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Home My WebLink About0026 BEACH PLUM HILL ROAD - Health 26 Beach Plum:dill Rqad R Marstons Mills A-097-•005=002 SMEADO No.2453LY UPC IM4 smead aom Nade In U9A �L it G ,^^,�' �,puU� `��- I�UG•!" �JIliPd�^'• /y f C4 �c 4/�7`�' yr �� I�V•� �P �i0 G �'�f f� � ,^ Ir�e'1 '��(ir' ��rb �/I�' �' i t Q TOWN OF BARNSTABLE LOCATION A AA�z SEWAGE # VILLAGE A,)' M' 11 ASSESSOR'S MAP & LOT y7-04S^—w INSTALLER'S NAME&PHONF NO. ` SEPTIC TANK CAPACITY c LEACHING FACILITY: (type) Wag (size) NO. OF BEDROOMS_ ' BUILDER OR OWNER ie� .�� PERMIT DATE:.? IDAl COMPLIANCE DATE: Separation Distance Between the: Maximtun 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 t: l°0�312 e 4 h.00S F . V No. e4aa' — nrY Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTHZDIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migpozar *pe;tem Conotruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. cZ 6 B e'Ac Owner's Name,Address and Tel.No. Assessor's Map/Parcel 0 7 7 boo, —do Ido cam„`K E. V/7 LL Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. FOc9cry `-�aT-67aS- �h� v�h�,svSKt Type of Building: Dwelling No.of Bedrooms t� Lot Size d �6 sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 716 gallons per day. Calculated daily flow �6 0 gallons. Plan Date '00 Number of sheets 2. Revision Date Title Size of Septic Tank 20VO ype of S.A.S. Description of Soil �4-�zv. ��'�✓ �� ` 1 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Cerufi- 4 cate of Compliance has bee`i` b his Boar of Hawfil, am Signed - Date 4e Application Approved by Date l3'•` ` � Application Disapproved for the following reasons Permit No. " J�7®`g '` Date Issued �� 6 Fee ' a Entered in compuier: THE COMMONWEALTH�;0E M/JsBSACHUSETTS lYes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipprication for Miopooar 6potem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. L 6.' E C Jed Owner's Name,Address and Tel.No. �/a6q 6)1— VJRVt� �..� 20 E l Assessor's Map/Parcel Oq 7 dos' _ 66 /ap S►'►1O K E- 111Y L-L C ie D 1 Installer's Name Address,and Tel No. ��^ i Designer's Name,Address and Tel.No. rt C Cry co"s-r_ y 1,47 6 v h�✓ KLI c lI ,apt s 1� Type of Building: t'� Dwelling No.of Bedrooms � Lot Size '' I J sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons g Showers( ) Cafeteria( ) Other Fixtures Design Flow l 16 gallons per day. Calculated daily flow f� 0 gallons. Plan Date 0 Number of sheets 2, Revision Date Title Size of Septic Tank ype of S.A.S. Description of Soil s . Nature of Repairs or Alterations(Answer when applicable) t Date last inspected: Agreement: ''a .. ✓ t t c ...t s,3 1 : The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of~Title 5 of the Environmental Code and not-to place the system in operation until a Certifi- cate of Compliance has bee i d b' his Bo of H t ,s. ` L Signed Application Approved by t< Date 1�"'�'` Application Disapprdved\for the following reasons Permit No. 4 ®�� '' Date Issued �+d r ---------------------------------------- r ' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO ,that fhe On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Aba doped( )by at � / ffl4gfks been constructed in accordance with the provi ions of Title 5 and the for Disposal System Construction Permit a .4®- dated Installer Designer The issuance of this permits �� b a construed as a guarantee that the systq will frct7 as eesig d. Date / / Inspector _ No.�+fo�` ----------------- Fee/040- 46 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpooai 6potem Construction Permit Permission is hereby granted-to to Construct( Repair 4/ Upgrade )Aban o�ta f f System located at o�6 164611 c 10 )+ l'T j c 4 K �� s o!, d11 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constrt�ta' n ust b com leted within three years of the date of thi g'e t f � ) Date: i Approved by, r I Town of Barnstable P# Department of Health,Safety,and Environmental Services / SINE Public Health Division Date 367 Main Street,Hyannis MA 02601 • BARNBI'ABIE, • . °r16 Aezv Date Scheduled t Z � Time 6 �� 06 Fee Pd. Soil SuitabilityAssessment or Sewage Disposal .f g p Performed By: y P1 yt �L)Jlst-5kl Witnessed By: 22�11 A— t 1546—L RIJ I�t7CA"Tt01& l✓N1ZA ,:INI;bIYIATION Location Address 2G Q.,,_`f Q1 v L'j n j Owner s NametiV� w�r3� Address lo� Assessor's Map/Parcel: q 7 Engineer's Name JA n NEW CONSTRUCTION REPAIR Telephone# /I - Land Use 'z"4 i Z ,,a l Slopes(%) y Surface Stones �D Distances from: Open Water Body R Possible Wet Area R Drinking Water Well R Drainage Way It Property Line R Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) � . Q tt Parent material(geologic) 0 L) L(/C<5 Depth to Bedrock ?4 ei Depth to Groundwater: Standing Water in Hole: 12l3 Weeping from Pit Face Estimated Seasonal High Groundwater TETNA't'lltt T'(3R SI✓AOAL DYGT'UVAT )�<TAIL Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment Index Well#_ Reading Date:.__,.__._ Index Well level..,-.--- Adj.factor.- Adj.Groundwater Level_ PE :::<.> <: .... ..I +�df,�iTl(7►I�i TEST<:' %<?::Dati<:.>.::>< fltue Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant ]D. I' fJ 3SEIt'VA IOI�i 0 1 LO Depth from Soil Horizon Soil Texture Soil Color : Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,° a jF 4 3 N0 3 L 5 d '14 DEEP QBSER't�ATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes. ° i T� (� ERA�'I(?NtLC LOG Tole# Depth from Soil Horizon /Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistencv.%Gravel) - t DEP.OBSER -A� ON HOLE L(�G Hole . Depth from` Soil Horizon Soil Texture Soil-Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ° t i Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the .area proposed for the soil absorption system? aS If not,what is the depth of naturally occurring pervious material? Certification I certify that on 4 (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 trainin expertise and exper a described in.310 CMR 15.017. Signature Date � g � Commonwealth of Massachusetts 0 97'00S-00"� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. Cityrrown 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 / /o2 � forms on the I I ` I 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 � rem Cityrrown State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority zz 11-27-17 eCt 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 t Commonwealth of Massachusetts 4 u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GM , 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 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: PROPERTY HAS 2 SEPTIC SYSTEMS BOTH OF WHICH WERE INSPECTED AND MET ALL PASSING REQUIREMENTS AT TIME OF INSPECTION. THIS REPORT IS NOT A GUARANTEE OF FUTURE PERFORMANCE UNDER THE SAME OR INCREASED USAGE. THIS REPORT IS NOT TO BE USED AS A DETERMINATION OF BEDROOM COUNT. DESIGN PLAN FOR'NEWER SYSTEM WAS DESIGNED FOR 6 BEDROOMS. 6 BEDROOMS WAS APPROVED BY DAVID STANTON AT BOH ON 11-29-17 AT 9:00 AM. 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 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 ' 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 1/2 day flow t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 If Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 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. ❑ ® 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 El ® 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•3113 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 w„ s 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every 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 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 CM 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms 6 Number of bedrooms(actual): 6 (design): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 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 M 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: PROPERTY HAS 2 SEPTICS ONE CONSISTING OF A SEPTIC TANK D-BOX AND 2 LEACH PITS IN THE FRONT YARD AND THE OTHER CONSISTING OF A 2000 GALLON TANK D-BOX AND 8 CULTEC RECHARGERS IN A 12X68 FT AREA IN THE YARD NEAR THE NEWER PART OF THE HOUSE. Number of current residents: 0 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 Seasonaluse? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage(gpd)): Detail: 2015----------687 2016--------------1030 GPD. SYSTEM IS NOT DESIGNED FOR USE WITH GARBAGE DISPOSAL. PROPERTY HAS A LARGE IRRIGATION SYSTEM WHICH COULD ACCOUNT FOR HIGH WATER USAGE.IF PROPERTY HAS A DISPOSAL IT SHOULD BE REMOVED PER TITLE5 REGULATIONS. Sump pump? ❑ Yes ❑ No Last date of occupancy: part time only 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 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: VARYING SHORT TERM USAGE ACCORDING TO OWNERS. Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): 2 SYSTEMS t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M s 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: FRONT SYSTEM APPEARS TO BE ORIGINAL FROM 1986 SECOND SYSTEM IS FROM 2000 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: FRONT 2 FT REAR 3 FT+ 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 FRONT APPEARS TO BE 1000 Dimensions: REAR IS 2000 GALLON Sludge depth: BOTH HAD LIGHT TO MODERATE SLUDGE. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. City/Town 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 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? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): BOTH TANKS WERE OPENED AND HAD LITTLE SCUM WITH LIGHT TO MODERATE SLUDGE BUILD UP. IF THE TANKS HAVE NOT BEEN PUMPED IN THE PREVIOUS 3 YEARS I WOULD RECOMMEND PUMPING AT TIME OF TRANSFER AND EVERY 2-3 YRS THERE AFTER FOR MAINTENANCE. FRONT TANK IS VERY CLOSE TO STONE WALL BUT COVERS ARE ACCESSABLE. 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 + 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M ° 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *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 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 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" IN BOTH BOXES 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.): BOTH D BOXES WERE FUNCTIONING PROPERLY AT TIME OF INSPECTION. 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: A PIT IN FRONT WAS OPENED ON THE FIRST SYSTEM. THERE WERE NO OBSERVATION PORTS ON THE SECOND SYSTEM SO IT WAS NOT OPENED. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2 IN FRONT ® leaching chambers number: 9 CULTEC 330 ❑ 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.): ONE PIT IN THE FRONT WAS OPENED AND WAS DRY AT TIME OF INSPECTION WITH NO CLEAR SIGNS OF FAILURE. THERE WERE NO OBSERVATION PORTS ON THE CULTEC 330 CHAMBERS SO THOSE WERE NOT OPENED. 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 w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(:note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of:construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M s 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. CityrFown 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 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: NONE ENCOUNTERED AT TIME OF PERC 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: 11-2017 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: DESIGN PLAN Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 26BEACH PLUM HILL RD Property Address WROE Owner Owner's Name information is required for OSTERVILLE MA 11-27-17 every page. Cityrrown 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 Form:Subsurface Sewage Disposal System•Page 17 of 17 " TOWN OF BARNSTABLE Sirs' �-- LOCATION 2 t: SEWAGE# ASN tom; VILLAGE�F> „'��-e- ASSESSOR'S MAP&PARCELC)� 7 m lY7) INSTALLER'S NAME&PHONE SEPTIC TANK CAPACITY - LEACHING FACILITY:(type) Carl iZrcSr� 3 30(size) ' S NO.OF BEDROOMS OWNER U)f C'2 t" PERMIT DATE:JM I 1-X7-17 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) 11 Feet FURNISHED BYTbQ_ I4,-C`7, N qv{'t lz- b �1n1- 22-,�r N� a� IJc r otiT-31' A- SAS f-e_1 ��. •�i3 1tpP�o� TOWN OF BARNSTABLE Sirs r*A* �— 1 LOCATION SEWAGE# iJS bn; VILLAGE ASSESSOR'S MAP&PARCELO�_,� INSTALLER'S NAME&PHONE NO`c\ ,�),g o SEPTIC TANK CAPACITY LEACHING FACILITY: — (type) C�Ir�r_ iZ rc fc r( 3 30(size) t�NO.OF BEDROOMS( ) OWNER U)f Dr- PERMIT DATE:W I)•-;_7--J7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) _ 1 Feet FURNISHED BY L fit)` ►�y(1wW b s r7 -0- A14- 22-, J'Ad---fsf ter_ �6 /Jc _T 1- OV ► O0F-3 5'r CPC}iUti 1C% _e 0 _ 3 r �" ��;�� sus fe•.�. �=� ,� LOCATION SEWAC PERMIT NO. VILLAC I N S T A LLER'S NAME i ADDRESS JOHN A. AALTO BACK-HOE SERVICE o ,West Barnstable, Mass. 026cg B U I L D E R OR OWN ER' DATE PERMIT ISSUED DATE COMPLIANCE ISSUED i. ti I� 1F 1 1 f l "✓ i �y�t ASSESSORS MAP NO: 4 _ ---`ro... 6 PARCEL NO.: J _ =� 5..: . `�—_ .._ 1?6 31 q THE COMMONWEALTH OF MASSACHUSETTS 1S I BOARD OF HEALTH ..-----......�.V.&V.-.............OF......... -------------............_..............._. Appitratinn for Diipn.sal Morks Tomitrnr#inn Prrutit Application is hereby-made for a Permit to Construct (>O or Repair ( ) an Individual Sewage Disposal System at: .................. .......J,5'�: .i�.2.t:Ac................................................. ' Location-Address ,��_ or Lot No. —' ..d'�O t:.S •� s•�� 2V4e--!,-4,-7----------------- ........................................................ a4r Owner ,r2^1A&.s.s............. Installer Address d Type of Building o-- Size Lot_. �._Z= Y.Sq. feet U Dwelling—No. of Bedrooms_._... zat&.........................Expansion Attic ( ) Garbage Grinder (,'Ao aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures --------------•.-•-•____•-.-•-•-__ W Design Flow................ . allons per person per day. Total daily flow__. -..:f WSeptic Tank—Liquid capacity./<W'..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width..............._.... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No....�--..--..._. Diameter.......&.'....... Depth below inlet.....(,............ Total leaching area..../. 4 -'sq. ft. Z Other Distribution box (� Dosing_onk ( f q ''' Percolation Test Results Performed by ..._....1�_R f�L._ " r.��_ E ----- Date......6 '.Ti??..=_ L<i.......... Test Pit No. 1.,� ._.._;'27_.minutes per inch Depth of Test Pit.....t.A.-..._... Depth to ground water....................... Test Pit No. 2.-%_! ..minutes per inch Depth of Test Pit....YA.......... Depth to ground water........................ �+ •-------•, .........,>..........• .........-.......................................................................................... ODescription of Soil..... ".ILI �z ...........................................................................-...............W -••-•-••---•--- ------------•-••----••--••---•-••-••----••------•-------•----•---•-••--••--•••••--•-----•------•-------------------•-••--•--...•---•••-••-•--•-••----•---•--•-•-•••............•---•-•-- 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 iITLEL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Com liaanceiha ee b the bo d of health. d - Sign •... • !. :r%ra .� . - i - .._. ... Application Approved gy------------•----------------- :. . --------• ................. ..--••----....._ at ...... Application Disapproved for the following asons:-••----•----••----------•••••-•-•-•----••-••---••-•-•--•••••--•••-----••••••--••-•-•--------------•---•........ --••-•-•--•----------•--•---••.............................................................................•--------------•-•-••--------••-••-••-•--•--•••--•---•------•--•-----••--•-••••-----...•-•--- Date PermitNo....------ =r f----------------------- Issued....................................................... Date FEB 44 ?6 . 311 THE COMMONWEALTH OF MASSACHUSETTS >.. is "�°"� BOARD OF HEALTH. ALTH � .Q tN:ge?.............OF......... .r,cw9�:.ltt: + t........................................... .��lirtttio� f ur �i��n�ttl� ork,� C�on�tritrtion �xutil Application is hereby made for a Permit to Construct (>} or Repair ( ) an Individual Sewage Disposal System at: .. (k...Zjea..rk. .� ... '�. .................. . . ..... E. .....•--.....--••-• ................. Location-Address ,+/�«�, /� ,l J or Lot No. -•I=f�f �x�._. JtJ, l..1�.. t a Address ".----•---• fa�.alfnC`6z�� f�...,..-...... .......... ..................._..... Owner ss W r Installer Address Type of Building rr��• Size V Dwelling—No. of Bedrooms..._..!�esl�' ^.......................Expansion Attic ( ) Garbage Grinder O Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ►k ................. -------------------•-•••................. W Design Flow................ _ „ ____._gallons per person per day. Total daily flow...`ts.t °?'!s.l�rS'", :.:.I—(* Ions. 114 -Septic Tank—Liquid'capacity.B, .gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. ................ », Widthal Length Total leaching area..___. sq. ft. Seepage Pit No..._.c�_-.._...... Dia i ....... 14.. epth below inlet.....4es........... Total leaching area....1.r t "sq. ft. Z -Other Distribution box (k) Dosin�nk ( , '—' Percolation Test Results Performed by... E7�x 7f :J� .... Date...... `'1' .minutes per inch Depth o Test Pit____.1: ......... Depth to ground water........................ ,.a ' Test Pit No. l.,t�.'_.}:_ Test Pit No. 2..&n.'X_..minutes per inch Depth of Test Pit---- ...... Depth to ground water........................ Q+' n--•---•r .. --•-------- ................ •...... -------------- ------- D Description of SoiL..... 1.--••-----------------------------•----....----------....................... U_ .................................................................................•...................._........•-----.--....__.........._._..•.............•..•......•..........._._._.................. 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 Com liance.has;bee 'ss b the board of health. f Ly- ie Sign -`_ •.._. + -- 17__" `. —Ze...... Application Approved Y •. . :. ••••. •. . . --- --------------- --.. .. f _ ate Application Disapproved for the following asons_____________________________________________________________________________________________•-•._............_ ....................................._.................................................................................................................................................. • . Permit No.......... .._ !41 - -= "1 Issued.. ...:.:...................•••----------•.......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................... ....................... (Intifiratr of Toutphattrr THIS IS TO CERTIFY, That the Indivi ual Sewage Disposal System constructed ( ) or Repaired ( ) b" j...... .Ll _ :. ------------------------------------------•----------- Installer at........... ..3".-..s?....--•----•-•moo •& ,..._ ......i--- ........YJ---t-... �_ �r ut��.�-••--- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code jas dvscr}' ed in the application for Disposal Works Construction Permit No..................:...................... dated__.____4. ,IA_ . _. ......_.......... THE ISSUANCE OFtTHIS CERTIFICATE-SHALL NOT BE CONSTRU D AS A GUARANTEE THAT THE SYSTEM WILL FU TI N)SATISFACTORY. DATE................. ....... ....... ,..................---- Inspector ......... .. ILI THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... No..................... 1 nE..:.............. ili wial rkii Tonstrurtiurt Prrutit � Permission is hereby granted------------------ - V ,q�/ .------ -.:.--------•---.--_---- .._.....1.��...........--•.............--------............ to Construct (y!) or Repair ( ) anie Individual Sewage Disposal S tem , Street Syr as shown on the application for Disposal Works Construction Permit No..................... Date ....._.... ....... _��"v` _Iv 1(�I �( Board of H al DATE.... =`S :=• ............. ......... FORM 1255 A. M. SULKIN, INC.. BOSTON ;i. LOCATION SEW AG 1PERMIT NO. tbT5 1�1 ) be�Acu PLOY"W I LI VILLAG I N S T A LLER'S NAME i ADDRESS JOHN A. AA!-TO BAC'KIHOE SERVICE p .West Barnstable,, [Mass. 026hR s U i L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED rd Y' it n k .• sue:•.' a LEGEND Leaching Area Requirements EXISTING PROPOSED 6 BEDROOMS AT 110 GPD/3EDROOM = 660 GPD Tp j Edge of Pavement >>• i; �' W Water Pipe ROv cOUour h' ADDITIONAL 50% FOR GARWE DISPOSAL N.A. z �, �- �� I G Gas Line ,f, W PERC E / (CLASS ) r• __..__.____.___..�__ _._-. ___ c�:� N ARREN"S 09 RAT = 2 /1 MIN. INCH C 1 / E Electric Line o O a Telephone Line COVE ` T BRUSH o N LOCUS LTAR = 0.74 GPD/S.F. 29' MIN. LEACHING AREA OF S.A.S. Catch Basins \ ® =VO 660 GPD/ 0.74 GPD/S.F. = 892 S.F. MIN. PROPOSED A N wv O ADDITION i Tti i pQ Water Gate PROPOSED SYSTEM: h' r N 968 SO. FT. WITH A CAPACITY OF 716 GPD Light Pole LOCUS MAP __..••___ :== r f -0- Utility (Pole /-' Contoulrs 5O SC ASSESSORS SHED / C.B. FND. -•-�, _.._._..__.-._ p MAP 97 Test Spot Girade 50.0 ilt PARCEL 5-2 AM 97 PCL 23 � Meters + SAND BOX �Fti ;' GV Gas Votive ZONES cnv@ZaL NOTES: / LOT 88 OG 23 Post & Roil Fence RF & GP .' .=` A SYSTEM SY TEMCOMPONENTSSHALL B INSTALLED IN ACCORDANCE WITH % C..B., FND '' - MINIMUMS TITLE VOF THE STATE SANITARY CODE DATED AND BOX I PAVED DRIVE 76771 SO. Ff. ' AREA = 43,560 S.F. MARCH 31, 1995 & ANY LOCAL RULES APPLICABLE. 1.76 ACRES FRONTAGE = 150' AM 97 PCL 5-3 MULC i ; % ,, ', FRONT SETBACK = 30' ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING SIDE SETBACKS = 15' BY THE DESIGNING ENGINEER. O �J�, ' ; ': Ii ; ' REAR SETBACK = 15' BUILDING HEIGHT = 30 WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT EXISTIfi; GARAGE PUMP AND REMOVE EXISTING ! FOR INSPECTION. BR SH ;i; .SEPTIC SYSTEM _.... .__.._._ _J % SLAE EL. = 37.43' ! !I ''� `` o.`/! • j, THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN 3 o I ! APPROVAL BY THE DESIGNING ENGINEER. S 0 1, ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC. 34 9, ; j / LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND $ f• SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. k LAWN EXISTING SEPTIC SYSTEM ' + I' PERMIT # 86-319 FINISHED GRADE nMAX n COMPACTED FILL 36 12 IN. o - PEASTONE /j\\/j\\/j\\/j\\/j\\/j\\/j\\/j\\/j\\/j\\//�\/,�\/ LAWN 41, 2 • J ,• / d t.. . 3/4 1/2 i �LAWN ' a DOUBLE �J .WASHEDSTONE AT <� /!Y r NO SCALE !U f CULTEC RECHARG,-R 330 WOODS • � ALL PIPES TO BE SCHEDULE 40 PVC �O �iH NSKi yG , f 1 i tx%/ /� Y.I` , CIVIL ec' y 350 ON - -..._ 1 1 4 ..MULCH BENCHMARK i TOP OF SPINDLE #269 Septic EL. 30.18 -.. S Ic System Des - SyS Design �T At 26 Beach Plum Hill Road A MULL 0sterville, Massachusetts I G, g0• i / ,� l' r, PREPARED FOR ' ►' , ` , � • .:;` � DAVID W. & NfARDARET his WRO .B' FND. r ' ' _ TITLE Design Schedule ELEVATION BA.XTE , NYE & HOLMGREN INC, Proposed Addition & Septic System TYPICAL SYSTEM PROFILE SOIL LOGS DATE: 04-14-00 #P-9731 Exist' FIRST FLOOR 43.08' First Fglaor — ENGINEER : BOARD OF HEALTH AGENT: NOT TO SCALE FINISHED BASEMENT FLOOR N.A. John D.KUChins)d,P.L.S. Donna S.:I,hiorandi,Bams.Health Dept. AN FINISHED GARAGE FLOOR 37.43' M BARTER NYE & HOLMGREN INC. MANHOLEHOLE OVER INLET TO TANK TO AT LEAST SEWER INVERT A7 FOUNDATION 36.30 TEST PIT 1 — WITHIN s' FINISEXISTING GRADE SEWER INVERT INTO SEPTIC TANK 35.05 G.S.E. = 3',7.2 _ Registered Professional FINISHED GRADE OVER TANK = IXISTING FINISHED GRADE t'VER D. BOX = EXISTING _ SEWER INVERT OUT OF SEPTIC TANK 35.80 �� Engineers and Land Surveyors - - II I N FINISHED GRADE OVER LEACHING TRENCH = EXISTING 0" "A" LOAMY STAND SEWER INVERT INTO DISTRIBUTION BOX 35.47 1 oYR 4 3 812 Main Street, Osterville,Ma. 02655 �, �.. / 4" SCH. 40 PVC FIRST 2' (TO BE LEVEL) SEWER INVERT OUT OF DISTRIBUTION BOX 35.30 8" (TYPICAL) 4" SCH. 40 PVC " n Phone - (508 428-9131 Fax - 508 428-3750 — m+�• —' 12" (min) Cower � ( ) s' (min.) SEWER INVERT INTO LEACHING SYSTEM 34.90 6 LOAMY SAND or pL. (ruin) 36" (max) Cover BOTTOM OF LEACHING SYSTEM 32.9 n 10YR. 6/6 �o- Cl tees GAS BAFFLE `` s, sunp 4" SCH .40 PVC 35 Basement I 2"Layer '1/8"to 1/2" WATER TABLE N.A. 20 0 20 40 Floor Peastone LEACHING CHAMBERS "C" MEDIUM SAIND FOOTING Reinforced Concrete 5' CRUSHED Slope = 0.005 min I 2.5Y 6/4 SCALE IN FEET STONE BASE 7 4" Pvc� O • O • O O • O • O cc 1 120" SCALE: 1 "=20' DATE: 9/14/2000 • • • O • • O O • • O O NO WATER EINCOUNTERED AT EL. = 27.2 O ccO 0 0 0 0 0 REV. DATE: REMARKS BOTTOM ELEV. = 37.0' f I RATE= < 2 MINIIN 0 2000 GALLON SEPTIC TANK GIST RIBUTION BOX 5' MIN. TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASEry�IS t �U f�17�7 � ~' S If-jr �4 SEPTIC TANK TO BE INSPECTED k CLEANED ANNUALLY � No Groundwater Observed �� 1 - CULTEC® RECHARGER 330 t�R �aK�:�t rS ito� t �fs �''') k �ys -w. �� Gtw�� -�;\2000\2000- 18\20018BTB.DWG -;� DESI N L-')4TA _ STRUCTURE —► f --ry DESIGN FLOW assu►.n.�.r �Ev. _ � �. �o i / _--- --- - --.. - --- -- _ - _ SEPTIC TANK LEACHING RATES : SIDE AREA , C-7 GPD/SF J' BOTTOM AREA , -, ,GPD/SF % - LEACHING FACILITY y p --tom --`--- PLAN REFERENCE rye �� r ASSESSORS LOT N`0___�____ NOTE. I. ALL MATERIALS AND CONSTRUCTION METHODS TO CONFORM WITH OF MASS. TI-( LE ENVIRONMENTAL �:z Is ;Sc=, it Zblw 12 � �� ' -- _ � -__ � _. `� 1 j � f -y F'�...bE-'G> �Et'a "..:.'C<'.1 V� .. s.cvr.e,-i--;-aseas •+ • �\ f '\1l OF b1 aa52 q ,Ac JO `yG O T `r is a `l?_ ' • = ,Off' .29874 Q k lw i --�l�Si�N �Czla'v✓- ! G cz>��^ ._..... ' y \ SLRd� oP o PLAN \ SCALE TEST PIT NO. i TEST PIT NO. SOIL OBSERVATION PITS _ r^ ELEV. S ELEV. DATA OF TEST SAP.:✓._ 1 . i f` - '" X, _ 1�.�C! � ,�-�'_ _` ``Y ct ENGINEER 1M I B.O.H. AGENT TOR P E R C RATE IN T P NO. AT ~`F T. L MIN./I N . L-EALH RITS • Ii I TANK 51.3 I I +r- W 3 -SCjt•,J _ ---------� >......,.,. _.... . .. I I � SO• � ,' I { � � �c�atv��: Ste, ..,. ,. �- ------ -------------�-- --# -- —�- - ------ a a. -- - — -------- --I 4-= GI...E.l .t� •-13 (.o F C�Q.. . __, :y!�El_ir- L3�`� - ELLIS & TH ULIN LAND SURVEYORS AND CIVI !_ ENGINEEPS ---1---- 1 - - -- -- - ----i - - --� — - - -- -----14�' I -! EAST SANDWICH, MASS. SECTION THIS U SEPT � SYSTEM j' _ 9 _ SCALE HORIL. , EFT ,- -------- - --