63- r ,6• 2 N D FLOOR 07.1009 �d 8 ( -11/IV 07 � - C 2 Iio tog ] l General Notes 2 3070 WDH241S WDH24{S WDH2M8 . 1 S� STORAGE 1 ' POOL U 10.8" SCREENED PORCH GARAGE 756 S.F. PAno e I — 6.8 _ 10 WDH WDHM2,/ 3070 JF DW sr 1-7 KITCHEN 8 ! 8-0 FWGWGIt t/ wDH2uto- FWOSoett✓ WOHM ox ✓ for ooa11✓ w0 2w1 W46 _b` 8._2 3'-0 DBL BEAM FOR 2ND — FLOOR EXTERIOR e- DVENWALL � o LIVING ROOM " _ UNDRY MASTER BEDROOM IIII IIII �, IIII BUTLERSPANTRY +4'-10" BUFFET YN 3' Nft IIIII (4)+1 718-LVL BEAM $ 91' PA r 1 �@"POSTS )$" . illlf� F— X ALL 1M� 2009 00700070 I No. Revision/lesus Dale+ FARMERS PORCH THOMAS J.O'NEILL s'-0�--, 26 BATES ROAD � MASTER •'4• MASTER BATH CLOSET 7'"+ - ++d" gn 4 DINING MASHPEE COMMONS -0,-- MASHPEE,MA.02649 s-0 a• PorvDER s 4 70-0• 508-477-5600 � ' 2S ENTRY 2'� -0• 4._0.. v ✓ -41 WDH2448 x 3 li TIERNEY x2� suSTO✓21 Bue7o WDH2 ox2 451 WIANNO AVE. -0 -0 OSTERVILLE;MA.02655 I FARMERS PORCH 07.1009 330 S.F. 1ST FLOOR 1/4"-I k f� General Notes 22 $ 8 • H2442 1 wD----4✓wD 12442 fvDN244: J < � 3 BONUS ROOM T.•8. ra" Ir- Ir- a DECK sa" �10 ICE 2✓ a r.t wD V.10 g I W 2442 ✓ . 7-1 W-H2442✓ FWO80e11✓ WDN2442 IrrI O 10IV -T BATH 8.,8. - S DOWN �3. 1 See BEDROOM 1 FAMILY (r m W-4 I 10e9 1 BATH BEDROOM18 �( r-2 °a" .� LAUNDRY � HALL � O � . _.. LINEN CLOSET 8.-r .. use HALL BATH 3 HALL .a °• No. Revision/Issue Dots _ - RAILING - 30 CLOSET 2 3eee ° + THOM S J.O�NEHLL ' 3 26 BATES ROAD MASHPEE COMMONS II II RAILING , . MASHPEE,MA.02649 9 L�� 13 a" ,3 a" BEDROOM 508-477-5600 41 OBATH 5-°.o CLOSET UTILITY ° L�DonO ATi1C y._ TIERNEY ,i WOH24{2 20'a" --r ati---�-3 W 2 ram— W"2"2 a� 451 WIANNO AVE. OSTERV=,MA 02655 °� 31 2ND FLOOR 07.1009 11/17/07 5 General Notes • S s ]2 1 . ` WDHY4{S✓WD{yµy"WDH7442 r- . e'e" ,ROOM. —IV 756 S.F. o Ir DECK 1oE s✓ 0 Z Tit WO 10 v /J oillWDHZ44S✓. FWG80811✓ WDis 10 H241Y BATH f� 13• J O BEDROOM 1 FAMILY (� 1 W 3'4 - 38N 1 II J� BATH BEDROOM - . Oo 1 0 �0 0 0'3" - - LAUNDRY -. $$ HALL O .._ LMEN CLMI - $s e 3066 HALL BATH 3 HALL _ - RAILING - No. Revision/lasue Oole 30 CLOSET s 1 r.m a... r 1 THOMAS J.O'NEILL 1 � 26 BATES ROAD �I II MASHPEE COMMONS RauNG MASHPEE,MA 02649 O BAT}{ L�� 13 a" 13 0" BEDROOM 4 {/ 1 506-477-5600 5.-V CLOSET UTILITY 9t { crol...e rw.n,a�ea.o a 0. UP TO MA�S>t\y�V• I ATE 3- TIERNEY zo-6" "" 451 WIANNO AVE. r o 3 �^----{I OSTERv=,MA.02655 07.1009 05, II/17/0-7 5 00 ALL PIPE SPECIFIED AE ATIONS E L_O W P R O E I L_E EXPRESSEDLINV DECIMAL FEET NOT FEET AND INVERT INCHES.TIONS RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE TOP OF FOUNDATION ONE INSPECTION RISER FOR LEACHING GALLERY TO EL = 30.50+- WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT. 28.00 ZZARN IZAK\ ALL PIPE /D-BOX MAX SCHEDU ET40BPVC 3" DROP AND TO PITCH AT FLOW LINE P 25 75 1/8 in/ft. MIN. 10" - 14' 48" GAS��A PRECAST BAFFLE DRYWELL 6 in I BOTTOM OF 26.25 25.50 STONE 25.15 LEACHING LEACHING BASE GALLERY 25.75 6 in STONE BASE 25.32 GALLERY 1500 GALLON 25.00 (END VIEW) 23.00 5.00 ft + 11 ft SEPTIC TANK 5 ft- el 5 pt SEE DETAIL ON REVERSE bl 16 f t ADJUSTED SEASONAL Y 5.70 HIGH GROUNDWATER W }s m°OC rn 3 O --o— ' m° f,l i z co n --.--- I 1 0 T I n3�� r o rTl cn �1 m c- y ' m I a C �. I 1 z3 -11 �n N'' II � I 1 mcornC m s`` O \ C:) , -00-I 4 �� (V J I �m a:> 3UlcoA m N 1 I X cn�rnrn m N \ 1 �� -I r o r moo= ' i ` W � ° 3� vz i o ��rn -. y p m rn`� m x I I p �C) m rn ® ' C) porno NONE 1. x o o p �' N?� O ,. N M o N �.00c Z� cone ro , c ,� oy ," _ 0Z= D' Yo 3 9I I o < T o m cj o  NIN I s t o ., O W o 1 �N `a . sllas��° I \ 0 rn I N ° m I y coM,yo 1 > m m r I 1 A I C N < m GI O 1- 1 O Z r- r z > < - N 0 C m I I G F� zO .5t, 3 I v �o 'ate I vsll 1-4 1 :- � a® —� 0 F Ul . mr-moa: \ W �o��cn rn 3r (D �I G� N _ _ o__N �� 00'SZI �-Di a� �soZO ) I Dm cit aWo - ,� m�� rncn ' Ul >o a a Z - W m r, k DNI-LSIX3 c Z-i> O r' a -0 t7 3 (n ;7 N V96V ONIX8Vd 03 >o0oz m rn a m °� m n o° 1N�w�n�d >0--, rn cn z = Q� c�mm� Z C o O-4 -Im �, m ONN \Vllm mz==3 A N O CTI )0 0 A �rnZmrn 3 y m cncnOmz ° m Ro °a u, tI7 D F 0co mZ � m rn m m2U)0� ao z �, m <y > °�o Z < o z O � � c� P- (f)�omm m m ° Z - °� > � z a - O �3�0� m ° r Z mm r m n = Z m 'o ° o�mmy ~ r O ( J �-0 w m I p C s c -um �r f �1 Zo��o o fV m m y C)Z u � 3 V J > STy 0 r_l cn m r 3< --I m (n N O > 0 0 (� F < o a `�`n cnz m N >fT1 m 3 0 z crnn � Z > <(f)m �� Z C LT, O z p fTl Srp�F �O�y -<mzm0 p f�l 3 Fp O O��30 z z I DATE:OF TEST: NOVEMBER 2. 2007 /� I I ` I � T '�I SOIL TEST LOG WITNESSED)BY VALUATOR:" DDAVID D.O ALD DESMAR IS HEALTH) DEPT. D E S I D N . C / C U'L� �e >1 �D I V S PERC W R: 12019 Ss DESIGN FLOW: 5 BEDROOMS X 110 GPD :0C 550 GPD TEST PIT 1 NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 550 GPD X 2 DAYS = 1100 GALLONS PARENT MATERIAL: PROGLACIAL OUTWASH PERC AT 64 in - 2 MIN/INCH IN C SOILS INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. 2780 (INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING SOIL ABSORBTION SYSTEM: A 41.5 Ft x 12.83 Ft x 2 Ft. LEACHING GALLERY CAN LEACH 0-16 FILL AboL = ( 41.5 x 12.63 ) = 532.85 sF 16-32 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE A s d w = ( 41.5 + 41.5 + 12.83 + 12.83 ) x 2 = 217.32 sF 32-50 B LOAMY SAND 10 YR 5/6 NONE FRIABLE A t o t = 749.77 s F 23.63 Vt 0.74 x 749.77 = 554.83 GPD 50-132 C MEDUIM SAND 10 YR 5/4 NONE LOOSE 16.80 USE A 41.5 Ft x 12.83 ft x 2 Ft GALLERY. Vt = 554.83 GPD > 550 GPD REQUIRED NO NCOUNTERED TEST PIT 2 PAARENTU MATERIAL: PROGLAC AL OUTWASH 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 27.30 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING GROUNDWATER ADJUSTMENT L EA CHING GA L L ER Y 0-32 FILL EXISTING GROUNDWATER LEVEL 32-34 O LOAM 10 YR 2/2 NONE FRIABLE BASED ON TOWN OF BARNSTABLE USE SHOREY PRECAST 500 GALLON NOT TO 150� GALLON SEPTIC TANK DEPARTMENT RECORDS. LEACHING DRYWELL (H-10 LOADING) SCALE DIMENSIONS AND DETAIL 34-36 A SANDY LOAM 10 YR 3/4 NONE FRIABLE NOT TO INDICATED GW 3.00 USE SH�REY ST-1500-H-10 SCALE 22.30 36-60 B LOAMY SAND 10 YR 5/6 NONE FRIABLE INDEX WELL M1W-29 CONSTRUCTION DETAIL 60-144 1 C IMEDUIM SAND 1 10 YR 5/4 1 NONE ILOOSE ZONE A 15.30 READING DATE OCT. 2007 READING 9.7 DRYWELL UNIT NO GROUNDWATER ENCOUNTERED ADJUSTMENT 2.7 STON TEST PIT TAPER PARENT MATERIAL: PROGLACIAL OUTWASH ADJUSTED GW 5.7 41.5 Ft PERC AT 74 in - 2 MIN/INCH IN C SOILS ELEVATION Q DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 4 4 0 26.35 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING N m N 0 5 f t- 0-16 FILL Q o 8 In 16-34 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE m ~ 22.18 34-50 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 4 Ft 6.5 Ft 4 Ft 6.5 Ft- 4 F 8 F t .5 t 4 Ft 50-126 C MEDUIM SAND 10 YR 5/4 NONE LOOSE 41.5 Ft 8 1 15.85 10 NO GROUNDWATER ENCOUNTERED TEST PIT 4 PARENT MATERIAL: PROGLACIAL OUTWASH 500 GALLON DRYWELL 2 MIN/INCH IN C SOILS DIMENSIONS AND DETAIL INLET CENTER ' OUTLET ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER END COVER END USE H-10 UNIT INSTALL ONE INSPECTION (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 2706 RISER TO WITHIN THREE 0-34 FILL INCHES OF FINAL GRADE 3 IN DROP AND INDICATE LOCATION /l FLOW LINE 34-42 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE ON AS-BUILT PLAN FROM BUILDING 10 in = 14 TO 42-60 B LOAMY SAND 10 YR 5/6 NONE FRIABLE in D-Box 22.05 48!n 60-132 C MEDUIM SAND 10 YR 5/4 NONE LOOSE LIQUID GAS 16.05 0 33 LEVEL BAFFLE Op 'p oo�000 Boa p��00 In NOTES ��000000000 F5g CROSS SECTION VIEW 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 10" I" 2) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. CROSS SECTION VIEW 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS 2 in PEASTONE 21n PEASTONE SEWAGE DISPOSAL SYSTEM PLAN OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). � u 4) INS ER TO VERIFY LOCATIONS OF ALL UNDERGROUND •UTILITIES -TO SERVE PROPOSED DWELLING EFORE o 0 5l EXISTING SEPTIC SYSTEM IS TO BE REMOVED. 28 2a Gro cr1vE 4,nro 26 MICHAEL & PATRICIA TIERNEY In -1/2 u,GRAVEL DEPTH 1-1/2 1,CRA VEL 1 n F 451 WIANNO AVENUE. OSTERVILLE. MA IRON. FINES -AND- DUST IN PLACE. 7) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW -FLOW; FIXTURES 48 in 58 1n 48 1n ECO-TECH ENVIRONMENTAL AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. 154 in 8) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE 43 TRIANGLE CIRCLE SANDWICH MA 02563 FABRIC IN PLACE OF THE 2 tn. PEASTONE LAYER SPECIFIED. PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. ETE-2817 I NOVEMBER 12, 2007 212