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HomeMy WebLinkAbout0180 BAXTERS NECK ROAD - Health I8OiBaztbrs Neck.Road. Marstons Mills P A = 075 022 t` I 'TOWN OF BARNSTABLE LOCATION JS/tAg) Nec QA kW SEWAGE# (q-LH I VILLAGE �(,I',n I ASSESSOR'S MAP&PARCEL 7� oc INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �i( (, \QYl - !2 PC LEACHING FACILITY: (type) Cam► (size) 5q) )Q,,q2Sj NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: 8 2-9 ZO2O 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 A site or within 200 feet of leaching facility) 11/ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY -C 4W IIh o _ o o 1qcl 131-E l �n . r No. 4,11( Fee Jam' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 14 Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Iplitati.DIT Misposal *pstrm Construction Permit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) X omplete System ❑Individual Components :f Location Addretss or Lot No. I F Cr- Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ry toy j� R Installer's Name,Address,and �Tel.No. f Designer's Name,Address,�and Tel.No. •� Se Type of Building: Dwelling No.of Bedrooms 7 Lot Size 7L I� C sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.regqui ed) 7qo gpd Design flow provided d G Plan Date I` T Number of sheets Revision Date Title t Size of Septic Tank Ld Type of S.A.S. atINN Description of Soil -kCod OR C. Nature of Re airs Qr Alterations(Answer when applicable) . CL, goo Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. 01 Signe Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. /J�)jP �� Date Issued IT1��3 No. 0 19 q j�1 � ) Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yjs — PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Z(pplicatlon fdr MispoBal 6pstrm Construction AECmit Application for a Permit to Construct/Repair( ). Upgrade( ) Abandon( ) uComplete System ❑Individual Components Location Address or Lot No. 1 86 ct,��c P C(A.-9 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel � t � i' �Q ` t-� 4 O LA, ^ Installer's Name,Address,and Tel.No. r ( Designer's Address,and Tel.No.Name,Add 4 K 6 J Ca f.0 9:�l onmA-Mln 0ty, Type of Building: 7Dwelling No.of Bedrooms Lot Size t 4 sq.ft. Garbage Grinder( ) Other Type of Building �i\_nyr)_qee No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided / _ gpd Plan Date /� Number of sheets Revision Date (p (� Title �r,, r it I Size of Septic Tank d�,� Type of S.A.S. - Description of Soil 1 --{ , �� ,�, Sl II 1 Naturewof Repairs orAlterations(Answer when applicable) . I 0 !1 a 4/'nvn' 1 l 3 � -Ian k Date last ins ected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal Sig/ne`d �f_ ' # Date Application Approved by / _ Date �/?� Application Disapproved by f �`� Date for the following reasons Permit No. 140 1 q ( Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS + Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired( )A Upgraded( ) Abandoned( )by \, at R „c 1QC� p p GC has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 (�d'ated / t , C Installer , aQ Q �i Designer 111 A coR F1�11 t ,t J #bedrooms Approved design flow �7 gpd The issuance of this permit shall not be construed as a guarantee that the system will fugc-t onus Resigned. � Date f ' ,�' d Inspector G( 1 ( % " .. </ ------ ----- -------------------- --------------------------- ---------------------------------------------------------------- No. L-V I° � q 9 1 Fee lr' �-o THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction 3permit Permission is hereby granted to Construct Repair( )/' Upgrade( ) Abandon( ) System located at X [?ri p r C Per 4 Rood /l'/� )O"'Z A,X V. 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. Provided:Construction must be completed within three years of the date of this permit. Date / /l J 1 a (�f Approved by Town of Barnstable • �tNEo Inspectional Services Public Health Division i679 03 Thomas McKean, Director ' �� r�a7Mi`'IA 200 Main Street,Hyannis,MA 02601 �• Office: 508-862-4644 Fax: 508-790-6304'= Installer & Designer Certification Form Date: 2$LZO Sewage Permit# - Assessor's Map\Parcel Designer: D-WN C , 41N KO INC. Installer: T �=' 3 7-1- 5 Address: T�9 ���a Address: l�l ��y��.e Dn 1Z�ir`7ZVq � lO� ,o A44 as issued a permit to install a (date) (installer) septic system at 100 IMT-W NBC KDO MAi25T011(�i MIL1,5based on a design drawn by (address)' i PL5 dated M 16719-01� (designer) I certify that the septic system referenced above was installed substantially according to. the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e, greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructs int. _. trance with the to rms of the AA approval letters (if applicable) �t OF 41,s " ` DANIELA.CIVIL (I taller's Signature) No.at;vo2 p 1` /• cS�.0NAL ENS\ esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. \\ton\depls\HEALTHISEWERconnect\SEPTICUDesignerCertirication dorm Rev&14-13.DOC Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M ,•�' 180 BAXTER NECK RD Property Address KURLAND Owner Owners Name / information is required for MARSTONS MILLS `� MA 02648 5-18-15 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: 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 P.O. BOX 145 Company Address CENTERVILLE MA 02632 Citylrown State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification § g Wd C T. 3 A,, � 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 5-18-15 Inspedtfrs 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 i. at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. �0 V t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. City/Town 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: SYSTEM MET ALL PASSING REQUIREMENTS AT TIME OF INSPECTION. SYSTEM IS ORIGINAL AND THE COMPONENTS SHOW TYPICAL SIGNS OF DETERIORATION FOR THERE AGE, BUT WAS FUNCTIONING PROPERLY AT TIME-OF INSPECTION. THIS REPORT CAN NOT PREDICT FUTURE PERFORMANCE UNDER THE SAME OR INCREASED USE SYSTEM WAS INSTALLED IN 1980 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 wM r� 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every 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 t5ins-3113 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 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. City/Town 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 '/Z day flow t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. City/Town State Zip Code Date of Inspection B. Certification, (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® 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. [I ® Any portion of a cesspool or privy is within 50 feet of a private water supply weft. ❑ ® 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 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. CitylTown 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 Number of bedrooms(actual): 3per town website DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments s 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. City/Town State Zip Code Date oflnspection D. System Information Description: System consists of what appears to be a 1000 gallon septic tank, d-box, and leach pit. the house had an addition since the system was originally installed and a new as-built was not done. I located the septic tank from the existing as-built but the d-box and leach pit were viewed by camera only. Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Ye's El No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage d see below 9 ( Y 9 (gP ))� Detail House has been mostly vacant with minimal water usage. Sump pump? ❑ Yes ❑ No Last date of occupancy: seasonal 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 r Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M s•'' 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. CitylTown 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 sys ❑ 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 f ' Commonwealth of Massachusetts w . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every 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: System appears to be original from 1980. Future performance under the same or increased use can not be determined from this report. 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: 3+- feet Material of construction: ® concrete ❑ metal Q 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: appears to be 1000 gallon Sludge depth: light t5ins•3/13 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 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 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 trace clumping 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? wooden 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.): Tank looked typical for its age with some corrosion and exposed aggregate. There was a large rhododendron planted close to or partially on top of the tank. there was one 2 ft riser on the outlet end of the tank. the tank had concrete baffels 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 l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. City/Town State Zip Code Date of Inspection D. System Information (coat.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No ' t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The d-box had some root infiltration but was functioning properly at time of inspection there was some corrosion and exposed aggregate typical for its age the d-box was viewed by camera. 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: s.a.s was viewed by camera t t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts D. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ 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.): The leach pit was viewed by camera and was empty at time of inspection 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 M 180 BAXTER NECK RD Property Address KURLAND Owner Owners Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. Cityrrown 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 Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �1M K., , 180 BAXTER NECK RD Property Address KURLAND Owner Owner's Name information is required for MARSTONS MILLS MA 02648 5-18-15 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: greater than 5 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ 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: Site sits high above the adjoining water body at the rear of the property 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 Assessing As-Built Cards Page 2 of 2 5r ' r hq://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=136021&seq=1 5/16/2015 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M s 180 BAXTER NECK RD Property Address KURLAND Owner Owners Name information is required for MARSTONS MILLS MA 02648 5-18-15 every page. Citylrown 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•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17 Assessing As-Built Cards Page 2 of 2 http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=075022&seq=1 5/18/2015 Assessing As-Built Cards Page 1 of 2 4 e i 6 LOCATION SEWAGE -P. RMIT NO. Rayrer V cu �) A 79 y VILLAGIE _ ��1�1•S/ads INSTA LL R'S NAME i r ADDRESS rc l"o )-7 5 i BUILDER OR OWNER —T �I 71 PS DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 7_ �N r � f http.//www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=075022&seq=1 5/18/2015 �� ' I Town of BArnstable. P# of� Department of Regulatory Services L • - Public Health Division Date s EIAB F, • I . KAS i63y ems$ 200 Main Street,Hyannis MA 02601 � 'Tlme ri .—M ice Pd. Date Scheduled i i I Soil ,5r�itability Assessraie ct for Se ,a n> �J 4q Witnessed By: Performed By. j LOCATION & GENERAL INFORiV1ATION Location Address 'I Owner's Name �� P (� �; � l LA, I Address Assessor's Map/P4rccl: ��./o�'Z Engineer's Nall, i. NEW CONSIRUtLI I REPAIR Telephone# Land Use Res Iri ACL-11 Slopes(9b) A b Surface Stones N� i �Jr7 L'1 ft Drinking Water Well Distances from: Open Water Body >1/O® ft Possible Wee Area_— i f7 ft. Pro Line }/d) ft Other ft Drainage Way Property SKETCH:($treet name,dimcnsiods of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) I I �UE • i i �3 .id / i 2 . F i � I Depth to Bedrock Parent material(geologic) Depth to Groundwater. Standing Water in Hole: N i Weeping from Pit Pace Estimated Seasonal High Groundwater /V ROL, ATION FOR SEASONAL xII I�WATER TAt3LE h Method Used: lo, Depth to soil mottles; in, Depth Gbserved nding in obs.hole: I in. ©roundwnter Adjustment It. Depth toweeping from side of obs.hole _ A {►etOr,, �� Adj,OrnuntlwnterLeVel.,,,s Index Well# _ Reading Date Index Well levr l - I PERCOLATION TEST We Time Observation T I Time at 9" Hole# Time at6" -- Depth of Pere 21 n- a. � �[ Time(9 6 ) -- start Pre-soak Time.@ ; End Pre-soak Z �f Additional Testing Needed(YIN) Ttate MinJInch t� �" L' � � Site Suitability Assessment Site Passed d;/ Site Faile Ori final:.Public Ale$ith Division Observation Hole Data To_Be Completed on Back g 5 ***If ercola'ion test is to be conducted within 100' of wetland,you must first notify the U P � prior to beginning. Barnstable C4#servation Division at least one (1)week p DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel may tlwy 2,s 7 DEEP OBSERVATION HOLE LOG Hole# ?i Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel) la �- DEEP OBSERVATION HOLE LOG Hole# _ Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel ,n mob;► � � � 1 Q3l � it Aj io �r� It-. 12. ' C Mev r 2. 7f q DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, ra I Sty- tl b+& a- I Flood Insurance Rate May: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes 7 Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervioy material exist.in all areas observed throughout the area proposed for the soil absorption system? S . If not,what is the depth of naturally occurring pery ous material? Certification I certify that on (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 tr ini pertise and experience described in :10 CMR 15.017. Signature " Date Q:6SEPTIC\PERCFORM.DOC D _ 1L TOWN OF BARNS TABLE LJrAn 1 1 ?b t-s 17 e,Gk RC• SEWAGE # VILLAGE A44/s4v% /M,I1r ' ASSESSOR'S MAP & LOT MS 6 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 022 LEACHING FACILITY: (type) Co X Co 104 /00 Gn/,(size) STD NO.OF BEDROOMS 3 J BUILDER OR OWNER '5A4 ke-AI I��s�' 4 jk0ul% PERMITDATE: 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 leac ng facility Feet Furnished by #A � Q G j a1 !r Sys'' - 01 i Aa- r, ' A 3 7 LO-C A T'ION SEWAGE P RMIT NO. 72, cl1 'VILLAGE 5 re,"m3: I N S T A LL R'S - NA E & ADDRESS 5 B U I L D E R OR OWNER DATE PERMIT I S S U E D DATE COMPLIANCE ISSUED - 10 " Ivo:. .....:+ .._7 Fizz............................. THE COMMONWEALTH OF-MA'SSACHUSETTS r = BOAR® F HE T .... G ''Q'-�....OF. .. .. . . . . .. .............. ----- Appliration for lliopooal Works..Tonitrnrtion 1krmit Application is hereby made for a Permit to Construct (x) or Repair ( } an Individual Sewage Disposal v System at: Location-Add res or Lot N ..N1-f'-f-1�-s•---M-'�.t'..,ab••---t�t_P.Lf. ------------------- °�5.� .._��_�.�.�'S.�L.� C �.2�:.._.fd��i�_ta�,�-�-�• Owner Address . .-----......-•----••----------------------------•----......-•- ••--._.........•-•---------........••-----••---........._.......•••---•--•--•...---...........---- Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms_______ ___________________ __ _____Expansion Attic ( ) Garbage Grinder (14o) U Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other fixtures ____________________________ _ W Design FloV! p go sP person per day. Total �.....-................... II �lons. WSeptic TanIiquidcapacit 1ACt' allos Length Width ... Diameter................ Depth... ____.__- xDisposal Trench—No. ......***...... Width;__:_.'.__._._.___ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No1' -______ Diameter___________ ______ Depth below inlet_,_.__ / Total leaching areap24r)._/..sq. ft. z Other Distribution box (x) Dosing�a ,__ nk Percolation Test Res Its Performed by....._._AC_�fR.� _. X�" !'............................. Date.__ t_�.1..`_7_9___.._____.__-. Test Pit No. 1G ;-�.........minutes per inch Depth of Test Pit_j__!{_............ Depth to ground water________________________ Test Pit No. 2.................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ ------•-----------------------••••-•••••-• ••-•-j•-•-••-•-•-•-•--•.............._---•-._.._...---............ Description of Soil �•Q - tl. :$ ..t.�...../a1./ds.... e : . /lf �----------------------------------------------- x ..... 0 -lame W U Nature of Repairs or Alterations—Answer when applicable-------------------------------_................................................................ -•-------------------------•--------------------------------•-•---•-------------------........---...---•------------------------------------•-•----••---•-••-----•-•--------•. ................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Asig DateApplication Approved By..- - :_..- • -li/ll,S �� -'2-7 = Date Application Disapproved for the following reasons___________________________----•----------•------•-•----••----•------------.................................. Date PermitNo................................•------•----•-•--------. Issued---•- � ---------------- Date f y. _ �• ry _e ,q r1 z..' x 5 �4`-way r• ss . '°tq 2. h ..f'` 67" -f' r,�� . .�..� �.x'{r1.h., - 'yiT'!'•i�'-< � ! �`St•�y.�� F:` i�s t s ,�, t_ flees No........ Y k. ;« y .oy�;ag�ti n �5 ?rt ��V =I�'ES _ '' e +� �� °� jT1-1E COMMONWEALTH Oi� �CtiUSENv '' :• BOARD t' a r / - Applira#ion for Dhipati al Works Tuniftrnrtion pamit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: + Yk s ----------- ...... . .t R.D :.......... .. :..... 1 xs ��c.M.; �S_ �'..................................••••-.......--•-•••--- Location-Address or Lot No. r►ix'r tt1r.:S... ? r;: .. ynr ................... Owner Address wr .. Installer Address Type of,Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms:___.__............................_...Expansion Attic ( ) Garbage Grinder (140) . P4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria P4 Other fixtures ......................................................Design Flow.._Ad...)k-3_____________________gallons per person per day.. Total daily flow.....J_J_Q_.........................gallons. t 04 Septic Tank-Liquid capacity._lDOA_gallons Length................ Width................ Diameter__:_____________ Depth................ Disposal Trench No_ ___ _______________ Width... ......... Total Length.................... Total leaching area....................sq. ft. _. Seepage Pit No.• ---... Diameter.......... _._ Depth below inlet...... r10le_------- Total leaching area _4.,/__sq. ft. t -. Z` Other Distribution box O DosingAank ~' Percolation Test'R4;� Its Performed by:_...__.! :ylE#.t^sj__� X «'"_____________________________ Date___//... g._....._..._._: aTest Pit No. __..___._minutes per inch Depth of Test Pit:j__!j-:':_____:__: Depth to ground water________________________ Test Pit No. 2.............___minutes per inch Depth of Test Pit................. Depth to ground water........................ .............................----------•-••-- ..................•-----------•--•••-•-•- ----••••-7c---------------:.......................... D Description of Soil_____.!�E}ML t ,511 _t_�_____.a;.(A _�-th..___ v ,... r.....---—-----------------•••-•-- ------- {h - VNature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of.Compliance has been issued by the board of health. Sig d. -� } Date = Application Approved BY--- ----G� ........ .. •---••-------••-•-- .../d......v.Z oX..7.7.-- Date Application Disapproved for the following reasons:................................................................................................................ 1 ---------------------••----..._..-•------•---.--......---._._...-•--------••--------•------•-----•---------•••••--------•-----•-•-•--------•-••-•-••---------•-•--•----••-•--••-•-•••-••--••---...._..._ Date PermitNo....................................::..... .....•-•- Issued...........__...--••----._....:_...-•-•-•......--•-••-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL of .......-. OF......... Tatifiratr of Tlant liFanrr THIS TO ERTIFY, That the Individual=Sewage Disposal System constructed ( ' or Repaired ( ) by... ---- - --•- -------------•---------•-•-------------....: __----------- or ' � Inst 1 ) �- at__.. ._ -. ..... � •• R J f has been installed in accordance with the provisions of T y F 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.� -?/__________________ dated _ ."x_`_ /_ :____________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE T•FIAT THE SYSTEM-WIL FUNCTION StATISFACTORY. DATE.: ........f.. � a --------••••-= ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD O ' HEALTH ;.... .... .OF...=...... - a,' ::. ....................••••••--........_.. No. V...... FEE. ........... Disposal u o Tono#ra #iat pr snit Permission ' reby granted f'" ...................•------•-•-•-•---•.„�'•:_.....•••------•-••--••--••••••••••= ..._.. - = t� to Construct ( or r an I ,ivi al SewaD oss tem ) g isp� a ` ` "4! t No. Street y: as shown on the application for Disposal Works Construction P it-No.__, __ _:_ Dated_j_.d__- _. _7.':._: 1..... p ,1 ----------------------- Board of Health DATE....... ---• ---•--•-•.................. FORM 1255 HOBBS &-WARREN. INC.. PUBLISHERS ,� t.�f �" Vf r 2 ✓�l 4" SCH40 VENT WITH ALL SYSTEM COMPONENTS SHALL BE CHARCOAL FILTER AS Col- /�,� SYSTEM PROFILE MARKED WITH MAGNETIC TAPE OR SHOWN PLAN VIEW S COMPARABLE MEANS FOR FUTURE LOCATION. PITCH BACK TO SAS, (NOT To SCALE) NO LOW POINTS.n ACCESS COVERS TO WITHI 6" OF FIN. GRADE ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE \ TOP FOUND. EL. 36.0 2" PEASTONE OR GEOTEXTILE FILTER FABRIC OVER STONE 35.2' MINIMUM .75' OF COVER OVER PRECAST 2X SLOPE REQUIRED OVER SYSTEM 38'-39.0' a PRECAST WATERTEST D'BOX FOR LEVELNESS BLOCKS OR RISERS (TYP.)YP.) PRECAST H-10 PRECAST RISERS OA RISERS (TYP.) 2'0 4'OSCH40 PVC MORTAR ALL -+ V :.••.. INVERT IN 35.0 4. `� � PIPES LEVEL 1ST 2' 4• COMPONENTS 0 4 3 t ENDS SIDES 36.0 0 "w 10" 14" •:•°• a TEE TEE 10" 1500 GAL E ; °°°°°°°° ® _ o ' o 0 0 0 o o a o 32.00 ' 31.71 TEE PUMP CHAMBER ;°o'° 5" MIN. SUMP °a O00000 °a°o°o°c am.., O �o°o°o°o°°o°0 12" MIN. INT. DIM. i°o°o°°o°°o ®® 'o°o°o°o° \ I 3000 GAL 31.75 _° ° °.,°�°_ a o 0 0 ��� �® ao 0 0 0 Locus DUAL COMPARTMENT GAS BAFFLE:: ^ ^ ° ° ° ° IN ® ° ° SEPTIC TANK , ;g%000000 ®® ® ® ®®® ®®® %o%g000 o oxfer k R o� { { SEE DETAIL BELOW 35.40 35.23 a a a a °a°a°a°a 33.00 `� 0 _T 4' LIQ. LEVEL (ACME OR EQUAL) , o o •:, : '"`•': :: : ' �� ° ': •: •`• :` ": o H-20 500 GAL. LEACHING CHAMBERS BY ACME PRECAST OR EQUAL 000aoo°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o° Boa°oo�o°oo�o�oo°,ono°°,°o�°oo°oo°000�o�o�o,°°,°o,°°,°o,°°�o0oboQ°o° 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (6) UNITS REQUIRED �,"A'o_^_�_o-o-� 0 0 0 0 0 ^_�_•+_�_n_o.o o ALL•AROUND PRECAST STRUCTURES 6" CRUSHED STONE OR MECHANICAL 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 59.00' X 12.83, COMPACTION. (15.221 (2]) COMPACTION. (15.221 [2]) c ti ( 2 X SLOPE)MIN. (2 X SLOPE) -g ( 1 % SLOPE) FOUNDATION 12' SEPTIC TANK 2' SEPTIC TANK 72' D' BOX 25' LEACHING 26.0' BOTTOM TH-1 FACILITY NO GROUNDWATER FOUND ALARM AND CONTROL PANEL TO BE INSTALLED INSIDE B LOCUS MAP BUILDING. ALARM TO BE ON PROP. WATERTIGHT COVER TO GRADE SEPARATE CIRCUIT FROM PUMP PROVIDE QUICK DISCONNECT FOR PUMP SCALE 1"=2000'f ASSESSORS MAP 75 PARCEL 22 INV. IN 31.71' ' � NO LOW POINTS EXISTING PIER LOCUS IS WITHIN FEMA FLOOD ZONE AE EL. 12 COVE DEP LICENSE AS SHOWN ON COMMUNITY PANEL 1500 GAL. H-10 S/ 2" PRESSURE LINE -*---�' #3643 #25001 C0543J DATED 7/16/2014 ALARM ON 770 GAL+ SLOPE TO DRAIN BACK TO PC (TIDAL) FLOAT SWITCH RESERVE 0.25" WEEP HOLES SETTINGS: PUMP ON CHECK VALVE OWNER OF RECORD 4" WORKING RANGE 8" MYERS SRM 4 4" SUBMERSIBLE 4/10 HP PUMP PUMP OFF 12" SYSTEM (OR EQUAL) JESSICA L. FIEBER 180 BAXTERS NECK RD PUMP CHAMBER MARSTONS MILLS FLOOD ONE E 2 DIGITIZED FROM MAP REFERENCES (NOT TO SCALE) E WATERPROOF/WATERTIGHT SYSTEM DESIGN. DEED BOOK 28927 PAGE 34 \ PLAN BOOK 267 PAGE 10 GARBAGE DISPOSER IS NOT ALLOWED \\ PLAN BOOK 502 PAGE 80 DESIGN FLOW: 7 BEDROOMS 0 110 GPD = 770 GPD \ ° ZONING SUMMARY USE A 770 GPD DESIGN FLOW ZONING DISTRICT: RF RESIDENTIAL DISTRICT SEPTIC TANK: 770 GPD (2) = 1540 FIRST COMPARTMENT REQUIRED: EXISTING: PROPOSED: MIN. LOT SIZE 43,560 S.F. 76, 630 S.F.f 770 SECOND COMPARTMENT � �, s \.. � 630 S.F.f 76, , MIN. LOT FRONTAGE 150 125.45 125.45 USE A 3000 GAL. DUAL COMPARTMENT SEPTIC TANK % �'Troo MIN. FRONT SETBACK 30' 197' 108' AND A 1500 GAL. PUMP CHAMBER // // •''\ � ' MIN. SIDE SETBACK 15' 18.8' 17.9' I LEACHING: MIN. REAR SETBACK 15 - - MAX. BUILDING HEIGHT 30 14 t 23 f SIDES: 2 (59 + 12.83) 2 (.74) = 212 GPD / To OF TOWN �• •\,, MAX. BUILDING COVERAGE 20% 4.1% 7.9% BOTTOM 59 x 12.83 (.74) = 560 GPD / /�, • o, MAX. FLOOR AREA RATIO 0.30 0.06 0.09 M TOTAL: 1044 S.F. 772 GPD �/ / ��8 SITE IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT USE (6) 500 GAL. H-20 LEACHING CHAMBERS // P OF STATE DEP 9 s SITE IS LOCATED WITHIN THE AQUIFER PROTECTION OVERLAY DISTRICT (ACME OR EQUAL) WITH 4' STONE ALL AROUND COASTAL BANK 10 ��• ~ -- SITE IS LOCATED WITHIN THE ESTUARINE WATERSHED 00001, / � S 4 ti� 19 •\•. - �� �3 \ \ 770 GALLONS PER DAY MAXIMUM ALLOWED ON SITE (7 BEDROOMS) / k TEST HOLE LOGS 46 f; �• AL K 9� ENGINEER:DARREN MEYER C, DONNA'� `s 1\� WITNESS: DONNA MIORANDI, RS � REMOVE � \�.. DATE: 11/10/14 EXISTING \�. � •••\ y�' GRAVEL PR OSED / PERC. RATE = < 2 MIN/INCH AREAS ' LANTING / ••�, CLASS 1 SOILS p 14573 LOT 8 / \,• RIP / # 76,630± S.F. / \• ,�° / •�•., ELEV. ELEV. TOP O STATE DEP 4 "�/' f I `l• / � OFF' / COASTAL BANK '••\ on 36.5' O" 38.0' ZO �\ �X x�. A A 21 X X X ••\' LS LS I k / STAKED SILT 22 '• " 1OYR 3/2 1OYR 3/2 F E WORK 5 6" / LIMIT LINE ' / /`�� A� C f�. B B 1 N qHh� ; iI LS LS 27.0 / �r-�- " 1 OYR 6/8 1 OYR 6/8 as �,� \ , ''•\ �J '9� 28 34.2 29" 35.6' 309 �'s 3 / OF �• TO 2.5 J / S EXISTING \\ a 18 PERC 9 37 TOP DWELLING F DN \\ EL. 32.5 \ Q� MS MS �N s G 2.5Y 74 2.5Y 74 S 31 PROPOSED \ __ DWELLING " A = 36.0 \ I FF = 37.0 No 126" 26.0' 126" 27.5' NO GROUNDWATER ENCOUNTERED �[36 OP A R _ _ {` \T/ Lam' ELEV. ELEV. SEPTIC SE CE SE A �~ �3p 0" 42.0' O" 4 40.0' I M L 3 I _ � l OMP 7 398 . / - tLAW `/ A A E-ROUTE LS LS NOTES BENCHMARK: EXISTING C j TOW 2 5, �� N 6" 10YR 3/1 5" 10YR 3/1 CEMENT BOUND `n \ SERVI E / /c�� cC+e 2g "� B B 1. DATUM IS NAVD 88 =44.9' NAVD88 \ /� 2. MUNICIPAL WATER IS EXISTING 41 0 3IM S6\ / 4 4' N LS LS > � 10YR 6/8 10YR 6/8 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. / 0 �:' '�'' 31" 39.4' 32" 37.3' P D 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS o 35.1 3 TO BE AASHO H-ZQ EXIS G 5. PIPE JOINTS TO BE MADE WATERTIGHT. /��4 eJ �' GUE USE/ 'x " LEACH C C GAR GE v WIT 2 STON 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH , ` OF FNDN AR ND PERC 310 CMR 15.000 (TITLE 5.) / l.3 �•`` ��•5 MS M5 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO k� J BE USED FOR LOT LINE STAKING OR ANY OTHER o `� 6 �� I V. A& N O PURPOSE. HE E 100g ``,.\ QP W 2.5Y 7/4 2.5Y 7/4 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 36.8 I 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED / O WITHOUT INSPECTION BY BOARD OF HEALTH AND / `� PERMISSION OBTAINED FROM BOARD OF HEALTH. OPQS TH5 Fp 6 120" 32.0' 120" 30.0' 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING 11 r40J pj)C DIGSAFE (1-888-344-7233) AND VERIFYING THE SYS 3' NO GROUNDWATER ENCOUNTERED LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES TH TF�,j 38 PRIOR TO COMMENCEMENT OF WORK. \ 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ,� vim / HU 5 ELEV. 6 ELEV. REMOVED BENEATH AND 5' AROUND THE PROPOSED �A , LEACHING FACILITY. ��, - TEST HOLE LOGS o" 36.2 O" 36.5 4D � 40 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 4 11 D / \ ENGINEER:DANIEL E. GONSALVES, SE 13587 FILL FILL \ 0FC WITNESS: DAVID STANTON, RS 1 INV. \\ k -... 12" 35.2' 10" - 35.7' UT P P \\ DATE: 9/6/19 40.ht F 01 0 J PERC. RATE _ < 2 MIN/INCH / \ A ARTM NT \\ CLASS 1 SOILS p# 19-132 LEGEND J 3 TO - 4 5 .9 99 V EXISTING CONTOUR It I ��� \\ // C C X 99.1 EXIST. SPOT ELEV. PERC --[99]-- PROPOSED CONTOUR Ft \ \ J I j� `� M/CS M CS 198.41 PROPOSED SPOT EL. t - TH 1 t y>� 2.5Y 6/4 2.5Y 6/4 Y TEST HOLE R tt 3Q O Y Q 43 _ 2% SLOPE OF GROUND ��, U � � QP O C.O. CLEAN OUT I 3 120" 26.2' 120" 26.5' �-) UTILITY POLE / NO GROUNDWATER ENCOUNTERED CCB CAPE COD BERM 12"x3" LIGHT POST TITLE L42 1 c,, 5 SITE AN NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING / 1 `� 1 6 3 � � > . . _ OF 180 BAXTERS NECK ROAD 3 MARSTONS MILLS, MA � o �41 /� ' DATE: NOVEMBER 5, 2019 /e REV.: DECEMBER 16, 2019 (SEPTIC TANKS) o •\ r o � of uySSA � off 508-362-4541 { ASH Ass g £�� fax 508-362-9880 q y I DANIELA. cyG� DAANIFL �� downcape.com C OJALA -4 0 OJ.11;!.A �' I �iJ7 A♦ q3: ' CIVIL u' down cape eagi7eeriN f inc. E A No 4J9b0� ,� ! 0.4650�0 civil engineers "- �s ST 4" SUR land surveyors Scale:l = 20 °NAB E� `` 939 Main Street ( Rte 6A) YARMOUTHPORT MA 02675 .DCE # 18-274 ZBA 0 10 20 30 40 50 FEET DATE DANIEL A. 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