HomeMy WebLinkAbout0040 BRIDLE PATH - Health 40 BRIDLE PATH
MARSTONS_MILLS
A = 150.140 :
Commonwealth of Massachusetts
MAP /so-oqz
"4 W Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner ,Owner's Name
information is every
M
required for every arstons mills Ma 02648 11-30-15
page. Citylrown State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When A. General Information
filling out forms
on the computer, Z7 �/ 3 z 3
use only the tab 1. Inspector: 'L-
key to move your
cursor-do not Brett Hickey
use the return Name of Inspector
key.
B&B Excavation
Company Name
14 Teaberry Lane
Company Address
F�--4m Sandwich Ma. 02644
Citylrown State Zip Code
(508)477-0653 S113747
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
11-30-15
Inspector's Sij4Ve > V1 U 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.
/U#j 6"' ),
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Fora
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
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.
Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes (cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply..
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance:
**This asses system if the well water analysis, performed at a DEP certified laboratory, for fecal
Y P Y
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
.You must indicate"Yes" or"No" to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than '/Z day flow
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
I
Commonwealth of Massachusetts
w Title 5 official Inspection Form
o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
page. Cityrrown 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
❑ E.
the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA) or a mapped Zone II of a public water supply well
If you have answered "yes" to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
W Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no" as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
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):
348
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M °v 40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
page. Cityfrown State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 5
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonaluse? ❑ Yes ® No
Water meter readings, if available last 2 ears usage d see below
9 ( y 9 (gp ))�
Detail:
2013- 109 000gallons 2104- 101,000gallons
Sump pump? ❑ Yes ® No
Last date of occupancy: currentDate
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
W Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: last pumped 2 years ago per owner
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped:
gallons
How was quantity pumped determined?
Reason for pumping:
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
- 'Title 5 ®ffic!ial Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
40 Bridle Path
'Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is
required for every ,Mar:stons mills Ma 02648 11-30-15
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information.
2001
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
2'
Depth below grade: feet
Material of construction:
cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
At time of inspection building sewer appeared to be in good working order with no sign of leakage.
I
Septic Tank(locate on site plan):
1' '
Depth below grade: feet
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age: years
lis age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 1000 gallon
Sludge depth:
4"
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17
Commonwealth of Massachusetts
4 W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
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
32"
Scum thickness 2
Distance from top of scum to top of outlet tee or baffle
6"
Distance from bottom of scum to bottom of outlet tee or baffle
15"
How were dimensions determined? measured
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
At time of inspection septic tank appeared to be in working order,baffles present with no sign of back-
up.Liquid level equal with outlet invert. Tank is not in need of pumping at this time but should be
pumped every 2 years for maintenance.
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
17 concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
- Title 5 Official Inspection Fora
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity: gallons
Design Flow:
gallons per day
.Alarm present: ❑ Yes ❑ No
:Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is
required for every Marstons mills Ma 02648 11-30-15
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.):
At time of inspection d-box appears to be in working order with some sign of carryover.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes , ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is
required for every Marstons mills Ma 02648 11-30-15
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leaching chambers number: (2) 500 gallon
❑ 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.):
At time of inspection leaching appears to be in working order with no sign of hydraulic failure.
Chambers had 6"of standing water at time of inspection.
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
W Title 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
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.):
Y
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
W Title 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
GSM , 40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
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
l9�rao�. Q12ou—
A B
R Z- So E
l 3' S-4'
Q 0
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
Tittle 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
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: No Gw 144'
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: 8-30-01
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:
Plan on file at BOH.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
4 W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�1M ,•''r 40 Bridle Path
Property Address
Glenn & Maryellen Oliver
Owner Owner's Name
information is required for every Marstons mills Ma 02648 11-30-15
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed
IM System Information— Estimated depth to high groundwater
Z Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
V r ,
1
Fee 50
Entered in computer: ✓r
THE COMMONWEALTH OF MASSACHUSETTS Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
Yicatior� for Miopoml*potem C0.0.5tructiOn Permit
Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) ;O Complete System O Individual Components
Owner's Name,Address and Tel.No.
Location Address or Lot No.
40 Bri ll Path, Marstons Mills Kelli Donehy
Assessor's ap arce
Designer's Name,Address and Tel.No.
Installer's Name,Address,and Tel.No.
Wm. E. Robirison Septic b
Service Wm. Lieberman
P 0 Box 10891 Centerville 235 Timber Ln. , Marstons Mills
Type of Building: ►�
Dwelling No.of Bedrooms---�---- Lot Size sq.ft. Garbage Grinder( )
of Building S No.of Persons Showers( ) Cafeteria(
Other Type )
Other Fixtures 4
Desi Flow pt ,�. gallons.per day. Calculated daily flylw gallons.
Plan Date Number of sheets
„Revision Date
Title
Size of Septic Tank �X�S�� � 1taC Type"of S.A.S;
szik
Description of Soil C � C CCU \ i
Natu of
,Repairs or Alterations(Answer when applicable Tit
lee5 leach system to the
pjans of Wm Lieberman, dated 8— —01
,.. Date last inspected: IG O
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system ID Al
in accordance with the:provisions of Title 5 of the Environmental Co a and not to place the system+yin operation until a Certifi- �RO�
cafe of Compliance has been issued y this Bo of th. Ind
�, ��Date
Signed C�
Application Approved by
Application Disapproved for the following reasons
Date Issued
Permit No. � wL—
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Donehy_ - (Certificate Of cOIIYtIYiAtYCC
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( X.)Upgraded( )
ed(( )by Wm. E. Robinson Septic Service
Ab o
at ` rd&) a , ars ®>1S M s has been constructed in acc rdance
with the provisi s cf Title 5 and the for Disposal;$ystem Construction Permit No.
0(Q �dated
Installer Wm E. Robinson Sr. Designer ;tj�;
Liebe
The issuance of this ermi shall not be construed as a guarantee that the willCfut�cticltt� Cg �
Date 1 0 � Inspector -
�p Fee $5 0
No. \
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
Donehy *pgtem construction permit
Permission is hereby g ted to Construct( )Repair( �Upgrade( )Abandon( )
System located at.
4V Bridle Path, Marstons Mills s --•
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construc on mus be.completed within three years of the date of this pernu't. < ,
Date:
�� Approved by
BRNSALE
0
m
0-L 'C ATI SEWAGE # 'KI-J"
ON c
VILLAGE -'S MAP kLOT
ASSESSOR
INSTALLER'S NAME&PHONE NO. o,(3
'WANK CAPACITY SEPTIC.
LEACHING FACILITY: (type)" doll
NO.'OF-BEDROOMS
is
-BUILDER-6R-bWNtk
- -
PERMITDATE:- COMPLIANCE DATE
:W- Sepgation-bfsilance-Between the:. -
1 It
'M'aximum'*.Adj*us*ted Groundwater Table t e Bottom of Leachin"g Facili Fee
y
'Pr4f t' Vk6i'Supp y e an c ng Fa ifity: (Iflan Well c y: s exist
on sit&or withifi,200feecof Iq ng fac'ilityY Feet
Ed
d.
if eilam e)ust
ge of Wetland and'Leichi a6liq an V
y C
'%� Ln'kOfeevbf ledching i ty)
Fd;!t:
UOU-S F hed bv
z;
p
71.
;mq b
R.,
L
F.
Groundwater
T
and le
r IgI
a
fa
T WN OF BAP.NSTA-BLE
7INSTALLER'S
SEWAGE #`O w %/S ASSESSOR'S MAP & LOT
NAME&PHONE NO. i L-1 TANK CAPACITY � �
LEACHING FACILITY: (type)-"Z- (size)
NO. OF BEDROOMS J�
BUILDER OR OWNER !tea •IV r<�
PERMIT DATE: :f COMPLIANCE DATE: A) 3 Z
Separation Distance Between the:
Maximum Adjusted Groundwater Table t e Bottom of Leaching Facility Feet
Private Water Supply Well and Leac ng Facility (If any wells exist.
on site or within 200 feet of le ng facility) Feet
Edge of Wetland and Leaciii acility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
II
4$4
vV
Fee $5 0
No. �bo1 - ,P
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIppftcatton for 30tgpozar Opztem Comaruction Vermtt
Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
40 BMr Path, Marstons Mills Kelli Donehy
Assessor's ap arce
Installer's Name,Ad3ress,and Tel.No. Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service Wm. Lieberman
P O Box 1089, Centerville 235 Timber Ln. , Marstons Mills
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other 1 pe of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily w gallons.
Plan Date Number of sheets "Revision Date
Title
Size of Septic Tank Xx4*-1 L!3 lbw Type of S.A.S.
Description of Soil �� SAd�� �i C�A-I- Sa
Nature of Repairs or Alterations(Answer when applicable) Title-5 leach system to the
plans of Wm. Lieberman, dated 8-30-01
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 Certifi-
cate of Compliance has been issued by this Bo of
Signed ogt�'' i Date
Application Approved by L' � Date a
Application Disapproved for the following reasons
Permit No. acl:)� - �P� Date Issued
?� ],��. { $50
�.ti� kJ /_ Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
2pprication for Mi5po5al *pOtem Congtructioft Permit
Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
40 B,ridlel Path, Marstons Mills Kelli Donehy
Assessor's ap/Parce
CO
a
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service Wm. Lieberman
P 0 Box 1089, Centerville 235 Timber Ln. , Marstons Mills
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building �R S No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flower gallons per day. Calculated daily fl gallons.
Plan Date Number of sheets „Revision Date
Title a✓ `
Size of Septic Tank Type of S.A.S. `)1 9 'S+ON. •_
Description of Soil CICCA_3 \ 12 zs, X 2-
Title±5 leabh
t
Na a of Repairs or Alterations(Answer when applicable) system to the
pans of Wmd Lieberman, dated 8-30-01
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 systern,in operation until a Certifi-
cate of Compliance has been issuedd by_this Bo of H th. �. p /,C9 f
Signed �7/ f Date
Application Approved by G �`'(� L ` Date
Application Disapproved for the following reasons
Permit No. Date Issued
r _ - ——— ------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Donehy .
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( X)Upgraded( )
Ab Boned( )by Wm. E. Robinson Septic Service
at � BridA& Path, Mars tops M 1 S has been constructed acc rdance
with the provisions of Title 5 and the for Disposal Nystem Construction Pero it No. �(_ ' V��dated inv 1
Installer Wm•a. E. Robinson Sr. Designer Wm. Lieberman I
The issuance of this ermit shall not be construed as a guarantee that the system will functiQn as designed.
Date �� � t] Inspectork.� C' l�'�-C t �L �_._3
i
$50
No. �`�� Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Donehy 1i2;po!6a1 *pgtem Construction Permit
Permission is hereby g anted to Construct( )Repair( X)Upgrade( )Abandon( )
System located at 40 Bridle Path, Marstons Mills
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construct on mus be completed within three years of the date of this permit.
Date: �a �( Approved by
LOCATION SEWAGE PERMIT NO.
�VILLAC'E Z
rr l
1 Ga Y-A,cm r I�S 6-t,, 3 r 4 9,3=
INSTALLER'S NAAlE i ADDRESS
9 UIIDE.It OR 0 N E R�l
/IP'S, �S Sl'�� S�' ne )-er
DATE PERINIT ISSUED
DATE COMPLIANCE ISSUED
I
_ �1 .�'._
_�— _.,_.« � i
i q,
.�
� j
d/'�
F ,1�
�y,
",C i SI /�1
hDU1
��
`. nE
--a �
S T�r�
1
711% „o-71" �d. /Kc� /��.� 9 2
LO;CA' JON SEW A G E PE RMIT NO.
VIlLAGE4
INSTA LLER'S NAME & ADDRESS
o"Fcape"Cr Gu< ca
B U I'L D E R OR OWNER
��cke N� �
DATE PERMIT ISSUED _rr �
DAT E COMPl. 1ANCE ISSUED
�:�,.
/'
�� �ai
�.
��� ��
ti � i
y �'
J�. / i
3"�' r j�'
No.._.30 ......... Fps..............................
' THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..._._.1-..®..W.-ii..............OF._, .AZ.N... .................................
Applirafiun for Diipug al Varkfi Tomitrurfiun Vantit
lication is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
-••----6em at
__1� ..4 .. . ......-.1.�-° ....IYI s :.lt,_1 ---------------------------- ...........................................................
1 - Locate or Lot No.
� ion-Addr
� 1l1� _ � F:.S...... . ..}�. 4 ........ .......
Owner Address
' C�.J-1?-------------------------------------------- ... - !��9�..... ..�_�f.3�� .._............f.��. �°.a..
Installer Address
QType of Building Size Lop_A4j,.7V..!;.......Sq. feet
V Dwelling—No. of,Bedrooms.__.__________________________________Expansion Attic ( ) Garbage Grinder
'_l Other—T e of Building ._..._...... No. of persons............................ Showers — Cafeteria
a "P g P ( ) ( )
a 0-,,her fixtures ------------------------------•. -
W Design Flow........V�.........................gallons per person py day. Total d ily flow.__73_2...iD........................gallons.
WSeptic Tank—Liquid'capacit4P Q .gallons Length....... ...... Width. ....... Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area____•_----_--------sq. ft.
Seepage Pit No..................... Diameter...._............... Depth below inlet.................... Total leaching area..40-.b....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
0-4 Percolation Tes Results Performed by.......................................................................... Date........................................
Test Pit No. I.................minutes per inch Depth of Test Pit..................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
p4 -•----....---•------------•-----•-•-•----------•-------•----•...............................................................................................
O Description of Soil----- :' t' r................ ...--......
b ............... ....... ------G-9LAAVG -j------------------------------....-----------------------.......-----.....--------------
W ----------------- -------- -------•-- ----•--•---•-----------------••--•-•----------------•------•----••-•--•------------------------•-•-----•----•-•-----•----------•----......--------------.......--
UNature of Repairs or Alterations—Answer when applicable--------------------------------------------------------------------•_----•-----_-----------__.
--••--------------------------•......---------------•--------•••--...--•------------------------••------------•---------------------------------•-•--•-----•---••-•-- ..................................
Agreement:
The undersigned agrees to install the aforedes 'bed Individual Sewage Disposal System in accordance with
the provisions of TIT :;.�. 5 of the State Sanitary d — The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be n i ued by the b d of th.
Signed - . . ...... ... .._1.
Date
ApplicationApproved By........;...-----................... -------------•---•---------------------•----------- ----------6 - .............-
Date
Application Disapproved for the following reasons--------------------------------------------------------•--------------------------------........--------_.-•----
---------------------------------------•--•----•......---•-......----------------------------------------------•--------•--•----•-----------•--•-••-----•-•----•=--------•--•----•---•--•----••----•----
w -Date
Permit No.........`�,. ...... Issued_..... a /�r --•---
Date
No..-------•-_-•-------- ............._...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF
OF HEALTH
1... .1...0...............OF...1 .+" . ..r i... L.......---....... .... .....................--
ApVlirFa#iaan for Disposal Works Tonstrnrtiaan ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: ._
Location Address t., or It No. _ ¢
i / flLdw , to y+ ..� daf ....}{ r 6✓�
�y Owner Za._Address
..............................•-•-------
Installer Address
dType of Building Size --------Sq. feet
U Dwelling—No. of Bedrooms.........a................................Expansion Attic ( ) Garbage Grinder
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a Other fixtures -----•-----•------------------------•-•-•-••-•--•.
W Design Flow.........�_.E...............................gallons per person per day. Total daily flow-.3.3----()........................gallons.
WSeptic Tank—Liquid*capacit 9.JS)•.gallons Length.....b........ Width......... Diameter................ Depth................
x Disposal Trench—No. .................... Width..................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.........---.--..... Depth below inlet.................... Total leaching area.Z.&..-G.... ft.
Z Other Distribution box ( ) Dosing tank ( )
IH Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water...--.---.-----_--....
Test Pit No. 2................minutes per inch Depth of Test Pit............---:.... Depth to ground water...---..................
.....-•------------------------•-••.••-- •......-•--••--•-•--•--••--------................................................ ...................
D Description of Soil ... - .... .... ------•-•-: .. f.� �` --.......40.c�J.c .....--f 1-V 6_..L
W --•••-••---------- •-•••.............
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
..........................................................•-------•---------------............-•-------•---•-•-------------------------------------------------------------------••-••-••------•---•...
Agreement:
The undersigned agrees to install the aforedebed Individual Sewage Disposal System in accordance with
the provisions of TITS 5 of the State Sanitary God — The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been i, ued by thAb 'd'ofi0th.
Signed•. -•-•-- ..4A . r --••-----------•- ................3......,1_.
Date
Application Approved By........................................ ................
---•• •..... Date
Application Disapproved for the following reasons---------------••-•----------•-----------......------------------------------------------------------.........._
.................•--•-•------.......--•--••-••-•-----------------------...............---......-----•---•-••--••----•••••--•-•-••-•-•----•-•-•-••-••-••••••---------:--•----•-••.........-••-•---------
Date
Permit No.........�i Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............
.'±!L!.1l......OF. .: ... ... . �� . fr.3...�' .......................
�r�;x w,� �rr#ifirtt�aP of f�aant�rli�anrae
THIT IS TO,CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by .........
�>ip
Q -------------------------•------.--- f�--,-_-.---•--- . •--r--`-'------------------.-.-f-------------------•-----•---------------
Installer
j ...... , 7 , a at.....- r' �.--------- -•----
has been installed in accordance with the provisions of TITLY. 5 of The :Mate Sanitary Code as described in the
�application for Disposal Works Construction Permit No..-..-.a__-.�,��"................ dated---------- --- -------
'
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector...................................................................................
THE COMMONWEALTH OF MASSACHUSETTS^.,.,ate,,._.,,
_4 BOAR OFF;HEALTH ry `°',.y�
S
.......oF......
.. ... .` :. .... `.......................
No......................... FEE........................
Dispn aal arks Tonstr iaan rmii
Permission is hereby granted........ii.-1 1.ice d ........0 -�"-�---�-�-....----•-----------------------•--••---•---•---•-------•-------••-•-•-•••--•-•-•-•.
to Construct (� ) cr Re paa ( )j an Indivir al�Se wage Di sR sal S�stem
at No. t 1-•-•--�------ 1 ..3-a __4......I �--L.-1...- .-...... ....... ' � ��------�!�t
-- 1...
Street
as shown on the application for Disposal Works Construction Permit j ' - •`
... Dated................................................_
-- _ ......:::.
DATE..........--....................................................................
Boar of Health
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
M hTN J Ai a$�� -e � } 7::�It •-4 �:�rega�.-•• .'t i - .. t� '--' r.., __
St
Fq '•NJ
hntTN � .} zr
--Fr;fV „/..r, c a r"fd 3• r f' `:f ' t �N.
.1Z.. •:r d !.tt t '4
ff ID," 11' � a' ��c yw f `..!' - ..t9 /T,`zl`,f.' ,t 'r '/'�/•� :� r e b� Pr '�^ �' ; �,
K�b�a•�
I� �+ ,Rt �,^'r•,-F,f 1�� r f�,e"�V � +' �3 .'y •f S � i 1 t:,.A ei
r t t
Ott *� t t '
��„rr �XS� i y{��iFFr't r�rw'••}t :Y � � f` s� c r } •
��'� �r.sr,�11r+., f ttF ,F � s 'sr -�t'• ` +- �r a' .a � �. ,#��?'
f � ,f-�art �,;ns"� S, 't y t .ef: i`' '�i � ! .'Y a .i"'f I - a �. f r-:��"� r a•� �
t
r
i t
i r '
�•. k 'a ' r_} r. t 1.
z8r 62 t „t
4 � .f ! y, ...t., r ,l„•. ' � .e .3 .�0 ,. � t,. r r � � ti t
tA4 } u
it " `c� ti tt °t y.•' } .,. .• �t/��. •.`. * � .({.. ; 1 \ �. y � ''.ke'," :. t
t1J
EX PA O
LFRCH/NCr i
t t .s
13 a'..t t + J A r ,.'\ w i, " .5� >� + T ,3 I + [,. � S � t •� r.
r tt•aR s 7 ri ti ,'. s 'i ..` x ,• ``J t ,.: .J: c +`�� -; ;
Z4,
� 4 .�hf }2i:dL.��Y r�t`"r { .! a f. i ..� k x�. 7,: .Y • 5
IF
ria*)^��1-�w+.�4 [Y +'� t 1 � ., a t t#t a ►a'"-- � -��
Af
., �� ��- - '�� s
€ n f>t a 3 Rkt t'rR'. Y ti a } , O
a,� -2..,,tv Xt,r?t z.t t a,tr'*•k {.�y �t XX'r�t A t , .:.t `r ,t ROBERT
R _G z k r `.
7 :�} 74 9.b Z r v '
/_ o. 9 / it — - o BUNIKIS
vy «
/�.}� . /�/• S 4-0 2-Y
AI
No.
6 iy 4' !*y' { s f#E'4 `a' 'e• t ° r�A-k 40
y. Yr a I a. ti a£�r,} t r ; d f .�• I t f O /ST� L+'
+f$'} . k -y}1 •1 i ! ti r i ),r r A '.. r + „h f- A
ONAIL1, y
w
6 :a r' r+• „r", a ' k . _'
LEGEND t! ;.4t5
EiS STiNO '';SPOT ELEVATLON x%Ox 0 y f N CERTIFIED PLOT - .:PL AN
EXISTING .CONTOUR O �oT S B2lo�� ps�T�-i
FINISHED SPOT ELEVATrI'ON 0 0 h ` _7dNs _/►�/LLS
t
t F4NiSHED CONTOUR. f O t tiw p - -
APPROVED BOARD OF a'HEALTH,
I A, �•1,
DAT r�!`'� •, ' AGENT r' f SCALE DATE S/'a=�I78
�.
' OREDGE EA GINEERING CO INC) CLIENT
-- - -- - - -- 1 I CEIll THAT THE PROPOSE®'K `
Itg
rTl.t ¢IS,TERE REGISTERED JOB NO. �_ b_ BUILDING SHO�IN .ON: THIS PLAN `
LAND C CONFORMS TO ,THE ZONING LAWS
t �� `CIVIL d
ENGIAtEER SURVVEYOR DR. BY A� _ OF ® • RNSTABLE , A19AS'IC
r33 N,O MAIN ST t :�712 MAIN ST ' CH. BY ��'�'B` y
SO. ;YARRlIOUfH; MASS HYANNIS, MASS. - Z
SHEET_L IpF �_ 'D TE ;' REG. LAND SURVEYOR•
7 .
i
r
N ��y
U
EXISTING AND FINAL GRADE EL 72
GRADE EL 72.5 EXISTING AND FINAL GRADE EL 72 EXISTING AND FINAL GRADE EL 72 2% SLOPEOVER S.A.S. REQUIRED
10"
16 NEW SCHEDULE 40 PVC l COVER I 1' MIN : 3' MAX
NEW SCH DULE 40 PVC - /$"-3/8" WASHED STONE 5'DIG OUT ALL ,
FLOW LINE -.- 011 10 EL 70.0 AROUND TO
EXISTING BUILDING 13" 14„ INV EL 70.0' COARSE SAND AND
SEWER INV EL 69.66 INV EL 69.4 0 out M kP
i! T.B.M. �t =C= o o GRAVEL BACKFILL 6' +/-
5 -7 INV EL B9.2 3/4 A 112 2 10 WITH SAND PER
2 MIN-3 MAX 2' WASHED o® o o TITLE V
4'-4" 6" BASE OF CRUSHED STONE o� o R
4'-6 1/2" 4'-1" LIQUID LEVEL EL 67..2 STONE
DISTRIBUTION BOX D/B 4 121.1011
15 " WX16" LX17" H
1 INLET------3 OUTLETS 2 ACME 500 GAL CHAMBERS WITH 4' OF STONE
6 BASE OF CRUSHED STONE WATER TEST REQUIRED
CAST IN PLACE T's ALL AROUND AND 2' BELOW INVERT 5' MIN
8'-6" 7.2' BOTTOM OF TEST HOLE (TRENCH FORMATION
12.8' WIDE X 25' LONG X
EXISTING 1000 GALLON S/T 2' EFFECTIVE DEPTH)
(PUMP AND PRESSURE WASH) EL 60.0
SOIL ABSORPTION SYSTEM
PROFILE OF SEWAGE DISPOSAL SYSTEM
NO SCALE
BRIDAL PATH
72 '
SOIL TEST RESULTS
LOT # 5
#40 BRIDLE PATH W W
W
ELV 72 ON$ 126.00
72
LOAM 12"
24" Wop
/
CLAY 36„
48"
DENSE GRAVEL 60 '
is / W
A D CLAY
72" '
- ,
84" • ` I Y E
96" , W 196.69
AND GRAVEL 1081, ` I
120"
132"
144" HOUSE # 40
ELV 60
ESTIMATED HIGH WATER TABLE EL 47
EXISTING LEACH PIT-
NO GROUNDWATER ENCOUNTERED _/ PUMP AND REMOVE OR
ESTIMATED DEPTH TO HIGH GROUND WATER 25'
CRUSH AND FILL
REFERENCE DISPOSAL WORKS CONSTRUCTION
PERMIT#328 DATED 6/13/78
�7,
LOCATE BUILDING SEWER / - - .._._ .-..72
PERc RATE < 2MINnN LINES-BEFORE STARTING
SOIL TYPEA, LOADING RATE .74 GAL/SF
EXCAVATION EXISTING 1000 GAL SIT 40'
16
D/B
00.31 22'
S.A.S.
ell-
12.8 ( I
R.A. 12.8
5' DIG OUT TO COARSE
DESIGN CALCULATION '� SAND AND GRAVEL
11ATELY 6' DEEP
1.NUMBER OF BEDROOMS :--3 [TITLE V MINNIMUM-3] APPROXIi"
2.GARBAGE GRINDER :-- NONE PERMITTED \ 31' 25
GENERAL NOTES:- 3.TOTAL DESIGN FLOW :-
110 GID/BR. X 3 BR'S = 330 G/D
1.ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.TITLE 5 AND TOWN OF 4.SEPTIC TANK:--
BARNSTABLE RULES AND REGULATIONS FOR SUBSURFACE DISPOSAL OF SEWERAGE. USE EXISTING 1000 GALLON TANK
2.AT LEAST ONE ACCESS PORT OVER TANK TEES SHALL BE ACCESSIBLE WITHIN 6 INCHES OF 5.S.A.S. FLOW PROVIDED :--
99.02
FINISHED GRADE,WITH ANY REMAINING ACCESS PORTS BROUGHT TO WITHIN TWELVE BOTTOM AREA :--12.8'X 25' = 320 SQ. FT. 26.07
INCHES OF FINISHED GRADE. SIDE AREA :--(12.8+25)X 4 = 151 SO. FT.
3.ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING' TOTAL AREA :-- 320+151 = 471 SQ. FT.
H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FEET OF DRIVES OR PARKING THEY FLOW PROVIDED :--471 X .74=348 G/D 72
MUST WITHSTAND H2O LOADING. 6.RESERVE AREA S.A.S. CAPACITY :--
4.THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UTILITIES PRIOR TO RESERVE :-- 348 G/D SCALE 1"=20'
ANY EXCAVATION,
5.ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL SHALL BE MOTARED IN
PLACE
6.FINISHED GRADE SHALL HAVE A MINIMUM SLOPE OF 0,02 FEET PER FOOT OVER THE
S.A.S. AND DISTRIBUTION Box. REFERENCE: TITLE V REPAIR PLAN
7.SEPTIC TANK SANITARY TEE'S ARE CONSTRUCYED OF CAST IN PLACE CONCRETE AND CONSTRUCTION
SHALL EXTEND A MINIMUM OF 6 INCHES ABOVE THE FLOW LINE AND SHALL BE ON THE TITLE 5 INSPECTION REPORT FOR FAILED S.A.S. � '��� FOR:KELLI DONEHY
CENTERLINE AND LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES BY R OLO T I CONSTRUCTION
TI DATED 5/9/01
ELEVATION SHALL BE NO LESS THAN 2 INCHES NOR MORE THAN 3 1 .CONTRACTOR/INSTALLER SHALL VERIFY GRADES AND ELEVATIONS AND LOT: #5- HOUSE #40---BRIDAL PATH
&THE INLET PIPE INVERT ELEVA E OUTLET PIPE SITE CONDITIONS PRIOR AND NOTIFY DIG SAFE TO COMMENCING WORK ON BORTOLOTTI CONSTRUCTION ,1NC o� w
ES ABOVE THE INVERT ELEVATION OF THE 1-608-771.9399 *�`" �s+4 MARSTONS MILLS MA. 02648
INCH THE SITE.
9.THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. TERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED rLtlA� Esc DATE:AUGUST 30, 2001
L NEW PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND SHALL BE SLOPED 114 INCH 2. NO DE O OBTAIN SUCH BY: WILLIAM LIEBERMAN RPE
PER
AL
PER FOOT MIN. EXCEPT FOR THE FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH OR ZONING REGULATIONS. OWNER/APPLICANT IS T � ��• � H 235 TIMBER LANE, MARSTONS MILLS MA, 02648-2151
SHALL BE LEVEL. DETERMINATION FROM APPROPRIATE AUTHORITY.
3. VEHICULAR TRAFFIC, PARKING OF VEHICLES AND PLACING MATERIALS ��►`�� � TEL: 508-428-2592
OVER THE SEPTIC TANK, DISTRIBUTION BOX AND S.A.S. AREA IS PROHIBITED. �fsrrorR'`
- MMBP40
_ I T
I