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Home My WebLink About0009 BAY HEAD ROAD - Health 9 •Bay,Head Road: Marstons Mills y A = 030>-•087;J nstable n Town of. Barnstable , gar tHE Cift Regulatory Services Department e`�I.,�ST"M Public Health DivisionMASS c 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7014 1200 0001 0358 3841 July 7, 2015 Jean Marino 9 Bay Head Road Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at, 9 Bay Head Road,Marstons Mills,MA. was last inspected on 6/22/2015 by Shawn Mcelroy, certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Fails" under the guidelines Of 1995 TITLE 5 (310cmr 15.00) due to the following: • Leaching pit or cesspool with high liquid level, <12" below inlet (per Town Code 360-9.1) You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action PER ORDER OF THE BOARD OF HEALTH Thomas�Mcean, R�, CH�(O _ Agent of the Board of Health QASEPTICU.etters Septic Inspection Failures or Future EvIU Bay Head Rd MM JuI2015.doc Town of Barnstable Barnstable Regulatory Services DepartmentNAM Q p s�uvsr�Le, * O D . Public Health Division m 39. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7014 1200 0001 0358 3841 July 6, 2015 Jean Marino 9 Bay Head Road Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at, 9 Bay Head Road, Marstons Mills, MA. was last inspected on 6/22/2015 by Shawn Mcelroy, certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Fails" under the guidelines Of 1995 TITLE 5 (310cmr 15.00) due to the following: • Leaching pit or cesspool with high liquid level, <12" below- Town Code 360-9.1) You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action PER ORDER OF THE BOARD OF HEALTH Qm�asVMcKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\9 Bay Head Rd MM Ju12015.doc L Town of Barnstable • Baruvsrnsr�. i63939. � Regulatory Services Department ♦0 prED MA't� Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/28/15 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet-of a private water "supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2)YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) Leaching pit or cesspool with high liquid level, <1.2"below pit(per Town Code 360-9.1) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc -0�7 lo Commonwealth of Massachusetts 1 030 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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. A. General Information 101V 1. Inspector: f Shawn Mcelroy Name of Inspector 8 JW,y: >_b Upper Cape Septic Services `'�•�f'�sf Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ®Fails ❑ Needs Further Evalu tion by the Local Approving Authority 6-22-15 I or's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Forme Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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: 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•W 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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 colifofm 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 Y2 day flow t5ins•3/13 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 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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 dogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure ' criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a.surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 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 Tdle 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 wM 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 page. City/Town 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 El ® this inspection? El ® 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): 3 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 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) ' Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 6-2015 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 page. City/Town 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: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): 3' t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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: 1985 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below 24"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.): Good condition. Septic Tank(locate on site plan): Depth below grade: 18"feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal Sludge depth: 16" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form =Not for Voluntary Assessments M , 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 page. Cityfrown 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 16" Scum thickness 1 Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape 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 is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts . A Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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.): 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-3113 Title 5 Official Inspecbon 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 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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.): Good condition with water at working level. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts m Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M s•''� 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1-1000 gal ❑ 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.): Leach pit in good condition with water at 12"below top of tank and stain lines at top of tank and into riser. 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 wM 9 Bay Head Rd Property Address Jean Marino owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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.): a Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 page. Cityfrown - 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 F%�Y%_� . Evil r e--- 1 6 ` !� t t5ins•3113 Title 5 Official Inspecdon Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official .Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons.Mills MA 02648 6-22-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) F ` Site Exam: . r ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 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: USGS and town maps show groundwater at greater than 20'. 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 I� Commonwealth of Massachusetts Z Title 5 Official Inspection Form ?° Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Bay Head Rd Property Address Jean Marino Owner Owner's Name information is required for every Marstons Mills MA 02648 6-22-15 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 r t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE k LOCATION �3nc�Ncao�R�. SEWAGE# VILLAGE M. (Y);J JS ASSESSOR'S MAP&PARCEL p INSTALLER'S NAME&PHONE NO. A4rg F CaV r(> . OG SEPTIC TANK.CAPACITY ' /000 LEACHING FACILITY: (type) SOO 9M) L C ( Z) (size) 13 x ZS A Z NO.OF BEDROOMS OWNER CO► PERMIT DATE: �" COMPLIANCE DATE: Mfh 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 Al AZ 13 (33'3& B Ay. s,� 00 - � /0 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes AppliLation for Disposal *pstrm Construction permit Application for a Permit to Construct( ) Repair(20 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �,I ®� Owner's Name,Address,and Tel.No. Y / ,(� Assessor's Map/Parcel 3 8 J e ✓"I a ei iO Installer's Name,Address,and Tel.No. Designer's Vame,Address,and Tel.No. f2-f-6 -10 n 509-q 77-t065,31V Type of Building: 2 Dwelling No.of BedroomsV Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ,330 gpd Design flow provided gpd Plan Date_ i g I ]5 Number of sheets . Revision Date Title Size of Septic Tankft,5 I n q (D®D 9Q J Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ao d-bD k 1 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 al Signe Date 9 ZD Application Approved by Date &ZLJ �► ' Application Disapproved by Date for the following reasons Permit No. Zoo Pj - Z& Date Issued 81 Z0' ZOI S ` ""•" No. �I — � Fee er: THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes. PUBLIC HEALTH DIVISION - TOWN OF, BARNSTABLE, MASSACHUSETTS Tipplication for Misposal 6pstrm Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( )_Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �� f'e�D k?D_ Owner's Name,Address,and Tel.No. q, Assessor's Map/Parcel 30 oreeI ea ✓90 2/(1U 5o 9`Zk6— I Z i Installer's Name Addr `s,anrd Tel.No. Designer's ame,Address,and Tel.No (XLCi -fr�n ��'- y��-0653 V1� SSUCCGLfC's 5�g -k33 -eon Type of Building: " Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 0 gpd Design flow provided gpd Plan Date $ 1 R 5 Number of sheets Revision Date Title Size of Septic Tankf15f I n g I OOU QQ Type of S.A.S. Description of Soil ao d-bo - a to 5 0 al _ l h Nature of Repairs or Alterations(Answer when applicable) X �(� 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 i Compliance has been issued by this Board Sin Date Application Approved by L Date &&I ZOIT Application Disapproved b PP PP Y Date for the following reasons Permit No. Zot S - Z86 Date Issued D/to/ ZOI Cj ---------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(1< Upgraded( ) Abandoned( )b w, -11 n(�1 at { )0 GP CJ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NoXf Z86 dated 8120 I 7-0 1 s Installer -Bob 61 I LFO U Designer V h -5G(}na4 e-s #bedrooms J Approved deSfl o 33U gpdThe issuance of thi ermi shall of be construed as a uarantee that the s stem 11 d•n as desi ed. P g Y /� Date ,� � Inspector V t - _------------------------------------------------------------------------- r 7_YC Fee No.ZD(5 _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) --Repair( ) Upgrade( ) Abandon( ) System located at 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:Constniction must be completed within three years of the date of this permi. P Date �'� �'� Approved b } Town of Barnstable Regulatory Services Thomas F.Geiler,Director Public health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Z % Sewage Permit# 10I1;—2-'k' Assessor's Map\Parcelj O } Designer: !/��SS d G1� P� Installer: Address: Address: 5L�le&-1C4 ,9 D1 Z 3 On - -A- � �� Ay was issued a permit to install a (date) (installer) septic system at �IS-1w �� lul/ based on a design drawn by (address) dated (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. 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. tM VON HCMIE (Installer's Signature) r 1U .� is 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. Q:Heal*JSeptic/Designer Certification Farm 3-26-04.doc t;2 --row,OlF STALE A I1 STt I.EIMS NAIME 8t`P�YOI+IE Y+tO 13 'tC TANK,CAY'ACIfiY "�--�-�--- '.._.....� (Size) LS —cl- NNG 1 NO OFB f BUILDER OR 0-VPh1f✓!R :... Sprtrat�on W IvlAxii�aml�djtastcrlGrau dwateMbeta,tfbG}att rnaix s�ahtn �?ilc�tiGy _.� � -. Feet Prly a;W'Jucvc SupNl� +lc l icf Y,cac�airig ,ac, -y: EWY'�+f:19s exist t �n e6tG'ar af';loiicwfis facdily .._.._.—.-- tr�oc�8 PA I l6mq.lWWAnd'and 1Leaclhin�r Facallty(YF aa�y atctBanciS`ex�st wi4faict.'•10(1 feet t cucflfing forilirY) ` . �' ��_ �- rz ` f /.� urrit3heti b ` d r_ "t %� s" � ` Town of Barnstable °* Department of Regulatory Services $ Public Healh Division Date a 200 Main Street:Hyannis MA 02601 J. 0 l / T —�—� Date Scheduled Ti Fee Pd. Cn ,Foil Suitability Assessmerz for sewl, e Dimosa 1 f i`a7 Performed By. Witnessed By. v f LOCALTIPN& ENERAL INFORMATION Location Address �'j'Q *4ecp� 7 i Owner's Name aP9 0 Ile I- S Address Assessors Map/P4rcel: me D ° Englueees Na NEW CONSMUtON REPAIR Telephone# � Land Use �PSLGl�1�dli W slopes 11 Surfaeestones y/OTiIL� Distatu es from Open Water Body ft Possible Wei Ara ft Drinking Water Well ft Drainage Way J v ft. Property line �ft Other fR I SKETCH:(street name,dimeoslods of lot,exact locations of ter holes ac perc tests,locate wetlands in proximity to holes) 1 6'0 4 / i "O V 1 Parent material(gedlogic) G / Depth to Bedrock �i�� Depth to(3mundwaRer: Standing Water in Hole: �16G1� I Weeping Aom Pit Patx Estimated Seasonal;"igh Cmundwater Di TER1V1I1�T TION FOR SEASO ffi H WATER TOLE Method Used: e0 ttles: ln. Depth Obpwmd standing�in obs.hole: __ In. Depth t9 sail tiro I in. Groundwater Adjustment ft• Depth to uz"pisg frntn side of obs.hole paeler Adj.Groundwater Lavin.;.._. Index Well# Radio Dates Index Well!evil.l;.�.....� A4J• . g � pERCOLATf DN TESL' Observation' ` I 71610 at 9" Hole# 1 791ne at 6" Depth of Pent �i• d I lime mow_:_..__.. ---.-.----- start Pre-soakTune01 711111A End Pm-soak = I b Rate MmJtnch ! ' Site Suitability Asscpsmeat: Site Passed Site Failed; Additional Testing Needed(YIN) Ori 'naL•;Pablic He�ith Division ObSmat3o d Hole Data TO Be Completer Otl Back— -- J3t ***If pergola ibn testis to be conducted within 100,of wetland,you must first notify the Barnstable C4#servation Division at least one(1)Wetilt:prior to beginning. r - DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil ' other Surface(in.) (USDA) (Mullselq Mottling (Sall m?"Stones,Boulders, f /D S DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. ConAstency, 0 Z C 2. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil ' other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. t DEEP OBSERVATION HOLE LOG Hole# Depth from Sal Horizon Soil Texture Soil color ' Soil I Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. ik Flood Insurance Rate Mau: / Above 500 year flood boundary No_ Yes t/ Within 500 year boundary No S.L Yes Within 100 year flood boundary No'/ Yes Deuth of Naturally Occurring Pervious Material Does at least four feet of Paturally occurring pervious matedal exist.in all areas observed throughout the area proposed for the soil absorption system? CPS If not.what is the depth of naturally occurring pe ous material? Certincation I certify that on 7' (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 tminin&eqxrose and experience described in 3.10 CMR 15.017. Aw, Signature Date �' LO` OiTION � / SEWA E PERMIT NO. l�u VI.LLAG E I N S T A LLER'S NAME i ADDRESS a �a LA) coo - o Or t oto R Ut;LDE R OR OWNER 1 �k T nn til DATE PERMIT ISSUED DATE COMPLIANCE ISSUED --� 6 .� ca u No............ Y9 Fxs......45............... THE COMMONWEALTH bF MASSACHUSETTS BOARD H EA , C�W_V� ----------1 --....OF...........tV�1..' a ...................... Appliration for 14spos al Marks Tomitrnrnnn r amit Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System at• 0 v5e .. .....1� . ........................ ......--- -•---....... ............. . ._...... ............. ocati .. ..d-- �.. 1Fi " .--dr w r tom. a Installer Address QQ Type of Building Size Lot.. ...Sq. feet Dwelling—No. of Bedrooms..................---__-___-__._________Expansion Attic ( ) R®Garbage Grinder ( ) Other—Type of Building ............................ No. of persons----_....................... Showers ( ) — Cafeteria ( ) a' Other fixtures . d . . --•------------------------•••••--••--•---•--•--•-••......-•------------•---... W Design Flow..............��...................gallons per person per day. Total day flow-___-___J-3. ....................galloons. WSeptic Tank—Liquid capacity/ allons Length-_8AC_". Width.._._/Z-__ Diameter________________ Depth.....I-.-__-- x Disposal Trench—No. .................... Width.................... Total Length.........._...._.. Total leaching area....................sq. ft. Seepage Pit No ---------I---------- Diameter....21_ L...._ Depth below inlet...... Q ....__.... Total leaching area.. .1...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) l i, / �^ '-' Percolation Test Results Performed by �CRCa�`Cti01Q __ ._-1l�( y�.....L�C?._ Date....�.�.�.�.�L _.... aTest Pit No. 1.....a------minutes per inch Depth of Test Pit.....1_-Lr..... Depth to ground water.. .. . (T Test Pit No. 2................minutes per inch Depth of Test Pit___-____-.--____-_-- Depth to ground ........ a J ---------------------- ----------- --•••... •. . -----•-•---•-••. ---•- t O Descriptio of SoilCAP .. x 7R--e-p- EEU Na r rs or Alterations—Answer when applicable______________________________________________________ �pp� �� -------------------------------------------------------------------------------------------------------------------------------------------------------------••-••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'ILL 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 th oard.of health. Signed.---- ...... e...... _... 71,W. L J Dat Application Appro ed BY -------------------••-------- 1 ....... Date Application Disapproved for the following reasons------------------------------------------------------------------ .............................................. .............•-•-•••••-•-•-----------••--••••-•-•---•••••••••................_------•--------•-•--••........•-----------..................----......................................................... Date PermitNo......................................................... Issued....................................................... R*c Da TidyIKe-er — - - - -. — '� J , November 21, 1984 Richard and Maureen Springer 149 Main Street Plympton, Massachusetts 02367 Dear Mr. and Mrs. Springers You are granted a variance to have the reserve area of your on-site sewage disposal area on Lot 3, Bay Head Road, Marstons Mills, 137 feet from an abutter's well, in lieu of the required 150 feet, with the following conditions: (1) All other requirements of Title 5, of the State Environmental Code, and the Town of Barnstable Health Regulations must be adhered to. This variance expires December 1, 1985. It should be noted that public water� is available in this area. Very truly yours, ert L. Childs C IRMAN BOARD OF HEALTH TOWN OF BARNSTABLE JMK/mm ' I r' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT a ; ....TOC.��......oF............. .... .�(:..-!'L - #�'-��:--. .... ------------------ � r1iration for Disposal Works Tous#rurtion jhrmit Application ii hereby made for a Permit to Construct (> ) or Repair ( ) an Individual Sewage Disposal System at: �r a .....ZooL P�,��..1.( 1oc/a or -'tion-Address ..1f - — -- ' ' t caner {�1•. 4rr{- -...... `, -t ��* ..a _ ti....j�Y �C Installer Address U Type of Building Size Lot_. .. }¢. ...Sq. feet Dwelling—No. of Bedrooms............... ______._..._.._.___.___Expansion Attic ( ) ,4®Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------• - W Design Flow...............$, ...................gallons per person per day. Total daily flow____-__- 313.4D._.............._..gallons. WSeptic Tank—Liquid capacity�O(. gallons Length.. Vp.r Width___ Diameter________________ Depth..... x p Disosal Trench—No_.................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........./--_-__--_-- Diameter.... Depth below inlet...... .......... Total leaching area..j3.q...sq. ft. z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by._ ,�L(..._... ,___ Date.... _,�'_ _�! ..... Test Pit No. 1-----c�� ______minutes per inch Depth of Test Pit.....I. J. :_- Depth to ground water.._._*,,P_ ._ 44 Test Pit No. 2................minutes per inch Depth of,,Test°Pit_...._.............. Depth to ground water- __-_-----_---_- _... Q+' ------•----------------- --•----••-----.....•--....••• ----•----•-- •--.-- O Description of Soil._ IL.r> ._.._ors 1 _. . !'. w 4 - 1 U Na e of Rep 'rs or Alterations—Answer when applitJable_________________________________________________ ___ ______fig..,-- --_ ---------- ....................................................................................................................•----------•---.._..._....._............ A Q ............ Agreement: ��BSfONAL Eat The undersigned agrees to install the aforede'sgribed Individual Sewage Disposal Syste rdance with the provisions of TITTLE 5 of the State Sanitary Code ""The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed........................ .................................................. ................................ t, Date Application Approved By...................... y - ---------------------------- {.�.$`✓ ___________ ........ Application Disapproved for the following reasons__ ___________________________________________ ............•Date.............. „"K.. ..................................................................................................... ......----------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF;.`HEALTH _ ............OF.........& 't-a • .. Tutif iratr of Tootpliattrr TH S`IS TO CERTIFY, That the Individual Sewage Disposal Syste constructed (IV/) or Repaired- ----- Instal er 0t_._ Vic, C.f-----{r-�__act-__--_ .r --------- has been installed in accordance with thellfovisions of TITLE. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE MALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector.-`......-•--•---•---••--••--------------------------•----------------•---._...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1� V.. 1( .........OF..... .C�c/1.�(h. ........:............ + No.. . Z>A,/.. � FED.---•. ........... Disposal Works Tottotrt font rruti Permission is hereby granted.......................... . -- ...............................................•-•---•-....-•----------................----- to Construct ( ) or Re it (,,._ an Indivi. ewage Disposal System , at No yf ✓�n tru ree 4-•- ••r �--------------•--••-- M f as shown on the application for Disposal Works Coction Permit N-o..................... DY ated.....................I..................... .................. .....` }._'�'✓'.--_.._............ ............................___....._.....-. � " Board of He�lth I DATE................................................................................ s FORM 1255 HOBBS & WARREN, INC., PUBLISHERS I : VAUTRINOT & WEBBY CO. CIVIL ENGINEERS REGISTERED LAND SURVEYORS Alan C.Vautrinot Jr.R.L.S. County Road/Rt.106 Joseph E Webby Jr.R.L.S. Plympton,Massachusetts 02367 Charles 8.Clark P.E. (617)585-6355 Ralph L.Rankin P.E. June 20, 1985 Barnstable Board of Health Town Hall . Hyannis, Mass. Dear Board; This is to certify that this office has supervised and inspected the installation of the sewage disposal system on lot 9, Bi yhead Road, and that it conforms to the State Sanitary Code, the proposed plans and the variances approved by the Board of Health. Trulq VAUTRINOT & WEBBY I LiLAG�_ sTr7.�/S �i1.LS D A` 3 APPLICANT FEE _ �DDP.ESS /!�/� /f�/f/�/,j� p��/ /° ®,2�� TELEPHONE NO. (Non-refundable ) :NGINEER TELEPHONE NO.(_ „ )ATE SCHEDULED - z G 1 • (Applic ntls. signature) • • ♦ • • • • • • • • • • • • • •`• • • • • • • • . . . . . . • • • • • • • • • • • • • • • • • • • a ♦ • • • • • • • • • • • • • • • • • • • • • • • • • • • SOIL LOG ;UB-DIVISION NAME (=� 0 ="r- ,t- DATE / f Jga•C,P/� �,�p� TIME V Q� `•.XPANSION AREA: YES �NO _ V,4y—mp-jQT �6.+9d%% _ENG_INEER. ?t: s ;'OWN EATER PRIVATE WELL J.4coz y BOARD OF H-EALTH EXCAVATOR ;KETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests , locate wetlands in proximity to test holes ) NOTES : �f 30 t rX l� PERCOLATION RATE : G. r7� / l UGH LEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: LQQsr/� 1 4 f74 - 6 6 8 9 9 10 10 • 11 11 . 12 12 13 13 1a 14 15 15 16 16 3UITAB;;E FOR SUB-SURFACE SErIAGE : LEACHING FIELD LEACHING PITS V LEACHING TRENCHES JNSUITABLE FOR SUB-SURFACE SEv1AGE . REASONS : a Li0 E : r'G PL-14.'S MUST 5HO Zv,L;,M3ER ASSDGNED O C TEST APPLIC T O • _ - ,r - _ n -.; _7._p- F:- r. q, P ,\ D - rj Tn ' —'- ' �0 llVVIV _��_ -k�f1HN 11L-iLl._.-.—.- ..'_.1CURP*"31Ur�~ z. Print ' Q/�R d Q�' �-�L.�1L�� O satisfactory ..... rs -. ... . , 3. ; �uro . rvdyy shops CobIPANY 1/L,_ 5 `� �� Qunsatisfactory- 4. Dlanufactltrers (see"Orders") 5. Reta).l Stores ADDRESS. / , t z , lLej, A'/ 11 l x 1 — 6. ruel 5upF 1 ie rs J Ciasss 7. Misc iianeous QUANI' TIES AND SYURACH (INnindovrs; UUI'=outdo[ MAJUR MAURIALS•' Case lots Drums Abbvetanks Underground 7attks Duel s.s =--.— 1-1L �� OUf N 6 ae l Ion e oasolt 8, 'Jet fuel (A) Diesel, Kezosene, AZ (p) — Heavy Ulls: — — ..waste motor nil (C) %:.)KI�� new motor oil (C) transmission/hydraulic Synthetic organics= •� — — degreasEis �Ilscellaneous! , Sanitary SewagetiURKSt llf �• r Z. Water Supply O.Town Sewer /0 - 'PubliC r Q Private (; Indoor rloor Drains: YES ` 14U_ Q. Holding tank t, MUC O Catch basin/Dry well 0 on-site system Uutdovr'Surface drainssYES N(t Iluldln`• tanks MUC_ O Catch basin/Dry well ,r Un-site system Waste Transporter �' •--- `__ Dame of lwa r ._ILe1- Licensed? 1 Waste Prndur � YES h'�L f ersvn s nt.ery ewe _.a. •n'�pectgr ate 96,73 ASSESSOR'S MAP: 30 96'S9 GENERAL NOTES: PARCEL: 87 MA 49SET REFERENCE: PL. BK. 249 PG. 79 1. VERTICAL DATUM: __Assumed_________ 2. MUNICIPAL WATER �S AVAILABLE. FLOOD ZONE: X Town of Barnstable 3. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT #25001 C0537J (07/16/14) 2 2 E 98.0 N:., SYSTEM UNLESS OTHERWISE NOTED. 96,26 ALL PRECAST UNITS TO CONFORM TO �6p p0 9 ,55: N ASHTO: _ H=10 & 20 9,04 j...:: cr Q 5. IPE PITCH-1/4" PER FOOT UNLESS OTHERWISE NOTED. 6. A L CONSTRUCTION DETAILS TO BE IN CONFORMANCE J \ TH MA ENVIR. CODE (TITLE 5) AND LOCAL 5. 2 R GULATIONS. BA NO 7. 100,43 C NTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES RIOR TO CONSTRUCTION. Lot 3 \ 5 LEGEND: 10L16.: 21,988t S.F. PROPOSED CONTOUR a 0.5f Ac. 10 78 . \ 103, \ \ \ ss PROPOSED SPOT GRADE Map 30 — 40 — EXISTING CONTOUR 0 101,81 101,27 \ Q CV Parcel 87 /� . •.:..: ;j: X 30.23 EXISTING SPOT GRADE ;.,.paved;.,.:.',; _ x ` too _ \\ \ TEST PIT J 1p4 Drive:, T _ 10 100,52 O a 33_.: 1 65 \ \\ ® EXISTING WATER SERVICE _1 \ \\ \ �Q o X— WORK LIMIT LINE 107,50 107,21 Gar. .: ` . .:..: 0 \ X E T: ' Under 2, \ OF Mq fJq� OF Mq f f9r _ TOF #9 b �, $� 2 \ � AMY L. yG� o� TERRY yG� NOTE. Reuse Existing 109.17 �2 ,� VON HONE ANN Deck Assumed o y WARNER H 1000 gal Septic Tank. (Assumed) � � . Pump and Backfill � 107,\3 �� xp103,12 Via. 1068� No. 38721 Failed Leach Pit. x 107,50 \ o / FGISiER /R 104, 1• ,,, / / p TWIN 2FT P S Aj <OX. 1074 41�T, TREE -/a°' x 10 ® 1t6,74 / Q z -- "- / / NOTE: This plan is to be used for septic Fo, 107.82 107,22 I ! i 0 —� m purposes only and i not to be Benchmark set: ,90 � ..�'�,' � �to system pu po y s considered a property line survey. Left car. bat. brick step x 106 98 I : i �- — P P Y EL.= 108.04 (Assumed) xOLO7.60 x 106 51•10 z / i x 96,22 Ln O < 0-7:e6 _ ' 'Oy/ 9 BAY HEAD ROAD LOCUS 1 c °` x 107,09 x '167,67 X/106,86 ''�/ 97:22 V H MARSTONS MILLS, MA a� sch° � // PREPARED 0 - . S R skveek \ x 10� 4 associates JEAN MARINO Psa M^ \ , �� j 8,22 96,56 SEPTC SrS,EM DESIGNS FOR: 9 BAY HEAD ROAD �5 � O i 320 Cotuit Road s \ � n / e M ackuS Rd '6 * River \ x 10 71o9 to , 1oZ' P o�e� O Sandwich,508.833 0041563 M A R S TO N S MILL, MA 8 coo Road �- -b . •� �� 97:46 AND ,moo a ' '29§8�� °{ C�c'�O Surveying by: B & B EXCAVATION c� `� �` `�3 5 Sage `� Terry A. Warner.P.L.S. rw Long Rood �A °" co � ' x ASIN Nonrieh. MA ones DATE REVISED SCALE SHEET NO. (sob) 432-a3� ,. , LOCUS MAP N.T.S. HYD 6 98,03 08/18/2015 1 = 20 1 of 2 Provide Riser over D-box NOTE: All components to be marked with NOTE: To prevent breakout, final T.O.F. (Full/Walkout) to within 6" of final grade magnetic tape or similar prior to final cover. grade of EL. 100.0 to be carried EL. 101.82 (Cover to be watertight) out a minimum 15' beyond edge F.G. EL: 102.0-107.8f F.G. EL: 107.2 F.G. EL: 102.5 Maintain Min. 2% slope over leach facility to of leach facility. Existin revent ondin F.G. EL: 102.0 Install risers w/covers over inlet and Min. 2" of 1/8" - 3/4" Washed Stone or In ection Port within 6" to grade outlet to Exist. invert L=10' (Access Covers ii min. 20" diamr per Code) _ ;' Tee �, Geotextile Fabric ; Elev. to be 4" SCH 40 P L=38 L=10' 3/4 - 1 1/2 Double Washed Stone • 4 SCH 40 PVC t 4" SCH ' PVC Top of Peastone or Geotextile Fabric EL. 100.0 confirmed as ®S=1% 1�A1 io• _ MWEW310336386383 needed. 14• ®S-12'39' 1 n. 0.5%MIN ® IMT24" Eff. Depth EL. 104.34 -5%EL. 99.5 a Rottom 97.0 :Q EL. 104.6 Install Gas Baffle EL. 99.67 EL. 99.0 Use 2 - 500 Gallon Precast Chambers Q. PROPOSED DB-3 • H-20 DISTRIBUTION BOX (H-10) with Double Washed Stone 5.49' (Install PVC Inlet & Outlet Tees) Watertest for levelness SEPTIC SYSTEM PROFILE 4'(Ends, 4' Sides ') EXISTING 1000 GALLON if more than one 25' x 12.83 x 2 H-10 SEPTIC TANK outlet EL. 91.51 N.T.S. Bottom of TH-1 SOIL LOG ADDITIONAL NOTES DESIGN CRITERIA 1. Contractor to confirm soil suitability prior to installation. Contact BOH Number of Bedrooms: 3 Bedrooms SOIL EVALUATOR: AMY VON HONE, R.S. S.E. #2517 and Design Sanitarian in the event of varying soils from original soil INSPECTOR: DAVID STANTON, R.S., BOH test. Design Sanitarian to certify soils at time of installation. 9 Y Soil Type: Class I (Cl Horizon DATE: AUGUST 18, 2015 10:00 AM Percolation Rate: ( ) PERCOLATION RATE:<2 MIN/INCH IN Cl(ASSUMED) 2. Pump and backfill Failed Leach Pit. Any contaminated materials within <2 min/Inch 5' of proposed Leach Facility to be removed including unsuitable soils Daily Flow: 110 G.P.D./Bedrm x 3 =330 G.P.D. TH - 1 TH - 2 below Leach Facility. Replace with clean fill per Title 5 specifications. Design Flow: 330 G.P.D. (Min. Required) EL. 102.51 EL. 102.4 3. Water line to be sleeved at any sewerline crossings and within 10' of Garbage Grinder: Not Allowed any septic components, as needed, per Water Department requirements. Fill " Fill Contractor to verify location of water line prior to construction. Leaching Area 12" 0.74 = 445.94 S.F. Sand 101.51 gy Loam Sandy 101.65 Required: (330)/y Loam 4. Distribution Box to be placed on 6" crushed stone or compacted, level 330 G.P.D. x 200% = 660 G.P.D 10YR3/2 10YR3/2 base. Septic Tank Required: 20" 100.84 20" 100.73 Minimum 1000 Gallon (Existing) Sandy Loam Sandy Loom Use 2 - 500 Gallon Precast Chambers with Double 34" 10YR5/6 99.68 30" 10YR5/6 99.9 a, �� o Washed Stone: 25' x 12.83' x 2' m Bed 1 Coarse sand Coarse Sand FLOOR PLAN ��or Sidewall Area: 2(25' + 12.83')2= 151.32 S.F. 2.5Y6/4 2.5Y6/4 �' i Per , Bottom Area: 25' x 12.83'= 47�.07 S.F. e N.T.S. LI VI n g Total Area: 57" B ttom Room Bed 2 Desi n Flow Provided: 0.74 472.07 .F. = 349.33 G.P.D. 9 BAY HEAD ROAD 1st Floor V H MARSTONS MILLS, MA associates PREPARED JEAN MARINO 132"1 191.51 120"1 192.4 SEPTIC SYSTEM DESIGNS FOR: 9 BAY HEAD ROAD No Groundwater Observed No Groundwater Observed Loft ` m 320 Cotuit Road M A Sandwich, MA 02563 M A R S TO N S MILL, PERC RATE: <2 MIN/IN. ( C1 Horizon) <9" ® 6:37 minutes 2 508.833.0041 0 AND P � Bed 3 (, Amy L. von Hone, R.S., hereby certify that I am currently approved by to t Sung by: B & B EXCAVATION the DEP pursuant to 310 CMR 15.017 to conduct soil evaluations and Belot Terry A. Warner.P.L.S. that the above analysis has been performed by me consistent with the 229 Road requirements of 310 CMR 15.017. 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