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HomeMy WebLinkAbout0200 AUDREYS LANE - Health 200 Audreys Lane, Marstons Mills F—A TOWN OF BARNSTABLE LOCA?'ION oDa 9 SEWAGE # "MLAGE .1: L �� ASSESSOR'S MAP & LOT n.�� INSTALLER'S NAME&PHO N0. 64 `� a SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) �� 3 NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: ���03��°°f COMPLIANCE DATE: w Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility NCB ! 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 Ci s �i c ALL �ec...�4 �►'S � � 3 toil No. U V Fee ffo THE COMMONWEALTH OF MASSACHUSETTS r Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS " Application for Mi!5ponl *p5tem Construction Permit Application for a Permit to Construct( )Repair(Upgrade( )Abandon( ) O Complete System i'Irtdividual Components Location Address or Lot No. �� {�upQ E Y� L14N E.. Owner's Name,Address and Tel.No. M M;its Assessor's Map/Parcel Z O o (SAt-kt Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. LLC, 5 tt4►y E_jU. gv Ls. 42$-402-8 5 39' +17(a(a Type of Building: Dwelling No.of Bedrooms .3 Lot Size ZO 1000 sq.ft. Garbage Grinder Other Type of Building --A No. of Persons �_Showers( t/) Cafeteria( (� Other Fixtures LA J A--roR't' , 1C t i CNF't! 51,Nl k _4 )N DRY Design Flow gallons per day. Calculated daily flow 1•8o gallons. Plan 'Date 1 02 O5 Number of sheets Revision Date ^ Title ?C32 02s�A �1b�5Z s;q C t Q' - LS p§S Size of Septic Tank T"C t 5-T \ , t�00 4 a�. Type of S.A.S. S N ar t,VTR r4Tfl2S Description of Soil E' skc Nature of Repairs or Alterations(Answer when applicable) !l\� 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 by this Board of Health. Signed Date f I 3- 5� Application Approved by Date. 1) - Application Disapproved for the following reasons Permit No. Date Issued -- ——_---s--- —— —— --- - q' 4 Fee No. 5 �U THE'.COMMONWEALTH OF MASSACHUSET,S..:.�� Entered in computer: •y � a, Yes PUBLIC HEALTH DIVISION - TOWN;,.OF BARNSTABLE., MASSACHUSETTS Rpprication for Migpaaf *paem Construction Permit Application for a Permit to Construct(' )Re air( )'U Upgrade( )Abandon( ) D Com lete System dividual Components i PP P- x Pg ` �... P �. Location Address or Lot No. ©� r-)v�c�C Y'5 Cr-)w C_ Owner's Name,Address and Tel.No, Assessor's Map/Parcel dC10 f Installer's Name,Address,and Tel.No. Designer's Name,Address and RE No. rJV \! C 17 Type of Building: Dwelling No.of Bedrooms Lot Size 2 C ;000 sq.'ft. Garbage Grinder Other Type of Building �J1 A No. of Persons Showers Cafeteria( �� Other Fixtures L�Dw� -rt>Rr' �t i C�tfN Design Flow gallons per day. Calculated daily flow . �Q gallons. Plan Date O-�- Number of sheets Revision Date Title „- D?n S,p.Ic h 1� �G, �C Coe Size of �!,Septic Tank �iC —� � c1 . y_ 5T" � C G(`. Type of S.A.S. S ,(mil t^i LT 2VF1 TVQ S Description of Soil C q=(- J\b 'Nature of Repairs or Alterations(Answer when applicable) c Date last inspected: i Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. i Signed f ( -^^ Date ( ^' G®0 Application Approved by r/ 0Z j1c> leDate Application Disapproved for the following reasons Permit No. )#,j '- S�,Z'd1 Date Issued �1 V U 1— r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Eertificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( Upgraded ( ) Abandoned( )by i_,A no, fo o:>- ,L� C` of`)-L-S 06-L + at 2.oa tW-o-fe4l.2 tMnoi�R_�tcsr.e 1�1n t�� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. (.�l S-SS 9 dated Installer 0AAQ g,,j,A 0 4'Ae.✓Q f I (- - Designer S . C.�Y1 v i� �• ..,�. ` The issuance o this permit shal not e construed as a guarantee that the syste wi ti . designed. Date 1��c1 Inspector X No. U U�— �S? Fee 00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi!6poga1 *pgtem Construction- Permit ..,�.,.. Permission is hereby granted to Construct( )Repair(4,Upgrade( )Abandon( ) System located at "ems o. to ���/ca,t c C.�►.� M�✓541"5 'A 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 of tht� i 4,. t Date:_.__ (�S� Approved by /tt, 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered plan signed by me dated �1�eZ5�concerning the property located at ZM Ni5N�,S Ln1. H -1�MS meets all of the following criteria: • This failed system is connected to'a residential dwelling only. There.are.no.commercial or business uses associated with the.dwelling. • The.soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or.may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variance's requested or needed. • The bottom of the proposed leaching facility will-be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information). .©� B) G.W.Elevation 4_+adjustment for high G.W.3�1p = b DIFFERENCE BETWEEN A and B 491. p SIGNED : DATE: NOTICE Based upon the above information;a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. 5T>U3 a52 r,�E Q LAC).%4- qASeptic\percexemp.doc Town of Barnstable OF1HE 1pk, Regulatory Services O Thomas F. Geiler, Director • saaxsrABM MASS. Public Health Division 039. QED 1A0'�' Thomas McKean, Director r 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 11/9/05 Designer: Shay Environmental Services, Inc. Installer: Capewide Enterprises Address: P.O. Box 627 East Falmouth Address: P.O. Box 763 MA 02536 Marstons Mills, MA 02632 On 11/03/05 Capewide Enterprises was issued a permit to install a (date) (installer) septic system at #200 Audrey's Lane, Marstons Mills, MA_based on a design drawn by (address) Shay Environmental Services, Inc. dated 11/02/05 (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. A k \-,4, OF M, S O� CARMN yes ( staller's Sig ure) SHAY No. 1 181 -1STr' SyIV TAR\P� esigner's Signature) (Affix Designer s Sfamp 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 V Conunortwealth of Massachusetts Executive Office of Envirortinental Affairs Dept. of Environmental Protection One winter Street,Boston,Ma. 02108 •lOhn -Septl D.E.P. Title V_Septic h>spector P.O. Box 2119-.,e Teaticket,MA 02536 WILLIRM F.WELD (508) 564-6813 Governor ARGEO PAUL CELLUCCI Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM UP f 2 1997 J� PART A TOWN OFN J[� CERTIFICATION 11E4 THDEPTABLE Ali,Property Address: 200 Audreys Lane Marstons Mills Lot 78 Address of Owner: Date of Inspection:9/9197 (If different) Name of Inspector:John Grad Mrs.Danek E ` I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) Company Name,Address and Telephone Number: CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X Passes This inspection is based on criteria defined in Title V _ Conditionall a es code 310 CMR 15.303.My findings are of how the system is Needs Fu er aluation B the Local Approving Authority performing at the time of the inspection.My inspection does — Y PP 9 tY not Imply any warranty or quarentee of the longevity of the Fails septic system and any of its components useful life. Inspector's Signature: Date: 9/10197 The System Inspector shall s mit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C, or D: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair, passes inspection. Indicate yes, no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of — Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal, Is cracked,structurally unsound,shows substantial Infiltration of exfiitration,or lank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04I27197) One Winter Street 9 Boston,Massachusetts 02108 9 FAX(617)556-1049 9 Telephone(617)292-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 200 Audreys Lane Marston Mills Lot 78 Owner: Mrs.Denek Date of Inspection:9/9197 _ Sewaae backuo or.breakout.or high.static water level observed.in.the distrihution box is due to a broken. or obstructed pipe(s)or due to broken, settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipes)are replaced obstruction is removed distribution box is leveled or replaced —The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER, IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) . 3)Other D] SYSTEM FAILS: You must Indicate either"Yes"or"No"as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage in facility or system component due to an 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 rlogged cesspool. SAS is in hydraulic failure. (revised 04/27/97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 200 Audreys Lane Marstons Mills Lot 78 Owner: Mrs.Denek Date of Inspection:9/9/97 D] SYSTEM FAILS(continued) Yes No 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 200 Audreys Lane Marstons Mills Lot 78 Owner: Mrs.Denek Date of Inspection:9/9197 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: _y_ _ Pumping information was requested of the owner,occupant, and Board of Health. X None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X _ As built plans have been obtained and examined. Note if they are not available with N/A. X — The facility or dwelling was inspected for signs of sewage back-up. X — The system does not receive non-sanitary or industrial waste flow. _)L_ — The site was inspected for signs of breakout. X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the Interior of the septic tank was Inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid, depth of sludge, depth of scum. X _ The size and location of the Soil Absorption System on the site has been determined based on The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. X Existing information. Ex. Plan at B.O.H. X Determined in the field(If any failure criteria related to Part C is at issue,approximation of distance is — unacceptable))15.302(3)(b)) (revised 04/27197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 200 Audreys Lane Marstons Mills Lot 78 Owner: Mrs.Danek Date of Inspection:919/97 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 g•p•d./bedroom for S.A.S. Number of bedrooms: 3 Number of current residents: 1 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available:(last two(2)year usage(gpd): n/a Sump Pump(yes or no): No Last date of occupancy: n/a COMM ERCIAL/INDUSTRIAL' Type of establishment: n/a Design flow:0 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present: (yes or no) No Non-sanitary waste discharged to the Title 5 system: (yes or no) No Water meter readings,if available: n/a Last date of occupancy: nla OTHER:(Describe) n/a Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System has not been pumped in the last year. System pumped as part of inspection: (yes or no)No If yes,volume pumped: 0 gallons Reason for pumping: nta TYPE OF SYSTEM X Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes, attach previous inspection records,if any) I/A Technology etc. Copy of up to date contract? Other: APPROXIMATE AGE of all components,date installed(if known)and source information: 1905 Sewage odors detected when arriving at the site:(yes or no) No (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 200 Audreys Lane Marstons Mills Lot 78 Owner: Mrs.Donek Date of Inspection:9g197 SEPTIC TANK: X (locate on site plan) Depth belcw grade: 2' Material of construction:X concreate metal FRP_Polyethylene_other(explain) If tank is metal, list age o . Is age confirmed by Cert'Ificate of Compliance No (Yes/No) Dimensions: L 8'6'H 5'7'W 4'10- Sludge depth:3" Distance from top of sludge to bottom of outlet tee or baffle: 24" Scum thickness:1" Distance from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle: 17" How dimensions were determined: Measured Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) Septic tank and all components are structurally sound.Recommend pumping septic system every two years for maintenance. GREASE TRAP:_ (locate on site plan) Depth below grade: We Material of construction: _concrete_metal_FRP_Polyethylene—other(explain) Dimensions: We Scum thickness:n/a Distance from top of scum to top of outlet tee or baffle:We Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping,va Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) n/a BUILDING SEWER: (Locate on site plan) Depth below grade: 14• Material of construction:_cast iron X 40 PVC_other(explain) Distance from private water supply well or suction linelowo Diameter: 4•_ gramments:(conditions of joints,venting, evidence of leakage,etc.) (revised 04/27/97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 200 Audreys Lane Marstons Mills Lot 78 Owner: Mrs.Danek Date of Inspection:919197 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_FRP_Polyethylene_other(explain) Dimensions: n/a Capacity: n/a gallons Design flow: We gallons/day Alarm level:_n/a Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches,etc.) We DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: Liquid level with bottom of pipe. Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box etc.) D-box is structurally sound PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_Yes Comments: (note condition of pump chamber,condition of pumps and appurtenances, etc.) rda (revised 04127/97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 200 Audreys Lane Marstons Mills Lot 78 Owner: Mrs.Danek Date of Inspection:9/9197 SOIL ABSORPTION SYSTEM(SAS):X (locate on site plan,if possible;excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: We Type. leaching pits,number: n/a leaching chambers,number:n/a leaching galleries,number: n/a leaching trenches,number.length: 2-15'trenchs leaching fields. number, dimensions:n/a overflow cesspool, number:n/a Alternate system: n/a Name of Technology:_n/a Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) The sas is functioning properly. CESSPOOLS:_ (locate on site plan) Number and configuration: nla Depth-top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection) n/a Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) n/a PRIVY:_ (locate on site plan) Materials of construction: n/a Dimensions: We Depth of solids: We Comments:(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) n/a (revised 04/271W) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 200 Audreys Lane Marstons Mills Lot 78 Mrs.Danek 9/9/97 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) C� . L1 40D y A g q q a to tape 0 of 10 (revised 04/27/97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 200 Audreys Lane Marstons Mills Lot 78 Mrs.Danek 9/9197 Depth of groundwater t2 Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS Maps and Charts (revised 04/27/97) page 10 of 10 94/- 750 L`0 CATION 46,;z SEWAGE PERMIT NO. Lod' 7e 140dr-1, 4OAQ VILLAGE /Y1ars10A rxlI INS°4411.l4&j NAME i ADDRESS d3ACKHOE SERVICE JOHN A. AALTO BACKHOE SERVICE 16® �/afnut straot 3 5Q AA/pinj Iuarnstable„ Mass4 026,64 West Barnstable, Mass., 026,68 B U I L D E R OR OWNER .�, DATE PERMIT ISSUED 7/05 Q l DATE COMPLIANCE ISSUED ` a a' THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN........................OF.......BARNSTABLE Applira#ion for Eliipnsal Workii Tontitxnrtinn ramit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at ................---......--...................................................................... Lot-...t 7 8-•-•...... .-••••...------......................... Loevition-Address or Lot No. Thomas AudreysLane .......... ---------------- ----•-------- ... .....---•------------•---•---....----.....---•---- awner Address I.n ---•--.----- MarstonsMi.11s --------.•-•-- - ....... ..r...M?�. Installer Address d Type of Building Size Lot---2 0:,0 0 0__.._..Sq. feet Dwelling—No. of Bedrooms................ 3--------------------------Expansion Attic ( ) Garbage Grinder W6) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ....................................----- . W Design Flow.................................__--gallons per person per day. Total daily flow.........330 _____--_--..........._....gallons. 4�10�� �41� WSeptic Tank—Liquid capacity-.1Q90gallons Length----8..6...-_ Width................ Diameter................ Depth-....-.__....... x Disposal Trench—No. --.-.2-._......... Width.......2.1--------- Total Length....15............ Total leaching area--- $Q..........sq. ft. Seepage Pit No..................... Diameter.----.--.-.-.---.--- Depth below inlet.--................. Total leaching area..................sq. ft. Z Other Distribution box ( X) Dosin tank � ) '-' Percolation Test Results Performed by--..Uape.-Coa_Survey Consultants Date...._May---17, 1984__ Test Pit No. 1-----2........minutes per inch Depth of Test, Pit..... � Depth to ground wa P P 11----------- P g'I' -- fs, Test Pit No. 2.....7w-------minutes per inch Depth of Test Pit-----111........ Depth to ground s •-------•--------------------------•--------------------------------.......---...........-•-------..........----•-••--•--- ���.... TFP.HEM..�y O Description of Soil----------0--3F�=_,---TopsoLl•.&---SL�b6O �i i��m�32"--Cfr'�---••- -------ALLYN _ c' WILSON W & -g-rav�1• •-----�a:3o2r6�ar ti U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------- --•---------------------------------•--------------------------------------.....-----------•-•----------•--------------------------------------...--•-•-••-•---••••••..••-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to-place the system in operation until a Certificate of Compliance has bee ued b the and of health. i .....--•- --.....---•-------•-----•-•--.......---•---------------•-------...-- •.. ----.... .......... Da Application AP r y--------- --•---•••-------•.................•--•---------••--•..............._..--_... y.� Da Application Disapproved for e oll ing reasons------------------------------------------------------------•----•----•---- ------------------......-•-- -•-----•------------•---......---•---------------------------------------------------------•----•-••------•---•••----•--•-----•••----•-----•-----•----------------•-------------••-•--------•. -------- Date PermitNo......................................................... Issued....................................................... Date No................7�... ` ' Fps.. ...... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..--._......TOWN........ ........OF........BARN-STABLE --------------..................................... Appliration for Disposal Morkg Tonstrurtion Vvrrmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: Lot #78 tion-Address or Lot No. Thomas ney Audreys Lane_...... ........ .......... Owner ess W ...��::` ........Marstons Mi��.s, MA.------•-•-........••-••-.-•--•- Installer Address 20,000 d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..................._.........__..__..._...._Expansion Attic ( ) Garbage Grinder W6) W`4 Other—T e of Building _--. No. of persons............................ Showers YP g ----------------------�- P ( ) — Cafeteria ( ) Othesfixtures ........................ --------•----------------------••--............--•-••......--- ---•••-••-••••330--------------•.........-•...----•-•-- Design Flow.........•..................................gallons per person per day. Total daily flsw___......_........._............_......_...-� ns. 9 Septic Tank—Liquid capacity_-10%rallons Length___-S�6.... Width_....4�lo� Diameter________________ De th--._...�..�... Disposal Trench—No. ......2......_.... Width.......2�-------- Total Length----1 .......... Total leaching area...l�A.........sq. ft. Seepage Pit No--------------------- Diameter............:....... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( X) Dosing ank Survey Consultants MaysAl.Percolation Test Results Performed by Survey Date....___..___.. , ... Test Pit No. 1------2--------minutes pe,'inch Depth of Test Pit__..,11.!......... Depth to ground mq g>>Z f% Test Pit No. 2, __minrfttes f'/r_inch Depth of Test Pit------1-1.1........ Depth to ground yia'e tls � G ---•- Q t >c n .. Description'or Soil_-...... Q 36 ,, .Topsal..Z-.subsol l.T---3ro." 32----(Mrse---------------------- --.---i��i!sont.......� U a snd & ra._ ..s� �te3._... ••--• ..... _ .n No.30216 UW ............................................................ ---••--•._..__..........-••--•--•••---•••••-•••-------------•••------•-•......•--••-••-••-......-•-...' Nature of Repairs or Alterations—Answer when applicable................................................................ S pNAL... v Agreement: %=�',� ea v 4- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of ComWiance has bee ed b the aarrd of health. � ----------- - -•----•--.........................-•••--.......-----•....... Application Appro Day Application Disapproved for e f 110 ng reasons:...................................1-------------------------------•-•--------------------•---- ................ -•--....---•--•-•-••---•.......---•---•••••--•----•-----•--••-•-•-••••••-••-••-----••-----•--•••••-••••-----------------------------------------------•--•......•••-•---•........... ----••-------- Date PermitNo......................................................... Issued................... ................................ Dattee THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH ..........................................OF.................................................................................c Trrtifiratr of Toutplianrr S I CERTIFY That the Individual Sewage Disposal System constructed ( or Repaired ( ) ,z by --- c' ..J---• --•--•-•....................•-- Installer at ----- -------- ----•-... •-••••---- ---------------------------•----------•--------•••••••...............--•--••. . has been installed in accordan th the provisions of TITLE j,of The State Sanitary Code as described in the application for Disposal Wor onstruction Permit No. �".� -C____________________ dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUE® AS GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. $•.... -----•-•••...--••---•--•-..-•---- Inspector....------. • . ---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................................._OF................................................................................... . �C1 No............... ------- FEE........................ iuwono#rion rrnti# Permission • ereby granted----j:_ ``!"'L ------------------------------------------------------------•----............---_ •--•--...................... to Constr oRep ( , a ividual Sewage DispoPsalSys� at No ------•----- ............................... ........... -------- . •••- Stree f'�''"'as shown on the application, Disposal Works Construction Per 6.......... Dated_:r,.M_7!��.:................. w m" —" °Fb ................ DATE..... ---�-- --�--------�'-'---------•--•-•------------------ Board of Health FORK 1255 HOBBS & WARREN. INC., PUBLISHERS t BSCCape Cod Surve Consultants Y 3261 Main Street/Route.6A Barnstable.Village, Massachusetts 02630 (617)362-8133 � s .. 2 .. May 21, 1985 Mr. John Redly t- Barnstable Board of Health Barnstable Town Hall Hyannis, 02601 RE: Septic .System Construction Lot 78 _Audreys Lane Wakeby Estates, Marstons Mills Your .File. No. P-3355 Our File No. 3-1335.00 Dear Mr. Kelly: In accordance with condition ( 3) of the Board of Health. Variance granted for this project (see enclosure) , we have inspected the construction of the septic system at this site on May 20, 1985 and find the work to be in substantial compliance with our original desing. However, please note that the septic tank is located at the rear of the dwelling whereas our original design showed the septic tank located at the side of the dwelling. This change was made to better -accommodate the dwelling plumbing. Very truly yours, B C/ PE SU V CON. LTANTS er P. Michn'ewicz, P. E. Project Manag r Enclosure The BSC Group of Companies Planning Surveying Design Engineering I THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA Y ! "• ' r.•y. fir-fib` "y r +'i tr )}1 r r�� t� ''R a',q.,�'L 'St 'il;, o � ,xl�•�^ r• :y� ! t •^" T T , - 444(ff .}• F . r �' .l+i� 4 x" ,� r`j�r. + �d^ -sf._: 4T +r. `• x r •a. ^.EC`ra f .,y r?.. .t ` , •ti P ,'' % .;�lr '+ t.' r ..�r15 ,,'. ,+A� '�`t,i+''fs r`Y.J t'... • s+' -June.,20,-,1984' �qN r,��`� •• ,s'+ �' t* ,. - , + 4,q'•LfiM �' ,+ ma's .1 '9 �k J 1' ^ Mr.. 'ThomasRMU118IIey •a s L. ' " y '§ Y `r „ Y t "t ° x c/o Roger..Michniewicz " 1 r * s, Cape,CiQd'3Urvey,.Cio138Ultants 'r ✓' t'r't i t y r g C ;`r r + �'s� r + 4 Yt S• F ..B©x 56 = f '�.• -.a -iJ t�q .t`. t y tiyannis,..,Ma. 02601J ' +< ^Deav Mir.; Mul laney s;-: f ;,, art 1 ' q. a ' You, granted a�vaf`iance tol"install a ,septic'leaching p'it 135 feet from r *s'�> ~.{the proposed well,on Lot 78,; 'Audreys'y. Lane; ,�lakeby states, Marione` Mi11s,, a f �rY ,.An lieu of�the 'required 150 feet. ° ,The�.following:condiiions 7applys 1 t (1)' All ,other'.requitements of Title 5;`'of. the State. Environmental' Code' ,.and the Towsit•of Satnstable Health Regulations must' be strictly'+ ' • rt +adhere'd, to., -•-¢ ''1'- S . -,i r;r,. ,+y, wi ! J:° l., .•f .7' ,`f •.+1 n - Yt q q RIeE r - '? (2) Prior, to,ttie,-issuance `of. -build.ing-permit ,the well nuet be lli.n- lled nd ';tested` bas rt t ly and chemicat y Y —The'water must meet ra11'of, the staneietds`eiftablished by4 the,`Safe' r 4 4 '; Drinking Act `of 197;4. r(3)- The designing''engfneer` snust'be,oii 'site and supervise'constuction" +' ,. of 'the;- r septic,system``an'd. cerftify in writing ,to the Board that his; V des,igII ha8 been L C'0 4plied: with. - 4 •„-.. l + J ,, � i F"'l!y� d � 5 K t... +r�4.. t'_�'r � 'i ''° � ,y.- , *4.. t `..° .y`f t� �; +} � i. t� � w •� C'r+� �� t 1• Thfe ;variance expires`Ju1'y�1 1 vN Very t ly r - .,�`�. "<. , :x. t. .� w v.�na �.. �7 '' _1 t'",* ':+.t ,t� - d} , •d }:rq ZY :§, +L, .+. .. 1 .� ,. . '� � � � t +�' ist .. { .� r r} {y - „•` ,t' + .: +.+. y •``airrr 'F ' Ro eft L."Childe, Chairman ti { 1 4iOr ` .S I q• J c i t, k� � } , fir, ;•i� �•�:. yri Y v k '' lY ': L'd. ',.�^+ r. �. .An r r ,'e�� �r H: F. Inge`,• D. ..1 C �� 1 ♦ t '?7 +�"� � �, t7 �t! �+, ' } a a w :BOARD OF HEALTH 'TOWN OF. BARNSTABLE.' ;. JW/mm +. - - t ..� .f i'••r t r :�, >, z;r}ry,.. t,.j, y ; s 10 t' Fa 'r L,r' � r ., r s. •. • y J n.t y}; ,, , +J . � -�;.r ,Jy r ' r .. j~ r1 fa � i L hi n•L 4 r ° > - .r. c• • `i -_. - -. -- • .✓:.'_ 1 ..-. .- a _ x - _,_ _. .. _ ` DATE FEE $2.5 . 0 0 ,+ OF'THE;�p� TOWN OF BARNSTABLE OFFICE OF eeaa:.�rsai; Z KUL - BOARD OF HEALTH - ppp 363q.. Tfp Mh*4�. 367 MAIN STREET HYANNIS, MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT Thomas Mullaney TELEPHONE NO. 897-9716 ADDRESS OF APPLICANT 213 Boxboro Road NAME OF OWNER OF PROPERTY Thomas Mullaney LOCATION OF REQUEST Lot 78 , Wakeby Estates , Audreys Lane, Marstons Mills VARIANCE FROM REGULATION (List regulation) Town of Barnstable Regulation requiring 150 tt. distance between we an ieacning VARIANCE REQUESTED (Specific request) facility. Reduce the allowable distance from 150 ft. to 135 ft. REASON FOR VARIANCE (May attach letter if more space needed) Well location as shown on Master plan does not allow for the 150 foot distance-as required PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairma?i n6U,7nd lth Dept.BarnstableE � Ann Jane Eshbaugh H. F. Inge, M. D. rJUN 10� . BOARD OF HEALTH TOWN OF BARNSTABLE T; .. r •':,,"asp'',v;��:„� �, 51-104VIA-/ h P,eO�OSEO WE G L F Y Q L O Cfq T/Oti S : ' 'F:•• -by E.5� ra 7 • J E3 4 3 r l• �j � �?h, _ .. sd �°. f3 Ls1 AS 6--,L 7--Ki = = 3 US 7' ! i7 �.•<<` Q' �'�J'�/S� � j L':t .y t_ ] w4• J�_r.f Y •j_�.�e Li;7',1���'r � •. ' 1 .H 1 -�'T 'j•. y. W �a •k:�,. tiet ��a4 � Z. d 5, p1 � �, ,fa - � .n " 1 y. � x�'• ° h Fy�� „'+' - h Jr� ! 'r�C K ,.r,x ;.rt , n ,k •� t 1 tea �.••, r .:� r �rr�t�. � Fc��"L� �� • Alt ��,,.,� ..r i� Cllyg�' y - '�f r ✓ r �:,5 i Y v ,', j,dyJa. *""� _ A_ l. +q'J"�2. •ff�r Y.J :I h � S .. ...�. Y� !l6 J •� '0+'`fi C�y.• 3°�"'r'.- s}sir ye;z r�: .ti A ,]s'^.d:� � ,d�irY. � �•� �,q +fa�'�. �� FYI��{.+f'•, ,-2r s,r,. ,1/�,„�T'tC •: "c1'7',p ';fie 'a i, _ �r •,�-�•, ��� � Nam, ...t3t e '� .c T� �, l S JV={.�f�.• 'J" �'i`!Y`,�` j h M ._„�•S"�'h�,'t � �y� ,,�. •�, ,.�Y ,i - k.. �.} .� � � .F�ti� �t+r4 _�.s -r'4� .� lJ��r'�D='F y+.? •ed :r' T�'ZI yam,. +i I err r j".� ra �_•+ '� � � .+'t��, -h .a:. /F 4 >-' a,�c, Kr i�� 1L�? 4 eti !- yy+ P!•l `.V c Y ^!}� j a 14 76, 11 VI 14 ASS 14 IS ,y- `.w/ 'p %i i•' � 3 � �\`e. .^r � S �>[�� � � ����r�` �l}� A t Jh,� t j;° ��="+P ry J� }�✓ �.€.r,r:s nF ��. ew.txa-.a+r.��,+. �s....sS-:,. r�.a���r.�.aa}:,e[�.ama4d3+,� a ,..A.- S ,.r .F:x. .a. _ t✓ b:_.y •Jd' r.fi f /,�„� ,q.. - - �t _ � _� r j ,+`•} �• a J. ,l BSC"C' ape CodSurve Consultants Box 56 76 Enterprise Road H annis, Massachusetts 02601 Y Y Date:Tul jef W"L/Time MEMO/ TRANSMITTAL JOb No.0S-t33 Attention SO4K`b oTa 14r�pr LIT L) Subject REQ 016 - mod. ,prNC O O L Q-r -7S AUD9VES L *J f o ASAP Message: 0' Not Urgent ❑ No Reply S`°- 1 Qr, A ❑ Per Your Request e:R�nm `TAjE 115-0 ❑ Prints O Photocopies 0 Originals O Si ned rag Date Reply: Signed • %s C Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 May 21, 1985 Mr. John Kelly Barnstable Board of Health Barnstable Town Hall Hyannis, MA 02601 RE: Septic System Construction Lot 78 Audreys Lane Wakeby Estates , Marstons Mills Your File No. P-3355 Our File No. 3-1335.00 Dear Mr. Kelly: In accordance with condition ( 3) of the Board of Health Variance granted for this project (see enclosure) , we have inspected the construction of the septic system at this site on May 20, 1985 and find the work to be in substantial compliance with our original desing. However, please note that the septic tank is located at the rear of the dwelling whereas our original design showed the septic tank located at the side of the dwelling. This change was made to better accommodate the dwelling plumbing. Very truly yours, B C/ PE SU V CON LTANTS P R ; er P. Michn'ewicz, P. E. Project Manag r Enclosure J The BSC Group of Companies Planning Surveying Design • Engineering PyoFTNeto�f TOWN OF BARNSTABLE OFFICE OF 31ARIST ll"t BOARD OF HEALTH � ru pp 1639. am � 367 MAIN STREET HYANNIS, MASS. 02601 June 20, 1984 P, . �ut< Mr. Thomas Mullaney c/o Roger Michniewicz Cape Cod Survey Consultants Box 56 Hyannis, Ma. 02601 Dear Mr. Mullaney: You are ranted a variance to install a septic Leachin pit t 135 feet from P g P the proposed well on Lot 78, Audreys Lane, Wakeby Estates, Marstons Mills, in lieu of the required 150 feet. The following conditions apply: r (1) All other requirements of Title 5, of the State Environmental Code, and the Town of Barnstable Health Regulations must be strictly adhered to. (2) Prior to the issuance of a building permit, the well must be in- stalled and the water tested bacteriologically and chemically. The water must meet all of the standards established by the Safe Drinking Act of 1974. (.3) The designing engineer must be on site and supervise construction of the septic system and certify in writing to the Board that his design has been complied with. This variance expires July. 1, 1985. Ve y r ly yours, o t L. Cfiilds, Ch i a e s baug RE ; EI H. F. Inge, ly. D. JUN ?.rj 1984 BOARD OF HEALTH TOWN OF BARNSTABLE CAPE COD s �C JMK/mm CONSULTANTS �.S J 4 ­�V F 5.­­ �t, 4 t Cs RAND W. 2-10' DIAM. ACCESS MANHOLES A w '41� Z� 'M 0 ui'", ifi "W �,Z JAI", �A­ 4! --M -Y '7 LLZ A 10 %q,­ tv: a IV 4 2 N A- -A *NOTE: ALL' PIPES ARE TO BE 4" SCHEDULE .40 P.V.C. U!� SECTION A 10 fffh. �frorri� W VENT PIPE (0 Least 24 Inches toll INLET 40 PVC w/Chorcoal Odor Schedule house, -,to �Septic,-tonk ' I � C OUTI.ET JV.299 A"*VIM Loll A" X cover must be PROFILE VIEW OF ADDITION TO LEACHING SYSTEM Ni A6:,­1EL - `��zibc 06'(4s 'd) 'Septic tank covers must be I 4." ,��Top-� �O FO iv r, V DATION urne within 8 In. of flnishad grade 8 in. of finished grade r THE ACCESS COVERS FOR THE SEPTIC TANK, Grade 99.00 Grade over D-Box 100�00 over S&PtIc Tank de o� SAS 101.00 3' of 1/8* - 1/2* Washed Peastone---\ 5 DISTRIBUTION BOX AND LEACHING COMPONENT Washed C shed St n SET DEEPER THAN 6 INCHES BELOW FINISHED /2 T---- - - S H -1 A- PVC (CAPPED) IN ECTION FINISHED GRADE. 3/4* to 1 1 0 e 77 171"Z� _7 GRADE S ALL BE RAISED TO WTHiN 6- OF a7)EEL REINFORCED PRECAST CONCRETE SP PORT E To 3' Maximium Cover INSTALLED AND TO BE WITHIN III- OF ORADE\\ ST. BOX Top OF System- Elev, -97.50 INSTALL TUF-TITE GAS BAFFLES OR EOUALS 12' EXIS S-0-01 Greater PLAN VIEW k EXIST, 0 1,000 GAL. S. C.01. P A lf!a m t am ft Ln 25' or foo 0" Effective Depth 3-24' REMOVABLE COVERS FROM EXIST. FOUNDATION SEPTIC TANK C"I 0 CONCRETE FULL > if. H-1 0 rr-= ij.'j *J. T 0) 0.83', (10 inches) 5 Units e 6.25' 30' 4- 0) Lr) 1 3, 'min. clearance 11 1`1 1 `� 3' GENERAL NOTES Z 1 3' 13 INLET r:*, 6 in.of 3/4"-1 1/2' 11 > 1. 2 5 INLET -J778 El I.T11: n. inlet to outlet min. compacted stone >; 0) U*) ��E3 OUTLET 0 _6 - actor is responsible for Digsafe notification a) L 7quld levei SYSTEM PROFILE 3_ 7,2 5' and protection of all underground utilities and pipes. Not to Scale JA- Contr >: ;-: 3.5'- 3.5 Effective Length 5- -7- kt '�- I ." :; 5. -.7. 1 -S 3 1- - , 2. The septic tank onj distribution box shall be set -E 01 SOIL ABSORPTION SYSTEM (SAS) EJ 4'-0* min. level on 6" of /4 -1 1/2" stone. --assal am. 6 In.of 3/4"-1 1/2* 0 0 Liquid depth 3. Backfill should be clean sand or gravel with no ;�� ��� 3 < Effective VIdth :9 compacted atone 'INFILTATRDR HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN .1 stones over 3" in size. 0 NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE 0 M (OR EOUIVALENT) Not to Scale 4. This system is subject to inspection during installation Z Bottom of T at Hole 1 Elov.-89.00 by Carmen E. Shay - Environmental Services, Inc. Li Groundwater 9served NONE OBSERVED NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" 5. The contractor shall install this system in accordance CROSS SECTION 'END -SECTION with 1-itle V of the Massachusetts state code, the approved plan i and Local Regulations. 6. If, during installation the contractor encounters any INS TYPICAL 1000 GALLON SEPIK, IANK soil conditions or site conditions that are different from those shown on the soil log or in our design NOT TO SCALE I installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the PERCOLATION TEST septic system unless noted as H-20 septic components. 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. Daite of Percolation Test: NOVEMBER 1, 2005 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes� Telst Performed By,. CARMEN E. SHAY, R.S., C.S'E, 10. All solid piping, tees & fittings shall be 4" diameter Reisults Witnessed By. WAIVER (per Barnstable B.O.H.) Schedule 40 NSF PVC pipes with water tight joints. EX:CAVATOR: Shay Env. Svcs. 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding Pe!rcolation Rate: 2 MPI 0 38" Properties. PRIVATE WELLS ARE IDENTIFIED WITHIN A 200 FOOT RADIUS. 1 Test Hole Test Hole No. 1 i No. 2 i DEPTH SOILS ELEV. DEPTH SOILS ELEV. NOTE7 0 101.00 0 101.00 THE PROPERTY LINES ARE APPROXIMATE AND COMPILED FROM THE PLANBY BSC ENGINEERING OF YARMOUTH, MA Sandy Loom Sandy Loom ENTITLED "CERTIFIED PLOT PLAN OF LOT #200 AUDREY"S LANE, 10 YR 3/2 10 YR 3/2 MARSTONS MILLS, MA" DATED JANUARY 7, 1984 LOT#82 0--5- A/O/E 00.50' 0.-9. � A/O/E 100.251 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN IT SHOULD BE USED FOR NO PURPOSE OTHER THAN Sandy Sandy Loom Loom THE SEPTIC SYSTEM INSTALLATION. PROPERTY IS LOT#76 CONNECTED TO 10 YR 5/6 10 YR 5/6 B, 6"- 42- Be 97.50 9'- 42- 97.50 A MUNICIPAL WATER SUPPLY Mod -Coarse Med-Coarse NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE PROPERTY IS Sand Sand FROM THE EXISTING SEPTIC SYSTEM TO BE DISPOSED CONNECTED TO 2.5 Y 8/4 7 5 Y 8/4 OF AS PER BOARD OF HEALTH SPECIFICATIONS. A MUNICIPAL WATER SUPPLY 42"- 144' 89.00 42"- 144' C, 89�001 EXISTING SAS TO BE PUMPED DRY REMOVED TO FACILITATE INSTALLATION OF NEW SAS Cb 0� _-97 160. 00' ASSESSORS MAP - 27 PARCEL 090 TEST HOLE f2 I 16 ELEV.= 101. 96 �1 -0 1. ZONING - RESIDENTIAL 7.25' FLOOD ZONE C J Perc #1 N XIN ------- 95 D�epth to Perc: 42" to 60" 71:� D- ox j Pierc Rate= 2 MPI OBSERVED H20 Elev. None Observed THERE ARE NO WETLANDS LOCATED WITHIN A 200' RADIUS OF THE PROPERTY ­121 ------ TtST libLE #1 _94 ELEVN�, 101.00 V 4" P ALL OUTLET PIPES MOM THE Vent EXIST. 1000 GAL. its DISTRIBUTION BOX SHALL BE 12' CONCRETE COVER LEGEND 3 SEPTIC CV SET LEVEL FOR AT LEAST 2 FT. TANK 4A V_ FAILED SAS I _11P_ I., �.:,; t "' CONCRETE 0 LOT#79 3 - 5' 04J TLET 2 KNOCKOUTS (APPROX.) 0 10 01 L J DENOTES PROPOSED IN: F88X70 LET - - - - - - - - ET 93 OUTLET 12" _NUET SPOT GRADE + PROJECT BENCH MARK DEC DENOTES EXISTING K X 104.46 TOP OF FOUNDATION 4- - SCH. 40 Tee5 SPOT GRADE 91 ELEV, 100.00 (Assumed) ------------- *7 - ---- I PLAN SECTION CROSS-SECTION PL PROPERTY LINE LOT#77 EXISTING 3 HOLE DISTRIBUTION BOX H-10 LOADING 3 BEDROOM EXIST, PROPOSED CONTOUR I I Eyza_ HOUSE DRIVEWAY It I L-1 NOT TO SCALE 97 - - - - - - 97 EXISTING CONTOUR #200 _J ....... Design Calculations DEEP TEST HOLE & PERCOLATION TEST LOCATION - ----- 91 Number of Biedrooms: 3 Equivalent to 330 GoL/Day (330 GoL/Day Min. per Title V) Garbage GrincJer. No FENCE Leaching Cap�oclty Proposed: 330 Gal./Day Minimum (Min. Per Title V) 99-- Septic Tank 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL. Septic Tank. PRIVATE DRINKING WATER WELL SOIL ABSORP71ON AREA: Using percolation rate of <2 min./inch LOT#78 a Bottom Area: 0.74 gal/sq. ft. x 370 sq. ft. 273.8 gallons 20,000 Square Feet Sidewall Area: 0.74 gal./sq. ft. x 78 sq. ft. 58 gallons REVISIONS _1� Providing: 331.80 gollons 160.00 DEFINITION PL NO. DATE: Use: (5) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE ro ON THE ENDS. NO STONEUNDER. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -7 --- - - - - - - - - 4 LT-D _" -AE7 A S7 -,L-,4 2V-jU (40 FOOT RIGHT OF WAY) --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- PROPOSED PREPARED FOR: SUBSURFACE SEWAGE DISPOSAL SYSTEM OF DANIEL LANNA PERKINS #200 AUDREY'S LANE MARSTIONS, MA 2100 AUDREY'S LANE PREPARED BY: PRIVATE WELL IS MARSTONS MILLS, MA 02648 PROPERTY IS OVER 150' FROM N CONNECTED TO CA ENTY E. SHAY PROPOSED SAS A MUNICIPAL WATER SUPPLY EIVVIR01WENTAL SERVICES, INC. 0 1101 0 2 1 0 40 50 10 P.O. BOX 627 EAST FALMOUTH, MA 02536 8A N I T P,?-\