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0074 CAMELBACK ROAD - Health
74 CAMELBACK ROAD MARSTONS MILLS --- - A = 064 - 103 i 'F J L0CAI10 c� SEWAGE PERMIT NO. r3 1 =a VILLAGE ��., f 6 GINSTA LLER'S NAME i ADDRESS OR U I L O E R OR OWNER DATE PERMIT ISSUED g DATE, COMPLIANCE ISSUED �D Qao 3a 3q / iquo o -T- 3, Town of Barnstable „►xrtsres>I& i679 �� Board of Health 200 Main Street, Hyannis MA 02601 John Norman,Chairrman Office: 508-862-4644 Donald A.Guadagnoli,M.D. FAX: 508-790-6304 F:P.(Thomas)Lee,P.E. Daniel Luczkow,M.D.Alt March 14, 2022 Mr. Steven Wong 74 Camelback Road Marstons Mills, MA 02648 RE: Bedroom Count Determination/74 Camelback Road, Marston Mills A 064-103 Dear Mr. Wong, On January 21, 2020, you submitted a request for a determination in regards to the bedroom count at 74 Camelback Road, Marston Mills. The disposal works construction permit on file, issued in 1986 by the Health Department was for only three bedrooms. However you stated in your affidavit dated January 18, 2020, that since 1987, this property contained four bedrooms. You submitted a floor plan showing three bedrooms on the first level and one bedroom within the walk-out basement. In addition, this property has been assessed by the Town of Barnstable Assessor's Department as a four bedroom property. A public meeting of the Board of Health was scheduled and held on February 25, 2020 to review and hear this request. After reviewing the records, hearing testimony and after some discussion, the Board voted unanimously in favor of granting you permission to construct a replacement onsite sewage disposal system designed for four (4) bedrooms at 74 Camelback Road, Marston Mills with the following condition: The existing 1,000 gallon septic tank shall be replaced with a new 1,500 gallon capacity septic tank. Sincere, , ohn Norman Chairman TOWN OF BARNSTABLE BOARD OF HEALTH Q:WP/BBedroom Count Determination Wong 74CamelbackRoadMarstonsMIlls.docx January 21, 2020 To:Town of Barnstable Public Health Division From: Steven Wong Property Address: 74 Camelback Road, Marstons Mills MA 02648 RE: Request Permit to Replace Septic System I am writing to you today to request B & B Excavation to receive permit to replace our septic system at the address listed above. The house has had four bedrooms when built in 1986/1987. Also,the house has been assessed as four bedrooms since then. In accordance to section C for options for resolving your bedroom count issue, please see the attached documents. We hope to have the septic system replaced as soon as possible as the system failed and we are concerned that the sewer water will back up into the house. Please contact me if you should have any questions concerning this matter. Thank you for your time and attention. Since ely, Steven Wong Cell#: 508-397-7157 Email: wongsteve6@aol.com Attachments r ' Y • � ' 1/18/2020 To: Public Health Division,Town of Barnstable Location: 74 Camelback Road, Marstons Mills The property listed at the above location was purchased on 10/15/1986 and was built with four bedrooms in 1987. The dwelling has been assessed as four bedrooms since then. Sincerely, ,``,�pn rr w rr prrrr�e I' MAMA ti Sterling and Anita Wong `cO"'Mls••. C'�� 020 (P 0.-.y y ' <TTS Sterling ong Date °°°%;S� rcaarraueu+� Anita Wong Date i J .r]o .I= Til t k y I 2d Mal3 q 14 die •i Jt G PraQ . L GAP, 36' ..... No. 'L('1 o'' 7 Fee I too THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 9ppfication for ]Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(\4 Upgrade( ) Abandon( ) omplete System ❑Individual Components Location Address or Lot No. _14A [,ate,elbc.G1c [load Owner's Name,Address,and Tel.No. 5kzV4, Wong (nov00nG t}S Assessors Map/Parcel (P — a Installer's Name,Address,and Tel.No. $Q SAc,o,go.ho n Designer's Name,Address,and Tel.No. tlev'r 3 Sons Inc 3 +q Rovk-e., ISO Sandw�Qti, Mo, ozs&D3 Po Got 0181 � Osk SaeNdw.c,1,I Ma, 0119 Type of Building: Dwelling No.of Bedrooms /Tj' Lot Size 'L�, (O o6 sq.ftt/ Garbage Grinder(too) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) y 40 gpd Design flow provided 4q I gpd Plan Date a 1 1 S 1 I q Number of sheets Z. Revision Date Title Size of Septic Tank 1 S 00 MI-1 onType of S.A.S.(3) 5'00 Qal�on GV-omberS Description of Soil &M P(pn g Nature of Repairs or Alterations(Answer when applicable) Rept� mc-g- ;:c.A2d SAS ul ntw 6-6ox ct_n A. SAS. -f AA :ISU0 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date Application Approved by Date 31 �p Application Disapproved by Date for the following reasons Permit No. Date Issued 2 2®Z 1_4 No. aZ 0'—��- Fee 0G ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I\ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes •� 2pplitation for -Misposaf 6pstettt Construction Permit Application for a Permit to Construct( ) Repair(0 Upgrade( ) Abandon( ) 9910IMplete System El Individual Components Location i Address or Lot No.'}A Lu e l h G c k Roc,A Owner's Name,Address,and Tel.No. Sj eve (,Jo n� ��r5lonc. ,l S ,. Assessor's Map/Parcel ( _ Installer's Name,Address,and Tel.No. r ,�, c•� .�n Designer's Name,Address,and Tel.No. ! e e r 3 �c n S n c "3� y f�00� . 1,)0 S�r,�\, , M C\ Q25 C,3 C CSoK c18i 4 ems\ SGr,J...0, NIA 02 511 Type of Building: 1 • s t y ��uv(° Dwelling No.of Bedrooms i t skq'e. . le n sq.fl 1. Garbage Grinder(N,) Other Type of Building ! kNo�of Persons Showers( ) Cafeteria( ) ' Other Fixtures Design Flow(min.required) y 0 gpd: -be signfl!ow provided q9 gpd Plan Date Z )(S In Number of sheets 7 Revision Date [� 4 l Title " ' Size of Septic Tank t3 U c e;,\1 o n Y` Type of S.A�S. (, �. e J 1 V Description of Soil � :1'' 1 x r1 ^' Nature of Repairs or Alterations(Answer when applicable) ���I�, � ,t SA & Ct' � Date last inspected: Agreements The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in L^ accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this;Bgard of Health. y > Signed~ ,;,;V 1 i, / ,, Date - a tt - 6 { Application Approved,by > Date tom`n 7 Application Disal5proved by Date for the following reasons r Permit No._(�0 - Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�) Upgraded( ) Abandoned( )by at '}11 C G A 11n r,r k (1�o�\ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. () 0 Udat�ed / o Installer , c,dn ,,, r\C. Designer #bedrooms Approved design flow r and The issuance of this per it shall not be construed as a guarantee that the system wil -c 11 designed. Date ' 17 a Inspector V r V • C - �---- -- --------- ---- ----------`---- —4 - - -- - - ---:-- ----- _ ------- -------------------- No. 5� [. � � � Fee i THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE, MASSACHUSETTS Disposal :6pstrm Construction permit Permission is hereby granted to Construct( ) Repair(✓) Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/herdutY to comply with Title 5 and the following local provisions or special conditions., Provided:Construction must be completed within three years of the date of this permit. _ Date 3hIzoz Approved by �r f' Town of Barnstable Regulatory Services Richard V. Scali, Interim Director ,n[tr ANX Public Health Division i639• p Ma+ Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 3 LA• 10 Sewage Permit# Assessor's Map\Parcel 6jq /a.S Designer: V n t:,.-, Installer: Address: TO t Address: On was issued a permit to install a (date) (installer) septic system at based on a design drawn by (address) i S t; -,!,/ dated (designer) i. ('4 j I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed.in compliance with the terms of the IAA approval letters(if applicable) (Installer's Signature) EYER No. 11n, � (Designer's Signature) (Affix Nere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DI ON. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc f 03-04-20;10:03AM;From: To:5087906304 ;7744137476 # 1/ 1 From. 0:3/04/2020 11:07 011ou t-APW 51 vv Town of Barnstable Regulatory Services Richard V.Seali,Interim Director ` 1Z F Public Health Division no' Thomas McKean,Director zoo Main Street,Hyannis,MA 02601 Office: 508-862A644 Fax: 508-790-6304 Installer&Desilmer Certification Form Date: 3 K IID Sewage Permit# Assessor's Map\Psrccl Deer: v Yt v Instsller: Address: L t! Address: on was issued a permit to install a (date) l J (installer) septic system at �1 (' Pr,M��gkajl� ��based on a design drawn by (address)'-7)f rfj M 1 S t dated �(designer (', a J t >f i J"Y 114 L - 1 certify that the s r:- c system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters(if applicable) tNSON. (Installer's Si )n vk,�-�Y - (Designer's Signature) (Affix ere)PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH D CERTIFICATE OF COMPLIANCE WILL NQT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARIE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:lsepdcu)=igner Celtificadon Farm Rcv 8-14-13.4oc TOWN OF BARNSTABLE LOCATION _'�� OQM I h, - R SEWAGE# ZOZQ-p59 VILLAGEn1_ m:115 ASSESSOR'S MAP&PARCEL of Ly. 103 INSTALLER'S NAME&PHONE No. OGA SEPTIC TANK CAPACITY $ 00 � 90. LEACHING FACILITY:(type) SOp Sa 1 3) (size) 13 x 33 X Z NO.OF BEDROOMS y I OWNER Sicvc IL a�C PERMIT DATE:I•Z- 7-n COMPLIANCE DATE: 3 0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY B1 - L43' dZ- 32 45 8 " y 3 'L �• REAR i 4, '15's" 3 A o 3 0 Q i February 3, 2020 To: Board of Health I would like to meet with the Board.on February 25th to discuss/resolve the bedroom count discrepancy at my residence at 74 Camelback Road, Marstons Mills. The septic system has failed and need permit to repair. We are not looking to expand in the house just to repair. My parents purchased the home in October, 1986 as a four bedroom per the attached affidavit and we are just learning the developer had recorded it as a three bedroom.The developer,Theo Construction, had gone out of business shortly after the sale/construction. The Assessors Division has been taxing us as a four bedroom since. The home was intended to be my parent's future retirement and family vacation home and had specified four bedroom for that purpose. Their plans had changed and they have retired off Cape and now my family and I are the primary residents since 2008. We are hoping to receive approval of a four bedroom septic system as soon as possible so we may proceed with the repair. Sincerely, Steven Wong Cell Phone#: 508-397-7157 Email:wongsteve6@aol.com i 1 1/18/2020 To: Public Health Division,Town of Barnstable Location: 74 Camelback Road, Marstons Mills The property listed at the above location was purchased on 10/15/1986 and was built with four bedrooms in 1987. The dwelling has been assessed as four bedrooms since then. Sincerely, aaa111117'taa el4i,aloe Sterling and Anita Wong •Q. pPkl( ;�C•• �.. 262C) Sterling ong Date F ase�eacai`a a• �FM�c4e4l i Anita Wong Date r -V to , f. II Itii�%y ,: a.. R t ' I O un NI , ;F Sot e L OfCe51 f'i00r)p " ` �n�✓ THE °bs map and lot number ....................... �....�:. .. �� _ ��� TO1► • aL SEPTIC SYSTEM MUZi e ty ()4?of Health Ord floor): INSTALLED IN C©MPLi age Permit number A.... 9T11DL ....................... . ...... lop jineering Department (3rd floor): ,r�C� w 0 L o�� WITH TITLE 5 + 039 ,ouse number ........................ .........1.............................. P� iPDINiHIENTAL CODE Apr°�e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only �' �a���TR� TOWN OF BARNSTABLE BUILDING INSPECTOR 4 .APPLICATION FOR PERMIT TO .......LL......nn...... . . ...�!..1q.. .�...0......................................................................: TYPE OF CONSTRUCTION ......... — �.....19.. � TO THE INSPECTOR OF BUILDINGS: •►T The undersigned hereby applies fora permit according to the following information: .r p pt Location ..... ....... .... .. ........ ...1�frTuS'�....1�..��./T. ...... � ProposedUse ...........L/. -L414:G1': ............................................................................ ......................................... (0 Zoning District f.. F...................................Fire District ................... v........................ ................................................. Name of Owner t .�. ��Y. f7'��� .��.��1.�r?..Address ............: .... .!L.. l..l d. .. . ............. Name of Builder ��r� .(,?... / rr'• > �.�../,�1_, ..Address ................ ......��.C.:. .X•r•�•.� :�r,/...TJ ......... Nameof Architect ...................................................................Address .................................................................................... Number of Rooms ...................... ..j ..............................Foundation s/V..c .142 Exterior ....... ..Roofing ..... 1• % .r..... ff (¢. ..... Floors > .. ..........:................Interior ...... ....�:f . .� y�,f� Heating t`�..T...(,L/ J ;.. ... ex./� .....Plumbing .........` . ...... ��T ........................ Fireplace ..........................G�!.,1. ......................................Approximate Cost ..............� L� �..G' : ....................... Definitive Plan Approved by Planning Board ___-___ ___�`_ _ _7__19�___. Area ...... .. ..<. �t�l 0 I Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 5. — r —FIT 3a �I ! r 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name li'.... . . � � 'l• �. Construction Supervisor's License 4-44 'ERT/FY THAT zn,15 LOT/S NOT LOCATED /N FE`-RAL FL DOD HAZAROZONE A/ON THE FEOE.RA1. FLOOR INSURANCE RATE MAP FOR THE TOWN OF q41 f5L e. COMmUN/TY PANE/, NO, EFFECTIVE DATE• �3gs RAYMONO, R. 4..5 DATE NOTE- NORTH ARROW NOT TO BE USED FOR SOkAR PURPOSES. >1 y a 122.nn o x O � � (O'O(O+ S1F Can z y , y Q y K iST• O O C Cn N 2�•7 i{ a C > y +- n (J) 4 G) O Fri C �ti� —Lr n ao co � THIS PLOT PLAN WAS MADE FROM AN 1.00X TION PLAIN AN INSTRUMENT -,5URVEY.4ND IS FOR THE USE OF THE BANK ONLY. UNDER NO .^ C/RCUMST.4NCES ARE OFFSETS TO USED FOR FENCES, WALLS, HEDGES, ETC, OMNEO B Y: W"� .4,ft?OW ENGINEERING INC. 60 EAST FAl.Afoclr E. H HIGHWAY RO BERT EAST Fn,4foIITH MA. O�Z536 o �L� RAYMOND NO.2158 GATE: SHEET one, 9F P�� i rP?' a14 /Sd-sr�°Nn �`AE ��� 0R,4WN,8y--llc#,rcffrpA6Y-1 AMR BY PLAN NO. o =- rq - ' coCertified Mail Fee $ Extra Services&Fees(check box,add fee as apprF'opriate) ❑Return Receipt(hardcopY) $rq ❑Return Receipt(electronic) $ ppark ❑Certified Mail Restricted Delivery $ j f r+ Cy O�' c { fe C� O ❑Adult Signature Required $ I.` Cry ❑Adult Signature Restricted Delivery$ ( J,� Q� �a -_ a. m At /T WONG, STERLING &>ANITA.& STEVEN� R tn 74 CAMELBACK�ROAD QS'1 o MARSTONS MILLS, MA 02648 Certified Mail service provides the following benefits: a A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate a Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the T ■A record of delivery(including the recipients retail associate. t signature)that Is retained by the Postal Service. Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. W Important Reminders: Adult signature service,which requires the a You may purchase Certified Mail service with signee to be at least 21 years of age(not `'� First-Class Maii®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which' ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. N and provides delivery to the addressee specified, a Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent: with Certified Mail service.However,the purchase (not available at retail). G of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically Included with accepted as legal proof of mailing,it should bear.a certain Priority Mail items. USPS postmark If you would liken postmark on a For an additional fee,and with a proper this Certified Mail receipt,please present your .n endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for the following services: postmarking.If you don't need a postmark on this Return receipt service,which provides a record Certified Mail receipt,detach the barcoded porUon of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply F You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. , electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return � Receipg attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. ■ ps Form 3800,April 2ol5(Reverse)PSN 753o-m-ooPeo47 r No.�.......••....1 5 FRs........................... THE COMMONWEALTH OF MASSACHUSETTS CF^^� � ��c BOAR® OF HEAL H , 1o3 AlijiftuFa#ion for MipoiiFal Works Tonotrurtion ramit I Application is hereby made for a Permit to Construct + or Repair ( ) an Individual Sewage Disposal Sys at: Location-Address or Lo o. .._L_..— ---------------------------a � � Gt ::r44---------------- Owner dress ........ ..................... Z ...................� yresInstaller f s y U Type of Building Size Lot.,?>4. _17....Sq. feet �4 Dwelling—No. of Bedrooms........._3��..�..�.�..................... P ( )Showers g Cafeteria ( ) a Other—Type of Building :�tl� No. of persons-------------- •• (,� ( ) Expansion Attic Garbage Grinder Other fixtures W Design Flow...................": . -___..gallons per person per(day. Total i,Y fled'-------3-` - ......................gallqfis• Pl W Septic Tank—Liquid uid ca acit allons Len th._ _. Width.. ,�.0_. Diameter-_ --___----_-- Depth _ P q P Y��g g -�--- -- - - P �-- Disposal Trench—No..................... Width....... --•.-- Total Length.............._ Total.leaching area....................sq. ft. Seepage Pit No------------t------- Diameter...........W----_- Depth below inlet......-...._.... Total leaching area..// -7---sq. ft. Z Other Distribution box ( / ) Dosing-tank ( ) '-' Percolation Test Results Performed by._ yfC.,/ �,.a ,t�fl ./_ --------- Date........ 'A.__.=_ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--- _ ----------------- fz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wateWa.&."' 7-6.:--R ae,,� --------.. -- ----- --- ---••••••...... 0 Description of Soil--------•••-.It/- 1�. ���✓---- ,1 .......... !" ............ -1:^....................... ------------------------------------------- -------------------- -............ •------------------ •-------------------------------------------------------- --------------------------- ••-------.------ 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 TITL U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'ssued by the board-of hea `Z `w. gned-•-- --- � ... Application Approved BY--- .......... •• -25 Date Application Disapproved for the following reasons:............................................................................................................. ---------------------------------------------------------------------•----•------.....-----•----------....._.....------.....------•------------------------------------------------------------•----••-•- Date PermitNo......................................................... Issued....................................................... Date No.� 2.----.. � Fps. - .� � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................?.. .!i'?r'1 OF..... `�..t` • �` 4 r"► ' t. v -------------------------•-----------............................. ._-. ...------ 1 Applirution for Disposal Yorks Tonstrurtion 1hrmit ! Application is hereby made for a Permit to Construct 4 ) or Repair ( ) an Individual Sewage Disposal System at: ' ......'� - % ..._...:,:,? �:....R.i :::`.(_I:' fl. •;::1, t,7 liJl'=� :f 1?..__/,.............. :1� ."! ., tt�le.'S ,,''A'�J` .-...,..• ' • - '� Location-Address 's - -• ---•---------_^•-N-^--•-----•................... ........• or.Lotp o _ ...........r........ ............................`.--1... f•. .. ...............+.`? .. ?f f .......... .... y Owner, �/' 1 -i -Address r •--- Installer Address Type of Building Size Lot.____�,l..! __:'..Sq. feet f Dwelling—No. of Bedrooms..........�___________________________Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building fit.t _ �r01W p ( ( ) Other—Type g _�"_,�__�__�4�,,.._., No. of ersons____________________________ Showers — Cafeteria d Other fixtures • .........................(--•--•---••-------__._-.--- w Design Flow................... ............gallons per person per`day. Total daily flow............. ._ .......................gallons. 1:4W Septic Tank—Liquid capacity.�At gallons Length__ `_mil_____ Width_/4__/ __ Diameter________________ Depth_............... x Disposal Trench—No..................... Width........:........... Total Length................ Total leaching area_........._.__.-----sq. ft. Seepage Pit No...................... Diameter.......... rr______ Depth below inlet______:_._....... Total leaching area.,_____,�__.,..sq. ft. Z Other Distribution box (f ) Dosing tank '-' Percolation Test Results Performed by-:��:_)'14.- *.'.. '. r., �✓_ �`'� 1 .. " Date - Test Pit No. I________________minutes per inch Depth of Test Pit____________________ Depth to ground water..:_____:________._..... /Y G ,I:� tf 7-t 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_..____.._:____.___._-_. P, a+ ................................. — ---•--- •---•---• -- D Description of Soil............. ---` J _I,'& 22'-- f��/,�-.......................... M --- UNature of Repairs or Alterations—Answer when applicable................................................................................................ -------------------------------------------------•-•------•--•-------•-••-----------•---•---.......-•---•-------------------------------•--------------------------------------------- ................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been,issued by the board,of health. Signed__ =..........c /,, � a _.� n;''tc'i_._ - ------_. ..c....:...._ I � Date Application Approved By = -"-_�:r ��1� ,r _ l ate Application Disapproved for the following reasons-----------------------•.--------•----------------------•----------------------------------------------.......-- ......•---------•••••-------------•-•-•-...---------••-------...-••-------...-•--._......__._...••-----•-----------•-......•--•---•-•••------•-•-••----•--•----•---•-•---•-----•-••••-••-••--••...--•--- Date PermitNo................................................... - Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS r� BOARD OF HEALTH, r .............. .... ..... .. Tntif iratle of Toutplianrr / THIS IS TO CERTIFY, That the Individual Sewa e Disposal System c n ructe (i) or Repaired ( ) by.... '��....................................=� —; '�=-....... `/ r°f e l�1�,- Installer at...................................... .. ..................... i�i1 t has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit `!' ____.. -� .. datecL:�-=-_� .:-.-a6 _ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GBJARANTEE THAT THE SYSTEM WILL rUN9TION SATISFACTORY. DATE..---. 1(� _��.� .. Inspector........--/M-•.............•-••--•-------------.....-----.....--•--....._.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _. ' �/�� FEE........................ Disposal Works Tonstrurtion rrutit Permission is hereby granted_.._.____._. ! .'.....F._.___ l �`_-11 7r �t ............................................................. T to Construct (. ') or Repair ( ) an Individual Sewage Disposal System ! at = 7,; �`l �`e' , , 1,��, �^' �� . :z ..•---� ....__.. � . ._ _.,- . tq'•- Street------•. ............. . --_ ._......... .......... as shown on the application for Disposal Works Construction Permit NoSk..........5 Dated.......................................... Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON �. iE h':::'&0MPLETE MIS SECT16NDELIVERY Vtr C ■ Complete,items 14"2; 3 A. sign re ■ Print your name ald s on the reverse X �— ❑Agent so that we can=rurn t rd to you. .: ❑Addressee ` - B. ceived by(Pr• to Narn C. Date of Delivery 11 Attach this card-to the back of the mailpiece, �I �f0� G I{ or on the front if space permits. "v --•address different from item 1. ❑Yes {, a er delivery address below: ❑No WQ , STERLING 8r ANITA 8t EVEN 74 CAMELBACK ROA :t ARSTONS MILLS, MA 02E8 �r �` s—aerviceTiypE ❑Priority Mail Express® II I IIIIII Ieil Iii i IIIIIII illllli II I I II IIIIII III ❑Adult Signature ❑Registered Mail dull Signature Restricted Delivery ❑Registered Mail Restricted Certified Mail® slivery 9590 9402 5357 9189 1974 79 Certified Mail Restricted Delivery :turn Receipt fo► ❑Collect on Delivery lignature erchandise 2._Article.Number CTrancfer fmm_se-cvir_a_��he0 -❑Cottecton Delivery Restricted Delivery ConfirmationTM �a l ❑Signature Confirmation 7 015. 17 3 0 0 0 01 _4 9 8 8, 13 4 0. ;mail Restricted Delivery Restricted Delivery o) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I USPS TRACKING# I ^w First-Class Mail I Postage&Fees Paid USPS Permit No.G-10 "kiti9590 9402 '`�],89 1974 79 I I M United States •c ^dnr-Rluaaa_ndnt vni,r_name_address.and_ZIP±4®in this box! _ Postal Service 4 Town of Barnstable '• N I Health Division 200 Main Street Hyannis,MA 02601 I I " I I i .)CATION CAMELOT TM -49 �_ .o_n.�.oX_.Y9-t}`Pil?.� �,J� _ NO. -7 a ILLAGE Mrstons Mills DATE 1985 - - "PLICANT Theo Construction _ FEE 535 �00 (Non-refundable) `DRESS 25 Creat Ponrl i�r_ So_ Yarmouth, Ma TELEPHONE NO. 39A-scilo 11GINEER ARROW E CTNFRRTNG INC TELEPH ►TE SCHEDULED 3 3 _ _ � k1 A ' ture) • • • • • O • • • O O • o • O O O o u O • O O • • • o • O • O O p • • • • • • p • • • Y • • • • • • • • O • • • • • • • • • . . . . . • O O • Y • • • • • • SOIL LOG 'JB-DIVISION NAME CAMELOT DATE '-1 —�s TIME i aLl� :PANSION AREA: YES X NO ENGINEER )WN WATER X PRIVATE WELL BOARD OF HEALTH EXCAVATOR :ETCH: (Street name, etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES : 7333 40 'A� 2V W7 _ o 6,6 .904 A Z Q wwx C,gMro '?RCOLATION RATE: I D, U.n(t,� zap�rl ',ST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: 2 --- ��� 2�-- 3 3 — 4 ---- 3 4 --_ 5 ---- - I 5 - - -- In 5 6 �r�:FI�S,Z- 7 7 - -- >�7i'a2)� - - - 8 8 _- 9 : --- c 9 - 10 CCL- � 10 ,c� -- 12 -- - 12 -- - ---- 13 13 - -- 14 14 _ 15 15 ---- 16 _ 16 1ITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS_°( LEACHING TRENCHES )SUITABLE FOR SUB-SURFACE SEWAGE. REASONS: )TE: ENGINEERING PLAIDS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ''.IGINAL: C01,1PLETF.D IN F14TTRFTY BY P . E AND RETURNED TO BOARD OF HEALTH ,PY: RE•'TAINF:D BY APPLICANT f �trti Town of Barnstable Inspectional Services Department snxrr�rrnet.�. Public Health Division � i6 3 9. �� 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 1340 December 2, 2019 WONG, STERLING & ANTITA & STEVEN 74 CAMELBACK ROAD MARSTONS MILLS, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 74 Camelback Road, Marstons Mills,MA was inspected on 11/16/2019 by Thomas Roux, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to re or repair lace the septic system within one (1) year from the date p p you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH cKean, R.S., HO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\74 Camelback Road Marstons Mills.doc it f E Town of Barnstable ■ARN51'ABLE, b 9 ,�� Inspectional Services Department plfD MP'�A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-8624644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS O 1 YEAR DEADLINE CRITERIA tatic liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER ri Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc I c� Commonwealth of Massachusetts r= Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 74 Camelback Rd. t . t Property Address � Steven Wong < Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16, 2019 ' page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. Inspector Information v/ filling out forms 1�f pa Lo� on the computer, use only the tab Thomas Roux key to move your Name of Inspector cursor-do not use the return Company Name key. 89 Mayflower Lane Co � Company Address East Wareham Ma. 02538 City/Town State Zip Code 774-678-9066 S14531 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CM 15.000);I have personally inspected the sewage disposal system at theproperty address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails UJ_ 672�',� 11/6 <r X ou) 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 form should be sent to the system owner and copies sent to F the buyer, if applicable, and the approving authority. Please note: 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 P Pe 9 P 1' 9 i Commonwealth of Massachusetts �n Title 5 Official Inspection Form 1' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16, 2019 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 2) 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): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts !� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owners Name information is required for every Marstons Mills Ma. 02648 November 16 2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 ON ❑ 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 ON ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16 2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. c. Other: 4) 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 I Commonwealth of Massachusetts �9 Title 5 Official Inspection Form e Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16 2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ® ❑ 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 'h day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply 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 2000 gpd- 10,000 gpd. ® ❑ 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. 5) 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 CA. 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 If of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16 2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: 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? ® ❑ Wasthe 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16, 2019 page. Cdyrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): No design Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): +330 gpd Description: Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date t5insp.doc•rev.7r2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments v 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is Marstons Mills Ma. 02648 November 16 2019 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 I Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �n 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16 2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known)and source of information: 33 years, House was built in 1986. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 2.33'feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: +10' feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 c Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . � 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16 2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: 1.33' feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 8'L x 5.67'W x 5.67'H Sludge depth: `1 Distance from top of sludge to bottom of outlet tee or baffle 24 Scum thickness <1" Distance from top of scum to top of outlet tee or baffle 12" Distance from bottom of scum to bottom of outlet tee or baffle 12" 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.): Outlet concrete baffle is in good condition. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments emu= 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is 16 b 02648 N M Marstons Mills a. November , required for every 2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16 2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 10" 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 D-Box was filled to the top with waste. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16, 2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. 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. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Since the D-Box is full the SAS is in hydraulic failure. Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16 2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The SAS is backing up into the D-Box. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16, 2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 1 i Commonwealth of Massachusetts kTitle 5 Official Inspection Form w) Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16 2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. 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 r t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 24/2019 ShowAsbuilt(1700x2800) tlsE 4t-14 if—6y —103 IOCATIO SEWAGE PERMIT NO. VILLAGE � AJAI/dL- >f 42 oIiNSTALLER'S NAME i .ADDRESS o JA67g o -7 o/-/#91 P I S , QRU1LDER OR .OWNER GATE PERMIT ISSUED GATE COMPLIANCE ISSUED In o — e �7 E�'pAi✓ pi3se 0 30 3� n�✓K 't jlcu3 �0 3,9 V l https://itsgIdb.town.barnstable.ma.us:8431/Home/ShowAsbuiIt?mp=064103&sq=1 1/1 Commonwealth of Massachusetts �m Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is required for every Marstons Mills Ma. 02648 November 16, 2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth,to high ground water: +10. 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: A soil evaluation would have to be done by a licensed soil evaluator to obtain the groundwater elevation. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts rw Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 74 Camelback Rd. Property Address Steven Wong Owner Owner's Name information is Marstons Mills Ma. 02648 November 16, 2019 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 L . + 90 LEGEND MARSTONS MILLS PROPOSED CONTOUR ® PROPOSED SPOT GRADE RACE LANE r'�. EXISTING CONTOUR lb + 96.52 EXISTING SPOT GRADE LOCUS: vent W— EXISTING WATER SERVICE 74 CAMEL— TEST PIT _ — BACK RD. ►�� O o 'po, \ CAME o DO \ O ' TP—1 N . LOCUS MAP � LOCUS INFORMATION TP-2 `�' PLAN REF: LCP 37712-B i -— TITLE REF: LCC 186126 PARCEL ID: MAP 064 PAR. 103 g 7 FLOOD ZONE: NOT IN FLOOD ZONE / 'PROP. 1,50OG SEPTIC TANK ° a� SEPTIC SYSTEM / (SEE NOTE "�--- � <<? REPAIR PLAN no .,�, � LOCATED AT: ,� ,o 74 CAMELBACK ROAD ELEACHINGOPIT EXIST. 1000G �'+��/ O�` a°'v� \ �� �l MARSTONS MILLS, MA l� i i (S�E NOTE 10) 96 SEPTIC TANK o9 \ �/ '� PREPARED FOR / � c� \ STEVE & NANCY WONG/ 9 . 97 / /� ' 9 5 DECEMBER 15, 2019 REV: FEBRUARY 28, 2020• Vy \ \ - ` 94O sl BENCH MARK \` � S O T 32 � �NITAR�a \ , -- AREA = 24,606 sf+� � -. TOP OF DROP FOUND I � EL. 94.50 ASSUMED DATUM �` ` __ - 93 MEYER & SONS, INC. P.O. BOX 981 GRAPHIC SCALE '� \ EAST SANDWICH, MA. 02537 0 10 20 40 \ PH: (508)360-3311 /C c SURVEY REFERENCE: FAX: (774)413-9468 g4 ' CERTIFIED PLOT PLAN BY: meyerandsonstitle5®gm ail.com 1"=20' ROBERT RAYMOND, PLS 93 DATED: 08/04/84 SHEET 1 OF 2 J 2076 TOP OF FND NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: TO PREVENT BREAKOUT, PROPO D FINISH GENERAL NOTES: EL.=99.50f SEPTIC TANK GRADE SHALL NOT BE L:98.30 FO A DISTANCE INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX r 15' AROUND THE PERT ETER OF THE A.S. 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL TOP OF DROP FIND OUTLET AND SET TO 6 OF FINISH GRADE BOARD OF HEALTH AND THE DESIGN ENGINEER. EL.=94.50t INSTALL RISER & COVER INSTALL A RISER OVER ONE CHAMBER MIIN v INSTALL LOCKING COVERS IF AT FINISH GRADE SET TO 6" OF GRADE ( ) � 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS AND SET TO 3" OF F.G. OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPUCABLE F.G. EL.=94.2t F.G. EL.=94.0t LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: F.G. EL: 95.6f D f F.G. EL: 95.80(MAX.) VENT - 310 CMR 15.405 (1) (B): 1) A 2.50 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING 9" MIN COVER/ TO BE 5.50 FT (MAX) BELOW GRADE VS REWD 3 FT. (H20/VENT PROVIDED) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 36" MAX COVER L 40' L 25'(MAX) i TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE o S=1X (MIN.) EL=91.'5 0 S=1X (MIN.) 0 S=1X (MIN.) DESIGN ENGINEER. 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2- STONE OR FILTER FABRIC 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING DOUBLE WASHED STONE FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN INV.=90.40 10" LEVEL 14 e / ENGINEER BEFORE CONSTRUCTION CONTINUES. •" 48"UfW/D INV.=90.15 ®®®®• O ®®®® 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. ®®®®®®®®®®® 8. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF GAS BAFFLE W ®®®®®®®®®®® THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF INV.=89.55 EMEM®®®®®®®®® HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. NV.=89.75 7. DWELLING IS SERVICED BY TOWN WATER. PROPOSED 1.500 GALLON SEPTIC TANK (1120) 3.2 ' 3 X 8.5' 3.25' S.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. FY THE ExIST. SEWER OUTLET EFFECTIVE LENGTH = 32.0' 9 LOCATIT ION OF ALL UN BE THE DEERRGROU D UTILITIES. PRINSIBILITY OF THE OR PTO STARTIOR TO NG WORK. INV. ELEV.= $9.30 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5.NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING BREAKOU 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PIPE INVERTS PRIOR TO CONSTRUCTION EL. 0.40 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 2) TANK AND D-BOX SHALL BE SET LEVEL AND TRUE TOP CONC. ELEV.= 90.30 '"'' 13. NO KNOWN ABUTTING PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING TO GRADE ON A MECHANICALLY COMPACTED SIX INV. ELEV.= 89.30 aei aaa 14. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. ) INCH CRUSHED STONE BASE, AS SPECIFIED IN ae9aaaaa aBaaaaa 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW 310 CMR 15.221(2) BOTTOM EL.= 87.30 aaaaaaa FOR THE USE OF A GARBAGE GRINDER. 3) INSTALL INLET & OUTLET TEES W/ 4' 5 FT. 4' 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING SEPARATION 4.10 FT. GAS BAFFLE AS REQUIRED 4'suitable soils ' 17. INSTALLATION OF 1,500 GAL SEPTIC TANK REQUIRED BY THE ( provided) EFFECTIVE WIDTH = 13 (38.4' to groundwater) SOIL ABSORPTION SYSTEM (SECTION) BARNSTABLE BOARD OF HEALTH. BOTTOM OF TESTHOLE EL: 83.20 SEPTIC SYSTEM PROFILE PER BARNS GIS GW ® EL. 39.0_ (500 GALLON LEACH CHAMBER) SOIL LOGS P#: TPT-19-217 N.T.S. DATE: DECEMBER 3, 2019 SOIL EVALUATOR: DARREN MEYER, CSE 1614 Mgss9�yG WITNESS: DAVID STANTON, BARNSTABLE HEALTH o AR EN M. Elev. TP-1 Depth Elev. TP-2 Depth M R 95.60 A 0" 95.20 0" 11 LOAMY SAND LOAMY SAND DESIGN CRITERIA 94.93 B '� 4/' 8" 94.62 B ,oYR 4/1 7" NUMBER OF BEDROOMS: 4 BEDROOM DESIGN NITAR�a� LOAMY sr LOAMY SAND 10YR 5//88 10YR 5/88 SOIL TEXTURAL CLASS: CLASS .1 (0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN 9t.93 C 44" 91.78 C 41" DAILY FLOW: 110 G.P.D. X 4 BR DESIGN FLOW: 440 G.P.D. PERC TEST MEDIUM MEDIUM GARBAGE GRINDER: NO (not designed for garbage grinder) oEL sons 2 sir 7/4 2.5YY 7/4 SEPTIC TANK: 440 gpd x 200% = 880 gpd USE NEW 1,50OG SEPTIC TANK 84.60 132" 83.20 144" LEACHING AREA REQUIRED: (440)/0.74 = 594.59 S.F. PERC RATE <2 MIN/IN. (-Cl- HORIZON) NO GROUNDWATER OBSERVED USE THREE (3) 500 GALLON PRECAST LEACH CHAMBERS PROPOSED SITE AND SEPTIC UPGRADE PLAN W/ 3.25' STONE ON ENDS AND 4' ON SIDES: 32' L x 13' W x 2' D I ' 74 CAMELBACK ROAD, MARSTONS MILLS, MA BOTTOM AREA: 32 x 13 = 416 SF Prepared for: Wong/Re d Rooter Exc. SIDE AREA: (32 + 13) X 2 X 2 = 180 SF System Design and Topography Plan by: SCALE DRAWN DATE MEYER&SONS,INC. N.T.S. DMM 12/15/19 TOTAL SQUARE FEET PROVIDED = 596 vs. 594.59 REQ'D • 1. Darren M. Meyer. R.S.. CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 Po sox 98f to conduct soil evaluations and that the above analysis;hoe been performed by me consistent with the EAST SANDWICH,MA02537 REV DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74(596 S.F.) = 441 G.P.D. vs. 440 G.P.D. req'd requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October. 1999. 50"2-2922 02/28/20 DMM 2 Of 2 I , lam17-Ch A4--1- Ll!f-5 ,4 .4 I/Y�A 7 1 ' 'f � C/1l'1 C,F f8 I FT OOO � � � E 6 u/Y� S C?T1�EFs ANISE 5P C'1FI P O� 3 44,1- 1�IR `5 TO,4AP !IV T h�� �Y��E,�t Sti d� �, O O Lip' O eE C.45 r IRON OR C, EPVP � E 4Cj /IVC. /C(DO00300 4 A LtT S G'/ Tr+?IBU T; N AXES ' f� � O � O O Q � ,4f1r'G�' 4E,4 0 G'fr'I/'ilt"s fPI;�,S Sh".41,�, 5� vE'S1C�N�'!=� =-` - i Cr P4 r.. �Yh'EE 1 O O O O CD REROV A4,,4, /Y5&1 rA 31.6 Af,4rC IA.I,.. , _- mm(10 0 O f� � � �',�T/OAS C.l. SA.�t,`;4F�Y' 7EE tri O . ( c-)r TPE Phcict1,50RS FOR A PI-5 T,4IVCC OF 16 ANv 0AI,'FI1- C YV1Tti BARE 3:4,N ANP GrFXVCk ,1-44✓IN6 A RE CO^.CATION T YP1C,4L P1STR13Z1T101A,r' BOX � { R,4rE QF Z MIMYT�s PER �1VC1,' 0✓f /,Ess. _. . 4. T; E� � > BO R OF HEA4.T,� uo w�.T�Z �..�c.ou�-�-�� NCT 7-0S'C'A,C,E _�._._ .- .:._..�_�...�'_:.:-�' _�.� � . T-YPiC,4�, ,C,E/�Cf-1/111G P/T 31" IV07-,E: PISTR13UTION Z30X ANP AM vAl-, NOT TO SC 4LE BE MOTIF1EP W,41EN THE SYSTEM 15 NE,dR QBSE9V,,4T10AV PIT 5 RE1NFOfi CEP SEPTIC TANK BY COif /: kETION 4N,9 f'R14/F TO 9,4CA'X-1Z41NG. P�RCOkATION RATE %, �� ,4fllE. 'IC,41V P1 ECAST oR E uA� 7� 'P/G', aC I OCov� c a4�.., SEPTIC/C TANK U,Yk.E'SS 0T,YE15'YY1,5E /1(07-EP,AL.d, SYSTCM IVQT To 5 ,41 ,L COMRONENT5 5H,4�-., BE 1IVST.4k-4,EP IN OB SZ-1f 11,4 7'1011/S 8 Y NOTE T,41VA'.5' REI NFOR'+' 6-P '-NIT',%UGH0 U T" 40C01fP4/VCz= YY`!TI T I,rk E• .Y OF THE STATE C �► 1- ?;� 60,41f P O C- SE A l TH , . ,;� W17-H E ECTRIC; bYE. 1 f 1�1'/ft W1R-1 24 - YZ �5alN'iT4RY COG E AIYP A1VY I,,OC,4k /FZ/kES E/1/G//1I E R ARROW �YGINEE�4'1/1jG I ti'�' ,,CWZ3 G'©EO STEEL, h'DVS 'Iv TO/' BOTTCltif. ✓ '�I1C`� ' 4Y A1'Pk ` ATE - E"s � CONCfi'ETC IS -st,000 17.5:1' _ NOTE- ACC,E55 NIAN1-I0,1-25-5 To ,5ECTIG TANK A ND 1-,EAC/-I/AtG P1 T.5 TO E3,E �3U1 T UP TO ���E��° soto �z ,� F/N15H' ---f�-fN�Shr GKAG'C' L D-T L F/NI,;SH 6WAPE' OVER T,41VK t -f INI H GJS'.4vE F/N✓5H GeADE OVEN E4Ekr� 42 EVEN= `, L7YE/i' „p" OX to `z4 faro{ ¢� � ,LEAGNING P✓T = . :.• ,tom ��,llc�����'Th` _-.____..___-.___-- ------------- ------- -- ._.__--. - �•. . 2"OF '18'- /1 PEA5TONE 4s t''` �I-/Y-Y `Y""+_ �a000;p- OSO i 1_E�►N+� .. . ' ff/E/N,�QvRAiEC:G. 1 BO ' <7opgIAIY-: 44-�Z v1,TX 1, IO ? v ;"a �aji C•2U5I��O 57 C/ E TO 9C 4 Zf�Z � (G 0 v 0 tD Icon .51;98/E; Ids ,tJ o o jD �opU ° '1 _ TM iox S EPTIc� 71 N $°8°� ICU o o a Ia� �o t307-'OIL OF f�l T _ i (TO B€ .1 EYE. S 4,64£0 INY= 4515 °° �---_-- �_ i �,i _ +� ELE _ cop-nc l__ t Dwet_L A a.d_ ( C TC BE 4FVEL 5 TA,634E) j am._ T YP/CAS... 5C1�/AGE 1 yJ`" 7-,E M J©VO)C-I L E ( 8" P ~�i ►4 0" NOT TO SCALF: - i f ; s 4r,4p $4fcr/ RAIFCC:�4 koT___,_. APR9, s L C?NI✓1IG 1STR✓C'T F. oop 1-14 ,4Wfi �?ON� �. �5 .t � lop t. �? ,516N CRITERIA �..EG�NI� F:.%j�_�,� �hyr PROP05EP ZOC4TION OFOW&ZIN r O TGI 'IOF BEDPOOM c . 64EXIA&CX. PE9,501VS PER 6EPROC. M _ PRO):>05ER CONTOUR AL,LDNS PER PERSON PER G`4 ?__ EXISTT 5POT EkELATION BwJ }� +W 11� L EACNING ✓ 4-QUIREP �% 2 �. ' ( #.._ ��". ROPOSEv SPOT E c ESA r✓G✓v �c� ti ,,,EACNI✓VG PR0V1OEP PERCOLATION TEST ® ,4f'PkIC'ANT' : FNGINEER = NO R'1.5POSA�, OBSERV54TION PIT ►� a c , �z T►c��f cam. 4RIi'OW ENPNEE,,`'ONv INC. k5,EINE9 ©EE�516N ;Z ,-st x C w' x "`7 �' 77 �'`'a�., ��� C�t� 5G',44 E: BATE SIr'EE T`: b 30T740 7 � 41 � � � _ gib` �' �,���✓� AS NOTE' 44TO TAI- G'RAWN 8Y CtIC'K�!-°BY: 4t�< d? B :': ". At!/ r" '. cJG� � E_. f 2��