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0036 BOSUN'S WAY - Health
Cst36Bosun's Way ons Mills F/R 046 118 - -- - -- i I / it �11 I� i ;� i TOWN OF BAR..NSTABLEs ,,A T ION �tj Mr.L 'IJLIC�tAr SEWAGE # :.AGE Y4Q,/1ZZ�4 TAU ASSESSOR'S MAP& LOT +STALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 O0O a T'i LEACHING FACILrrY: (type) g (size) N0.OF BEDROOMS BUILDER O OWNE PERMPTDATE: - 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) 3 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by . .. . . ,�' Q , t .. I I . � '� �� .* i I . �- ` a� , � a� 3 y��' a �.�' . TOWN oF..B NOTABLE � a77 ® 44�I 1/11 SELVAGE .;:: r . VII.LASE A SSESSOWS MAC'VILLAGE ..- INST .�•EIt'S bIAME Py 64S I�IO SE c xANK CAPAcrcx LEACHYt+iG�+AC�.1TY (��) NO OFBSDROONIS DQ1ILDE18 pE $Tf�A' CC�I► l"U1RS1C 1R1�TE Tf 3epruatapm�9��t�n�Betweeu:t��e; �: Maxi num )Us�dGiaufWwat6 Tahtetntiarl�nttombfLcaGhengNkici4iey 1 1va(: lu r;Supply Vlu�l did{.c W' paci* (ifoy wells exist eoi c�u;acre ac vi►lth►a 200 feet aF ienciur�g Oct F�cir��. y� /etiaud aadl.cachCntt i~ac�ltey( ariy wetiancls exact r &+ee .Vith�s�30U icst of We 1149�ucif� ) C" " rele / Co^ea ' O � I 3 � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments P �4 36 Bosuns Way Property Address p,y 2 CP ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/1,417 page. CitylTown State Zip Code Date of Inspection z .'S Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information 4 [a 7-1 on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael T Bisienere use the return Name of Inspector key. Cape Septic Inspections Company Name 624 Old Barnstable Road Company Address Mashpee Ma. 02649 City/Town State Zip Code 508-280-3356 S13938 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 11/12/2017 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 rs Commonwealth of Massachusetts H W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c,M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 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: ® 1 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: This 3 bedroom home has a H-10 1000 gallon septic tank and a H-10 D-Box feeding a leaching trench with 5 infiltrators. At the time of the inspection the leaching was dry and there were no visible signs of past hydraulic failure. 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 9 - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 36 Bosuns Way Property Address :ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 page. r-ity/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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 O _ t Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 'M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 page. Cityrrown 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 day flow t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 36 Bosuns Way 'M Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 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 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 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 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 plus GPD. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 o Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 36 Bosuns Way M Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 page. City/Town State Zip Code Date of Inspection D. System Information Description: 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 Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Spring 2017 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): I I 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) ❑ In technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1/02/2003 a new leaching was installed Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 24"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: 12"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: Standard H-10 1000 gallon septic tank Sludge depth: 1" t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form =7 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for everyMarstons Mills Ma. 02648 11/06/2017 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 36" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): I would recommend the new owner put the tank on a maint. plan with a local septic pumping co.The Barnstable Health Dept. has a list of local septic pumping co. 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.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c�M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form al Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 page. Cityrrown State Zip Code Date of Inspection' D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The H-10 D-Box had no visible signs of leakage or evidence of past hydraulic failure. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: One appx. 33' ❑ 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.): At the time of the inspection the leaching was dry and there were no visible signs of past hydraulic failure. 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts F L Title 5 Official Inspection Form e p Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 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.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments c,M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is Marstons Mills Ma. 02648 11/06/2017 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately Pe t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 I TOWN OF BARNSTABIE ' r LOCATION` r//tS4 4 SEWAGE#': V LLAGE�S& 1. ASSESSOR'S INSTALLER'S NAMEA PHONE NO ?,y6: 8E SEPTIC.TANK CAPACITY /?V. . �. . . L$ACWG FACHITl (typel s NO.OF BEDROOMS BUILDER OR.'OWNER.., G '... _ ... . PF.RMiTDATI s_. COIviPw,41 E DAZE: 11110 Separad9loistance Between:t e; Maximum Adjusted Gr( mdwatEr T•Ie tG diet0ttom of Leaching Facility` Feet Private WaW Supply Well grid Leaching Facility(lf any wells exist , on site or"vilthiu 200 feet of leacltfng facility); Feet ,Edge of Wedand aad Leaching Facility(if any wetlands exist` within;30D:fatofleaching_facility) Peet . Ftttr7ised by 77 k.e F.f r All f + Commonwealth of Massachusetts W Title 5 Official Inspection Form e; Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is required for every Marstons Mills Ma. 02648 11/06/2017 page. City/Town 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: 10 plus feet feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: I augered a hole to ten feet to show four plus feet of seperation. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 36 Bosuns Way Property Address ARC Vendor Management Owner Owner's Name information is Marstons Mills Ma. 02648 11/06/2017 required for every �i page. CitylTown 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 li ��- � � .,� rf ... n / earchfc�ttNaplPa ce 046118 Town of Barnstabte '/y` `" „� ,r h y h �y 7�1 _ d7ira r r�ic/ice - flk y. 1 � � i/i a r » w !' orharcetyNumber 046118 '' Rental Property ..: r � ` Business Name Z ne of Co'nntH16 tEon(y Area Number r 5 Co31 ntamrnan e[(YlN P "one r Fue1'Storage Tank PermitFIR ar n F11e Y /FNOW f <�rspssal M(lar s Jo ` Perc TeSt� NSF onstructi �� � ��/�/ r WetPettY3� % o , 2003018 yi I�s�anceDate� /r r 01/09/2003 `. `` -. rriiiii rfsrY�37�r _ - .. iyr ' y ➢»3 01/13/2003 Campie�onDatg Nr K .. `ySize�f;S � T ef3ize of S�A� 5 cultec model 135 w/4 stone WELL TO BE ABANDONED CONNECTING TO TOWN WATER mstld by rodney fisher. appar 046118Owner FERNANDES RICARDO W&ELAIN pr�`loc 36 BOSUNS WAY MRF, , ow 4M oil InnovativelAlternat�ve Technolo Se tS stem Sin`�le or'. �r 9Y p Y rr fi y/ e �n w L �terert / rr ilA ipe I/A Seer cree'lype� (G - / ddrecodelete records? err all �a Septic Inspection Information Data.Entry Date: 11:51:53 AM Septic inspect No; Assessors Map: 046 1 Parcel• 1118 1 LLot Business:` Number 36 Address. Bosun's Wav vivage: Marstons Mills Inspector: Michael ULoughlin Inspect date: F 1-0/22/ 81 System Status CP com—ment=t The inlet cover of septic tank is under a concrete pation with no access to it. The tank is in need of pumping and appears to be functioning as determined from the outlet opening. Termit 0 "Repair Date Notification Date: 11/23/98 Engdinstalier: Installer Repair°Deadlitae Dat 10/23/00 TOWN OF BARNSTABLE c, LOCATION �✓�S SEWAGE #4�� AiC� V7,LAGE�N I•fiaS Z"01111Z' _ASSESSOR'S MAP L T INSTALLER'S NAME&PHONE NO. /%l/7siyc' G SEPTIC TANK CAPACITY /tea LEACHING FACILITY: NO. OF BEDROOMS s BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE:—I/Oh 3 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 orwithin 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 M . kear 1 0 _r 0 Nd.. (v� —0 FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, 2n;WSTf?qSl.E , MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) - ❑Complete System Xindividual Components Location nun's IJAY, NAnun' S Owner's Name ` E� Map/Parcel# M Q 2A Address 36 I5 u3 MAQsmWs M Lot# Telephone# Installer's Name Designer's Name i Address 4�LQ a V Add k"Aress Telephone# vZL/(o — (oLcs Telephone# L756rs 0 OoZ5 b Type of Building ,, ,�,0.� Lot Size ab► sq.ft. Dwelling-No.of Bedrooms ��11C'-?� ��J Garbage grinder (4A Other-Type of Building c No.of persons_ Showers (Cafeteria (V� Other Fixtures LA%M A-TCQg, ktTCyerA cJ1P06. lAuajgY Design Flow (min.required) gpd Calculated design flow 33o Design flow provided gpd Plan: Date�'a' '� Number of sheets Revision Date Title Description of Soil(s) a Soil Evaluator Form No. Name of Soil Evaluator`/�AR MEhC, � �ri Y Date of Evaluation t DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned a ee to' the abov cribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agree to 0 0 1 the syste operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections ,/ y a • 4 � Y �� N°NJ "•^ '—thliks FEE COMMONWEALTH OfMASSACHUSETTS ' Board of Health, �R1�1c�t� ftP,LE , MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair(X Upgrade( Abandon( ❑Complete System X1.dividual Components Location (Q v �S IL>y. Owner's Name 7R1 1', \ �E +JFIYJOE t Map/Parcel# Mc)? 4�-_ ?PRcEL ( ' Address Lot# ,y Telephone# — Installer's Name '") a Desi ner's Name SJCS Address l�`� {1�� S�. ��Av1vJ�C\� MA Address ' �CA1C�l M Telephone# a(�(o _ ���(�c� Telephone# 48 _ Cj C� Q,Q S , b ✓ Type of Building `��t'C2l l-1�G� Lot Size ,-Zby 000 sq.ft. Dwelling.-No.of.Bedrooms l�1P� l � Garbage grinder (4()- Other-Type of Building N 6n(2 No.of persons 5 Showers ( Cafeteria d r Other Fixtures Design Flow (min.required) 2D6 gpd Calculated design flow 33d Design flow provided �Jy 4f3 gpd Plan: Date 1 Number of sheets I Revision Date Title �\ ©�G�Rc� Description of Soils) G. C C`zne� 4 Soil Evaluator Form No. �, Name of Soil Evaluator l i vog-M C Q �H 1: lY Date of Evaluation .� b DESCRIPTION OF REPAIRS OR ALTERATIONSC�f2G - Y r� The undersigned agree to ins"tall the above escribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to got to 1 ce the syste = om perahon until a Certificate of Compliance has been issued by the Board of Health. Signed Date .71 ////rv� /]n�./y�e/J/,/JrJ//J/)/J/�'J AlJ/J/J/JJ� f)//J�{ / /? •(/�}�'j�j/y py/�/J`'{j�J///J�) ,4 .•! f lid/ l/1.t !I .. / .f 1; G/ ! //}'F .•�- ♦ `_: Inspections r W _ • No l./C/ rO K FEE ��r COMMONWEALTH OF MASSACHUSETTS Board of Health, tKWrt 15� MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned O 1 by: at 3,& DD ,45 VJ(44. M, N, I/( has been installed in accordance with the provisions of'110 CNIR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. 2t)t)3- 01� dated Approved Design.Flow (gpd) Installer �o nt, Designer: f. e n 1A r Inspector: {` Q 4?, 4 '1\ �S Date: Wo Z The issuance of this permit shall not be construed as a guarantee that the system will function as designed. NgCj Z 6'lr FEE COMMONWEALTH LOFMAS ACHUSETTS Board of Health, A �MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair Y),, Up r4,de( ) Abandon( ) an individual sewage disposal system at t OSI! //U I� � IA 1I v 7/ /14449 as described in the application for Disposal System Construction Permit No. ✓ 00 , dated '87fir 3. Provided: Construction shall be completed thin three years of the date of h� p7V,. l localconditions must be met. j{ �. Form 1255 Rev.5/96 A.M:3ulkin Co.Boston,MA Date/ Board of Health F TOWN OF BARNSTABLE .L ,v LOCATION �✓�•S SEWAGE # — i VILLAGES j/ �►S J ASSESSOR'S MA & LET INSTALLER'S NAME&PHONE NO. � aZg� SEPTIC-TANK CAPACITY /Z;�41!:;� f LEACHING FACILITY: (type),:c,�,.Y /� j ' ize) NO. OF BEDROOMS._ s_? 7 BUILDER OR OWNER 7"4'� PERMITDATE: I�TI COMPLIANCE DATE: Il/3I0 3 Separation.Distance Between the: Maximum Adjusted Groundwater Ta le 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 kekr � °ha ' o 0-10 �/ h 0 4 8 7 Absolute JOB PHONE DATE OF ORDER Plumbing & Heating Co "'NAME�LOCATION Ca 17 Maple Streets 2 . Buzzards Bay, MA 02532 Phone 508.759-8488 t. 9 y PHONE TERMS: Jr ORDER TAKEN BY . t - r LA HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR :flED BY DATE COMPLETED I hereby acknowledge the sadstactory comPteNon Of the above descdbed wodc) TAX `Thank`You! PAY THIS AMOUNT -► ��Q O INVOICE C-0-MM WATER DEPT 1138 Main Street P. 0. Box 369 Osterville MA 02655-0369 Tel: 508.-428-6691 Invoice Date: March 16,2004 Account Number: 12038 Make check payable to: FERNANDES,RICARDO&ELAINE C-O-MM WATER DEPT 36 BOSUN'S WY P. 0.Box 369 MARSTONS MILLS MA 02648-0000 Osterville MA 02655-0369 Due Date: Amount due: Please put.1 ccount Number on check. Thank you. April 15, 2004 933.75 Please tear off top half and return with payment. C-O-MM WATER DEPT P. 0.Box 369 Osterville MA 02655-0369 Account Number: 12038 Service location: 36 BOSUN'S IVY Invoice Date: 3/16/04 NIM Invoice No: 109 Comments: SERVICE INSTALLATION CHARGE 3/12/04 QTY ITENI NUMBER DESCRIPTION PRICE EXT.PRICE �� A 1 204 BURY CURB BOX 5' 46.20 46.20 1 32 CURB STOP 1"COMP 37.40 37.40 1 44 CORP 1" COMP 20.41 20.41 t 11 ANGLVAL5/8X3/4XICOMP 32.07 32.07 1 29 VALVE-CHECK 3/4" 20.96 20.96 4 284 INSERT 1"PLAS 1.05 4.20 79 289 FT TRACER WIRE#12 0.09 7.11 1 0 MOLE SHOT 160.00 160.00 1 0 TAP.1" 65.00 65.00 79 0 LABOR 79'C$6.25 6.25 493.75 3 0 LOAM 3 YDS 5.00 15.00 Sales tax: 9.53 p`°b•� ,, w, `'' " ' ` � ' 'dotal: $933..75 FORM 11 — SOIL EVALUATOR FORK Page 1 of No.: Date: 1/2/03 COMMONWEALTH OF MASSACHUSETTS Barnstable , Massachusetts Performed By: Carmen E. Shay Date: 1/2/03 Witnessed By: Waiver Location Address or#36 Bosun's Way Owners Name: Ricardo Fernandes Marston Mills,MA Address and #36 Bosun's Way,Marston Mills Lot# (Map—46,Parcel 118) Telephone Number: New Construction : X Repair : OFFICE REVIEW: Published Soil Survey Available: No ❑ Yes ❑ Year Published;; Publication Scale: Soil Map Unit: Drainage Class: Soil Limitations: Surficial Geologic Report Available: No❑ Yes❑ Year Published: Publication Scale: Geologic Maternal: (Map Unit): Landform: GllacialOutwash Flood Insurance Rate Map: Above 500 Year Flood Boundary: No ❑ Yes Within 500 Year Flood Boundary: No a Yes ❑ Within 100 Year Flood Boundary: No FX1 Yes ❑ Wetland Area: None National Wetland Inventory Map (map Unit): Wetlands Conservancy Program Map (map unit): Current Water Resource Conditions (USGS): Month Range: Above Normal El Normal [i] Below Normal El Other References Reviewed: USGS Topographic Map DEP APPROVED FORM 12/7/95 FORM 11 - SOIL EVALUATOR ' FORM Page 2 of 3 Location Address or Lot No.: #36 Bosun's Way, Marston Mills, MA On -Site Review Deep Hole Number: #1 Date: 1/2/03 Time: 9:00 AM Weather: Sunny, Cool Location (identify on site plan): Refer to Sketch Landform: Outwash Plane Position on Landscape (sketch on back): Refer to Sketch Distances From: Open Water Body N/A feet Drainage Way N/A feet Possible Wet Area N/A feet Property Line 25' feet Drinking Water Well N/A feet Other DEEP OBSERVATION HOLE LOG Depth From soil Soil Soil Soil Other Surface Horizon Texture Color Mottling Structure, Stones, (inches) (USDA) (Munsel) Boulders, Consistency, % Gravel 0" - 6" AP Sandy 10 YR 3/2. None <5% Gravel, Friable Loam Friable 6" - 36" BW Sandy 10 YR 5/6 None <5% Gravel, Friable Loam Friable 36" - 156" C' Medium 2.5 Y 7/4 None Medium Sand, <5% Sand gravel, Loose i 4 Parent Material (Geologic): Glacial Outwash Depth to Bedrock:None encountered Depth to Groundwater: Standing Water in the Hole: None Weeping From Face: None Estimated Seasonal High Water Table 156" Assumed - No groundwater Observed DEP APPROVED FORM 12/7/95 ' FORM 11 - SOIL EVALUATOR FORM . Page 3 of 3 Location Address or Lot No.: #36 Bosun's Way, Marston Mills, MA Determination of Seasonal High Water Table Method Used: ❑ Depth observed standing in Observation Hole: N/A inches ❑ Depth weeping from side of Observation Hole: 156 inches (assumed) ❑ Depth to Soil Mottles: None inches ❑ Groundwater Adjustment: None feet Index Well Number: Reading Date: Index Well Level: Adjustment Factor: Adjusted Groundwater Level: N/A DEPTH OF NATURALLY OCCURING 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: Yes CERTIFICATION: I Certify That on September 17, 2000, (date), I have passed the soil evaluators examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature: Date: 1 O i ib� FORM 12 - PERCOLPTION TEST Location Address or Lot No.: #36 Bosun's Way COMMONWEALTH OF MASSACHUSETTS Marston Mills , Massachusetts Percolation Test Date: 1/2/03 Time: 9:30 AM Observation Hole #: #1 Depth of Perc 36" — 54" Start Pre-soak Would Not hold 24 Gallons End Pre-soak Time at 12" Time at 9 Time at 6" Time (9-6") Rate Min./inch 2MP1 * Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed By: Carmen E. Shay Witnessed By: Waiver Comments: Would Not Hold 24 Gallon Presoak - 2 MPI ; i6 Site Passed X Site Failed DEP APPROVED FORM 12/7/95 I seN.- ?0- 01 13 : 52 BARNSTABLE HEALTH DEPT 5087906304 • sn�,o� TICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. _ PERCOLATION 'TEST AND SOIL EVALUATION EXEMPTION F0 R1Y1 hereby certify that ttte engineered pian signed by Me cztec concerning the property located at �4 �Y, meets all of the t i'ow;n, cnteP.a This failed system is connected to a residential dwelling only. There are no _ommer;.ia1 or business uses associated with the dwelling. 7,�e soll is class:tied as CLASS I and the percolation rate is less than or equal to r?:notes per inch The applicant may use historical data to conclude this fac: or may :onu'uct ire:im,.:ar% tests at the site without a health agent present There :s no increase in flow and/or change in use proposed • There are no vanances requested or needed. The bottom of the proposed leaching facility will not be located less than fourteen ! et aonve the maximum adjusted groundwater table elevation. (Adjust the ;*.ound-water table using the Frimptor method when applicable) Please complete the following: �. fo p Dt Ground Surface Elevation (using CIS information) t3 w' F',evat:or, _ W.�d�usment for hi;h G 2 I71T.R.HNCF. 6ETWEEN A and B :(;)rED — D,ATE: --------- ---- .... _— NOTICE �asec �,e�n trt above information, a repair permit wil! be issued for �edr^ems bedrooms are authorized to t` e future without en,tneerec :epi._ �y tee plans. __---- Permit Number: Date: Completed by: HIGH GROUNDWATER LEVEL COMPUTATION I Site Location: Au �iOrJl�N�s �J.�14� } Pt _,,-MAS Lot No. c Owner: ��CRQpp `2CYY+.(1C jAddress: -2-1a WAY, MAOS` rzis ;\\S � i �ht2 n�tcoc��+an � Contractor Address: 1�`, ]X ✓`�� L �c.:l(Y)��-l��' enz5w.o I Notes: I I STEP 1 Measure depth to water table I tonearest 1/10 h. .............................................................................. Date mo th/tl ylycu STEP 2 Using Water-Level Range Zone � and Index Well Map locate site and determine: I OAAppropriate index well.............................. OBWater level range zone..................................................... i STEP 3 Using monthly report "Current jWater Resources Conditions" determine current depth to water level for index well ........................... month/year 1 5 ' I STEP 4 Using Table of Water level Adjustments for index well (STEP 2A),current depth to water level for index well (STEP 3), and water-level zone (STEP 28)determine water-level adjustment .......................................................................................... 8'8 i STEP 5 Estimate depth to high water by subtracting the water. I level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ............................................................................................................. i i I 4- 4 '' 3 499 042 U ostal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International M it See reverse Sent to Stredt S mber ca' fate,&ZIP C e tage Certified Fee Special Delivery Fee Restricted Delivery Fee Ln Retum Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom, Date,&Addressee's Address 0 TOTAL Postage&Fees M Postmark or Date € u- U) Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service y I window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach,and retain the receipt,and mail the article. I LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C EE addressee,endorse RESTRICTED DELIVERY on the front of the article. 100 5. Enter fees for the services requested in the appropriate spaces on the front of this �. i receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. i 6. Save this receipt and present it if you make an inquiry. 102595-97-B-0145 I OFI"Era, Town of Barnstable Department of Health, Safety, and Environmental Services ► BAENSTABM ' Public Health Division p'�D 1A°r a P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 23, 1998 Louis Coventi 230 Weir Road Yarmouthport,MA 02675 ORDER TO COMPLY WITH 310 CMR 15.00,THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 36 Bosun's Way, Marstons Mills was inspected on October 23, 1998 by Michael O'Laughlin, a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has conditionally passed under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: • Distribution box needs to be replaced. You are ordered to bring the septic system into compliance within two (2) years of receipt of this order letter. Therefore, the septic system shall be repaired or replaced on or before October 23,2000. First, you must hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5. In the meantime, you shall ensure that no raw sewage backs-up into the dwelling or discharges onto the surface of the ground or into surface waters. You must maintain the system by hiring a licensed septage hauler to pump the septic system whenever it is necessary. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PE ER OF THE BOARD OF HEALTH Thom-as A. McKean,R.S., C.H.O. Agent of the Board of Health q\health\dbfilcs\title5 i.doc coventihvp/q/Is .�"ME Town of Barnstable Department of Health, Safety, and Environmental Services BARNSPABM ��� Public Health Division EDN1°YA 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health � La TO: C )LA (S cC V�iT7 2Z J fir-- ✓Cos DATE: S- rs►1 t� /V)rs�- ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at was inspected on CO -2 3,1 r S b , b a Massac usetts licensed septic inspector. The inspection of your septic system showed that your system has under e guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Rena • �J > J� 4Jy�1 oJ� ECG nRQ _S 4 ►-'c-�14 c-Q-0k You are ordered to bring the septic system into compliance within two (2) years of the date of discovery. Therefore, the construction of replacement septic system component(s) must be completed on or before dam{- z3 >o o p First, you must hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of proposed replacement septic system component(s) to the Town of Barnstable Public Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5. In the meantime, you shall ensure that no raw sewage discharges onto the surface of the ground or into any surface waters. You must maintain the system by hiring a licensed septage hauler to pump the septic system whenever it is necessary. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean R.S. C.H.O. Agent of the Board of Health g4rce1"fi1nHII1e5 i.doe oF1HE, ti Town of Barnstable * f Department of Health, Safety, and Environmental Services * snaxsens�.e, �. � Public Health Division 1639. ♦e A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 23, 1998 Louis Coventi 230 Weir Road Yarmouthport,MA 02675 ORDER TO COMPLY WITH 310 CMR 15.00,THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 36 Bosun's Way, Marstons Mills was inspected on October 23, 1998 by Michael O'Laughlin, a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has conditionally passed under the guidelines of 1995 TITLE 5 (31.0 CMR 15.00)due to the following: • Distribution box needs to be replaced. You are ordered`I6 br`ing'the; septic system into compliance within two (2) years of receipt of this order"letter: Therefore;-the septic system shall be repaired or replaced on or before October 23,2000.. First, you must hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code,Title 5. In the meantime, you shall ensure that no raw sewage backs-up into the dwelling or discharges onto the surface of the ground or into surface waters. You must maintain the system by hiring a licensed septage hauler to pump the septic system whenever it is necessary. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PE ER OF THE BOARD OF HEALTH T omas A McKean,"R C.H.O: Agent of the Board of Health '`` ' '�`'t 3 f, q\healWdbfiles\titles i.doe coventi/,vp/q/ls r i town of Barnstable I„ ash P,.0.Box 534 z 203 499 042. � � �s "`�~ �;; li.S.PaSTAGE Hyannis,Massachusetts 02601 RCV24'88 If BMEi CR ti k 44G 6138443 w Y to X.4". 1 l3ULOUIS CO NTI YARMOU HPORT, 02 75 �/ns �eT®s�,� 'a, 4 v U 1 rd ion g etN3.1„ 10so 0 g szo D 1 004 vo mid !U p � :�..�� �J, Suoh Str 2e� F �o , 't t�ii i �j No Suot�/yu eer Cj 11/ �Y Mai/R der ca� RYY Gib v of C/O eBC/E `` iiltl11:,11A11111111 sill 11111111111�11t111811lAil-11,111,143-11 W „.. r ■ . _. 77 SENDER: ' ■Complete items t and/or 2 for additional services. I also Wish t0 receive they a9' ■Complete items 3,4a,and 4b. following services(for an { d ■Print your name and address on the reverse of this form so that we can return this extra fee):card to you. ■Attach this form to the front of the maiipiece,or on the back if space does not permit. . ❑ Addressee's Address at ■Write Tatum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N ■The Return Race if"' ll show to whom the article was delivered and the date c delivered. �"+' Consult postmaster for fee. M. v 3.Article Addr d to: 4a.Article Number a 42- {� c 4b.Service Type , �c N [3 Reg! 1' Certified ° I ¢ � ❑ Express Mail ❑ Insured Si f ct+ ❑ Retum Receipt for Merchandise ❑ COD f a ✓d'%� 7.Date of Delivery ;. z q c 5.Received By: . Print Name !!! ( ) 8.Addressee's Address(Only if requested } ¢ and fee/s paid) m c 6.S' natuce: (Addressee or�lgent� �" 5-97-B-0179 Domestic Return Receipt I F�$.. ..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH j ..._0.W. 7..-- .. -------------OF.. �,,1.a!......-5.��.b....'_----._................... App iration for Disposal Worko Tonotrnrtion ramit Application is hereby made for a Permit to Construct K or Repair ( ) an Individual Sewage Disposal System s , ,(� ' 1 ... fQ.� / LDS (� n j� L1ocatio' ddres�s» ///��) / ot No. /M//� ........ f9� e�7..1.---..a,J. - -- /.�h .--�. -"'"'"..... o................` I?�----a P-K.....�V I r Owner A� ��'�. a Installer� Address U Type of Building � Size Lot.02_lx.���_._Sq. f t Dwelling—No. of Bedrooms 1 Expansion Attic`;lam) Garbage Grinder '4 Other—Type of Building No. of persons............................ Showers — Cafeteria Pa Other fixtures -----------------------------•-- W Design Flow......... .....................gallons per person er day. Total daily flow____.__ ___.9°� ._....................gallons. WSeptic Tank—r iquid'capacity/O ?..gallons Length-_ ..,X.... Width..&-.-___---_- Diameter________________ Depth........... x Disposal Trench—No-------------------- Width.................... Total Length...........o....... Total leaching area....................sq. ft. Seepage Pit No.--/............ Diameter....... ......... Dept4 below inlet....4............ Total leaching area._/WR ....sq. ft. Z Other Distribution box (�) Dosing tank '-' Percolation Test Results Performed b .__._ ?�:??.fir Date_._.___._./ --/' =----------- �/-Al;-_-------------_ Test Pit No. 1....2.......minutes per inch Depth of Test Pit.......&.......... Depth to ground water.W�............�_n_.. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •-- ............. ----- -------•....................•-----•••-•••....---•-•••............................................................ Description of Soil.......... �.�----�._......� ....��-----------------------•---.....-----------•----------- x U ---•--•--•-•-•------•--------------•--................---------------------------•--------------------.....-----•-----...--•-----•••-------•---------------------------••••-••----••._...-•------------- W ---------•------------------------•-•••-------•-----------------...------•-----------------------------------------....-----------------------------------------------................................. U Nature of Repairs or Alterations—Answer;when applicable----------------------------------------------------------------- ----------------------•---...---.....-----•---------------••-•-•--••--...._......_.................•----........--•--------•-------•--------•-••----••--•------•..--••••--•-------------•-----•-•-•----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIli LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n issued by th of health. Signe .... .. ................ .................. ' Date Application Approved By........ . . . -•.......................................... _45,- �--==-- - Date Application Disapproved for the following reasons:................................................................................................................ ....................•-•--------------•---•---•--...-------•------------------'-•---........-------•-------•.._.........------•-------------------------•---•-------------------------•-••------•-----. Date Permit No......................................................... Issued....... 79 No............n�... Fw3.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LTH /..D.J4?. ...... OF....,a Q.Y .. . .......................... Appliration for BispaaFal Warks Tonstrnrtion Vamit Application is hereby made for a Permit to Construct (j or Repair ( ) an Individual Sewage Disposal System 6• i ......... ............. .____._......................._...__•• �• __ ___..�.. ... ............ ........ Locatio ddress Lot No. Owner Address S W a .............................••-------•-- -- : ..... ._..._... � Installer Address U Type of Building Size Lot. Da.p ___Saeet q. f ?welling—No. of Bedrooms. Expansion Attic�) Garbage Grinder p, :r Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtu es -•------•-------------- -- W Design Flow...........................................gallons per person er day. Total daily flow..................�_................._...... 1pns. WSeptic Tank—Liquid capacityA¢.gallons Length... !.vrtl.... Width._6 ..... Diameter................ Depth... x Disposal Trench—. 0..................... Width .......... Total Length........._....... Total leaching area.....................sq. ft. Seepage Pit No...... Diameter....... Depth below inlet.::. ---•........ Total leaching area.. '_�....sq. ft. z Other Distribution box Dosing to `-' Percolation Test Result Performed by...__ -"'_r :_'__V t° �;':.`'_._ 6.- Date_.__._ ..._..._ W ---•----------- _ Test Pit No. I.._. ....,.;minutes per inch Depth of Test Pit..............----- Depth to ground water. °.......�. t Test Pit No.,2.:: !.`...'...minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil...._.._.__ '�.'.:�. . .....:........ `r-�e'_1f *'� aV :................................................................................................................................................................................................. W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... r Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. a, Slgn�----------------•---------------------•----._.....------•-•--•------ Application Approved By •....--•-- -- 0 ----•v------------------------------------- le -- --... a Date--•-•--------- Application Disapproved for the following reasons-.............................................------•---------•---------..................................... ..................................................M..!----------•--•---•.....--------••-----------.......---•••--...._...--------•------•----------------------•----"-•----•--------•-•••------....-•--- ^ Date Permit No.... ----_... ... -------------- Issued------- Z` fl(- Date THE COMMONWEALTH OF MASSACHUSETTS f' BOARD OF OEALTH .-` � ...��. ...YG.. ...... F..... ..... .................................. .(;,;,,,,, r ..... w N` , ; 19 rti r ratr oaf lamp ianrr . T I T CERTIFY, That, d y> al Sew e > 0 1 ystem n tr cted�"` of paired ( ) by , . 0.. �..... ° P` f__I'_......��""-'` •• �'- l• -��-----. ..---- ............. Installer at...............................................................................................-- -------------- has been installed in accordance with the provisions of TI o� the State Sanitary Code�w�e�rib� n�the application for Disposal Works Construction..;Permit No____________________---^___.....___..._.._ da.ted_...______.J..._....._._________................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI L FUNCTION SATISFACTORY. �a DATE....... f �' ` ..... Inspector.... ___ THE COMMONWEALTH OF MASSACHUSETTS t _ BOARD OF HE, TH No.. .tZ../ - FEE........................ %J10 al rrr mit y granted.--- ...Permission is :::...... to Construct or PyeePair ( n ndiv, Sews g'e posal S eoStreetas shown on the application for Disposal Works Construction Pated. ............ 70P - .. .. Boardd of of Health DATE.............--•------- --•••-• ..................................... .............•----._._... FORM 1255 HOBBS &.WARREN. INC.. PUBLISHERS �� �' -:gam No.-----------2----- Fee-------------------- BOARD OF HEALTH TOWN OF BARNSTABLE 0ppritation for Met[ Con5truttionpermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (man individual Well at: Location Address Assessors Map and Parcel t-_✓_�_ ��-�e/ � �EJo S�c_,,,�_to s'-�--���1 o`"�_M r 1'�----M-`-�--- [1 ,r� `Owner /J Address KL_7�<)��.,,�'e�l w-e�I�LS��E��- --�'�---------------- �•b=�°�-960-------n`-c�.c --�-t o`----��G �'---- �. ----- -------- Installer — Drille� �ddress Type of Building Dwelling A4s e______------ Other - Type of Building No. of Persons------------------------------------------------ Type '® a ��E i�cse YP of Well —_— _-- -- -- ----- Capacity----------------------------------------=------------------------- Purpose of Well ----- --- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate lofmpliance has been issued by the Board of Health. Signed— __- - -- - —----- --- ——` — ----- - date Application Approved Bydate !- ---- Application Disapproved for the following reasons:-------------------------------------------- ------------ � date Permit No.--� 1__'_'— _ Issued--- — "- � —--------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Comptiaritr THIS I TO CERTIFY That the Ividividual Well Constructed ( ), Altered ( ), or Repaired (� by— ----------------------------—_—=--------------- Installer at -�—SI - - -- t ----has been installed in accordance with the provisions of the Town of Barnstable B/o,��ar�_k- —lDad of Health private Well Protection Regulation as described in the application for Well Construction Permit No.�'11-- ted THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE - -------- - -- -- -- - Inspector--------------------------------------------------------------------------- 1 No.--- ------- Fee------------------ - BOARD OF HEALTH TOWN OF BARNSTABLE 01pprication-for VrIt Con6truction3perrnit 'Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (L,-)an individual Well at: 3� p� cam,r r. U-`i sti,,,�.7 .�s n�-Ps -- - --- - - -------- - - — - --------------------------------- -- - — Location 1LAddress Assessors Map and Parcel AA iv tn �a/ �C • Co u t / �^_�,iL7'%' - n: e�� /emu - -: - -- — — —------------------------------------ - - � - --- --- ------------- ' n�er Address --------------------_- :/:n C>. 'A'4X_74G rLt G��r�s —�t�. n a 6 ri T: - - Installer — Driller address Type of Building Dwelling -------------------------- - Ty e of Building - - ----- ----- No. of Persons------------------------------=------------------ P Type of Well r)_ P-t - Capacity Purpose of Well Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of ompliance has been issued by the Board of Health. Signed --- - — -- '- 0--- -- - - - ----------------------------- date } Application Approved B Qn �1 - date Application Disapproved for the following reasons:------------------------------------------------- —---- --- - r _ --------------------— _____- — --------------— - --------- -------- --- —-— —------------ date J.� -// `^ - - Issued - 'r --------------------- Permit;No•- _ - - f -- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f COMPliance THIS IS TO CERTIFY That the Individual Well Constructed ( ), Altered ( ), or Repaired (�) n Installer / 1 at------- - - - ---- --------=------------------=----------------- ---------------------------------------------------------------- t/Lhas been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.&_/n__ ated--- � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------------------------------------------------- - Inspector--- -------------------------------------------------------------- BOARD OF HEALTH t TOWN OF BARNSTABLE Ivell Con5truction'erntit ' No. ------- ---- Fee------------------- y + ' a Permission is hereby granted �—------------------—------- - ----- i to Construct) ), Alter ( ), or Repair ( ✓)'an Individual Well at: 7 _ S Street J as shown on the application f.r!a Well Construction Permit / No.- -' 1 — f --------------------------- Dated----- �-5 - !----— --- ✓ / ---- ---------------------------------------------- Board of Health. / DATE,------- --------------------- �� II � J 077 �'aT f�c W / ��j ,' �. �� �. 4570o, .Z 73 ���� •2.� � !i�a v�r� �� ���ri� � ��� T J P,C T/ fi / 9 /vr oJ��^y �0 Azov „ QD Ole, golocen 10) ID -N-A OF " OF �� cyG •�/��� �� ,may J y'' N G (��, �.�' O S v /� ,�- � / � FRANK � � (RANK 44 RY CONERY Nm 6232 �" c No. 6573�0 Q IlAloS r"it41ortCI674 4E SC..c:Z-L f e) f� Nn St1A"�� FSSJONAI�N _...,,�ti �,,,,. -+..' .."_.._- .r-"""'•^ .... .-...,.«.rs+ � .. •i,........,.,-.. .+n..'h.,.._.;..`a '.'.c..w.a+.a..,-.t..v.+..+.,..,,,,+w,+„•.. O— ��r ®�!�T7 �i -A //a'" " T P LA Y V O. i" LAND N $`.S'�� -,s `vim.' i:t f�' 'a; µ �iy/''c s-To 11114c s MASS. •2¢ " —/¢4 h 9 OVMED BY FRANK CONERY 5 TRENTON ST. 'Z4 /o' e.SJ �o ' .�z' �' c, ___ HYANNIS. MASS. 0;901 ja ' a-- t:r; SCALE i IN tl,C�OI'T. S�E3�7t3 SECTION A —A o 1• = z000, */- 10' min from ALL OUTLET PIPES FROM THE a NOTE �1L PIPES ARE TO BE a' SCHEDULE ao P.v c PROFILE VIEW OF ADDITION TO LEACHING SYSTEM pSTR18VTION eoX SHALL eE �+ Ex,stin9 Foundot,on house to septic it _ _ Sepik tOnk COvert Rtl'St De 3' of 1/8 - 1/2 Washed Peoston! SET LEVEL FOR AT LEAST F7 1 CONCRETE CODER N 3 rdh- 6 ,� of finished grade _ '- a ;I T E -erode ow Septic Ton4 - 9625 /—Grade over D-Boa - 9a 00 ;—G,rode over SAS -980') 3/1• to 1 1/2 Washed Crushed ed Stone -'`� � - s- ounET - 2- N MNOCKOUTS OUTLET I t2' INLET X J S 002 3 HOLE H-10 I 3 DIST Box 3 wo ., Cover —Top of SAS - E1e. �9500 \\ i 6 2 2 School st. j t0, EXIST S�OOt o wester _tSS,� � f, P6� S� 0 01' pp foot ♦" - SCH 40 Teri t 75' `4 EXIST. PIPE ; [T�Q C 1,000 GAL ` rROH ExIST FOUNDATION �� 50' / t EIfNxOve Deptn SEPTIC TANKH-,o 6 Units a 6' = 30• PLAN SECTION GROSS—SECTIONO1 iI Q, I' STONE UNDER CHAMBERSCONCRETE FULL FOVNEMTION-' 11 a p, pp.. > 0, trl �O 36'30� --� SYSTEM PROFILE v h17) I 5 HOLE N— 10 DISTRIBUTION BOX cy 6 in 3/+"-1 1/2' v it > a C)compacte0 alone v v 11 A� II Effective Length NOT TO SCALE Not to Scole - c v > > Q L_a. I :US MAF' il �-2 5—� 4 > _IO =I ° S❑IL ABS❑RPTI❑N SYSTEM (SA=i GENERAL NOTES 6 in of 3/4'-1 1/2' compocted Stone - Effective Width o CULTEC MODEL 125 (H-lU L❑ADING)/ SH❑REY PRECASTE 00 1 Contractor is responsible for Digsofe notification @4LlRrD_st_ItalK�s_ ------- (OR(OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes. NOTE OVERALL HEIGHT OF INFILTRATOR IS 18- /EFFECTIVE HEIGHT IS 12- 2. The septic tank and distribution box shall be set level on 6" of 3/4"-1 1/2" stone. 3 Bockfill should be clean sand or gravel with no stones over 3" 1n size. PROJECT BENCH MARK 4 This system is subject to inspection during installation T by Carmen E. Shay - Environmental Services, Inc TOP OF FOUNDATION CC C�$ 5. The contractor sholl install this system in accordance � b rn ELEv = 100 00 Assumed with Title V of the Massachusetts state Code, the approved Ian PERCOLATION TEST } P ;/ N 55d 19' 30" E o� C)(0 and Local Regulations. Dote of Percolation Test: JANUAR1 2. 2002 } 183.04' _ 6 If, during installation the contractor encounters one Test Performed By CARMEN E SHAY, R S , C S E TEST HOLE # I I Foiled soil conditions or site conditions that ore different Results Witnessed B WAIVER per Barnstable B 0 H ) 1 Le�L Pit from those shown on the soil log or in our design y ( P ELEV = 98 OC 15 5 Excavator: Roberts Septic Services installation must halt & immediate notification be i ' �� '- � Percolation Rote Less Than 2 MPI I —36' t\_y made to Carmen E Shay - Environmental Services, Inc o LOT # 14 I ?. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. - — ---- , O 20,000 Square Feet +/- . . Ex15T 1000 qm -� 3 8. Install Tuf-Tite gas baffles or equals on all nutlet tee ends. Test Hole ' w t�l NO. 1 4 • ' -`'" ,a"•' s<plk Tank c > i O i 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. q , O 1 0. All solid -piping. tees & fittings shall be 4" diameter DEPTH SOILS ELEV. —" `t 00 0 9800 Schedule 40 NSF PVC pipes with water tight joints ` I r� r,\ 0 ` 1 1 1 Municipal Water is Connected to The Residence and Abutting Loomr Sond D-Box II PATIO \ 1 LOT # 13 Properties Within 150 Feet or PRIVATE WELLS AREA AS SHOWN 10 11 3/2 ` I � � . — 1 � 0"-6 R 97 50 t \ (Or Municipal Water) THE PROPERTY LINES ARE APPROXIMATE AND LOT # 15 1 1 '--_�' COMPILED FROM THE SURVEY PLAN GENERATED Ri Loamy I \ Ir FRANK CONNERY, PE, RLS OF HYANNIS, MA Son I ENTITLED " PLAN OF LAND OF LOT 23 IN MARSTON MILLS, MA" 10 rR 5/6 (On Municipal Water) EXISTING 1 3 BEDROOM 11 o DATED JULY 1976, 1 6'- 36- e. 9500, t AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN -- Med Sandm t i HOUSE \\�r� tt _ IT SHOULD BE USED FOR NO PURPOSE OTHER THAN i t THE SEPTIC SYSTEM INSTALLATION� � I I '1 � v I 1 5 Y 7/4 � / � I � 36 C 8400 i l �I M > i I EXISTING LEACH PIT TO BE PUMPED & FILLED IN PLACE t t I LL f NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE r en FROM THE EXISTING LEACH PIT TO BE DISPOSED co i / OF AS PER BOARD OF HEALTH SPECIFICATIONS P --~---- 1 I r Depth to Perc L 36" !0 54- --------------- --------------------- LEc� E ND Perc Rate= Less Tho 2 MPI --- Groundwater Not Observed TO BE ABANDONED - - --- -- '-------- - �g ��0 DENOTES PROPOSED No Observed ESHWT - ADJUSTED H2O Elev = None & BE REPLACED WITH '-'------4--------_------- 104X 1 MUNICIPAL WATER SUPPLY 158.04' ---� y i SPOT GRADE PL DENOTES EXISTING S 55d 19' ' W �� x 104.46 SPOT GRADE <o PL PROPERTY LINE B O A�� U_ V ' IS7 'A Y i -- ,9� PROPOSED CONTOUR -- - - - - -97(40 FOOT RIGHT OF WAY) EXISTING CONTOUR 2-,g DIAM Access MANHaEs DEEP TEST HOLE & PERCOLATION TEST LOCATION 8' f :" -•- _ - -• - = 1 - 6 FOOT STOCKADE FENCE o � - 1 f;\ LOT #26 & LOT #27 r --- j < THE ACCESS COVERS FOR THE SEPTIC TANK 1 1/ DISTRIBUTION BOX AND LEACHING COMPONENT (On Municipal Water) / \` OUT ET GRADE SHALLSET DEEPER TBENRAISED TO WITHIN FINISHED 6 INCHES BELOW ' OF LOT #25 PLAN �` FINISHED CRADE PLOT INSTALL TUF-TITE GAS BAFFLES OR EQUALS 0 �� 4050 Lot #25 - PRIVATE WELL I ' � - - — � 77T -- - LOCATED 0F PROPOSED SEPTIC SYSTEM UP�� RADE STEEL REINFORCED PRECAST CONCRETE FROM PROPOSED SAS � P PREPARED FOR LAN VIEW SCALE 1 „=20. MR . RICARDO FERNANDES - 3-24' REMOVABLE COVERS _ AT _ 3 min cboronce 4 3- -let 'r # 6 B`J S V N S V Y A Y T 8_ mnT �2_ mm -let to oultet 6- rwn -�- d ,��, - MARSTONS MILLS , MA OUTLET T t0• mn ,� -z' l_-- 5' -� Design Calculations ' oFI -J1 E� 4-O' min �\N� „ PR PARED BY: o c..9.�. L�qud depth Number of Bedrooms: 3 Equivalent to 330 Gal /Day (330 Gal /Day Min per Title C /�/1 Garbage Grinder: No CAR?�f E. AJll�1 I' Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) Septic Tank - 3 x 330 Gal./Doy = 660 USE 1,500 GAL. Septic Tank ,NVIRONMENTAL SERVICES, INC. U g_p •' -1D" SOIL ABSORPTION AREA: Using percolation rote of <2 min./inch No. 1181 Bottom Area: O 74 gal/sq ft x 360 sqL ft = 266.4 gollons - o P.O. BOX 627 CROSS SECTION END—SECTION Sidewall Area: 0.74 gol./sq ft. x 92 sq. ft. = 68.08 gallons GIST'E" 'L EAST FALMOUTH, MA 02536 Providing: 334.48 golions S14 R�F� TEL/FAX . 508-548-0796 USE EXISTING 1000 GALLON H- 1 O SEPTIC TAN K Use: (5) CULTEC MODEL 135 UNITS, HAVING A 1' EFFECTNE DEPTH, SCALE: 1 "=20' DRAWN BY: CES DATE: JAN, 9, 2003 TO BE USED WITH 4 0' OF WASHED STONE ON THE SIDES, AND 3' OF WASHED STONE NOT TO SCALE ON THE ENDS. NO STONE UNDER. PROJECT#SD378 FILENAME: SD378PP.DWG SHEET 1 OF 1