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HomeMy WebLinkAbout0065 BAXTERS NECK ROAD - Health r i /1�%f[4V® %�ogaFD�oym uo 2-153L411 NAMQ%e re I� 1 i • 1 V v 9 3111�b bo s sr f- - �r�,„,a„d 2 Yw Sa e al � aa� w a 1 ILoJ1— LOu a, III ►aa}-� lea for fives or ��-IG•+r. �� �,�. � � i ��� ,=r dnes�'r �.. pt� ►��� i 4.. >ebll' lA�KILt�>� y't),tS. /r $ �� 1"��i�� —_t4;t..`.(r-�1Lyrt �S � )�iePIva.Y. -ter rc30 ,.1 or a 63u. I-J, p c4--a-- �••sZ w�"'cd S��c� �^ f , ,Miwolv�l i Commolnwealth,of(Massachusetts /) _0�q _ _ Title 5 Official Inspection For -. a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 65 Baxters Neck rd Property Address John Maher Owner Owner's Name �. . information is f Ma 02648 5/25/16 required for every Marstons Mills page. City/Town State Zip Code Date of Inspe®pn Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information �< filling out forms v/0 / 7/ on the computer, - (O�7✓ use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono . use the return Name of Inspector key. DiBuono Sewer and Drain reb Company Name 8 Johns path Company Address S Yarmouth Ma 02664 City,'rown State Zip Code 508-364-9587 S103522 f*i =:T:.elephone`Numbgr rv?? 10 ` License Number � . it '13: Certification, 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: I ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority T 5/31/16 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 L 01tar's Commonwealth of Massachusetts W Title 0-flcial Inspection orrr� Subsurface'Sewa'ge Disposal System Form - Nat forJVoluntary'Assessments 65 Baxters.Neck-rd..-- Property Address - Owner .._ _.. .---'6 O,wner's Name information is required for every Marstoiis`Mills Ma 02648 5/25/16 page. Aty/Town State Zip Code Date of Inspection ��. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes:. Z. '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: .-System contains a 1500 Gallon tank a concrete distribution box and three 500 Gallon leach chambers. System was upgraded in 2013 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):. : il' . �t ,.. ...-I. - •A vl e C'• aaw, ')i'_}.;q J :3.�`"'. �:.tr: l... b;l. .. .. t - lA .! 1 '•..t r�,d.<a ..^ l5ins-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, wM 65 Baxters Neck rd Property Address John Maher Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/25/16 page. City/Town 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 ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. " - . 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety,and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh l5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Titlei�cial Inspection &r'm f p a Subsurface,iSewag`e`Disposal System Forth - Not for Voluntary Assessments ••''V 65 Baxters Neck rd Property Address -- John Maher Owner Owner's Name. information is required for.every.- Ma( tons Mills Ma 02648 5/25/16 page. ::,CR-y own 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 envit'onme.nt , 0 The;system has a septic tank and soil absorption system(SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. i. [] The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS,is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine-distance; ri . I; w ,This system pastses if the well water analysis,+performed at a DEP certified laboratory, for fecal col form:bacteria.indicates absent and the presence of.ammonia nitrogen and nitrate nitrogen is equal l'! 's 4 - to.or,less than 5..ppm, provided that no other failure:criteria.are triggered. A copy of the analysis must bey attached to.this.form. „ , , F , 3: Other: D) System Failure Criteria Applicable to All Systems: i{ :Yoci`rustindicate,"Yes" or"No" to each of the following for al'I-inspections: Yes;,T No Backup of sewage into facility or'system component due to overloaded or El 2 clogged SAS or cesspool Discharge orponding of-effluent to,theisurface ofahe 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 I 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-3113 rR ' •`-:r Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 t Commonwealth of Massachusetts F Title 5 Official Inspection Form . ,. t� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments. 65 Baxters Neck rd Property Address John Maher Owner Owner's Name information is required for every Marstonis Mills Ma 02648 5/25/16 ' page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® 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 ofammonia nitrogen and nitrate nitrogen'is,equ`alto 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 El Elthe system is located in,a nitrogen sensitive area (Interim Wellhead Protection. Area—IWPA) or a mapped Zone II;of a public water'supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Officia[ Inspection-Form. . : a Subsurface;,Sewag.e;,Disposal'Systeni'Form-•Not for.VoluntaryAssessments C ,••y'y 65 Baxters Neck rd bl i _ ,� 'i i> Property Address John Maher Owner -"" — Owner's Name - information is required for every MarstonlsWillS } Ma 02648-.. 5�25/1'6` page. ;,Citylrown;n 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? Z ❑ Has the system received normal flows'in the previous two week period? .71,y a, 't. ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? +_- ::c..n: i:7%;Were as built plans of the system obtained and exam ined?'(If they were not available note as N/A) ? III -� '3 „ -; Y 9 P g 9•.- p (-:, ❑ Was the facilit or dwellin Ins ected`'for si 'ns"of'sewa a back u ❑ Was the site inspected for signs of break out? Z ❑ Were all system components;excluding.theSAS, located 6'n 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 Systefp,(,S 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: L.._� Number of bedrooms (design): 4 Number of bedrooms (actual): 4 ,y+ �:oY F=l DESIGN flow based on 310 CMR 15.203 (for example:'110'gpd x#'of`bedroom's):l 440 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection F®"rrn Subsurface Sewage:Disposal System Form -.Not for Voluntary,Assessments= e wM 65 Baxters Neck rd Property Address John Maher Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/25/16 page. CitylTown State Zip Code Date of Inspection D. System Information Description: System contains a 1500 Gallon tank a concrete distribution box and three 500 Gallon leach chambers. System was upgraded in 2013 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on.a"separate sewage system? (Include laundry:'system inspection;. El Yes ® No information in this report.) P Laundry system,ins,pected? ® Yes ❑ No Seasonal use? r El Yes ® No Water meter readings, if,available last 2 ears usage 289 Gpd 9 ( Y 9 (9pd))� Detail 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? ;; az. ❑ 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: l5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5',:Y f�cl�l Ir�sp � - r f � , r ection Fo" r � #, R Subsurface7S Fw—d"d�isposal System Form N'otforVoluntar"y`A`ssessments3W _ 65 Baxters Neck rd M Sy0 ... t, Property Address John Maher Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/25/16 page. City own State Zip Code Date of Inspection Do System Wormation (cont.) Last date of"occupancy/use: Date -Other(describe below): General Information bumping.Record& ' Source of information: -System is only 2.5 Years old Was systdhi'pumpedfas part of the inspection?a ' ' `' ❑ 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 ,_► Do's' l.wi Tight tank- Attach a copy of the DEP a'pproval. y Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 ,Official Inspection For _ f. a Subsurface Sewage Disposal System Form - Not for Voluntary Assessm.ents;:,,_. �M 65 Baxters Neck rd L Property Address John Maher Owner Owner's Name information is required for every Marstons Mills Ma ; 02648 5/25116 . page. City/Town, State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2.5 years Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 4 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.); System is vented through the roof Septic Tank (locate on site plan): Depth below grade: 3 feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1500 If tank is metal,list agef ' years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title Official Inspection- O�°'1� SubsurffaodrSewage-'Disposal System Form - Not for VoldR ry A'ssessments °�M ••`'y 65 Baxters Neckr_d Property Address John Maher Owner Owner's Name information is required for every.. .Marstons'M'ills' Ma 02648 _ 5/25/16 page. Cityrrown e•. 1 State Zip Code Date of Inspection 1). System Information (coot.) ;, -j,i. Septic Tank4(con4) , Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness Y - Distance-from top of scum to top of outlet tee or baffle 42" Distance from bottom of scum to bottom of outlet tee or baffle 1" Sludge stick How wer&dimensions'determined? j, `-Tape Measure. _Comments-(on pumping recommendations, inlet and outlet tee oribaffle�tcondifion;'structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): No evidence of leakin Tees and or baffles in place at time of-inspection.- Grease Trap(locate on site plan): z 1W, Depth below grade: feet Material of construction: El concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): --- Dimension§: _..— — Scum thickne§s --- Distance-from top of scum to top of outlet tee or baffle I `'"Disfance from bottom of scum to bottom of outlet tee or.baffle' Date of last pumping: Date 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official , Inspection Form, � r ; Subsurface Sewage Disposal System Form - Not for Voluntary,Assessments-.} . ,•y' 65 Baxters Neck rd ;I Property Address John Maher Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/25/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.)` Tees are in place and levels are normal. Tight or Holding Tank(tank must be pumped at time of inspection) (locate.on site plan): Depth below grade: Material of construction:,, r ' ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑,No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts W The 5i fici l lnspecti_am o ftV th m a Subs0'Rf e=Sewagel'Disposal System Form - Not for Voluntary Assessments .' __.._ 65 Baxters Neck rd- Property Address John-_Maher Owner 'er information is Own 's Name required for every._. Marston's'Mills Ma 02648 5/25/16 page. Cltylrown State Zip Code Date of Inspection. - D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid,level above outlet invert Level and at normal level Comments (note if box isdevel and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): r'•: i : .0f1 ti i q - i iiG? G• c�sil n f ') ""' ' i ; 3d' i . r / Pulrhp 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. l ---" -" --_Soil Absorption System (SAS) (locate on site plan, excavation not required): .._.__. --------�— ---If-SAS not located, explain why: ir t5ins-3/13 Title 5 O 1.fricial Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts �H v Title 5,Official-.•Inspecti -,- orr t la a Subsurface Sewage Disposal System Form - Not for Voluntary.Assessrnen:ts: r 65 Baxters Neck rd Property Address John Maher Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/25/16 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.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top,of liquid to inlet invert 1 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 C. '.':,°", W Title 5 ®fficial' Inspection, Form' o Subsurface Selvage Disposal System Form -'Not`for.Voluntary Assessments w ' M -s• ___.__-..65-Baxters.Neck_cd____ _ ____ . . _._ _ . - '-' Property Address John Maher. Owner Owner's Name information is ;,�• Marston§ Mills required for every-- - Ma 02648-- - - � 5/25716 • page. _ Cityrrown' _ State Zip Code - - Date of Inspection D. System InformatiOn (cont.) 17Gommerits''(6ote-60ndition of soil, signs of hydraulic_failure;'level of ponding,-condition of vegetation, No pondin, no'break out 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.): f ` I Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection For - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 65 Baxters Neck rd Property Address :. John Maher Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/25/16 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 l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title~' ., �' .�v� °° . - �f t' al Ihspectio.n Form y R ld P.Y� iT-" � . Subs.urFace Sewrage'Disposal System Form - Not fog Voluntary Assessments ;� 65 Baxters-.,, - - �Iroperty-Address John M� !�' .✓r�' ali ---- - _ Owner Owner's • _ -- .e s Name information is required for every Marstons Mills:' Ma 02648 5/25/16 page. Clty/Town State Zip Code Date of Inspection D. System Information (coat.) "'-Site ExaMY 7C ❑ Check Slope ... 4 ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated high depth to h' 10+ ft p ground water: feet Please indicate all methods used to determine the high ground water elevation: iX R�--,--Obtained from system design plans.on.reco'rd `a 9/1,7/13 If checked, date of design plan reviewed: Date ❑ _ Observed site (abutting property/observation liole within .150 feet of SAS) ❑ 'Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) l ❑ Accessed USGS database -explain: You must describe how you estab lished bushed the high ground water elevation: Test hole data on plan. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 5/31/2016 Assessing As-Built Cards ` TO F B S LOCATION 'SEWAGE . VILLAG � ASSESSOR' .MAP. L� INSTALLER'S NAME&PHO�I�a SEPTIC TANK�CAPACTI'Y t{{ LEACHING FACILITY:(type) �r (siz )� NO.OF BEDROOMS BUILDER OR OWNER PERMII'DATE:_ ' 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 2W feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet- Furnished by A 3- A 13 � '16�s g,t-3y'� '3 � 1 http://www.townofbarnstabl e.us/Assessi ng/H M di spl ay.asp?m appar=056079&seq=1 112 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 01 65 Baxters Neck rd Property Address John Maher Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/25/16 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑ System Information— Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 07/24/2012 01:59 5084282429 JACK MAHER PAGE 02 SKETCH ADDENDUM 14c Wo0 ly c t dc, 6etK � 1 G,, f►ii'�1 L y nR� Room L4 tr ® o 1.1VItA& OPv'N �� n 1d Ow" c rTl 14 \ \ i � �60c�aoM �r�acrl i 66 'BA-,cref-s ' K.)t<`- (2DA-D �Yl tZ 5'f a S wl►�►.-5 bA Se m E,�, c U�1►��e s S TO 2 R(4 E� dLbSCT F i\vv►►Ly OFFK,F T� I 9117h3 07/24/2012 01:59 5084282429 JACK MAHER PAGE 02 SKETCH ADDENDUM CIL 5"" V14>f KtriMC� W+M I L Y nR� r4wm 10 a ----r � c 4.0 1u 1� f�ooN - i st ft,a+dt� �r i4 N -{ \ «. N Al ►y it. ; fi�1 1 TO B -GLOCATION ITS r(RSEWAGEA 42,3 r VII,LAGEMV< n� M)J I ASSESSOR' MAP & L� 1- -a7a INSTALLER'S NAME&PHONE N V^ 1mn 5ost•�33•�-8ga SEPTIC TANK.CAPACITY O i LEACHING FACELrN: (type) �rS (six aa NO.OF BEDROOMS BUDER OR OWNER C tL���C L t �1 �9 II. PERMTTDA't'E: ` `•'t 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 i I . h _ tt © a9rbZ' � tf i o (� m McKean, Thomas From: Shea, Sally Sent: Tuesday, February 16, 2016 11:10 AM To: McKean, Thomas Cc: Perry, Tom Subject: FW:Viewpermit It's the same plan from 2013. From: McKean, Thomas Sent: Tuesday, February 16, 2016 9:21 AM To: Shea, Sally Cc: Parziale, Jim Subject: RE: Viewpermit SALLY Please provide me a copy of the newest floor plans for the proposed basement work 65 Baxter's Neck Road. I need to check if the plan were changed since the original approval and second approval. TM From: Shea, Sally Sent: Tuesday, February 16, 2016 9:18 AM To: 200 Main - Regulatory Service Subject: Viewpermit Hi everyone, I.T. is aware of the viewpermit issues we are having. Disable G.I.S. on the main log in by checking the box on the left when you log in. This will (hopefully) allow you to do your approvals/reviews. This is a Band-Aid Lawrie is out sick today. They are contacting her so any changes stay tuned. Do not rely on the G.I.S aspect to determine Historic, overlays etc. ... as obviously you are disabling this feature. Thanks Sally Shea Division Assistant Building Department 508-862-4031 1 65 Baxters Neck Road, Marstons Mills MA, 02648 for sale I Homes.com Page 1 of 6 For Sale For Rent Foreclosures Home Values Mortgage Local Pros Q&A Your account 65 Baxters Neck Road, Marstons Mills MA,02648 Back to Results Search For Sale M—t-s Mills:•65 Baxe Neck Road 1/25 Request Information Full Name: Email Address: Phone Number:- I'd like more information about ^' the listing that I found at Homes.com at 65 Baxters Lill Neck Road. Get pre-appro>ed from a local lender) Find Out More PHOTOS MAP VIRTUAL TOUR Susan Gill Osterville Brokerage $739,000 For Sale Save 4 Bedrooms-4 Bathrooms-3,545 Sqft-8208/Sgft Est.Mortgage$3,820/mo Features & Amenities of 65 Baxters Neck Road Home Buying Resources This charming custom Cape on the Cotuit line near beaches and a marina is unique in so mary ways.The Designer/Seller with her sophisticated blend of English&French Country,has created a masterpiece including a European fitted kitchen where some of the cabinetry consists of select freestanding antiques,all of which are included in the sale.A gracious sunlit foyer opens to gorgeous dining and living areas separated by pillars with a raised hearth fireplace framed with Delft tiles from Amsterdam.Also,a 1 st floor master suite and upstairs 3 more bedrooms plus a studio/office,a fully finished walkout lower level with three more rooms and a full bath great for guests or in-laws.Beautiful landscaping with a deck,multiple patios,gardens,pathways and an inviting heated pool. View Source Site Get These Great Deals Simpli5afe• Award-Winning Home Security-Just 14.99/month _ ....... Commute time doh Get DISH For as Low as$19.99 for this property http://v✓ww.homes.com/property/65-baxters-neck-rd-marstons-mills-ma-02648/id-5000145... 2/29/2016 i e ' .. r } MV v ?.-Wn x AV <" i��u ma`s .. : � .�•tw. ;t'�..$ ! #; ��#i•,` •ram sw + x' .4i rs saws 65 Baxters Neck Road Marstons Mills, Massachusetts, United States—Luxury Home For ... Page 2 of 7 Sothebys INTERNATIONAL REALTY(http:/Av sothebysrealry.com).- ALLERY F�OntdCt (http:/Av .sothebyshomes.com/capecod/sales/0403256) Properties-(fittp://www.scthebysreaIty.com/eng/sales/search) (/eng/sgtea, I- I- >>es- ne! 65 Baxters Neck Road Marstons Mills ,Massachusetts 597dwdVbe 02648 United States at- mar (/eng/sales/marstons-mills-ma-usa) the- lane ve co mar mar Destinations(http://www.sothebysrealty.com/eng/category/destinations) corriareca Mills• ma- 02�Lifestyles(http://www.sothebysrealty.com/eng/articles/lifestyles) Cv� Perspectives(http://www.sothebysrealty.com/extraordinary-living-blog) i' fl. a Professionals(http://www:sothebys in/eng/offs/s =f nK S � ? � �u c-W UT65,13AXTERS NECK RO z " z • This charming custom Cape on:the Cotu sophisticated blend of English&French +a �' cabinetry consists of select freestandin y, �� ' - ""�"'"""` "~ _ ,,t and living areas separated by p..11ars with a raised hearth fireplace framed with Delft tiles from Amsterdam.Also,a 1st floor master suite and uhstairx:3 more::bedooms p1us::a studioYoffice;:a fully finish edf,walisoutaower IeveC:withthreemon raoms:and a`fuH bath { for guests or in-laws.Beautiful landscaping with a deck,multiple patios,gardens,pathways and an invitin -heated-pool.- great View Virtual Tour(https://services.sothebyshomes.com/slideshow/0403256) http://w,�vw.sothebysrealty.coen/eng/sales/detail/180-1-1185-43etmj/cotuit-line-near-marina... 2/17/2016 f VMS Town of Barnstable r# Departinent of Regulatory services Public Health MAM .Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled / Time Fee ee Pd / � . Soil Suitability .A.ssessrne ' e � n ��� �`lapge asp®salPerformed-ByWitnessed By - - - LOCATIOim' & GENE��INFORMATION Location Address /)_C� /�/`. �.f i (Q Owner's Name I f(f Address Assessor's Map/Parcel: o Engineer's Name NEW CONSTRUCTION REPAIR Telephone# Land Use:Wood y Slopes(96) Surface Stones Not; -,e ' Distances from: O Y 7 to Open Water Body tt Possible Wet Area 7 L ft Driaking Water Well L6d ft Q Draiirage Way >1G a ft Property Une 7 Oft Other• ft 81011TCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands fn proximity to holes) 3 s �. l., f V l • �rv. G- ���,C� I�c;a ( c�fSh �ks��~5 N2cK a . Parent material(geologic) Depth to Bedrock , zO � Depth to Groundwater. Standing Water in Holm: &—A W {, _ eeping from PI Face_. Estimated Seasonal High Groundwater Method Used: A.. DETERTMNUON FOR SEASONAL RICH WATER TABLE Depth Observed standing in obs.hole: In. Depth to loll moules: ltt Dcpth to wccping from side of obs.hole: lit, Groundwater Adjustment �.Index Well# Reading Date: Index Well level p ,factor .. d . . � Adj.Groundwater l.evxl Observation PERCOLATI.ON T +',ST bate)/12 3 Thu Hole# Time at 9" Depth of Pere Lt Time at G" _ Start Pre-soak Time Time(9"-G") End Pre-soak -- — Rate Min./luch Z site Suitability Assessment: Sitc Passed Sitq Failed: Additional Testing Needed(YIN) A Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted withilot 100' of wetland,you must first notify the. Barnstable Conse>F vation Division at least one (1) week prior to begialning. Q:\S EPTIC\PERCPORM.D OC DEEP-OBSERVATION HOLE LOG- Hole# O Depth from Soil Horizon Soil Texture .Shcl Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders. o i tc _y,%'Oravell •L I GYA 3/z L S DL+El'O13SEJRVk_r1OIN HOLE LOG Dole# Z Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell (� p ) Mottling (structure,Stones,Boulders. . �C/-jzo C ,�S f DEEP OBSERVATION HOLE LOG Hole#. Depth from Soil Horizon Soil Texture Soil Color Soil Other Sur-fact(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o I to c p e DEEP OBSERVATION HOLE LOG Hole#' Depth from Soil Horizon Soil Texture Soil Color Soll Other Surface(in.) (USDA) (Munsell) MOttling (Structure,Stones',Boulders. Corislutancy y Flood Insurance Date Map. Above 500 year flood boundary No— Yes ._ Within 500 earbounda No", Yes ' Y boundary Within 100 year flood boundary No. � Yts . Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious to iterial exist in all areas observed throughout the area proposed for the soil absorption system? \I ee s If not, what is the depth of naturally occurring pervious matorlall Certification I certify that on 5�//� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training, expertise and experience described in 10 CMR 15.017. Signature 4✓L '"a`i �—�� t—' Date 1121113 ;\ Q:\S.R"lC1 HRUORM.DOC 1 �-� TOWN OF BARNSTABLE LOCATION �P -��t 'r7 /4 L--Z-e, Rt!�, SEWAGE# a 11 VILLAGE 1/4,kdfL '&At &UU-f ASSESSOR'S MAP&�P+AR�CEL INSTALLERS NAME&PHONE NO. � 02 ski f 5255-'77t -9TT9. SEPTIC TANK CAPACITY ° ' r LEACHING FACILITY:(type) (size) S NO.OF BEDROOMS O n;'ee, C..Ac- - Cep --rO �L OWNER %c PERMIT DATE: - COMPLIANCE DATE: Separation Distance Betw.1n Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 447— Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY i3� � �l S•9r�, r No. o iii , Fee l I THE COMMONWEALTHO F MASSACHUSETTS Entered in computer: k/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application for ]Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(s� Upgrade Abandon( ) ❑Complete System Individual Components Location Address or Lot No. e05 V NkcjC Owner's Name,Address,and Tel.No.'79/-6 y�j- /'fie7 O_Ms O ,s �'!IS n�►al,�' iy0 NOf)+ u�fon,M1k Assessor's Map/Parcel 14 Ua 409 3 14 Installer's Name Address,and Tel o. C5-o$'70 'q 39 9 esigner's Name,Address and Tel.No. .�U� C_ O�e Type of Building: Dwelling No.of Bedrooms 7 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures (/ Design Flow(min.required) gpd Design flow provided y�7� gpd Plan Date4*ArLrA tl 1 A�00 Number of sheets ��1 Revision Date Title\OL-_S s j�NO-. (�� P_f S 9\2 V_ muu s6S im i 115 Size of Septic Tank e.2(' ' Type of S.A.S./1 .6 Few Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environment ode and o place the system in operation until a Certificate of Compliance has been issued by this Board of Health. p Si ----- Date J Application Approved by Date g A l3 Application Disapproved Date for the following reasons Permit No. Ze+3-362 Date Issued /�/��t3 No.Zo 1:✓ -2Wt ' Fee L M / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes k Yitation for 13is oral strm Construttion j3prMit Application for a Permit to Construct( ) Repair(W) Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. (�5&,�( ,p) {�,lec(e a� Owner's Name,Address,and Tel.No.7$/-�07- /&�'j ' /�f a r'SbV�s �f r'l I5 Assessor's Map/Parcel f4, Installer's Name,Address,and Tel.No. -��� '0�/' 3 5 9 Designer's Name,Address,and Tel.,No. -5-VS ,5�r c.><.-{-t on Zo c �}uwt-N Lrx e �k�i n�ec s('S %mac Ct 3,i Ala.i n 5 r ��/�t' k ' F NS 05 W At ' ' S Type of Building:`l Dwelling No.of Bedrooms 7 Lot Size Y 3,560 sq.fr. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures , Design Flow(m��i//n�required)rl 14-T U gpd Design flow provided y5 � gpd � Plan Date`''(*ArLei l 1�' , 1013 Number of sheets � Revision Date Title 1 i} `S �(a,, cj,- &tr i 5:� k_r s Ne,k `iticizci Nars-6n i1 _ •� i Size of Septic Tank e-K1.5 tt Gce ? Type of S.A.S.�� •�f X .33�S � J Description of Soil t - a-4,ac-+ - fie, f'ae Nature of Repairs or Alterations(Answer when applicable) trite - 1{-14) SoCa a aA(on 6Gh d n o-)AeF 4-o.R_XiS) e Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disp so al system in- accordance with the provisions of Title 5 of the Environment 1-Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health Soed5i, :_ / * Date Application Approved by Date Application Disapproved - l Date for the following reasons Permit No. 7At3-362 Date Issued 9/171 7-vi3 y. --------------------------------------------------------------------------------------------------------------------------------------- TH F COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS a Certificate of Compliance ' THIS IS TO CERTTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(�) Abandoned( at U- &Uftf'S A EAC VI t has been constructed in accordance with the provisions of Title 5/and the for Disposal System Construction Permit No!�611i-367- dated 14-1 Z013 Installer l�Y�C �!>'�`, t-(y(�SC�i�e C ,` C Designer Dow n CC, CA n InC #bedrooms `i� Approved design flow ys� J gpd The issuance of this permit shallot a construed as guarantee that the syst/w/�LrLnction.as designed �/ i ) /) (ID / '� Ins ector l 1�ate � � � �`. � p / V t --------------------------' -------------------------------------------------_---------------------------------- ------------------ No. Z013 - 36Z Fee 1wal THE COMMONWEALTH OF MASSACHUSETTS 4F PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction j3ermit - Permission is hereby anted to Construct Repair( Upgrade ✓Y� Abandon System located at 0.K'F�C S ���' t�G�>� t+�✓1�lC�TU{�5 ���� i�1� and as described in the above Application for Disposal.System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. i ProvidedgC nstrJuction must be completed within three years of the date of this permit./ t� Date ( �/� Approved by , t . SEP-26-2013 10:35 From:IORTOLOTTI CONST 5084289399 To:15087906304 P.1/1 FRAM :down cape engineering ine FAX NO. :15083629880 Sep. 26 2013 10:43AM Pi 13 - 009 V. Goner, "Public,fleafth Diviai01.1. aA.DNCecto>, U1!5.co- X8462 4641 Frw• 5�1; 790-4?IY! ZjLjD_ r��4_L` itiil n►1F'rirsaa Date: saws go P ondo-1 . o-lr- ar ' ou '• �� l __ ri _ _�waL9 a��aiad nanilto u:^ta11 a► da�ii.) A ar arJp is systrxol at Pay., fiec �&J broad can a&sign drawn by rmi that. Lho BgM,'c TV.lx+.rAt ,wed Oh(rie w1w iaftllud sul mad'ally aarcuidini, to �bc el�Si , wjrb. may iUrlud.e manor uppra-M-6 ri]aaip s SUCh W lulMal at�lr,o�:i.r>n+af the &-,ributio.n hor.Mllor 19Wdl.tares. — I ,,e4.fy LhAT fba sapir ay$fem mfareaQCj aLpve WEL9 imstal7.ad wiih wAjR.r cllksnsa.s (1.0. gfrater tbau 14 i�tcra�YC:IOGEata.t771.Of It ShS O;r aAy vatixr,,l.jl ialocatirm Uf 8a1'y CdrtlpoilM�xk ofthe scatir' syArr`a) bl t in.hM a'dr am with Sudo & Local ReKaMras. IM).t0visiotl sax crxlifaad ate• ' si r�r to follow. ASH OF Mq DANI6LA �, OJAlA �TxtSlasT'�51 ) CIVIL Nr}46502 ,5A1 �SS�ONAL csi�ratr't�;3igAi+nris) T)4 anr+��a Stcem. ],]iarn) 10 AABINMSITU 4:Cp, r C�'S F� i'NT]C, lt+a A7� t'PCKI .?Qj8Lb Np � ,T CARP-A �, ZyMLoALMSTAAL,LIMLIC 1K' Fl ..1f1bN. . 1 71K Y.'L�Uti TO F B S � 2 LOCATION SEWAGE A q 4 —3 dis& V.,,,LAG ► t� Im" ASSESSOR' MAP& L� INSTALLER'S NAME&PHONE N Vc it I-ftcoaia lc-�nVI 5os�-�33•�i-gga � CS4 I� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) NO.OF BEDROOMS BUILDER OR OWNER CAN � ,290Cn� PERMITDATE: '.�i ' Ag 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 1-4 n 3 O v No. "/ � Fee 9____!0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,, MASSACHUSETTS 0(pplic tion for 33iopoar *pgtem Cunotruction Vermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. � /l. _ Own e ddr and Tel.No. 77k bVr Assessor'sMap/Pazce - tYis r"vJ �; 1� I(,I���lg % I' �� L44*J6 I s ITr e, ddress,Ad Tel.No. -33-r/ff Designer's Name,Address and Tel.No. Aw-ys Type of Building: 3 .+S_X�1 Dwelling No.of Bedrooms Lot Size 3 s(oo sq. ft. Garbage rinder( ) Other Type of Building VV-5t A c t.r_c.e Flo.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3%n gallons per day. Calculated daily flow '�` gallons. Plan Date G�24 N 1 Number of sheets I Revision Date "T— IS Title SITE OT- jj:F y AS�� q 144—RAJ Size of Septic Tank 15ZW Type of S.A.S. 17Z15 (A+ j2E L4j� .41-60YS Description of Soil 6!�e, �y Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss e,Vby this Board of Health. Signed Date Application Approved Date °��f Jq� Application Disapproved for the following reasons Permit No. Date Issued® No.! 9 9- � ter. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes i PUBLIC HEALTH DIVISION;;-:TOWN OF BARNSTABLES MASSACHUSETTS 01pprication for 33 0pogal *raem Construction Permit Application for a Permit to Construct( )Repair( -)Vpgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 14� A x � �� /J Ow�n��As Jo sand Tel.No. 7tt r C�J Assessor's Map/Parcel 13 ere 6 ITTgn.,fAddress, d Tel.No. Designer's Name,Address and Tel.No. ! s 11rr�� II 53= 1 f�S� t I ( D,-,9,jk1 'Are rc�( t-r �r.1 cry{z 11\(U� � ►�!c 6 Type of Building: - C�1 S Dwelling No.of Bedrooms � Lot Size`�� S&o sq.ft. Garbageirindelr- ( ) Other Type of Building t'C:5i A c.0 c e No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow o gallons per day. Calculated daily flow �1" `��1 -gallons. Plan Date 1 z 1 1 e1L1 Number of sheets Revision Date -7- t 7. • qG Title �i CV 4 ! d( Size of Septic Tank MM/I Type of S.A.S. •fly iV C.N r� ► ,gcll Description of Soil '� YVI Nature of Repairs or Alterations(Answer when applicable) f 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 is/ueby this Board of Health. �^ Signed Date 7-X '7 Application Approved y Date A `�'` ' ' ,. Application Disapproved for the following reasons t , r7 Permit No. N Date Issued i�' ✓�' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance ti - THIS IS TO CE& th t the On- it Sewage Disposal System Constructed( )Repaired(, )Upgraded( ) Abandoned( by I/ at G . � .,� f has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.V 0/2-V dated ."7 Installer �4 .r D� rl4"� � Designer / l The issuance of this pew 't s al ons' ed as a guarantee that the sy m ct'o as des' i ny l Date Inspector / RD •� Q"1'� -------------------------- No. 1 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLES MASSACHUSETTS �Digpo.gar *p5tem Construction Permit Permission is hereby grant d to Construct( )Repair( )Upgrade( )Abandon( ) System located at , 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 this permit. Date: Approved by Town of Barnstable P# 14t o Department of Health,Safety,and Environmental Services oFIm Public Health Division Date 4 / 367 Main Street,Hyannis MA 02601 BARMABL& HA88. Date Scheduled l-t'— ZZ— Ec +" �� Time t,--> A Fee Ptj Soil Suitability Assessment for Sewage Disposal Performed By: islc-eMJi Vii,y1"i Witnessed By:_ p X3A02Y iii:.'iiiiil.;1: .`>x`.`i::ii;: i: .,: `:`E.':`.'; Location Address xT .� Owner's Name � f dress L/zcl�; Assessor's Map/Parcel: 77 Engineer's Name e'er: NEW CONSTRUCTION ✓ REPAIR Telephone# 7%, _oo <:�F Land Use Slopes(%) 3'S Surface Stones Distances from: 0 en Water Bod >/O U ft Possible Wet Area >/o O AIWO p y ft Drinking Water Well v+st„i�i Drainage Way �l 'Z S ft Property Line /Q ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) N [77 eg0"e?cTSS93 �ZZ0 FL�C �z A Parent material(geologic)0,A WA&w Pr.n i..i Ot'Wvri71 Depth to Bedrock LfCCU/-- Depth to Groundwater: Standing Water in Hole: /KQ Weeping from Pit Face Estimated Seasonal High Groundwater E G /o x L j be y7;. . 1i ru, Method Used: G��P. �T LwGo,nnJT�'2c3b Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft, Index Well#_._.._ Reading Date:_..__ �Iindex Well level...--- Adj.factor_ Adj.Groundwater Level �G(7�L '1+E '. .<.:.......:.:Hate:.:.::: : .... ::.. Observation Hole# . , Time at 9" .. 3;3.6 Z; y y, < Depth ofPerc yc�`V° '�9-l0�" Time at 6" N�Z6 3:I O Start Pre-soak Time® O;vv O'. O C3Time(9"-6") End Pre-soak 3. 0 v 7,; g Rate Min./Inch z Z 3 i o c v✓i e i S,i o S C3) Site Suitability Assessment: Site Passed t/ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back—� Copy: Applicant DEBT' C1E2'Cj "tY+G► CT, E? C �lre#: `` Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) Other (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 0 Graym- �` 0 ✓ SA n/I!Z I o rZ 5-Z W . 5/'9 ti Gant s� v 3 6 /3 Z e✓ I p Y 2 .�/,' L S'i w GrGio rr•� DEED gBSERV-A-.10 H0LE L+DG Dole# Depth from I Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (:Munsell) Mottling (Structure,Stones,Boulderes. % l�NQ Ye "';wAA40 /oye �'3 O nzcjriuj1 l 2J� �,oss/vas t, y bElll' iEt 4AT>CbN l[ UT,E�,f� dole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulderes. Consistency.° Gravel) EEP OI SE. A . lHE E LE G Hale# :: Depth from Soil Horizon Soil Texture Soil Color Soil USDA Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % Flood Insurance Rate Max.. ZSrx-,,j/ vV/Z) b -7—Z—�Z. C Above 500 year flood boundary No_ Yes X Within 500 year boundary NoX Yes Within 100 year flood boundary No k Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? }/4- r If not,what is the depth of naturally occurring pervious material? Certification I certify that on G -IS- 9 S' (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310CMR 15.017. Signature Date SEPTIC PROFILE TEST HOLE LOGS T.O.F. AT EL. 51 .0' ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) To ENGINEER: BERNIE YOUNG, SE 43.0' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM WITNESS: ED BARRY LOCUS 41 .0' RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE r DATE: 4/22/99 FOR FIRST 2' < 2 MIN/INCH SREE NECK RD• PROPOSED 1 `500 � � 3' MAX. PERC. RATE = CEDAR GALLON SEPTIC 40 75' I 1/ $U8 O El ` 38.5' CLASS I SOILS p# 9410 43s 41 .0 TANK (H- 10 ) GAS TEE 38.0 Q 9�rF — _ BAFFLE 38.17' ' C7 O 0 C� 0 L� C� INVERT ® 42.0't O r S 37.7 ED E] Ej = ED C� E] 0 0 � 4' AROUND o F MIN 6' CRUSHED STONE OR MECHANICAL o 4 ELEV. ELEV. ( 2 % SLOPE) COMPACTION. (15.221 [2]) o0 2' ED M M = EJ E] 0 0 35.7' DEPTH OF FLOW = 4' . ( 1 1 % SLOPE) 0„ 40.82' Q„ 41.0' TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE INLET DEPTH = 10" 0 0 OUTLET DEPTH = 14" 4" 5" LOCATION MAP (NO SCALE) E E FOUNDATION— 10' SEPTIC TANK 22' D' BOX 13, LEACHING 5,88, LS LS ASSESSORS MAP 56 PARCEL 79 FACILITY 9" 10YR 5/2 1 QYR 3/2 �.. _ A .1119 ZONING DISTRICT: RF LS A YARD SETBACKS: 12" 10YR 4 4 LS FRONT = 30, 17'r 10YR 7/3 SIDE = 15' LS BW BOT. TH 1 29,82' REAR = 15 LOT 1 5a LS r 10YR 5/8 LS PLAN REF. — 15593E 36" 37.82' 34" 10YR 5/8 38.16' FLOOD ZONE: C HYDRANT C Ln n TAG #1303 1 ('u W , ELEV 57.59' C � MS COS 1OYR 7/4 I 53 I y:,' A � a ° Y 1OYR 7/4 w 52 132" 29.82' 120" 31.0' . NOTES: —'' 50 NO WATER ENCOUNTERED ( d SEPTIC DESIGN: (GARBAGE DISPOSER Is NOT ALLOWED ) 1 . DATUM IS APPROXIMATED FROM COTUIT QUAD h rT-1 3 DESIGN FLOW: __ BEDROOMS ( 1 10 GPO) = 330 GPD 2. MUNICIPAL WATER IS AVAILABLE ^�/ zZ p J , I.I�.F !� yl.Jn (,Pn nF-,IrN FLnU.I -.. ; AA!R!!AAlIA.4_.....D!C'G'. DITr�La...Tr1'...Rr' 1;/R" _f� D �!-1!--4T ., _... -� SEPTIC TANK: 330 D /� 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H— 10 Co I GPD ( 2 ) = 660 rn 5. PIPE JOINTS TO BE MADE WATERTIGHT. I �'' USE A 1500 GALLON SEPTIC TANK �` 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS, c y LEACHING: ENVIRONMENTAL CODE TITLE V. d� 50 I 2(25 + 12.83) 2 (.74) _ 112 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO 'BE GAR USED FOR LOT LINE STAKING. C c n SIDES:J 25 x 12.83 (.74) = 237 5o W BOTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. (� 57' DECK TOTAL: 472 S.F. 349 GPD 9, COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT QZ INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED '1, PROP. 3 BR USE 2 500 GAL. ACME OR EQUAL LEACHING DWELL. 62' ( � FROM BOARD ❑F HEALTH. 63' rF = 51.0' 1� CHAMBERS WITH 4' STONE ALL AROUND 10, CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE �Q TH LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOIR _ N #1 ` I a3.0 TO COMMENCEMENT OF WORK. ui � y G 1, o TH #2 69. S��` � UTILITY LEGEND SITE AND SEWAGE PLAN- POLEf O100.0 PROPOSED SPOT ELEVATION OF 100x0 EXISTING SPOT ELEVATION LOT 2 BAXTER 'S NECK ROAD C C IN THE TOWN OF: GUY wIR 100 PROPOSED CONTOUR MAR STO N S MILLS) BAR N STAB LE 100 EXISTING CONTOUR PREPARED FOR: MARKWOOD CORP. Co C_ LO 2 30 0 30 43,56 SF 60 90 Feet � �ob W BOARD OF HEALTH MAY 21 , 1999 o - MA SCALE: 1rr 30' DATE: c w �r APPROVED DATE a E REV. 7/13/99 i JLOT 3 off 508-362-4541 V ` fax 508 362-9880 I I ��`H O f HYDRANT I `down cape engineering, inc. ���P�tN OF �Assr o�,� ARNEH. �C�G TAG #1671 �o ARNE �y y LA ELEV = 42.07' �� CIVIL ENGINEERS ojHLA T ww o AND SURVEYORS 9 No. ssx 2 \ 1 � _ 7 99- 126 �� 939 main st. yarmouth, ma 02�75 AAA OJALA, 'ONaL., P.L.S. HATE SEPTIC PROFILE TEST HOLE LOGS T.O.F. AT EL. 51 .0' NOT TO SCALE) ACCESS COVER TO WITHIN 6" OF FIN: GRADE ( ACCESS COVER (WATERTIGHT) TO ENGINEER: BERNIE YOUNG, SE 43.0' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6' OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM WITNESS: ED BARRY I LOCUS 41 .0 RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 4/22/99 FOR FIRST 2' PERC. RATE _ < 2 MIN/INCH CEDAR TREE NECK RD• PROPOSED 15001\4 3'' MAX. GALLON SEPTIC .75' 111 CLASS I SOILS P 9410 sue ® EL. 41 .0' TEE 38.5 # o - 43s TANK (H- 10 ASAFFLE 38.17' �'�' o 0 0 o C� o 0 0 0 4 INIVM 9 a2.0't o J'7,7' 0 4' AROUND �— o000 0 0000 _ s sync �6" CRUSHED STONE OR MECHANICAL ss�z ELEV. ELEV. �� ( M2 % SLOPE) F FLOW = 4' COMPACTION. (15.221 [2]) Q � 2' [] [� o 0 0 0 0 0 0 0 35.7' 0„ 1 40.82' 0" 2 41.0' i DEPTH 0 L 0 1 % SLOPE)TEE SIZES: 10„ 3/4" TO 1 1/2" DOUBLE WASHED STONE 0 0 INLET DEPTH = OUTLET DEPTH = 4 5„ LOCATION MAP (NO SCALE) 14 E E LEACHING 5,88, LS FOUNDATION— 10' SEPTIC TANK 22' D' BOX 13' FACILITY 9" 10YR 5/2 10YR 3LS ASSESSORS MAP 56 PARCEL 79/2 s ZONING DISTRICT: RF - A 11 YARD SETBACKS: LS q 12" 10YR 4 4 LS FRONT 30' 17„ 10YR 7/3 SIDE = 15' BoT. TH 1 29.82' BS Bw REAR = 15' LOT 1 54—�-"""! 1OYR 5/8 LS PLAN REF. - 15593B 36' 37.82' 34" 10YR 5/8 38.16' FLOOD ZONE: C HYDRANT un n TAG #1303 C w C �� ELEV = 57,59' M5 I ' COS / ' 1 10YR 7/4 cc lul .8� 53 i s 1 ' r 10YR 7/4 � w 5 1 51 132" 29.82' 120" 1 31.0' NOTES: NO WATER ENCOUNTERED I o , Cu SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 1 . DATUM IS APPROXIMATED FROM COTUIT QUAD I' 3 1 10 = 330 AVAILABLE DESIGN FLOW. _- BEDROOMS ( GPD) GPD 2. MUNICIPAL WATER IS j11 USE A 330 GPD DESIGN FLOW _ 3. MINIMUM ;PIPE PITCH TO BE 1 /8" PER FOOT. SEPTIC TANK: 330 GPD 2 660 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 _ ( ) - 5. PIPE JOINTS TO BE MADE WATERTIGHT. `4 USE A 1500 GALLON SEPTIC TANK d I 1 z --- 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. LEACHING: ENVIRONMENTAL CODE TITLE V. 50 ,' / 21� 2(25 + 12.83) 2 (.74) 112 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE GAR SIDES: r �1 USED FOR LOT LINE STAKING. I O v 1 25 x 12.83 (.74) - 237 D'� 50 W BOTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-47 PVC. 1 Z57 \ DECK TOTAL: 472 S.F. 349 GPI 9, COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT -+� INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED f_1 PROP. 3 BR 62, ' USE (2) 500 GAL. ACME OR EQUAL LEACHING DWELL. FROM BOARD OF HEALTH, CHAMBERS WITH 4' STONE ALL AROUND I 65' rF = 51.0' � 10. CONTRACTOR SHALL BE . RESPONSIBLE FOR VERIFYING THE I TH1 � LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR # 43.0 TO COMMENCEMENT OF WORK. V ' s _ o TH #2 �\ UTILITY LEGEND SITE AND SWAGE PLAN � POLE \ CJ 100.0 PROPOSED SPOT ELEVATION OF LOT 2 BAXTER'S NECK ROAD 10Ox0 EXISTING SPOT ELEVATION 0 IN THE TOWN OF: r N GUY w1R 1 Q0 PROPOSED CONTOUR Q Ao (MARSTONS MILLS) BARNSTABLE ` 100 EXISTING CONTOUR PREPARED FOR: MARKWOOD CORP. Co C- L❑ 2 D f 30 0 30 60 90 Feet �- 43,56 SF $ BOARD OF HEALTH MA SCALE: 1" 30' DATE: MAY 21 , 1999 N v APPROVED DATE v REV, 7/13/99 JLOT 3 off 508-362-4541 N fox 508 362-9880 ti ofOf M HYDRANT \k I CIOWI? Cope engll?eerIng, inc. ARN �' ARNE H, TAG #1671 �� H E J o OJALA ELEV = 42.07 �, CIVIL ENGINEERS o OJ LA `, CIVH ' :R-t \N D SURVEYORS Q� No. sjaH 2 99— 126 ` 939 main St. yarmouth, ma 071575 A�A� 'H. OJALA, ONAL ' P.L.S.^ DATA' I 2$ TOP PNDN. AT EL. 29.0' SYSTEM PROFILE NOTES ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) o a ACCESS COVER (WATERTIGHT) TO ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS APPROX. NGVD QJ ,e Cb A- MINIMUM .75 OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING ec '. 2% SLOPE REQUIRED OVER SYSTEM 46.0 hoc °o Loc sao 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. •�v OR GEOTEXTILE FABRIC o RE-USE 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO y o Boxier e Rd EXISTING 1500 H- 10 GALLON SEPTIC 43.0' GAS � 5. PIPE JOINTS TO BE MADE WATERTIGHT. TANK BAFFLE �� 0 a a a p 0 a 0 RE-USE D'BOX o 42.17f' p p p p p p p p p 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH INSTALLER SHALL CONFIRM SUITABILITY OF EXISTING SEPTIC 0 O = O p 0 p 0 a MASS. ENVIRONMENTAL CODE TITLE V. TANK. REPLACE WITH H-10 1500 GAL. TANK IF NOT SUITABLE $ 2' p 0 0 0 0 O a 0 0 0 40.17f' 0 3/4" TO 1 1/2 DOUBLE WASHED STONE 71 THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO (ADD 1 - 500 GAL. CHAMBER TO EXISTING SAS AND BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. ' _ MATCH EXISTING ELEVATIONS ADD 4' STONE AROUND) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ELEV. ELEV. *THE INSTALLER SHALL VERIFY THE 0" 40.82' 0" 40R CONCEALED .82' BULL IING S WERLOUTLETSLOATONS OF AL EANDNELEVATIONS S AD ALL8.17' WITHOUT 9. OINSPECTION BYNENTS NOT BOARD BE OFHEALTLLED OH AND PERMISSION LOCUS MAP PRIOR TO INSTALLING ANY PORTION OF OBTAINED FROM BOARD OF HEALTH. NOT TO SCALE 4" 0 5" 0 SEPTIC SYSTEM E E "VEST HOLE LOGS 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING ASSESSORS MAP 56 PARCEL 79 DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION LS LS BOITOM TH 1 & 2 EL. OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO ENGINEER: BERNIE YOUNG, SE 32 )' COMMENCEMENT OF WORK. LEGEND got 10YR 5/2 11„ 10YR 3/2 ED BARRY - WITNESS: 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE 100.0 PROPOSED SPOT ELEVATION DATE: 4 22 99 2 07 RE 54.66�� LEACHING FACILITY.MOVED 5' BENEATH AND AROUND THE PROPOSED • A A PERC. RATE _ < 2 MIN/INCH •54.18 +100.00 EXISTING SPOT ELEVATION LS LS CLASS I SOILS P# 9410 100 PROPOSED CONTOUR 12" 10YR 4/4 17„ 10YR 7/3 46.20 •51.69 1 ■ 1 100 EXISTING CONTOUR BW Gi.- WV WY ■54.53 „ 3 x6 1.60 LS LS „43.19 „57.59 10YR 5/8 10YR 5/8 fi 41.20 1 36„ 7.82 34 8.16 11 SYSTEM DESIGN: 1 ■53.04 1 PERC C PERC C 47.81 11 „ LOT 2 52.22SH� 1 GARBAGE DISPOSER IS NOT ALLOWED COS MS 1 50.97 „50.2¢ 43,560 SF 10850. 'P0'91 � DESIGN FLOW: 4 BEDROOMS ® 110 GPD = 440 GPD 8z10YR 7/4 10YR 7/4 11 - 132" 29.82' 120" 31.0' \ 49 99 i -- _ USF A 440 GPO DESIGN FLOW � 1 - ■43.42 INGROUND NO GROUNDWATER ENCOUNTERED POOL ®.�z 48.91 51.69. :0 SEPTIC TANK: 440 GPD (2) = 880 11 1m 1 ■ 47.0 „50.65 51.64 y k 40.87 RE-USE 1500 GAL. SEPTIC TANK 70 6 TEST HOLE LOGS � 1 -� 1 t� LEACHING: 1 DANIEL E. GONSALVES, SE #13587 11 PAVED DRIVE 0 72 S .95 25�2 SIDES: 2 (33.5 + 12.8) 2 (.74) = 137 GPD ENGINEER.. 1 DECK 22 / 1 a BOTTOM 33.5 x 12.8 (.74) = 317 GPD WITNESS: DAVID STANTON, IRS 11 47.15 `> /�, .83 1 DATE: 1/29/13 1 •42.05 53.511 TOTAL: 613 S.F. 454 GPD 1 �51.88 1 PERC. RATE _ < 2 MIN/INCH 11 GRAVEL 11 RE-USE EXIST. SAS CONSISTING OF (2) 500 GAL. TH1A 43,92 PATIO EXISTING DWEWNG 5 �'88 I , T- 1 LEACHING CHAMBERS WITH 4 STONE AROUND AND TOP OF FNDN. = 51.3 BENCH MARK - TOP LANDSCAPE „t2.12 CLASS I SOILS P# 13846 40.22 _ 4 TIE WALL HERE EL. - 49.4 1 ADD (1) H-10 500 GAL. CHAMBER WITH 4' STONE 1 ■43.09 i 7 � •53.10 G 52165 p 1 s 1 (CONNECT TO EXISTING SYSTEM) 1 TH2A °4 8 (v 1 ,1 h ^) 52.98 ELEV. ELEV. 11 44 �/ 1 `� 7. - TONE 4 .7 1 ■ 2 ►----� 4 27? TIO 1 4 4 1 2.76 •43.07 49.67 O" 42.0' 0" 41.8' Q 1 GRAVEL DRIVE 42.7 0 s .21 „§2.43 MA Ilk1 ■43.14 4 ■53.80 54 \\ APPROVED DATE BOARD OF HEALTH ' A A 41.00 SHED �'0 8.7 \\\ LS LS 11 42. 1 9 43.11 10YR 3/2 10YR 3/2 \ 16" 40.7' 14" / 11 �� -; 6 „ 69 `�2.91 TITLE 5 SITE PLAN 40.6 139 �5 TH1 i s� \ 54.78 „54.20 I , 47.8 OF B B \ I I •43.25 sc LS LS 1\ \0.9 I ■51\28 7.5Y 4/6 , 7.5Y 4/6 111 � ;TH2 32„ 393 65 BAXTERS NECK ROAD 30 39.3 MARSTONS MILLS 1 R OERVE ■43.2„643 29 \ 9.6, EXISTING 3 BEDROOM LEACHING FACILITY C C 11) INSTALLED 1999 (RETAIN) PERC �s ■47.85 �_ m-�� PREPARED FOR „ 426 / / .\43.78 MS MS u A)D (1) H-10 500 LEACHING CHAMBER WITFJ,4'y�OUBLE- ,� .1 � J O H N M A H E R WASHED STONE AROUND (OVERALL DIMES S d9F� ZH OF ray r t��, a ��N 111 o { N SAS = 33.5' x 12.8') MATCH EXISTING,$ yeti oANA. ` ' vAIELA 10YR 6/6 10YR 6/6 . DANIF1 OJAA OJT A, FEBRUARY 11 , 2013 39.69 " CIVIL A' OJALA I9 OJAL A .A No.46502 No.40880 a,o \ v■42.07 INSTALLER TO CONFIRM SUITABLE SOILS AT TIME OF \ INSTALLATION �oT��c �� ' ti �� P�' °F +� \ STF� �� c�� G1gT j �� F SS�C is F 120" 32.0' 120" Fss c�` ss q �gti �o�/ SCale: 1 = 30 h_ 32.0' \\ „ 40.41 7 d�a V 8j ra'� ��'i.' �v \ L- \\ /0100" DATE DANIEL A. OJALA, P.E., P.L.S. 0 15 30 45 60 75 FEET NO GROUNDWATER ENCOUNTERED 13-007