HomeMy WebLinkAbout0095 BISCAYNE DRIVE - Health _ _ 5"Biscaylzc Road
1V1"rst0I's Mills
A= 012 - 013 - 009
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No. DD Fee /10 �.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftpYitation for ]Disposal *pstem ConstCuttion permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System Individual Components
Location Address or Lot No.'{.5" e;S �t, pry Owner's Name,Address and Tel.No.lyG�� v�/'� ►.n ��
Assessor's Map/Parcel O(d C)1-3 -4--?
e
In'staller's Name,Address,and Tel.No. 4 �c�nr,'��; Designer's Name,Address,and Tel.No.
MA
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) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) o AAJ-gn�, Th(a to in 26 kl"uz -.3�
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. /!
Signed �. �l� Date `/�/-jZ
Application Approved by Date
Application Disapproved by Date
for the following reasons
` Permit No. Z, Date Issued
-,,..M.^.A � .y� „a.,i...,�^...4�"^,....kr.+....v«y;.nrJ^^S6vr,.�s:-:�.irr-�rsw^r.`►+�^-".'„'.-"' - ..."ram+"'.'�iw?i,.E+'�Y�iS s%.w.^•+.. -r-n..-+."...:.
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�y �2 � y
No. DO 1 ' Fee A)0 �—
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ,�----
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yet
ftpYication:for ]Disposal Opstent Construction J)ertnit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ®Individual Components
r Location Address or Lot No. S 1 b C A ,, a�� Owner's Name,Address,and Tel.No.{���; (Y�� �5e�C
`�,S 3tst�+r�.�. �`�"� m�.��o�5 rn•.OIS Q��a�•'e
Assessor's Map/Parcel Q(c�/Cj 13 _ �yag S-0 g-r,� ,_ 3� ►
Installer's Name,Address,and Tel.No. J S,t, Ro,i�r,T,.�, Designer's Name,Address,and Tel.No.
1,0. t3ak 3 7/1 t
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) gpd Design flow provided gpd
Plan Date ,. Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
r, r
t
l Nature of Repairs or Alterations(Answer when applicable) lA r
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed / jam Date
Application Approved by Date
Application Disapproved by Date
t
for the following reasons
Permit No. 2 ob-n- 1�3 Date Issued // /.a1 Zoeoq
THE COMMONWEALTH OF MASSACHUSETTS
046X011 BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
'THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�'`) Upgraded( )
Abandoned( )by
at .S ,S cnn �k has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit NoZom-M Z dated It ' i
Installer QFA �Uu`(�� s vLG'L,4V Designer
#bedrooms / �,/} Approved design flow A/�A- gpd
The issuance of this permit shall not be construed as a guarantee that the system will function as desi a ed.
Date �,0/0� Inspector (�
/1 r
No. 2oog— 3 5 Z,
-------- � �--q�---,� ------------------•-----•-----Fee--•/0•0
--�----•-- ..__. ..
THE COMMONWEALTH OFNIVIASSACHUSETTS
PUBLIC HEALTH DIVISION+.-BARNSTABLE,MASSACHUSETTS
Misposal Opstent Construction J)erntit
Permission is hereby granted to Construct( ) Repair(✓) Upgrade( ) Abandon( )
System located at qi ,a `,Sc,aVA-e— �
ti
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date /� //h/Q g Approved by
o ,
Town of Barnstable Barnstable
� pFS41E Taw
A&ft
ti
"(�A� Regulatory Services Department 1�cac F
�n.�a�SrauLe, � �
%N'
ASS039. Public Health Division
D MAC a. 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
January 3, 2008
Nancy & Kevin Minnigerode
95 Biscayne Drive
Marstons Mills, MA 02648
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 95 Biscayne Road, Marstons Mills MA was inspected on
December 7, 2007 by Patrick O'Connell, certified Title V Septic Inspector for the State
of Massachusetts.
The inspection of the septic system showed that the system Conditionally Passes under
the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following:
Distribution box is deteriorated and collapsing.
f
You are ordered to repair or replace the septic system within Two (2) years from the date
of this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BO RD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Letters Septic Inspection Failures\95 Biscayne Drive.doc
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IJ Commonwealth of Ma
ssachusetts
J Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy & Kevin Minnigerode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
every page. City/Town State Zip Code
Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.
��'1312,
Important: A.When filling out General Information
forms on the d O
computer,use 1. Inspector: ,(�
only the tab key V
to move your Patrick M. O'Connell
cursor-do not Name of Inspector
use the return p
key. Septic Inspection Services Co.
Company Name
r� 189 Cammett Road
Company Address
Marstons Mills MA 02648
City/Town State Zip Code
508-428-1779
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¢f3)n site,
sewage disposal systems. I am a DEP approved system inspector pursuant to Sect-�tion 15,340 of-'
Title 5 (310 CMR 15.000). The system: c-J F--
❑ Passes ® Conditional) Passes �, cc
Y ❑ Fails-�:� �
❑ Needs Further Evaluation by the Local Approving Authority
t_... �.... ,
k �— December 7, 2007
Inspector s Signature � � � J
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.
07-283 Minnigerode.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15
Commonwealth of Massachusetts
T - Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,. 95 Biscayne Drive
Property Address
Nancy& Kevin Minnigerode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
❑ I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
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.
Answer yes, no or not determined (Y, N, ND) in the ❑ 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.
ND Explain:
❑ 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
❑ obstruction is removed
07-283 Minnigerode.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy & Kevin Minnigerode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
every page. Clty/Town State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cont.):
® distribution b or replaced
Explaii
Distribution box is deteriorated and collapsing.
❑ 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
❑ obstruction is removed
ND Explain:
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
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.
07-283 Minnigerode.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15
Commonwealth of Massachusetts
: Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy& Kevin Minnigerode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cont.):
❑ 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 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_day flow
❑ ® 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.
07-283 Minnigerode.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy& Kevin Minnigerode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
every page. Cltyr town State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems (cont.):
Yes No
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply
well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory, for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area— IWPA) or a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
07-283 Minnigerode.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
°M 95 Biscayne Drive
Property Address
Nancy & Kevin Wrinigerode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
every page. Cltyrrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no"as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
07-283 Minnigerode.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15
Commonwealth of Massachusetts
: Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy& Kevin Minni erode
Owner Owners Name
information is Marstons Mills
required for MA 02648 December 7, 2007
every page. Clty/Town State Zip Code Date of Inspection
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
Number of current residents: 2
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ❑ No
Seasonal use? ❑ Yes ® No
Water meter readings, if available (last 2 years usage (gpd)): 97,000 gal. _
132 gpd.
Sump pump?
❑ Yes ® No
Last date of occupancy: Currently
Occupied
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:
Last date of occupancy/use: Date
Other(describe):
07-283 Minnigerode.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
kk Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy& Kevin Minnigerode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
every page. Clty/Town State Zip Code Date of Inspection
D. System Information (cont.)
General Information
Pumping Records:
Source of information: None
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)
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed (if known) and source of information:
1988
Were sewage odors detected when arriving at the site? ❑ Yes ® No
07-283 Minnigerode.doc•06/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy & Kevin Minnigerode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
every page. Cltyrrown State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site plan):
Depth below grade:
1'
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: 6„
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: 8.5' long x 5.2'wide- 1000 gal.
Sludge depth: 3"
Distance from top of sludge to bottom of outlet tee or baffle
27"
Scum thickness 1
Distance from to of scum to to of outlet
6"
p p tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle 12
How were dimensions determined? Measured
07-283 Minnigerode.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy& Kevin Minnigerode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
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.):
Tees are intact and clear, liquid level was found at bottom of outlet invert.
Grease Trap(locate on site plan):
Depth below grade:
feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene
El 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
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 El other(explain):
07.283 Minnigerode.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy & Kevin Minni erode
Owner Owners Name
information is
required for Marstons Mills MA 02648 December 7, 2007
every page. Cltyrrown State Zip Code Date of Inspection
D. System Information (cont.)
Tight or Holding Tank(cont.)
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
Distribution Box (if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert 0
11
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.):
No solids or high stains, liquid level at bottom of outlet invert. Spare knockouts are rotted through and
box is leaking.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in wo
rking order: El Yes ❑ No
07-283 Minnigemde.cloc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy& Kevin Minni erode
Owner Owner's Name
information is Marstons Mills
required for MA 02648 December 7, 2007
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System (SAS) (locate on site plan, excavation
ation not required):
If SAS not located, explain why:
Type:
® leaching pits number: One 6x6 pit.
❑ 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.):
Liquid level is currently 16-18" below inlet pipe high stains indicate pit has 8-10" of effective leaching
07-283 Minnigerode.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
<y''t 95 Biscayne Drive
Property Address
Nancy & Kevin Minni erode
Owner Owners Name
information
equir for
is Marstons Mills
required for MA 02648 December 7, 2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
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
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.):
07-283 MinnigerodeAoc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15
Commonwealth of Massachusetts
_ r Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
95 Biscayne Drive
Property Address
Nancy & Kevin Minnigerode
Owner Owner's Name
information is required for Marstons Mills MA 02648 December 7, 2007
every page. CitylTown State Zip Code Date of Inspection
D. System In-formation (cont.)
Sketch Of Sewage Disposal System: Provide a sketch 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.
Biscayne Drive
Water
Service
! / ! ! / / ! / r ! / ! ! / / /\/♦/\/\/\!\/
\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \
1 27
32 36
83
104
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
.• 95 Biscayne Drive
Property Address
Nancy & Kevin Minnigerode
Owner Owners Name
information is
required for Marstons Mills _ MA 02648 December 7, 2007
every page. Cltyrrown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to ground water: 30
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:
USGS topo map and town GIS.
You must describe how you established the high ground water elevation:
Town groundwater contour map shows water below el. 50 and topo map shows property above el.
80.
07-283 Minnigerode.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15
Town of Barnstable
OF THE 1p�
Regulatory Services
r r
CAB Thomas F. Geiler,Director
y$ 1 `0�'
A,Eo �A Public Health .Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
This septic system inspection report was completed by a private inspector who is certified
by the State of Massachusetts, Department of Environmental Protection.
Although the Town of Barnstable Health Division received the original/copy of this
report; this Division does not warranty the functionality of the septic system in the future
nor does this Division agree with any technical observation s and interpretations
contained within this report.
In addition,by receiving this report the Town of Barnstable Health Division does not
automatically approve the number of bedrooms listed within this report. The actual
number of bedrooms approved at a particular property would-be listed on the"Disposal
Work Construction Permit".
If you should have any questions regarding this report,please contact the certified Septic
System Inspector who conducted the inspection.
'N
_ ' OWN OF BARNSTABLE
s
LOi�ATIONLvi SEWAGE #
VILLAGE V^gti� 40'vx5 I"' 'k ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. 3 , %56Ak 3614
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size) I;yw 14 ffol^
NO. OF BEDROOMS PRIVATE WEL OR PUBLIC WATER
BUILDER OR OWNER G �.pe cc)
DATE PERMIT ISSUED: �l .11
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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L4-CATION LO ( ,p��.Ae_,4 SEWAGE # 7
L VILLAGE` ASSESSOR'S MAP & LOT
4
INSTALLER'S NAME & PHONE NO.�:1 YL t2CS'c't9 L
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) i (size)
II'I NO. OF BEDROOMS '— PRIVATE WELL R PUBLIC WATER
BUILDER OR OWNER PjQeV�
DATE PERMIT ISSUED: //,T/k:2
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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No. ..... !� Fms...........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
—�r� .. ........OF.....
............ . . 'M./
..�...------........---
Applira#ion for Dhipmal Workii Tonstra.rtiun ramit
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at:
..1A:�4-IL...`� 1:: C k ... �.0 _. d . .....M_<_C�...........................................
oc uon Address �• or Lot
_ L :, ----..... v_ .P..:... .... :.. ....� k._ �� .:T�..:�It��...._..........-----------
--
caner Address
Installer Address ec��
Type of Building Size Lot______ 1_ KSq. feet
Dwelling—No. of Bedrooms.___._______________________________Expansion Attic 0� Garbage Grinder ( fj
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures -----�--------------------••------ - _-�•--•--------------------
W Design Flow.............................. per person per day. Total daily flow.................... 5...............
1:4 Septic Tank—Liquid capacity_j.00._gallons Length................ Width................ Diameter__.-_-_______.__ Depth................
Disposal Trench—No_ ____________________ Vidth.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter................_... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosingtank ( )
aPercolation Test Resulttp Performed by--- Uy � r _. _���` ....... Date.........�4:05�-____---
Test Pit No. 1........ _._minutes per inch Depth of Test Pit____________________ Depth to ground water.........................
(i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
o ,
Description of Soil----•----•---- - •--; ff_- �' �✓ 1���
.i
W
UNature 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 1 i p `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 hea h.
r
Signed............... --- --- •- --- -- ----•-------------------------------------- ----------
at
Al
APPlication Approved BY.. 0---- ---- - - - •---•--------- --------------- Date
Application Disapproved for the following reasons-....................r.............•-----------------------------------------------------------------------------
..-----•---------------------•---•-------••-- ............=......4.................................................................................
r Date
Permit No...____.................... Issued................
Date
♦ 2
No.f...........1. .� 2 Fes$.--....../�..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Appliration for, Disposal Works Toustrnrtion Prratit
Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal
System at
/ Lo lion Address) or Lot No /f
i
s"fi �wer - - Address
Installer Address
Type of Buildings Size Lot.... �??T � __Sq. feet
�-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (14e
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures __________________________________
W Design Flow____________________. ................gallons per person per day. Total daily flow...................3.�v.............gallons.
WSeptic Tank—Liquid capacity./jWO_gallons Length................ Width................ Diameter________________ Depth................
x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
'-' Percolation Test Results Performed by--- e /rr�= i .__ __ '4 `_#_ ________ Date...........
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_______________________.
rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-------------------_---
P4 ...........................
� -
Description of Soil.................... ....... p----f...
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 iT' 5 of the'State. Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Sig-ned-T---------/--/--'•-••-�-i•7-�•--------------------------------•----------------•.............
t/C � aa[t
Application Approved BY n ----•_________________•-•--•---•------ -------
Application Disapproved for the following reasons:..................._............................................................................................
-•----------•---•----•-••:•---•-•.........`__....--•--------••-•------------•......-•..................__....•-•-•------•-•---•-------••--•----------•••-----•--••-------•-----•-----•-•---------••---
Date
PermitNo.- ........................ Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............:/,t............ .......OF............. L................
Cnrrtifiratr of Tomplianrr
TIIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( }
by•" =: ::.._ ? !- _ ..........................................-------------------------------•-•-----.....----..._..---•----------._.._.._.......----__••---
os
at------.'- -• '
..... .......... ...
................... .....#1 P _ taller -----
has been installed in accordance with the provisions of iT"%E 5 of Th State Sanitary Code as,de ' d in the
application for Disposal Works Construction Permit No.__�_�_" _��_�_____.___ dated_...-_/�. scr�_�� ..........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL -FUNCTION SATISFACTORY.
DATE.,................... U ...................... Inspector...................... r --___-_-------•---------------•----•---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No, ..q-101
.._ FEE. .. ..............
Dispos-al Works Tonstrnrtion amit
Permission is hereby granted......`... .7_._..� 15
. ...r_......._______________________
------------------------------•••-••----•................-•---
to Construct (k ) or Repair ( ) an Individual Sewage Disposal System
at --No.•--�-�-t.... `_Ffi ,1� ' `l�.�{ I') 'l fib17 9 c" f
'--- ----------------� ............ ..............
Street
as shown on the application for Disposal Works Construction Perm' :_:��� �. e.d___---•------......_....-•--••------------------------------- ------- ...............................
DATE..... T f -- Board of Health
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
LEVY, ELDREDGE & WAGNER ASSOCIATES, INC.
ENGINEERS-LANDSCAPE ARCHITECTS-PLANNERS
LAND SURVEYORS
889 WEST MAIN STREET
CENTERVILLE,MASSACHUSETTS 02632
(617)775-2244
December 11, 1987
The Greenbrier Corp.
P. 'O. Box 510
Centerville, MA 02632
Dear Mr. W. Covill:
Transmitted herewith are six (6) copies of the
as-built septic system for Lots 21 & 23 Biscayne Dr.
Barnstable, MA.
4
The septic system has been installed as indicated
on the enclosed plan.
Very truly yours,
LEVY, ELDREDGE & WAGNER ASSOCIATES
Paul A. Levy, P. E.
PAL/mlw
#1027
88 WAVERLY STREET FRAMINGHAM,MASSACHUSETTS Oti01
Department of Environmental Management/Division of Water Resources
WATER WELL COMPLETION REPORT
WELL LOCATION
Address A3/5 U114 h 1
City/Town M hr"S /4; ��S
G.S.Quadrangle Map
COT
al
Grid Location
Owner �✓L��N �2l�J t'L__ e�/_ �fJM2yl LFIY/� h
Address 136 x Q5-/O C' .n le r-Vi Q, o,4-(o
WELL USE CONSOLIDATED WELL
Domestic Public ❑ Industrial❑
Type of Water-bearing Rock
Other Water-bearing Zones
Method Drilled 21•Q-C-- 1) From To
2) From To
Date Drilled 3) From To
4) From To
CASING au Depth to Bedrock
Length ton t Diameter
Type Av C— UNCONSOLIDATED WELL
STATIC WATER LEVEL Water-bearing Materials
Feet below land surface 41, i Sand: fine❑ medium❑ coarseg
Date measured 1-c30 F-7 Gravel: fine❑ medium❑ coarse❑
Screen: '
GRAVEL PACK WELL Slot# M length -3 from�to�
Yes ❑ No 119f
Split Screen(or 2nd screen)
WATER QUALITY TESTS MADE Slot# length from—to—
Chemical ❑ Biological Depth To Bedrock
PUMP TEST
Drawdown feet after pumping days hours at GPM.
How measured Recovery feet after hours.
LOG of FORMATIONS COMMENTS: (On well or water)
Materials From To
0
6
Cb
Co
DRILLER y
s6 Firm Ciffora Well Drilling �
�?2 Address FO. Box 430 \
�3 City So. Yarmouth. MA 02664
Re istration No.
Of)irator's Signature
ease print tirmly
CUSTOMER COp.Y 15M-2 84-176471
Log' Number: Bottle # BC4A Date: Oct. 13, 1987
a��f g^R't'sa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
5 SUPERIOR COURT HOUSE
C N BARNSTABLE, MASSACHUSETTS 02630
t�
o •
�iAss DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2311
h r Ext. 337
Client: Greenbriar Development COYW lector: F. Clifford
Mailing Address: P. 0. Box—MAffiliation: well driller
Centerville, MA 02632 Time & Date of
Collection: 10/7/87 4:00 p.m.
Telephone: Type of Supply: well-re es
Sample Location: Lot 21 Biscayne Well Depth: 63 '
Marstons Mills, MA Date of Analysis: 10/8/87 10:45 a.m.
PARAMETER SAMPLE RESULT , RECOMMENDED LIMITS
Total Coliform Bacteria/100 ml 0 0
H
Conductivity (micromhos/cm) . 500.0
Iron m) 0.3
Nitrate-Nitro en ( m) 0.3 10.0
Sodium ( m) 20.0
I . X Water sample meets the recommended limits for drinking of all above tested parameters.
II . Based only on results of the parameters tested for this sample, the water' is
suitable for drinking but may present the problems checked below:
t I r
A. Water sample has higher than average level's of Nitrate. Future -monitoring is
recommended (2-3 times per year) to establish any upward trends.
B. The low pH of the water may shorten the useful life of the house's plumbing.
C. Water may present aesthetic problems (taste, odor, staining) due to
D. Water sample has high levels of sodium. Persons on low sodium diets should
consult their doctor.
III. Due to one or more of the reasons checked below, this water sample is unfit for
human consumption: A. High Bacteria B. High Nitrates
REMARKS: Thq 2grnstr Coun'y Neal h and Environmental
Depar�ment shall not endorse any statements,
interpretations or conclusions made by anyone
else concerning these results without written consent..
CC: Barnstable Board of Health
CC: Clifford Well Drilling qS�
1 /7/85 Laboratory Director
r
Explanation of Test Results
.Total Coliform.Bacteria
Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become
contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero
indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than
zero is most often the result of accidental contamination of the sample bottle through improper sampling methods.
For this reason, it would be advisable to retest any well water that is not approved.
pH
pH is the measure of acidity or alkalinityof the water: On the pH scale,the number 7 is neutral-,'less than 7 is acidic
and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5.
Conductivity _
Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally
considered unacceptable and may have a laxative effect upon users.
Iron
The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent
taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain.
The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may
cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron
removal system.
Nitrate-nitrogen
The Massachusetts Drinking Water Regulations have set a maximum contaminant level,for nitrates at 10 ppm.
Excessive concentrations may cause methemoglobinemia (an infant disease) and have been sugZn
gested to form
potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes.
Copper ,
Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not
present a health hazard; however, concentrations in-excess of 1.0 ppm may cause a metallic taste and/or a
bluish-green stain on porcelain fixtures.
Sodium
A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water
supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking
water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm
indicate that there may be ocean water or road salt runoff water getting into the well.
Log' Number: 7189 Bottle # E 063 Date: October 5, 1987
OF BA.9
sa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
SUPERIOR COURT HOUSE
V BARNSTABLE, MASSACHUSETr'S 02630
0 0
ALAS$ DRINKING WATER LABORATORY ANALYSIS PHONE: 362_2311
Ext. 337
Client: Greenbriar Development Corl:�pllector: Clifford Well Drilling
Mailing Address: Box 510 Affiliation: Well Driller-
Centerville, MA 02632 Time & Date of
Collection: 10/1/87, 10:45am
Telephone: Type of Supply: Well
Sample Location: Lot 21 Biscayne Dr. Well Depth: 63'
Marstons Mills, MA Date of Analysis: 10/1/87. 1:05pm
PARAMETER SAMPLE RESULT RECOMMENDED LIMITS
Total Coliform Bacteria/100 ml 1 0
H 5.4
Conductivity (micromhos/cm) 67 500.0
Iron m) <.1 0.3
Nitrate-Nitrogen ( m) 0.8 10.0
Sodium m) 6 20.0
I . Water sample meets the recommended limits for drinking of all above tested parameters.
II . Based only on results of the parameters tested for this sample, the water is
suitable for drinking but may present the problems checked below:
A. Water sample has higher than average levels of Nitrate. Future monitoring is
recommended (2-3 times per year) to establish any upward trends.
B. The low pH of the water may shorten the useful life of the house's plumbing.
C. Water may present aesthetic problems (taste, odor, staining) due to
D. Water sample has high levels of sodium. Persons on low sodium diets should
consult their doctor.
III. XX Due to one or more of the reasons checked below, this water sample is unfit for
human consumption: A. XX High Bacteria B. High Nitrates
TI+ 'Q si ble Caunbl Health and Environmental
REMARKS: epartment shall not endorse any statements,
Retesting is suggested after chlorinating the wel T interpretations or conclusions made by anyone
else concerning these results without written consen
CC: Barnstable Board of Health
CC: Clifford Well Drilling 9�v&
1 /7/85 Laboratory Director
Explanation of Test Results +
Total Coliform.Bacteria F `
Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become
contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero
indicates that your water supply is safe and approved for human.consumption. A total coliform count of greater'than
zero is most often the result of accidental contamination of the sample bottle through improper sampling methods.
For this reason, it.would be advisable to retest any well water that is not approved.
PH
PH is the measure of acidity or alkalinityof the water. On the pH scale,the number 7 is neutral,less than 7 is acidic
and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5.
Conductivity
Conductivity is a measure of the dissolved salts in solution.Amounts in excess of 500.'micro.mh6s/cm are generally.
considered,unacceptable and may have a laxative effect upon users.
Iron
The presence of iron in water in concentration of .3 ppm or greater may:.give.the water a bittersweet asti•inge'nt- '-
taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain.
The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may
cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron
removal system.
Nitrate-nitrogen
The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm.
Excessive concentrations may cause methemoglobinemia (an infant disease) and have, been suggested to form
potentially carcinogenic nitrosamines. Contamination sourees'include fertilizers, cesspools and lindustrial wastes.
Copper
Due to the acidic nature of the water on Cape Cod, copper"tends'to leach from pipes. This normally does not
present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic.taste and/or a
bluish-green stain on porcelain fixtures.
Sodium r
A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water
supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking
;water,orr, contact their,doctor,itoLdet�rmine if consuming the.water is advisable. Concentrations exceeding 50 ppm
r;,)rrr,,.:.,il!ndicate,thattthere may,be oceanwater or road salt runoff water getting into the well.
' `.G{ltC7 ��aT -;3Fy;,..... v13(r, !.r.'.J_` ''J .,..�('..}t... 1l�;,•:��
J
TOWN OF BARNSTABLE
LOCATION �� i �� "'DC • P
VILLAGE YY\- ASSESSOR'S MAP&PARCEL
�ftS NAME&PHONE NO. +� 0 A r t�� �'Iv1Sr III 1
SEPTIC TANK CAPACITY %000 c
LEACHING FACILITY:(type) ` ' ' (size) i
NO.OF BEDROOMS J
OWNER
PERMIT DATE: ATE:—►n�
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
Biscayne Drive
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MINNIGERODE RESIDENCE
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COX CONSTRUCTION COMPANY MARSTONS MILLS, MA. 02648
6 WINNIES WAY PLAN
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COX CONSTRUCTION COMPANY 2ND FLOOR M,4�STONS MILLS, MA. 02648
ro WINNIES WAY PLAN
DRAWN BY: TPC PAGE:
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OAT E OF SOIL TEST _
CONCRETE WITNESSED BY I E!� y
COVERS ( 4 SCH. 40 PyC PIPE CLEAN SANG PERCOLATION RATE Z Z Mitt/ INCH
MIN PITCH 1/8 PER FT. OBSERVATION HOLE I OBSERVATION HOLE 2
CONCRETE
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SEPTIC TANK v0 EL � z" �, 44 ) DESIGN CALCULATIONS
PRECAST LEACiiiNG NUMBER OF BEDROOMS
BASIN OR EQUIV. ' ( ? GARBAGE DISPOSAL UNIT r
6 DIAM. < _ TOTAL ESTIMATED FLOW
SEWAGE DISPOSAL SYSTEM PROFILE to �' + c GAL./BR./DAY X 2 OR GAL./DAY
NOT TO SCALE REQUIRED SEPTIC TANK CAPAC'TV _ GAL.
ACTUAL SIZE OF SEPTIC TANK GAL. (REG. wl �
BGTTOM ; r -ES- R01-.E OR -WATER -T*,Bt-E EL = _ L-EACHING AREA REQUIREMENTS
?BSERVE7 WATER TABLE EL = -- SIDt=WALL AREA tAL./S F
BOTTOM AREA , GAL./SF
LEACING CAPACITY ( 80T70M+ SIDE WALL) _ GAL
16
L07 2
LEGEND
RESERVE LEACHING CAPACITY �tr � GAL_ {
t EXISTING SPOT ELEVATION OOXO
0 EXISTING CONTOUR - — - - CC
y , t FINA,L SPOT ELEVATION NOTES: j
} FINAL CONTOUR
73 _ }
I ALL WORKMANSHIP ANO MATERIALS SMALL CONFORM TO D.E.Q.E
t SOIL TEST LOCATION TITLE 5 AND THE TOWN OF EAR,��,�P:::L= RULES AND
UTILITY POLE
_ REGULATONS FOR THE S"�.^_E 'SAGA%_ OF SEWAGE
TOWN WATER — W 2 AL COVERS T`� G t1lT«� �{ rs
--t_E CATCH BASIN
-� L S ITS SHALE: E 8AOUGHT TO
WrTHik 42 O
z�S - .► ' - ` , ! t l� T t 3 EXISTING AND FINAL Gk.+DES �nALL REMAIN ESSENTIALLY THE SAME.
'
4 ALL COMPOI,IEN S OF THE SANITARY SYSTEM SHALL BE CAPABLE
OF WITHSTANDING H— 10 LOADING UNLESS THEY ARE UNDER OR I
WITHIN tO FT OF DRIVES OR PARKING AREAS. H-20 '—OADINro ;
MIN FRONT SETBACK ? SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING.
MIN. REAR SETBACK i 5 S. ANY MASONARY UNITS USE[) TI BRING COVERS TO GRADE
MIN SIDE SETBACK ! `� SHALL BE MORTARED IN PLACE
NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH
0EEDE0 OR ZONING REGULATIONS. OWNER /APPLICANT IS TO
AS U L T �Gt ND {}8TA;N SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
i-----
!�' � � OU' � - ACTUAL AS _RU iLT ELE VAT t UN �. a -�N r^L� v�'� A� c uN,...{oL — S L E: L. E.r.✓
APPROVED : BOARD OF HEALTH �wizvcv aooI�
ACTUAL AS Bull- T L&C_A710 �4 3
c G 4 ( -7C) S F
0A/ �/ AS 13CJ/LT CmN.s T R Le T I0N /Z�-71�
REV/.��1 i
wct's ` OOK #
' yt2r4w�U B�/ �•S•t• PATE AGENT
1
Q 1 PRO.IECT t.00AT�I` _
�LAt,l I-C>R Lol— 2
2 T`` 4 ' '`J k. i)r. bA IZ N S`rA L3 1_ E: '1 A
i
70 A
PPLICANT!
— -
1 TLOT �dl edge & Wagner Associates Inc.
Landscape Architects s Land SLrwyors
889 West Main Street
lirei. Centerville M a. 02632 ,
r ,. L' oc. US _.J
\4,0
PAUL A.
LEVY 4
` No. is a JOBW. 1 O 2. 7 � �SHEET 0 IF 1 LOCATION MAP
i
1
20 FT. MIN.
TOP of FOUND. SOIL TEST
EL• s t! f 10 FT MIN.
DATE OF SOIL TEST io(I
CONCRETE 4 SCH. 40 P C PIPE CLEAN SAND WITNESSED BY JE I R � u N�1
COVERS MIN. PITCH 1/8'y PER FT. PERCOLATION RATE =-- 21 MOO INCH
OBSERVATION HOLE I OBSERVATION HOLE 2
� ,,�, CONCRETE
��—` ' 2 LAYER OF ELEV = `3.
4 " CAST IR N PIPE 2 COVERS �Q= ELEV.= --
(OR EQUAL MIN, 1/8"- 12'' WASHED lraJP E SJ3SOt
PITCH 1/4 PER FT. 1i t
STONE
FLOW LINE Z
_� mEDIjm TO
EL G J N
MIN.
7 T EL._ 7, 3 2,0,
ELz / LEVEL =
EL.= " 6 ,� � n~ _ ELE V ISCLj
D I S T. EL. _ _ 2 w
EL - 6
BOX eo o a w WATER AT EL.= = WATER AT -- EL.= -
>
3/4"- 1 1/2" o �v° t; o u l2
� Ii000 GALLON WASHED STONE o a ° ' °o0 • DESIGN CALCULATIONS
SEPTIC TANK
PRECAST LEACHING NUMBER OF BEDROOMS
BASIN OR EOU:V. Z GARBAGE DISPOSAL UNIT N�
Z o' & DIAM. S_ TOTAL ESTIMATED FLOW
SEWAGE DISPOSAL SYSTEM PROFILE ° c 22 GAL./BR /DAY x BR 330 GAL,/DAY
NOT TO SCALE 1� 1 REQUIRED SEPTIC TANK. CAPACITY d9S GAL.
ACTUAL SIZE OF SEPTIC TANK 00C: GAL.
BOTTOM OF TEST HOLE OR-USGS PRO$A$tfWATER TABLE EL.= LEACHING AREA REQUIREMENTS
OBSERVED WATER TABLE - / - / - ) EL.= -- SIDEWALL AREA - 6AL./S F
BOTTOM AREA GAL./S.F.
�} LEACHING CAPACITY ( BOTTOM+ SIDEWALL) `'t� GAL.
LOT T• z Z -r X �"
LEGEND ! (�x x �.s.;4X � x ( o
RESERVE LEACHING CAPACITY .5-f9 GAL
� EXISTING SPOT ELEVATION OOxO
L3t5_CA Y N E DRVE EXISTING CONTOUR — - - - DO- -- -
74- 50 W► CE FINAL SPOT ELEVATION Fx_1 I NOTES
73 .c FINAL CONTOUR 00
SOIL TEST LOCATION
I. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q. E.
� ,
TITLE 5 AND THE TOWN OF A�" I• ' :. . RULES AND
-4 '
71 _ 1 ;, , i S TA, UTILITY POLE _ REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE .
" TOWN WATER W -_-=W
70 _ ram• 7D �� 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
L - ---= CATCH BASIN WITHIN 12" OF FINISHED GRADE .
2 �
\ 68 \ �,/ All_ \ v ���e '� ' 3. EXISTING AND FINAL GRADES SHALL REMAIN ;ESSENTIALLY THE SAME.
L O T H 4 ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE
A04pr1 ` ' `� y8 + �� I 1 OF WITHSTANDING H- 10 LOADING UNLESS THEY ARE UNDER OR z;,_e 1lo_rfF WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING
MIN. FRONT SETBACK SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING.
�q % MIN. REAR SETBACK
_ 5• ANY MASONARY UNITS USED TO BRING COVERS TO GRADE
MIN. SIDE .•ETBACK SHALL BE MORTARED IN PLACE.
6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH
ry S7t t DEEDED OR ZONING REGULATIONS. OWNER /APPLICANT IS TO
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
_/ CC 1• NTALiVt _UNTiZU:. — 5 E
c, ,r A APPROVED : BOARD OF HEALTH suRvEy Boor-
'O Zo3
DATE AGENT
7
C PROJECT LOCATION,
O
WELL _. . `� Ji=Pi IC SYSTEM P!_AN roR Lor
Z YN E T A c A f= DRIVE BARNS AL L E M
70
fY ` G9 �
t , APPLICANT
t � ,� o � � v�:v� Lo�r��NT Go� PU►ZAT'Io�.1
LO�`T o �T 1
Levy, Eldredge & Wagner Associates Inc.
.; ----
Qa Engineers Landscape Architects Planners land Surveyors
7 I
889 West Main Street
Tt,af1 ,�t"°�M Centerville Ma. 02632
'�s4 J `/ice L O C U S
/ l P A U L ` IMF f PAU� A.
n1 p( IE.VY Tc .IWAj
(i1 A. No. Illy
u` L E V Y I t ;� Z�
J0� W.
LOCATION MAP ' 1 0 2 7 SHEET OF I I
C.N�cEcE� �3�