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HomeMy WebLinkAbout0085 WIANNO CIRCLE - Health (2) 85 Wianno Circle Ust-rville, ' * ' A.= 140 198 Commonwealth of Massachusetts - Title 5 Official Inspection Fora' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 85 WIANNO CIRCLE Property Address MADDEN LAWRENCE A&MARY Owner Owner's Name ` information is required for every Osterville -MA 02655 6/16/14 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any ` way. Please see completeness checklist at the end of the form. Important:When A. General Information 4 filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Robert Paolini use the return key. Name of Inspector ,• - • Robert Paolini Septic Service �V Company Name F 17 Playground1ane Company Address Yarmouthport MA 02675 City/Town State ' Zip Code 508 362-3555 S S 14454 Telephone Number License Number B. Certification I certify that l 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 ynaintenance of on site " sewage disposal systems. I am a DEP approved system inspector pursuant to Section '15.346 of Title 5(310 CMR.15.600).The system: ; 0 Passes ❑ Conditionally Passes ❑ Fails ❑ Needs F her Eval tion by he Local Approving Authority '. 6/16/14 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the,approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 „ t t + Commonwealth of Massachusetts . Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M s•'a 85 WIANNO CIRCLE Property Address MADDEN LAWRENCE A&MARY Owner owner's Name information is required for every Osterville MA 02655 6/16/14 , page. City/Town state Zip Code Date of Inspection B. Certification (cunt.) 6 Inspection Summary: Check A,B,C,D or E/.always complete all rof Section D A) System Passes: ❑x 1 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. _ z Comments:. P 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♦3/13 4 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessmentsr 85 WIANNO CIRCLE Property Address MADDEN LAWRENCE A&MARY } Owner Owner's Name r information is required for every Osterville MA 02655 6/16/14 _ page. City/Town t State Zip Code Date of Inspection B. Certification (cont.), . ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or breakout 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 bok. 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 E ND (Explain below): ❑ obstruction is removed s ❑ 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 t Commonwealth of Massachusetts Title 5- Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 WIANNO CIRCLE Properly Address o MADDEN LAWRENCE A&MARY Owner Owner's Name information is required for every Osterville MA 02655 6/16/14 ' page. City/Town State Zip Code Date of Inspection B. Certification (cent.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water,supply or tributary to a surface water supply. ❑ The system has.a septic tank and SAS and the SAS is within a Zone 1 of a,public water supply ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. r ❑ The'system has a septic tank and SAS and the SAS is less than"!00 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP*certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.. 3. Other:. y t 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 = 0 Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ R Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El F Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3/13 r Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form,-Not for Voluntary Assessments w 85 WIANNO CIRCLE' t Property Address MADDEN, LAWRENCE A&MARY . Owner Owner's Name information is required for every Osterville MA 02655 6/16/14 page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) Yes No , ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ E 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. ❑ ❑x 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.] F, ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ❑x 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 within 400 feet of a surface drinking water supply Y 9 PP Y ❑ ❑ 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealths&Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments sa' 85 WIANNO CIRCLE Property Address MADDEN, LAWRENCE A&MARY Owner Owner's Name information is required for every Osterville MA 02655 6/16/14 page. City/Town o- State . 'Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or•°no" as to each of the following: Yes No ❑x ❑ Pumping information was provided by the owner, occupant, or Board of,Health ❑ ❑x Were any of the system components pumped out in the previous two weeks? A ❑ ❑x . 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? ° 0 ❑ 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?. FZ ❑ Was the site inspected for signs of break out? ❑ Were all system components, excluding the SAS, located on site? 0 E Were the septic tank manholesuncovered, 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? Z El 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: s ❑x 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): 4 Number of bedrooms (actual): 4 4:40 DESIGN flow based on`310 CMR 15.203(for example:.110 gpd x#of bedrooms): t5ins•3/13 Tie 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of V t , tXx Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 WIANNO CIRCLE Property Address MADDEN, LAWRENCE A&MARY ' Owner Owner's Name information is Osterville MA 02655 6/16/14 required for every _ . page. City/Town State Zip Code Date of Inspection D. System Information R Description: - Number of current residents: 2 ' Does residence have a garbage grinder? ❑ Yes 0 ,No Is laundry on a separate sewage system? (Include laundry system inspection'` ❑ Yes ❑x No information in this report.) Laundry system,inspected? ❑x Yes ❑ No Seasonal use? ❑ Yes-❑x No Water meter readings, if available last 2 ears usage dF V na 9 ( Y 9 (gP ))� . Detail: l Sump pump? . 0 Yes ❑ No g NA Last.date of occupancy: 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 WIANNO CIRCLE Property Address MADDEN, LAWRENCE A&'MARY Owner Owner's Name information is Osterville MA 02655 6/16/14 required for every , page. City/Town State Zip Code Date of Inspection 4 D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): s General Information Pumping Records: e Source of information: ,Was system pumped.as part of the inspection? ; El Yes ❑x No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping:'' Type of System: . = ❑x Septic tank, distribution box, soil absorption system° El Single cesspool t ` ❑ _,Overflow cesspool ❑ Privy ` Shared system (yes or no) (if yes, attach previous inspection records, if any) ' ❑, Innovative/Altemative 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. 0 " Other(describe): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 WIANNO CIRCLE Property Address MADDEN LAWRENCE A&MARY owner me Owner's Na information is O Owner Naille MA 02655 6/16114 required for every page. City/Town state Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed(if known) and source of information: t Were sewage odors detected when arriving at the site? ❑ Yes ❑x No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑X 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of leakage.System vented through the building vents. Septic Tank(locate on site plan): 1.5' Depth below grade: feet Material of construction: , ❑x concrete— ❑ metal ❑.fiberglass El polyethylene ❑ other(explain) x If tank is metal, list age: _ years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: . . 1000 gl 3" Sludge depth t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 w. x r Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 WIANNO CIRCLE Property Address MADDEN, LAWRENCE A&MARY Owner Owner's Name information is ill MA 02655 Osterye 6/16/14 required for every ' page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) I r Distance from top of sludge to bottom of outlet teei or baffle Scum thickness 4 . Distance from top of scum to top of outlet tee or baffle 11 Distance from-bottom of scum to bottom of outlet tee or baffle 10 How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition,-structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every 2 years.Inlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. 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•3/13 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 , 85 WIANNO CIRCLE Property Address MADDEN, LAWRENCE A&MARY Owner owner's Name information is required for every Osterville MA 02655 6/16/14 page. City/Town State Zip Code 'Date of Inspection D. System Information (cont.) ti= 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: r Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene, ❑ other(explain): Dimensions: Capacity: gallons , Design Flow * gallons per.day Alarm present: ❑ Yes El No Alarm level: Alarm in working order: ❑ Yes ❑ No Date'of last pumping: Date Comments(condition of alarm and float switches, etc.): m . f *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection' Fora' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 WIANNO CIRCLE Property Address MADDEN, LAWRENCE A&MARY+ Owner Owner's Name information is required for every Osterville MA 02655 6/16/14 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 No ` Comments(note if box is level and distribution to outlets equal, any evidence:of solids carryover, any evidence of leakage into or out ofbox, etc.): 'Box is level.Box has one outlet lateral.No evidence of solids carryover.No evidence of leakage. Pump Chamber(locate on site plan): Pumps in working order:, ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System.(SAS) (locate on site plan, excavation not required): if.SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 85 WIANNO CIRCLE ' Property Address ` MADDEN LAWRENCE A&MARY Owner Owner's Name information is Osterville MA 02655 6116/14 required for every - page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Type: , • ❑ leaching pits number: 0 leaching chambers number: 5 330s ❑ leaching galleries number: ❑ leaching trenches number, length: " leaching fields , ` number, dimensions: ❑ overflow cesspool number: innovative/alternative system Type/name of technology: Comments(note condition of soil:signs of.hydraulicfailure, level of ponding, damp soil, condition of vegetation; etc.): } Sandy soil . No signs of hydraulic failure 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Ir Commonwealth of Massachusetts , - Title 5 Official Inspection Form` Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments 85 WIANNO CIRCLE Property Address p. MADDEN, LAWRENCE A&MARY Owner Owner's Name information is required for every Osterville MA 02655 6/16/14 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.): y Privy(locate on site plan): , Materials of construction: f Dimensions Depth of solids Comments (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System_Fonm -Not for Voluntary Assessments' "Y 85 WIANNO CIRCLE Property Address MADDEN LAWRENCE A&MARY Owner Owner's Name information is required for every Osterville MA 02655 6/16/14 page. City/Town 4 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 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: El hand-sketch in the area below ❑ drawing attached separately ,e 9 t , x . g t5ins•3f13 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 ' 85 WIANNO CIRCLE Properly Address MADDEN,LAWRENCE A&MARY Owner Owner's Name information is —required for every Osteryille MA 02655 6116/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑x Check Slope ❑x Surface water ❑ Check cellar, ❑ Shallow wells , Estimated depth to high ground water: ' Bottom of leaching 22' feet , . ti A_ Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system,design plans on record If.checked, date of design plan 'reviewed: ,` ` Date. ❑ Observed site (abutting;property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: As-Built Checked with local excavators, installers-(attach documentation) ❑, Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS observation well data.USED:Technical bulletin 92-0001 annual ranges of groundwater, elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•W13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 ' R. , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 WIANNO•CIRCLE Property Address MADDEN, LAWRENCE A&MARY Owner Owner's Name - information is required for every Osterville MA 02655 6/16/14' page. City/Town State Zip Code" Date of Inspection E. Report Completeness Checklist ❑x Inspection Summary: A, B, C, D, or E checked ❑x Inspection Summary D (System Failure Criteria Applicable to All Systems) completed System Information-Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file o a r t t5ins-3/13 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 17 of 17 No. Fee �O � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: r/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIpplication for Mtgogaf �bpztem Cott5truction VErmtt Application for a Permit to Construct( ) Repair( ) Upgrade X) Abandon( ) ❑ Complete System Y Individual Components Location Address or Lot No. OJ w/'an n 0 Cf/e 6) Owner's a e,Address,and Tel.No. 03 r✓I l C. Assessor's Map/Parcel 416•/9 F Installer's Name,Address,and Tel.No. OfiDesigner's Nam dres and�gl.No. �v-lea S ann 's �781898 C'�� / 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 .�/57 _ gpd Plan Date Number of sheets Revision Date Title Size,of Septic Tank �1, ® Type of S.A.S. �' b �/) Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certificate of Compliance has been issued by this Boarl of Healt IN i gned Date L y: Application Approved b .Date Application Disapproved by: -Date for the following reasons_ Permit No. r�W,6 Date Issued _ r r - - Fee /D 0 a computer:n.com Entered i THE COMMONWEALTH OF MASSACHUSETTS P :..� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUS&TS Yes application for �hgpo dl 'p!5tem edwgtruction Permit Application for a Permit to Construct O Repair O UpgradeX) Abandon O El Complete System Individual Components Location Address or Lot No. a (4' r�l t J- Owner's a e,Address,and Tel.No. 05-k-r vt l C m dXh Assessor's Map/Parcel- 9 Installer's Name,Address,and Tel.No.JW `✓ Designer's Name,ylddr_es5an?l.No. pc� �3�x l5�� .banns, J IM �ir aC Type of Building: Dwelling No.of Bedrooms Lot Size sc. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers.( ) Cafeteria( ) Other Fixtures t Design Flow(min.required) gPd Design flow provided gPd Plan Date Number of sheets Revision Date rx' Title �Siza,of Septic Tank 415� n ODQ Type of S.A.S. . ��F C�k�j D br Description of Soil x Nature of Repairs or Alterations(Answer when applicable) 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 f Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by t 's Boar of Healt . gned Date/11(J� Application Approved by , Date Application Disapproved by: Date for the following reasons _ . ,P„prmrt No. _(�(') � Date Issued ' a/ _:_ �_- _: w.THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CE TI Y,that�the O- site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded (Y ) Abandoned at I has been constructed in accordance with the pro isions of T' le 5 and the for Disposal System Construction Permit No. 6 dated �� 16 A Installer Designer #bedrooms Approved design flow p The issuance of this permit shall not be construed as guarantee that the system will function as designed. Date p 1 ! ��� Inspector _ =——— ————————————— No. (9 q 7-7 Fee f Q© THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS kgpomf *pgtem Con.5truction Permit Permission is hereby granted t /gonstruct ( ) Repair ( ) U grade (14, D Abandon Y ( ) S stem located at �f J IQ.Y7�7D r� f'V/ /��-.- 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: Construction must be completed within three years of the date off this pe it. Date 1 f Approved by AsBuilt Page 1 of 2 iIC+). TQWN.OF BARNSTABLB LOCATION 8 S W lAtiriQ C 1RCi.0 SEWAGE # VILLAGE OG-CEW ILL'C- ASSESSOR'S ✓MAP & LOT 140^I98 INSTALLER'S NAME & PHONE NO.- SEPTIC TANK_CP.$CITY LEACHING FACILITY:(tgpe) (size)" NO.OF BEDROOMS nIVATE WELL OR PUBLI WATER BUILDER OR-OWNER '(1 Q,n1c�5o�I CO�U S7�.Cp lklpn)W DATE PERMIT ISSUED: F -DATE COMPLIANCE ISSUED` VARIANCE GRANTED: Yes No - r 14f tc/ 16015 t-ycssTr -. cr 1000 PfT RT http://issgl2/iiitranet/propdata/prebuilt.aspx?mappar=140198&seq=1 12/28/2016 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M DATA J ` �L . TOWN OF BARNSTABLE . � LOCATION VhAON CIR(Ie- SEWAGE # .. . r 9� VILLAG ASSESSOR'S MAP & LOT 94o INSTALLER'S NAME Si PHONE NO.► .. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER' BUILDER OR OWNER A, ME1_50� co Ai Srx•Cb D DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: r VARIANCE GRANTED: Yes No 4 T 14 16M W t-�s�ir1G loco PiT PiT T oi vn of Barnstable P it A�i r a', Department of Regulatory Services " Public H alth Division ' Date <} t 200 Main Street,Hyannis MA 02601 � ri IEpAAi��` .1` :��, ,c't.''.,�.�� � r.,. !r a„��t^��. e. t Y"�•��� Ttme oo - Fee Pd. O ' Date Scheduled ^,�'j 'S.'. < r t � R• � oJa` • ,o l Suitability Assessment for S-Pwdge.D Witnessed By:. Performed By: A LOCATION & GENERAL INFORMATION Owners Name i.ocation Address' 's .1 lQC'R1C) CAR O �ec 3 \fie t . Address �1 a� Cl Name Assessor's Map/P4rcel: ' t� f'� M1' Engineer's — — - REPAIR 4 I Telephone# - �O NEW CONSTRUt�"TION- , n 4: C�O C\4tka� Slopes(%) * Surface Stones Land Use Distances from:t,Open Water Body ft Possible Wee Area 0 ft Drinking Water Will —L' Other ft prainage Way ft Property line a exact locations of test holes&perc tests,locate wetlands in proximity to holes) SKETCH:(street name,dimensions of lot, • z Depth to Bedrock Parent material(geologic) I Weeping from Pit Face —--�-� Depth to Groundwater: Standing Water in Hole: � L Estimated Seasonal;ijigh Groundwater i DETERMINATION FOR SEASONAL HIGH WATER TABLE I in. Method Used: •t in, Depth to soil mottles; t< Depth abServed standing in obs.hole: in, Groundwater AdjustMcnt Depth toiweepiug from side of obs.hole: Adj.factor.,.,.._.-- Adj.fl10un6WAW Leval index Well# Reading Date: index Well level .• i PERCOLATION TEST ��'� "'� Observation 1 Tinte At 9" ---- Hole# ---�-- '�^ Time at b ----- Depth of Perc rn i 11mo(9"-61 �- --- \'`•�. Start Pre-soak Time.( + J + t End-pre-soak Rate MinAnch Site Failed' Additional Testing Needed(YIN)Site Suitability Assessment: Site Passed a original: Public HeMth Division Observation Hole Data To Be Completed on Back------- t is to be conducted within 100' of wetland,you must first notify the / ***If percola> Qn test week prior to beginning Barnstable C64servatio / n Division at least one(1) \ .z, 'DEEP OBSERVATION HOLE LOG Hole#_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface rn.) (USDA) (Munsell) Mottling (Strucpre,Stones,Boulders. [en v 1 w I ; y lr►� •S" DEEP"OBSERVATION HOLE LOG-: .: Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. `• Consistency,%Gravel Nl¢ ,s DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsi 1 nc Gravel) t DEEP OBSERVATION HOLE LOG ' Hole# Depth from Soil Horizon.:, Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) + Mottling (Structuro,Stones,Boulders. + onsi ten ra 1 Flood Insurance Rate Mau: / Above 5W year flood boundary No— Yes within 500 year boundary No✓ Yes Within 100 year flood boundary No✓ Yes De th of Natidally occurring-Pervious Material Does at least fofir feet of naturally occurring pervious material exist in all areas observed throughout the area proposed Or the'soil absorption system? ____��.� �• If not,what is the depth of naturally occurring pervious material? ' Certification I certify that on (date)I have passed the soil evaluator examintition approved by the Department of.Vnviro ental Prot ' n and that the above analysis was performed,by me consistent with r 'the required trainin ,ex p ' n e described in 310 CMR 15.017. Date 1 fl l �� DG • Signature Q:�SEp nCvERCl1;DRM.DOC 6J� LOC&&.-TA0 ___ _ SEWAC;E .PERMIT UO. L� ® _ NALLAGE ' -----LI�IST-ALLER//�5-:IJDME_�_AD.DRESS- -__ --BUILDER _IJ.AI.IIE_- _AD_D.RESS -___D1J►'CE-P-E.RN�►T L.SSUED_-.-_-_������� -. t� i � I � � �/ �'t i� .IY r �, � `� � � �� � I 5 ee .�� '•l I i```� "W�' III .) �� f L I TOWN OF BARNSTABLE a! LOCATION S� V lAtQNQ CIRCLE SEWAGE # VILLAGE OGTERV J LLIE ASSESSOR'S MAP Cz LOT INSTALLER'S NAME Cz PHONE NO.- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ",��e�� MEbSo� C� �S7�•� U DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No 14f tb a 160b lW 1 000 P►T bOQe �i( �y//� L J2((yam/ • .i 3 �} THECOMMONWEALTH OF MASSACHUSETTS BOAR® OF HEA1 TH ..•� -------------- F........9�. .. -------- --------- Application for Bhipmal lVorkil Tome ion Prrmit Application is hereby made for Permit to Construct ( ) or Repair ( ) an Indivi ual Sewage Disposal System at:, o • -.-. ......... s .•--... ...-•-.. . � .-azd_----- - .:............... Locati •Address --•------------ ----------•---..----or Lot No. Owner Address a .......... ..._X4�4Ky.......... ....................................... ------------------------ ................................•.......... Installer Address Type of Building ,�,.���� ..� Size Lot---1 �.........Sq. feet aDwelling—No. of Bedrooms.................... .......Expansion Attic Garbage Grinder ( ) WOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ----•-- ---------------------------------------------------------------------------------------------------------- Design Flow.....-G?�c. .;!� gallons per person per day. Total daily flow..... ® .......................gallons. Septic Tank—Liquid capacity./. gallons Length................ Width................ Diameter................ Dept ................... W x Disposal Trench— o--------------------- Width.___._...�nk ... .. Totall j mgth.__..._............. Total leaching area....................sq. ft. 3 Seepage Pit No.__•-. .._...... Diameter.l!1 ei below inlet............... ... otal leaching area.............._..sq. ft. Z Other Distribution box ( ) Dosing ( ) 'd `"` Percolation Test Results Performed by.................................. -- ................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit..... ... Depth to ground water........................ O4 f ..._... •. •••...... ..p Descri tion of Soil_..-- --------- •• ................................................... cax � = ......................................................... i. -•-•-------••-••------•-•-•----•-••----�-- Z------- - ---- --•- W ................................................................. -----• --------------------------•---------------------•-------------------------------------------.-----.-------------- VNature of Repairs or Alterations—Answer when applicable................................................................................................ a ---- --••---••--••-••------••••-••---------•---------------------------•----•••--•----•---•-----••...------••---•--•-----------•-••------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with <'the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' sued by the board of h lth. Si has •-- .......................... �.-- •..�Fs/e Date a� PP PP ved .By.-.- - 44_ _ --- ---- - .:, �_al� < Date PP PP Application Disapproved for the f ollowin y asons: ............................................... .. ...... ....................... Date PermitNo......................................................... Issued........................................................ Date N ... ................... THE COMMONWEALTH OF MASSACHUSETTS l . BOA Rid OF' H A H .....:OF - ..r:: Application is,hereby made.for a Permit to Construct ( ) or Repair ( ) an Individual SS wage Disposal System at. Location_Address or Lot No. ., ""............................................... ------ ----___..---_._........_--------.--------- :r .... :...... Owner � Address �...._ :..... ::. ............. --•• ••--•............_....... _ �..._ M Installer Address Type of Building , , Size Lot_._.Vt.q_________Sqr feet v Dwelling-No. of Bedrooms................. ,___________Expansion Attic Gge Grinder•#( ) Other`,' Type of Building No. of ersons____________________________ Showers — Cafeteria Pa YP g - P ( ) ( ) PL4 Other fixtures ._ --,....................... W Design Flow__: "...4.4. :f gallons per person per day. Total daily flow....... 4 .......................gallons. WSeptic Tank—Liquid ca acit gallons Length---------------- Width................ Diameter................ Depth................ x Dis osal Trench' _`No_____________________ Width------------------ __ Total L .1 th.................... Total leaching area....................sq. ft. Set page Pit No�____�_________- Diameter. ,ft �"� ow inlet.................... T-°tal leaching area..................sq. ft. lir Z Other Distribution box ( ) Dosing nk ( ) *7-/3'+ IS' a Percolation Test Results Performed by_ ___ ________--------- �____ :_........................... Date..........._____._......._....___..__..- Test Pit rNo..l________________minutes per inch Depth of Test Pit.................... Depth to ground water__._..__.______:_______- . rL, Test Pit No: 2.................minutes per inch Depth of Test Pit..........._........ Depth to.ground water......................... a' - - ---------------- ..................... . ._ .......-----------•-•-•..__........... O Description of Soil......... .. ............................................... -- ----------- U Nature of Repairs or,.Alterations—Answer when applicable............................ = ....................................... ......................................................A..........................................................................................___r_:................................................ Agreement: r' The undersigned agrees to install: the aforedescribed Individual Sewage Disposall,'„System in accordance with the provisions of•Article XI of the State Sanitary Code— The undersigned further agrees riot to place the system in operation until,a^`'Certificate of Compliance has been i sued by the board°of hea th. Signed__ ry .. d,p .� . --- •-- Date Application Approved By.... f�;' Application Disapproved for the f ollowan .y sons: - . ..................... ..`................ D�Y......--_.•-••- . ..................... ....... __ ______.............____________._._____.____.__.._.______________________..___.._._---•------•----..... -- ----•---...--- Date 'Permit No...................... ................................... Issued........................................................ a Date THE COMMONWEALTH OF MASSACHUSETTS ';- ,1 ,. BOARD OF IEALI I=I .............- OF........ ....-• . ..................... , T TO C IFY, That the Individual Sewage Disposal System constrtacied ( ) or Repired ( ) by ..- 1 taller• at__._ f has eeeXninstalled in accordance with the rovislons of Artic XI of The State Sanitar Code as described in the application for Disposal Works Construction Permit No. � _ dated----- j.............. THE: ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 'DATE_- , .`7 ............................... Inspector. 00* -•---•- THEtOMMONWEALTH OF MASSACHUSETTS BOARD OF • I-IEALT , N ....... .6-- F• `'FEE. •--...._.. .. �t�•�kl��Ft � � '�i��4,���1�t�t�Yt,• P��1tt��4 Permission is hereby granted---•- ......s........................... ............................................... to Constru, ( Repair )'a%n > al S age osal - stem atNo. ''` ... - -•-•• .............................................................../�! ' as shown on the application for Disposal Works Construction Pe No.. _ Dated----- -:_/� 'r. ', ....... r, 4,_ v i o rd of�Heal DATE.......................... ... ..........._. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ` Town of Barnstable �THE Tp� do Regulatory Services Thomas F. Geiler, Director * BARNSTABLE, 9�A MASS. � Public Health Division rEc��A Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 11-20-06 Designer: Shay Environmental Services, Inc. Installer: Robert Septic Services. Address: P.O. Box 627 East Falmouth Address: 5 Trenton Street MA 02536 Yarmouth, MA On 11/15/06 Robert Septic Service was issued a permit to install a (date) (installer) septic system at 85 Wianno Circle, Osterville, MA based on a design drawn by (address) Shay Environmental Services, Inc. dated 11/14/06 (designer) _XX I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. ZH OF P?gSS CARMEN YGNr . E. ller's Signature) o SHAY NO. 1181 �GI STrcP' SANITAR\Pa ( esigner's Signature) (Affix Design amp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form _ �. . .. " :. • ' " _ � - - :.�..,:..-n `•.may-a.»�..�.n•,�:-� No-,•-.LL,;,. N-:.;..-..b=�..-•. - J z _ o ' - • TINE-_Sv/1�lJ�r - �, - 3,6 77T�� 1 11 r � f , ® � vJ _ .. - - - !� _ � .3: - /��/// � s}{• if 't �,..,tea. 1 , '66 Ve,�.;�.� �"' .�„� • . , , _ __z 412 ! u L. ss y • ,t.< r-1Y 6 fir ; _ r f _ -. - - _ .. �� '�I/'S, .. _ S yfix` _ ,•::II - • a r .. � .. 'L .. .. • L r(^t , P " • 1 ' zo _ PiJul ' :"'� _. - - - �1. 'I• .(. ��� "f .. .f-�t4•.t8' . _. .. _ ,- - � ,�'�+?t+ir..+r Y '•y�•'^A'.' 77p' • e� fie: 4,�' �� - , z • 29 -v t � i - -t • w SkI � w � 7111fT • 3 - x 't >� r SST' !C e- T G � - l _ c M• 4 • > 1- '7 .r�166 "Y - .p ..ryry f • �� /�t� / ,5y`,. ( .a_ /,,. A> r �.`Yro .t + va'1xZ' 'rfira�' ✓ F`r - , 44 77. , , , f . , . , - „ 1 > , , , , , — . r) .b @., .�j. lrf�� ia -.L�li,y- 1�F°,„�R.4••r� �F.+'+v ' - - - .,�' ': .. — .. •�� ,III � e�- •�'� �/ � r� - SECTION A -A �, � � P.V.C. PROFILE VIES' OF LEACHING SYSTEM *NOTE. ALL PIPES ARE TO BE4' SCHEDULE 40 10' min. from Existing Foundation Not t0 Scale house to septic tank cover must TOP OF FOUNDATION = ELEV. 100.00 (Assumed) 6ta kL of Met grad rd< edMtn to GRADE w/'Sted cmw S" of 1/d" — 1/2" i►aalud Peaeborts „ ti. ! y!•` sae.evw o-Bee—saxs err SAS—osas " " "tOS.Wlarsrso Ctr „ i; • trade ever SepUe Tam—sBcSO 3 HOLE H-10 .1/4" to 1 1/t ilsulhed d Onah Sboris DIST.BOX - •- s= 0.02 \1A a PVC (CAPPED) INSPECTION PORT TO BE 3•Madee�w cover Top OF%Mw►—Elea-47.Js . n 12 INSTALLED AND TO BE WITHIN 6 OF GRADE EXIST. 9"O 01 Q Crseter rXIST,POE in 1,000 GJII. S• 0 01� • FFM EXIST.FMKL►TMN o�, N SEPTIC TANK o 1S' Per doot CIO'Elbolhe Depth e�eeu a, --7 aS1 r x t c�v Q i COHISIEIE FULL FOUNDII O II �t ( ) ! : *d .4 � q��AM 6k F,� "f { Y N H-10 C/ 0.83' 10 inches) �"x�i-��„� � � � � ����`^`iV''` �.' *es 9,`�'•+I"�iYr��(.y's,i�,�'kC�:'� �1�f ...�, �, n�a x n y x s z 1 x �Cana �.�rC• � a r,.al 3 4'-�t 1 o I > t � z4 Effective w SYSTEM PROFILE .�,,,.� e o �• 3 �, Sidewa ll .—� GENERAL NOTES Not to scale — — o' � 5 Units 2 7' = 35' ffKeae VIM , ( 1. Contractor is responsible for Di a notification. Verification of Utilities s 3"�-+ 'is E 3S'' and protection ofalall underground futilities and pipes. 0 oa vatcted stale o $ ® " •5' •5�� 2. The septic tank one di ution box shall be set NOTE; ALL COMPONENTS MUST HAVE RISERS Tb 111THR1 6' BMOw GRADE t m Effective Length level on 6" of 3/4 —1 1 2" stone. c 0, 3. Backfill should"be clean sand or gravel with no 6Bottom of Test Hale 2 Elev.- 57.00 stones over 3 in size. 4. This system is subject to inspection during installation PERCOLATION TEST I Grour t er Obsw%vd - NONE D "ED SOIL ABSORPTION SYSTEM (SAS) by carmen E. Shay - Environmental Services, Inc. �� 5. The contractor shall install this system in accordance RC ` (OR EQUIVALENT) with Title V of the Massachusetts state code. the approved plan Date of Percolation Test: OCTOBER 20. 2006 P and Local Regulations. Test Performed By. CARMEN E. SHAY, R.S.. C.S.E. V NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30" /EFFECTIVE HEIGHT IS 24" 6. If, during installation the contractor encounters any Results Witnessed By. DON DESMARAIS (BARNSTABL.E BOH) soil conditions or site conditions that are different EXCAVATOR: Shay Env. Svcs. ML Gum FM Mm 1W from those shown on the soil log or in our design Percolation Rote: Less Than 2 MPI 0 40" �smM AT BE +r 0010=IE aaER - installation must bolt & immediate notification be ' ' GURU " '�., made to Carmen E. Shay Environmental Services, Inc: Test Hole Test HOI�aheavy NO. 1 No. 2 ' _ ss• +r elnEr . 7• s ptic system unless noted as H shall0 septic components. DEPTH SOILS ELEV. DEPTH SOILS Ei EV. OV++ET D � D � tr 8: Install Tuf-Tate gas baffles or equals on all outlet tee ends. Sandy _ „<< 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. Loam � +as 4- _ sd� 40 T + 10. All solid piping. tees dt fittings shall be 4" diameter 10 rR 3/2 10 iR 3/21 PLAN SECTION CROSS—SECTION ' 0'-t2' A, 97. O'-12' A► 97• Schedule 40 NSF PVC pipes with water tight joints. 11. Municipal Water is Connected to ALL OF The Residence and Abutting r Lawny Sand 3 HOLE H-10 DISTRIBUTION BOX Properties Within 150 Feet. THE PROPERTY LINES ARE APPROXIMATE AND +o YR s/b +o YR a/o, COMPILED FROM THE SURVEY PLAN BY J. FINN & ASSOC.. ENTITLED 1r- 40' B� 4.67 12"-W Bs 1 00 � J Mee. CERTIFIED PLOT PLAN OF LOT 198 WIANNO CIRCLE, OSTERVILLE, MA Sand Sand DATED MARCH 10, 1975 23 Y 7/4 2s Y 7/4 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN 40"- 13 G .00 - 1 C' •OD IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. TEST HOLEJ1 EXISTING LEACH PITS TO BE PUMPED OUT AND REMOVED Failed 90.00 E71-E != 98.00 � Leach Pit - NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE --- ---=� =----- ------------------------- --- 98 FROM THE EXISTING LEACH PITS TO BE DISPOSED Failed -- - _ _ OF AS PER BOARD OF HEALTH SPECIFICATIONS. - TEST HOLE 2 EL.EV.= 98.00 - - --- - PROJECT BENCH MARK 1 • '` D Box THERE ARE NO WETLANDS ARE 'PRESENT WITHIN 200' OF THE PROPERTY Perc #1 TOP OF FOUNDATION Depth to Pera 40" to 58" `aI • Perc Rate- 2 MPI ELEV. = 100.00 (Assumed) 1000 al. ASSESSORS MAP 140. PARCEL 198 O Septic Tank Groundwater Not Observed - No Observed ESHWT 99---- ---- ---- -------- ,------------ - --------------- --- 99 LEGEND ADJUSTED H2O Elev. = None DECK S - Sunroom On DENOTES PROPOSED SLAB FND 104X 1 SPOT GRADE 2 tar MAIN.ACCESS MAntaLES a• x 104.46 DENOTES EXISTING • :=�s' :y::�� "' % SZISTI c I SPOT GRADE 10 t? 1 4 BED OOa[ I PL PROPERTY LINE it MLET ^1 _ `^ aorrsa 03 96 — PROPOSED CONTOUR _I to >M ACCESSIN 1HE Sant T� H i i #85 i w ——————97 EXISTING CONTOUR _ OISIRBU"BOX AND LEACHING COMP01"T �. �',.1 r. - s•rs is+,� SET DEEPER IRAN a MES SELM FMSI�D 1 I M�ED SHALL RAISED TO 1N11101 fY OF ` STEEL REINFORCED PRECASr ca�rE DEEP TEST HOLE & bWML 1W-,r1E GAS BAFFLES 0R MAls '' ! PERCOLATION TEST LOCATION PLAN VIEW _ 99-- ----�----------�---------------------- -7 --- -------- --99 3-24'REAM COVEus I I •--. 6 FOOT STOCKADE FENCE �..�. _r: LOT #198 Irdn.C1eQa1Ce r 1 MLEr a'mYn—T" 2'ndn. rd.t e. ' �T i =� i 11.140 Sg1art Fast P LOT P LAN ��- - wd*"'' ! i OF PROPOSED SEPTIC SYSTEM UPGRADE i 100.00 PREPARED FOR _�, •-.z s— r_y I —_•:- • -----.--------------- >r� 9898------ �----------- - ------------------ MR. LAWRENCE MADDEN, CROSS SECTION END—SECTION #85 WIANNO CIRCLE TYPICAL 1000 GALLON 51tPTIC TANK TYLAIVNC 'LR CLE NOT TO SCALE OSTERVI LLE, MA (40 FOOT RIGHT OF WAY) Design Calculations °` PREPARED BY: Number of Bedrooms: 4 Equivalent to 440 Gal./Day �ZN Sq` Leaching 9 tY Qrapased 44a Gal./Day a� R CARNEW E. SHAY Septic Tank : - 2 x 440 Gal./boy = 880 USE LOOSL 1,000 GAL Septic Tank. SH ENVI80NMENTAL SERVICES, INC. SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch 0 20 40 50 0. 1 Bottom Area: 0.74 gal/sq. ft. x 4009q. if- — 296 gallons �o P.O. BOX 627 a f gailons _ OIsTe�` EAST FALMOUTH, MA 02536 p SgNITARIP� SidewalF Area: 0.74 gal./sq ft. x 200 sq. ft. 148 Providing 444 gallons TEL/FAX : 508-539-7966 Use: (5) 3050 H-20 INFILTRATOR CHAMBERS. HAVING A 2' EFFECTIVE DEPTH, SCALE: 1"=20' SCALE: 1"=20' DRAWN BY- CES DATE: OCT. 26, 2006 (4' W x 7' Q TO BE USED WITH 3' OF WASHED STONE ON THE SIDES AND 2-5! OF WASHED STONE ON THE ENDS. j PROJECT#SD982 FILENAME: SD982PP.DWG SHEET 1 OF 1 I i'