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HomeMy WebLinkAbout0054 BARBERRY LANE - Health 54 Barbe-- Lane Marstons Mils A= 102 — 159 - 002 i %4 Commonwealth of Massachusetts a -� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments ; �M 54 BarberryLn Property Address Karen Hayden i Owner Owner's Name '•' 1,•• information is Marstons Mills MA 02648 1-15-18 required for every page. Cityrrown State Zip Code Date of Inspection I ' _h k 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 A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. D.A.BROWN INC Company Name vl P.O. BOX 145 Alf Company Address CENTERVILLE MA 02632 Citylrown State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 1-15-18 FnspecWSignature 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 6w vs Commonwealth of Massachusetts n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: At time of inspection this system met all passing requirements. This report is not to be used for definitave bedroom count or design flow.This report can not predict the future performance under the same or increased usage. 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 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 54 Barberryl_n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown 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 break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N FIND(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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 54 BarberryLn Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3/13 Title 5 Official Inspection Farm: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 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® _ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 54 Barberryl-n Property.Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown 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 ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 per plan Number of bedrooms(actual): 3design DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 6 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 54 BarberryLn Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: According to design plan this system consists of a 1500 gaflon septic tank h-20 d-box and 3 h-20 leaching chambers in a 30x9.83 ft area. Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: 16--71.2 gpd 17--139.7 gpd. This system is not designed for use with garbage disposal.) did not enter the property to check on disposal Sump pump? ❑ Yes ❑ No 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 5. 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): 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 M 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 7-11-05 per as-built Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 2.5 feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Sludge depth: light to moderate t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank.(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness light Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? scour pole Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): If tank has not been pumped in the past 3 yrs I recommend pumping at time of transfer and every 2-3 yrs there after depending on usage. 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 Forth: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 ,M 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No. Date of last pumping: Date Comments(condition of alarm and float switches, etc.): I *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No li t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �,M s•' 54 Barberryl-n Property.Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Citylrown State Zip Code Date of Inspection D. System Jnformation (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above.outlet invert o" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of eakage into or out of box, etc.): Box was functioning properly at time of this inspection i 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 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 3 ❑ 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 hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Chambers were viewed by camera and were functioning properly with no signs of failure or staining indicating that they had been full at some point. 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 BarberryLn Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. City[Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: none encountered at time of soil evaluation 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: 1-23-18 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: design plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4 M , 54 Barberryl-n Property Address Karen Hayden Owner Owner's Name information is required for Marstons Mills MA 02648 1-15-18 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D(System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 AsBuilt Page 1 of 1 TOWN OtF'B`ARNSTABLE LOCATION 5� Wr. SEWAGE#WS — 6S VMLAGE__I Mtf KSI 11�,6C1,� ASSESSOR'S MAP& LOT --- ,�-� AISTALLER'S NAME&PHONE NO. VV�T ca� aT(0?4 Z,Z L q�C)j _ SEPTIC TAINK CAPACITY LEACHING FACIM: (type) Lkk�iky: (size) ��0 ' D NO.OF BEDROOMS > BUILDER 0 OWNE 1k 01frzl A&VC �� AM PERMItDATE: ZI `6S COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by IlU t l i Gt ran A�3 � �Z � -► - 4�a c - 1 r l$ ` 1�bb -kb sGnc. -%kl< -M`c wu.LL http://issgl2/intranet/propdata/prebuilt.aspx?mappar=102159002&seq=1 1/23/2018 TOWN OttF''B``ARNSTABLE LOCATION O 3rnomj LA SEWAGE #?W5 VILLAGE &ZOL6 ASSESSOR'S MAP & LOT "` -Z. INSTALLER'S NAME&PHONE NO._UV"� C�1S�V GT(Ol�S� 17 L 47i0j SEPTIC TANK CAPACITY PSM GOO& LEACHING FACILITY: (type) (size) O K Q NO. OF BEDROOMS BUILDER 0 OWNE Ak j QE( a l PERMITDATE: (P Z� `6S COMPLIANCE DATE: 7 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wedand and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by C l i 6 ryx P1- 1b U 2LE S 1 9—CO 5 No. `�� ��' Fee ' Enured in computer.I TF�E COMMONWEALTH OF MASSACHUSETTS ` Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS t. Zipprication for nfigpool bpotem Conztruction Permit Application for a Permit to Construct Y Repair( )Upgrade( )Abandon( ) Complete System O Individual Components Location Addressor Lot No. Owner's Name ddress and Tel.No. � 4a-16— Assessor's Ma /Parcel ��5' � � p 1 - '� Ion . rn►4 Installer's Name,Address,and Tel.No. 1*) Designer's Name,Addr qss and Tel.No. 2—1 i 5 Typl of Building: / rffw No.of Bedrooms Lot Size 17 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures „ Design Flow )1/) gallons per day. Calculated daily flow JC.(J gallons. Plan Date — Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 06W f C 11 V5 W e7) _f Y) 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 B f ea Sig Date Application Approved b Date Application Disapproved for the following reasons Permit No. 1J Date Issued tU No. 5 392-'i Fee COMMONWEALM OF NlI4SSACHUSETTV a Entered in computer: L Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS _ ZIpprication for Oiopooal bpttem Congtruction 3permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) ! Complete System ❑Individual Components Location Address or Lot No. 5 J r1w(I !1f"o Owner's Namer Address and Tel.No rn� ►i5 r� t o�� � �juc�-1 I Assessor's Map/Parcel O- h r �4 _ 1'X 1("" A Installer's Name,Address,and Tel.No. (,O ,�Mg7YVG11��1 Designer's Name,Add ss and Tel.No. �� (,t1m. 2,T�SUre 5 o ti N,, I x:H') , M Pr 0,)a Type of Building: ( Dwelling No.of Bedrooms 3 Lot Size ,5 /j sq.ft. Garbage Grinder( ) Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ✓ gallons per day. Calculated daily flow 3449 gallons. Plan Date a '' `� _ `� Number of sheets Revision Date ` Title Size of Septic Tank I .`J 01) q,�A- Type of S.A.S. Description of Soil, (t)-&a Eal- • Nature of Repairs or Alterations(Answer when applicable) new 1 rt- y t 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 Boazd of Healltth-.. Sig d°"""- .:, ' Date opt } Application Approved b Date 5 Application Disapproved for the following reasons Permit No. Date Issued ------------------------------------7-- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by W L)IT `` L)Z_-fiC) r> I JjJa) r 1-Z)L1 e 5 at 59 Trw rt i-t I a re' , ("tom L2 L- t`14>, M Pr_ has been constructed in accordance with the provisions of Title 5 and the for Dis osal System Construction Permit No. e' 5^ � dated Installer UJ al - IZ ; �u( � �1(,�r:(��/Jt°Designer-�" ,. The issuance of this pet sh �no bg�construed as a guarantee that the systems will fu� ctionjas de igned. `J Date ff Inspector --------------------------------------- No. 5 Cad 5 .- 05 Fee °/5 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mitpooat *p.5tem Construction Permit Permission is hereby granted to Construct O Repair( )Upgrade( )Abandon( ) ,,4_ System located at '�y � h trig are , 1` YIPICC _` Yt5 m t l l.S W F+ _ .f r r 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 in st be completed within three years of the date of this p Date: as Approved by r JUL-13-2005 07 : 13 AM DOWN CAPE ENGINEERING 508 362 9880 P. 01 t+i,;wi�!klJ�� 0a:51 50a77:;9262: P46E 03 Town of Barnstable Regulatory Services Tbomas P, Geller, Director Public Healtb INvision Thomas McKean, Director 200 Main Street,Hyannis,MA 02601. Office, 508462.4"4 Fix: 508-190-E304 instsl�ler do Desiett��tdied��Q� Date: .�l cla .� Desiper Address: �— °"1_ Addressi L o� 0n . �� was issued a pertrdt to insuill a dins 1cr)_._..__.. _. 11 scp:ic system at _�y�;�based on a design drawn by ss9 des g"nsr _ 1 cecttf►that the Septic SyRtCnl [CfeTCURd ahnve wbc installed J1bstwitiaily according to the design, which may include mwor approved changes such as lateral relocation of the disrtibuttom box and/or septic tculk. I certify that the septiz system referenced above, was installed with major changes (i.e. gtoator than 10' lateral relocation of the SAS or any vertical relocation of euy componew Of the s tic system)but iu accordaice with State do Local Regulations, Plan revision or aern d aa+�iWt by designer to follow. ` � ZN OF M�S� ARNE H. �yc OJALA UTe ��\���, CIVIL No. 30792 STE SS/ANAL E�`" ee giier Y lgnatla0 �t � JeaigaerA�t�,tnp�e:ems— PLEASE TO S UWIL N91 B SUED 'UNT P2111 TM FOR �►' :�T Q.He11tL'q Md10611per CAVar.Ot10C rotm LOCAT)ON SEWAGE PERMIT NO. VIgLLLAGE INSTALL R'S ME i ADDRESS - � R R OR OWNER DATE PERMIT PIISSUED ��� � ► DATE COMPLIANCE ISSUED �� � .., �i ��� �, i Fimis THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1�p U ------��w.lU..................OF........b/..Q2/V.,ST/.4.�3G�---------------------------------------- o- z Is?- Applirafiun for UiipuuFal Works Toustrnrtiun Famit ooa- Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at :�. ._. k- ........................... ... ................................................... .Locat Address or Lot No. .. O e bj : `' ......... _� ddress Installer Address 4 Type of Building Size Lot____-_-----_------:-----Sq. feet Dwelling L''No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons........................... Showers ( ) — Cafeteria ( ) PaOther fixtures -------------------------------- . -------•----------------••------------------------- W Design Flow............................................gallons per person per day. Total daily flow_.._........._......_....._....___..........gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter__-_-..-_-_____- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter..................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date----------------------................. 4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •----------•----------------------------------------------••----....------------•---••-•----................---------•---•---------•-•...._.....•-----..••-- Description of Soil '-------------------------------•--•--•-..._.. W U --------------------------•--------------•-•--.......---...----•----------......---------•-•-•-•----.....--------------------------•----•---------------•.----......---.........-------•--......_....._ x ••..•---------------------------------------------------------------------------------------•-•---•-----••----• -------- -- ��� - -- - ------------------ V Nature of Repairs orAlterations—An•�t_ver when applicable�� .._.....�.`�........_... ................ /I Ile Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i, u d by Pe board%q ealth. d� / � / r Signe __ ..� - .. ' /� / D to Application Approved By.._..--- •/ ---_ ....... -• �-� • —..............•--- ------. _.Z7- Date Application Disapproved for the following reasons:-----•---------------------•-•-----•----------------------------------------•---------------------.........._.._ ---------------------•-------------.......------------------....-•-•--•----------............------....----••-•••--•-•-----•---•----•-••-•-••-•-•----------------------•••----•-------•--•--•--•-------- Date Permit No. IssuecL._.. ..................................2''` '] Date Dat._...... l '6 �qq►► ` No................I.,..... w r FEB ............ . THE COMMONWEALTHl OF MASSACHUSETTS BOARD OF HEALTH 7;W_tv.................OF........ Appliration for Disposal iiorks Tonstrnrtion Wrmit k, Application is hereby made fora Permit tto Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ` i 3 . :. ........................................... ..... - ---.................. ;fir Locad -Address or Lot No. L ..-..-- -. ---- ------------------------------------- ----- .. .... ...... ....... ....... O ddress Installer Address Type of Building , Size Lot............................Sq. feet U Dwelling No. of Bedrooms.................::::........... .....Expansion Attic ( ) Garbage Grinder ( )U p.I Other—Type of Building ...................:::.::... No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures -----------------------------•-• . W Design Flow....................:.......................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width.........._..... Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' jPercolation Test Results Performed by...................................... ............. Date........................................ a1 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minute per inch Depth of Test Pit.................... Depth to ground water........................ ------•---•- ` ------------------•-------•---------------•--•-----•••-•-.....--------------••......................................................... 40 Description of Soil........................ ----------------------------------••---••---.....-----------------------------------••-----------....--------•---------------..........-•---- x _ x --------------- ------ •-------•-------------•------................................-•.._... _. . .......... ...: _ ••••• _... -........... U Nature of Repairs ltera, s A er when applicable _ ....... ../__... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I.LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i u d by)he board 11 h. Sign -:... ••. ••..................•.......-- Da e Application Approved By--•.•• r" ... .. ;.:..R.................. ------ Date Application Disapproved for the following reasons:.................................................................... --------------------------••.............. ••-••••-••••••••••-••-••-•••--•••-----•-•-•---•-•---••-•---•••-••-••--•-•------------------•-•----•--•-•---....--••• ..............................•----------•--•--•.......••--•-......•••----------- Date PermitNo-----------------------------------------------••-------- Issued.................................----...........------ Date THE COMMONWEALTH OF MASSACHUSETTS ' rA. BOARD OF HEALTH ..................OF.......FI N5,r1. a4.,6..................................... (9rrtif iratr of. TompliFanrr THIS`I T CE F f ghat the Individual Sewage Disposal System constructed ( �) <or Repaired ( ' by... ... Inst- ------------------- ----•----------- .... J" ....Se I? . has been installed in accord with the provisions of T 5 of The State Sanitary Code as described in the application::for Disposal Works'Construction Permit No..- . .............. dated_... Q_�_f �-_-�17•.. ......__:' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................................................•••••......---••----•----... Inspector........-•-----•-•-•............. ................................................ THE COMMONWEALTH OF MASSACHUSETTS a BOARD OF HEALTH ......................' ''V:.: ........ .OF._...�.''? a11. ,1 ` p FEE........................ Disposal rk uan Vvrrmit - Permission is hereby gr, ted. 1,4, •--••-•-- to Consti ( ) r Re ( ,+Qj'an ndividual ewa a Pispos System at No... treet --•- ---^---- ... as shown on the application for Disposal Works Construction Per �___ d..... _ .............. f ..." - ............- 1 Board of H alth DATE_.........•{�r f�'.Z.�............................ .��., FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -•"pr';�:_�. ED FHARIll c a® < L---iI L---J9 ®®®® ®®®® �wIl►Im �Dt FRONT ELEVATION ® ® 1EXISTING ® 1L �l � c 1t! Z Z Q W —1 Q � QL UJ REAR ELEVATION QC W SCALE, 1/4' . I'-O' Q � Ill Z W ID 'T sN�r 1 c I $WrAHW..HALL OTON '"ED RIGHT ELEVATION SCALE= 114' - 1'-O' JOB: DRAWN BY: DATE: 10 RIDG vzwr 2 CARD i2 LOB•oa7X 9M6ATHING Q MATCH EXISTING PITGN • �,fr .�� .w �e Q HATCH psTING PITCH' , ' �•Q e�i.0 - �'. �F6 INS ��� a RST PQ INSUL -- ASCIA DONT.VENTINE DRIP EDGE ' (2)4 I/1'LVLt �FSECd D HET$lER STRA �fTTP. STIMPPING f a ALUMINUM G`"ERS,AND DOWN SPOUTS I!2'GTP BD TYP. DEAD 6D. PRIae BOARD AND MOULDINGS F SITTING O MASTER ~3 VESTIBULE 0(NERED PATIO o� ROOM § BEDROOM = 294 0M.STUDS a w O.O.TYVSK WRAP . = c Q� Bi7lAT«ING �Q L �SAa'PLY SLERLm BRICK W.C.SMMGLIM w T.N. � sow PLT SUBFLOOR MAI HATfi1 EXgTING FIRST FLOOR 6WED i LED GLUED f NAILED C MATCH CXISTTNG FIRST FLOOR •1 IL G. i RR W&JL lob RIM STUDS 1 K'O.C. U' NI2o16 STEEL BEAR—)l�o-� R90 INSUL .*+ ANRgR AT i+BILL O.1— �� - GRAWL SPACE _ i (a) I/Z'LVL MDIt ` t 2.601K.SLAB k_ yp•�T�E Iy���7rp���p �� '1 l �—�R ?' �YAPOR BARRIER °- OL11�8�1 A� - - «cRITIrrIL r_eve_rc it _�.._ :.; Tawo'aLAe Mawr -' I---------- `}------ �1//Il�� — EflW.S'-2'AT �4A- APOR BARRIER {1 t"1 IO'14W �\�� ow-Y OONG WALLS u r� t0 s' r ID TObIARO '��F------ DAMP PROOF eF1.aN GRADE DOOR ——— -- ------- 3. V11 C U vVl A1 SECTION SECTION r �1 SCALE, 1/4' I'-0' SCALE, 1/4` I-O' ``pp rt W-0' w w lj Z Z(2)4 tor LVL% J - - •eu1LD oust• w VALI.ET'S C� w oc - .Iboc. - IY W NI2r.P sTEa.BEAR Z o a w FIRST FLOOR FRAMING PLAN ROOF FRAMING PLAN 5CALE: 1/6' . I'-O' SCALE: I/W - 1'-O' 5F1Et:1 3 LA J05: DRAWN BT: DATE, 10 i .+ f — o STUDY/BEDROOM BEDROOMm t A p (2)A W LVL NDR - _10 ORCK ET CAV 4'-2 V4• 1'-4• Iq 5 3/4• a ` DRESSING JLj LIVING S c ce)2uc r —I - — n si �1'�` I i—I Foam- I.Jr r MASTER I VELwc Tuae BEDROOM m L elcr O O bPSti L J LINEN �e..�• - - — uTE 1 < � 0 0 I I a'- FWMwsn t TV L—_- 5ON n ® � KITCWEN I 1 I sII 29 22 s'-o• DG I �a+Eris rl�� I �? ` 5 i 1I VESTIBULE C M QA sn • �)a0'�SITTING a OPTIONAL ATTIC GOtC10k: I 1 29Ci ROOM e FOY eEAT MASTER ba 2446 --_ -244i -_-244i . e'_o• VAPOR BARRIER A •, R19 F(i IN9UL 'v P.T.29 SLEEPERS W/e2•PLY eIQSFLOOR '-fY 4'-6• 10'-4• 10'-b• 4'-b• - 44'-O• - 12'-1 30'-O• FIRST FLOOR PLAN SCALE: 114' - I'-o• W W 42'-a V Z 12'-0• so'-a z A ew-aF CONC.WALL B DROP CONC,wALLL to•sna•CONTINUOUS FOOTING TO AS, WIeTING77777-- -------- 7 a . 77 W t�Awi e}pArr r—— —— I (� Lij LIP Norte I p 4; I 7-b• � p 1 1 0 WNCON DESHWATIONS ARE ANDotam WINDOWS. COWIRACTOR SMALL VERIFY PATI 5 O I I LOCATIONS i DIMENSIONS PRIOR BRICK ' I , GARAGE z Y I ( e"x46'cQlc. TO WINDOW ORDER INSTALLATION i 1 low,CONTINUOUS VAPOR��>� � I YiA1.L FOOTING W �(' .� I to'g I 1 I 4.CONC. Sum NEW WALL CRF,�NT T9ET'O pirD TOY'IAgD I FRZR. 1-3 I ELEL. PLUIffiING I VERIFY IN HELD r. REMOVED WALLE ____7 - - x, i b `f I STEEL BEAM On3TING WALLS -- 8'x4N-GONG WLLJ.r- I �j I I 1 __— __. _—•—_— _I 91Ltacic a . to x1i'commOUS Foor NQ I L-- 1 I I '-2 1/4• I : DROP CONC.WALL eb•xrx I 4 - I LEAVE UNEXCAVATED CONC. �• L WEAR BLAB Q I TO FROST WALL c awl PAc ;, I I 90•IAo°ACCffiS � u I I�rBEiwa Sum . • VAPOR BARRIER o MAY BE INCREJ.SFD Q I 2•CONC.DUST CAP - I FOR PLAMING OR I EXISTING DROP CONC.WALL I I VERIFY IIN FIELD • ' o i t�lvc_ SCRs SWEET 2 BFLD s eLL 1 " 21Q.STUDWALL ABOVE OCRITICAL DIMENSI 41 e"x4N COlIG.FROST WALL BOTTOM OF.101ST TO 2Q tO•r1s•OONTINu0U8 FOOTING TOP OF SLAB MUST U I 2A EGUAL 0'-2• I I o :f �u'.ocX -�i _1JSE --- 4NT O.M.DOO ---- - mrr 0.14.DOOR ---------- =—cawaeera�PRa�— — _----- -- -- -rA 12'-O• GROUND LEVEL PLAN DRAWN BY: SCALE: 1/4' - r-o• DATE: I TOP FNDN. AT EL. 85.26' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN 6" OF FINISH GRADE LISA LYONS, RS ACCESS COVER (WATERTIGHT) TO ENGINEER: LAKESIDE DA. , VE �83.0' MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 78 D DAVID STANTON, RS .� WITNESS: 2" DOUBLE WASHED PEASTONE DATE: 9/9/04 II RUN PIPE LEVEL �/ \ ILOCUS 82.Ot FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN/INCH I (PROP PROPOSED 1500 �' f I // / w 75'2' CLASS I SOILS P# 10,791 A > I GALLON SEPTIC 80.0' H-20 A o 80.25' TANK (H- 10 ) GAS rn rn BAFFLE 74.67' �� 74.50 0 0 0 O 0 0 !� o MIN o 744 mw2 % SLOPE) �6" CRUSHED STONE OR MECHANICAL COMPACTION. 15.221 2 0 $ 2' (] 0 0 o 72.4' Q E 8.8'( [ 1) 0 78.8 DEPTH OF FLOW = 4' 4.9 y, SLOPE) ( 1 7. SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONETEE SIZES: 10�. H20 CHAMBERS FILLLAKS INLET DEPTH = OUTLET DEPTH = 14" 26" LOCATION MAP NTS A FOUNDATION- 11 ' SEPTIC TANK 109' D' BOX 12' LEACHING LS ASSESSORS MAP 102 PARCEL 159-2 FACILITY 5' 31" 10YR 3/3 ZONING DISTRICT: RF B YARD SETBACKS: FRONT = 30' LS SIDE = 15' sa6 _ 10YR 5/6 REAR = 15' I 110.80' 67.4' 45" 75.05' PLAN REF. - 138/25 I 61.9 C 1 LS FLOOD ZONE: C LOT AREA 2.5Y 6/3 19,514t SQ. FT. 86" BENCH MARK - CTR. OF C.BASIN ELEV. = 79.3 I PERC C2 MS 31. 2.5Y 5/3 136" 67.4' 9.3 w I DECK NGWE NOTES. I - - I EXISTING SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ASSUMED 1. DATUM iS DWELL. uj (EXIST 3 BR TO REMAIN 3 BR) TOP FNDN = EXISTING I ELEV. e5.26' 9. DESIGN .FLOW: _3 BEDROOMS ( 1�0 GPD) = 330 GPD 2. MUNICIPAL WATT=r-� IS I cam. USE A 330 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 10 PROP. RE-ROUTED PLUMBING 4. DESIGN LOADING FOR SEPTIC TANK TO BE AASHO H- o �P� SEPTIC TANK: 330 GPD ( 2 ) 660 DESIGN LOADING FOR D'BOX & CHAMBERS TO BE AASHO H- 20' I o 5. -' - - O 3.0 USE A 1500 GALLON SEPTIC TANK 5. PIPE JOINTS TO BE MADE WATERTIGHT. 1 °? ,, a OD 1. LEACHING: 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. '6 16. x 2(30 + 9.83) 2 (.74) = 117.9 ENVIRONMENTAL CODE TITLE V. SIDES: 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT so. 30 x 9.83 (.74) = 218.2 TO BE USED FOR ANY OTHER PURPOSE. 77.2 P BOTTOM: 7. a 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. i CP - 482.6 -- _ TOTAL: 454 S.F. 336.1 GPD PROP. ADD'N. N 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT I 77.0' 'r NOTE: PLUMBING REQUIRED To BE USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED RE-ROUTED TO EXIT REAR. ALL PLUMBING - EQUAL WITH 2.25' STONE AT ENDS AND 2.5' AT SIDES FROM BOARD OF HEALTH. I � ' TO EXIT TO NEW SEPTIC TANK + I 7 1 10. PUMP & REMOVE EXISTING SEPTIC SYSTEM 77.5 78 +I - - - - -+-79� - +,80.3 9. I 8.2 DRIVE. 77.0PROP. ' a x E G E N D �- TITLE 5 SITE PLAN I 9 x 100.0 PROPOSED SPOT ELEVATION OF I OP. RETAINING WALLS Q 54 BARBERRY LANE 78.4 (D IGN BY OTHERS) /9.9 100x0- EXISTING SPOT ELEVATION �9 x = IN THE TOWN OF: + 78.8 TH + 79.2 00 100 PROPOSED CONTOUR ( MARSTONS MILLS) BARN STABLE � 9 rn , I t 100 EXISTING CONTOUR PREPARED FOR: JACQ U ELI N E B ENAR D I II I I I I + 78.9 X 3 cP EXIST. CESSPOOL I I uj w 1 20 0 20 40 60 w BOARD .OF HEALTH .9 I -r- F7.8 I I MA _ 76. -J---i " APPROVED DATE SCALE. 1" 20' DATE. DECEMBER 9, 2004 1 N ` _,,, I I + 76.1 x off 508-362-4541 1. X 00' 7 .3 fox 508 362-9880 H OF lhss9C �� ,R' OF x I �`' ARNE H AR04 NE ° m down cape engineering, Inc, OJALA " CIVIL OJALA + 72.5 N 30792 -� No.28348 CIVIL ENGINEERS � � +I 7 .6 O� S T E�� q 73.2 + 74.9 5' REMOVAL OF UNSUITABLE SOIL REQUIRED LAND S U R V.E Y.D R S E D u ���� n 1 7S AROUND PERIMETER OF LEACHING FACILITY, T t'�i + 75.1 DOWN TO SUITABLE SOIL LAYER. REPLACE 04_2 >5 WITH CLEAN MED. SAND. 939 ruin st, yarMouth, rya 02675 ARNE H. OJALA, P.E., P.L.S. DATE i