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HomeMy WebLinkAbout0006 CHOPTEAGUE LANE - Health } i 6 Chopteague Lane A= 028-071 r Marstons Mills i i i i i i i 0 Commonwealth of Massachusetts v Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is Marstons Mills Ma 02648 5/7/2014 required for every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information - on the computer, use only the tab 1. Inspector: U key to move your cursor-do not Sean M. Jones use the return Name of Inspector key. S.M.Jones Title V Septic Inspection r� Company Name 74 Beldan Ln. Centerville Ma 02632 Cityrrown State Zip Code 774-248-4850 smjonestitle5@gmail.com SI4522 Telephone Number License Number ram, C? B. Certification f , I certify that I have personally inspected the sewage disposal system at this address arlcRhat the information reported below is true, accurate and complete as of the time of the Inspection yThe inspection was performed based on my training and experience in the proper function and maintenance of o'p site sewage disposal systems. I am a DEP approved system inspector pursuant to Sectiot 15.3`'of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes t ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 5/7/2014 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 is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system ggner,shall submit the report to the appropriate regional office of the DEP. The original should be senf 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. • (01 1 � I t5ins•3/13 TitTaspection Form:Subsurface Sewage Disposa 9 l System•Page 1 of 17 , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is Marstons Mills Ma 02648 5/7/2014 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 6 Chopteague Lane Marstons Mills is served by a Title V septic system consisting of a 1000 gallon septic tank, distribution box and a precast leaching pit. The system was found to be in proper working condition at the time of inspection. 13) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M ,•'cr 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M s 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 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 ❑ ❑ 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 Forth:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. Cityfrown 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): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 gpd provided 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 6 Chopteague Lane Property Address James Menard Owner Owners Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundryon a separate sewage system? Include laundry system inspection P 9 Y ( rY Y P ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: 2012= 30,000 total = 82 gpd 2013=25,000 total=68 gpd Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Title 5 Official Inspection forth:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 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: 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 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 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: original system installed 2/15/1990 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.5 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.): Joint were ok, no leaks, vented through the roof Septic Tank(locate on site plan): Depth below grade: 2 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: 1000 gallons Sludge depth: 6" t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal.System Form -Not for Voluntary Assessments 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. CitylTown 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 3" Scum thickness 3" 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 10" How were dimensions determined? opened covers, took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank should be cleaned soon and again every 2 years to prolong the useful lifespan of the system. Water level was even with outlet invert, tank was not leaking and was structurally sound. Outlet baffle was intact but was decaying. It is recommended that it be knocked off and a pvc tee be installed in its place. Risers should also be installed on the inlet and outlet covers of the tank to make access easier. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. City/Town 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): I 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-3113 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 6 Cho tea ue Lane P 9 Property Address P James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 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.): Distribution box was in good condition, no rot, water level was even with outlet invert. 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 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: innovative/alternatives stem Ely Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was video inspected and was found to have T of standing water with a stain line 18" higher. 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 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,•''- 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note-ondition 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.): ,Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M y 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. Cityrrown 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 (Z 0A,2 \ D -2 30 A3 T� t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. Cityrrown 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: 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: 9/7/1989 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: Groundwater elevation was determined by accessing the design plan dated 9/7/89. Plan indicates that no groundwater was encountered at 144" and system has 5'+ between bottom of pit and adjusted groundwater elevation. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 5 6 Chopteague Lane Property Address James Menard Owner Owner's Name information is required for every Marstons Mills Ma 02648 5/7/2014 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 / 1aWN OF BARNSTABLE LOCATION ` SEWAGE # sJ® VILLAGEASSESSOR'S P & LOT A MA y. INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY loo o LEACHING FACILITY:(type) G�4`� ,y, f (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 4. 1 r 1 d_f u /1 ° 37 u} } Lr �G No.." Yzic Z",r THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .-....-..0F.....-../�C•!••✓'i:!.f--!...4" ./'e........................•---•_-_ Appliratiuu for 11ispatial Works Tuustrurtiun ratuit Application is herebynmade for a-Per/miit/to go str ct (Xj or Repair ( ) an Individual Sewage Disposal System at: l7 ................ s............. ' - ........_..:. % .. ---- .._.._..----••-----------..........___...______---- ocati -A dress r or Lot No. �✓?�X'.r�. ..r�..f�t.... -•- -.../,G�i�• .j..�...JV............. .11...........:....11 .................. ................ O 'r.AAA, � irf V dress W .. --...... .. y�.=.l.!�li- — a �.. Installer Address SiZeLot_.Z_�7�.4�o..Z.Sq. feet U Type of Building ( ) a Dwelling—No. of Bedrooms... ___------ __13-_ Expansion Attic Garbage( ) e Grinder aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other fixtures -•----------------------------------------------•--------••--•----••--•••---••---------'----•--•-•-•••_._..•----•--•••._.....--------•••...•-•--•-•-- W Design Flow.............................Sf'.____gallons per person per day. Total daily flow..................3_3__o....,........gallons. WSeptic Tank—Liquid capacity!°"gallons Length_-_ �4- Diameter................ Depth. x Disposal Trench-No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......!------------- Diameter_.!'.'..o_.'*. Depth below inlet___f._ .... Total leaching area...Z.G_7_.sq. ft. / Z Other Distribution box (x) Dosing tank ( ) aPercolation Test Results Performed by-_Ca"a_,r...Y_l__14K..r____ Date._,A, ...... Test Pit No. 1_._.Z___.._._minutes per inch Depth of Test Pit___ Depth to ground water-------------f.-__. 44 Test Pit No. 2.....z_.__._minutes per inch Depth of Test Pit----�YY__-_ Depth to ground water_______��-�... 94 P.7:j L.................. ate ........... --------=-•-......................................................... 0 Description of Soil....... ......... "t----------.. ',r ........................................-.......................... x V ._...-•-.....-•-----•-••-----------------------•----••--•-----------._... --------•-......... ...----•------•••----•-----•-•--•------------_.•_---•-- (/♦, ____________________________________________________________________flP_____-____ ,t'Q�C_!ta _____..T'a4vyy_/__.�G_' _............................... 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 iITL% 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 ..........................- D e Application Approved By------:-............... -- --------------•------------•------_•- ` ��.......... Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------.......................... Date _Q Q Permit No._ _. Issued.... ----- --��� No.... l Fxs........ .... THE COMMONWEALTH OF MASSACHUSETTS BOARQ OF HEALTH Appliration for 11hipaii al Works Toustrnrtiun rautit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal Systemf at: ......:.... .............`.... ........r 1.c ".......................�.. ........:• - .....e: ••`•G.f"�r.... ..................................----•-. L// 7ocation.-Address or Lot No. / /_ 7/1/a, ......................................I................ �....................... ..............-•---...--......................-•-................................................. Owner Address W Installer Address Type of Building Size Lot..2 At,.--G?n..Z Sq. feet Dwelling No. of Bedrooms..............:f-.........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ........... No. of persons.......................... Showers — Cafeteria Q' Other fixtures -----•--•-•---••-------•----------- •---- ••.......... . Design Flow................?...........•5s-'......gallons per person per day. Total daily flow...................13..c-?.............gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width..._......_._... Diameter................ Depth__._...__....... W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area......_.............sq. ft. x Seepage Pit No.....!............. Diameter...�t'..... ?..... Depth below inlet.................... Total leaching area........... ....... ..7..sq. ft. Z Other Distribution box (x ) Dosing tank ( ) `-' Percolation Test Results Performed by..�',,?.n... ...:' z.._ - Date.. a Test Pit No. 1.....Z........minutesperinch Depth of Test Pit___ "�..__.. Depth to ground water--_-'1-11-1 .____. Test Pit No. 2................minutes per inch Depth of Test Pit...... " ...... Depth to ground water......... .....................................Xe!...._........_...._................._._..........__................................................................. D Description of Soil....... _`_'_ `/Y.......... ��"/, �. 5�� x .....................................................................�......... ................................................. ............._... ._._...................................... - Nature of Repairs o-----------------------------------------------••-----------------------------------------------------. ............................................................. Z. p r Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ................................................................................................................................................................------------------------------------•••-•----••----•---•----•---••--•----•-----••...........................------------------------------------------------...................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. >, �d, f Signed .•- Date.............. Application Approved By....... G v ...••• --7.... �.ate..!._......... /D Application Disapproved for the following reasons------------------------•---•---------------------------------•-----------------------------------........•••••. -•-•--•--•••--•-••...--•....-,••-•----•-•-----•-•---••••••.................•••••--•-------------••••--•••--------------------------------------------------------------------------------------------•-- Date -- (-r1e7 Permit No. '� J --•-••-----------•-•----... Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��/ ..............OF.... .. f ...*.............................. TrdifgrFatr of TuntpliFanrr THIS IS TO CE FY, That the ividual Sewage Disposal System constructed ( ) or Repaired ( ) byf. ----------- ---- ....._ ---- - - / /'� �e Instal er at..-•-••d _�-.................................•� ..--......_.1 i ,�y. �, •�r�s2(� ................................................-- ''�......_,�P . has been installed in accordance with the provisions of T-1.'.Ua 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...9yL-<<,7............... dated-.-..------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F NCTIO,N SATISFACTORY. DATE...•..-_.F-., !'.... ......................................... Inspector�ft .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF.... ....... .. .... .......................... FEE..... Disposal prk.5 TnnotrnrtWit prrnfit Permission is hereby granted....... to Construc_t or Rep an Individual , age Dis� em atNo..... ... . . ----••• ••-•-•. .......... Street as shown on the application for Disposal Works Construction rmit No.__4y�1 ted....__�G�� �J� �... Board of Health DATE------. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS No. -- --'------"- Fee---- BOARD OF HEALTH DLSS�0�1 TOWN OF BARNSTABLE ApOlicat ion ArWell Con5tructiouvermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: —Lot_25_Chippin-gstone _Rd.-kBamstable)_ Marstons Mills -- - --- - -- --------- Location — Address Assessors Map and Parcel _Dacey_Homes _ _ _ — _ _— 100 W.Main St. ,Hyannis ,MA - -- ------------------------ -------- --------------- Owner Address _Meehan_Well Drilling, Inc._ __________� P.O._ _Box 800, Forestdale, MA _0.2644 Installer 7 Driller Address Type of Building Residential Dwelling------------------------------------------------------- Other - Type of Building---------------------------------- No. of Persons----------------------------------------------- T e of Well-----_Plastic _2" -------__ Capacity ------- Purpose of Well----Drinking -- - — -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. C Signed— 9/14/89 � --�-�� �-------------- -- -------------- date Application Approved By—-— -- —�C --�--- `_— -_-7 date- Application Disapproved for the following reasons:-- -- -- ------_— __---_------------------- ----------- — date PermitNo. --- = ---- —--- - Issued----------—------------------ —- — —-- date _1 BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed , Altered ( ), or Repaired bY----------------- ------- - - =' Installer ffg has been installed in accordance with the provisions of thV Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -�'-�1AI---Dated FA THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE — ---- ——---- — ------------------- Inspector— —__— — ——----- No.------ "="' ! Fee---- -'-----_''�-` BOARD OF HEALTH "TOWN OF BARNSTABLE Application-*r V ell Con5truct ion permit t Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (,,/)an individual Well at: Lot 25 Chippingstone Rd. J_Barnstab1e) Marstons Mi1Ts Location — Address Assessors Map and Parcel Dacey Homes 100 W.Main Sto ,Hya4nis ,MA ----------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- Owner Address Meehan Well Drilling, Inc. ----------------------------------------------------------------- P.U. Box 800, For=---s—t--d--a---i---e-,-----M---A----------0--,2---6- 44 ------------------ e Installer — Driller Address Type of Building Residential Dwelling - -- - ----N i Other - Type of Building No. of Persons----------------------------------------------- " Typeof Well--=---------Plastic---_--------2-------------------------------- Capacity-�°—`--------------------_-_-__-------------------------- r3 Purpose of Well----D---------nking Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Q 9/14/89 Signed_ - date Application Approved �d — Application Disapproved for the following reasons:----------_-------_—_----__-_------------___-------_____—__------- - --------------------------- �y date Permit No.-- -� =- j ?-- - ------ Issued--------------------------------------------------------------------------- ----------- --- - ----------------- date tBOARD OF HEALTH ), TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY[ That the Individual Well Constructed VIAltered ( ), or Repaired--- )' / bY—------------ 4 "-'��----- � —--V_ =w'~" --- +� -- - Installer V at--------------------t--"--T--- -----a a= -""J, ------*�_a;----------------—AA - - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. A-?�--f H----Dated---------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------------------------------------------------------------------- Inspector---------------------------------r------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Iverr Con5truction3permit No.— -- —l_- - - Fee--- - -------- AO Permission is hereby granted - � - ----------1� --------- — -----.+A a6-------------------------- to Construct (0'), Alter ( ), or Repaid ( ) an Individual Well at: 4, > sue .-.:.,.t..,._, --------- -----��-------------------_--�-----�------------------------------------ Street as shown o�n}the application for a Well Construction Permit No.--- - `-= 9� —�"--------------------------------------- Dated------------------------------- - - -- - - - --- -- - -- -- - ------------------ h_S_2�---------- Board of Health DATE- - - - — -- --- - ---------------------- THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A- m 7 DATA ^°,R:.,.� •. .. _._ ,r ; t' y �Pr.,.._ v`.�z'�'P';s�;�'C' ,ta ,. .. � :fit ' L +..,. y ,1 lG pp 000 ff.. + vh Au OP ' 1 � t - d r '"•': ' „� s-,'.'.'.*�� 'k.wnm-. w..y i',��,r�`M'��p "+ti, �r�:. - � � � � ���#� 7 � v`� r � �I��^ �J«� iT"h.:lf ��id•1� �u ,YYf<S'90' «T iCt F � c . r �� -b� .°'� �..a�Y��.__..�- � � r t3� ��-�'",.q,w�»,� �„•n,r- �- r : ... .....�.-.--. .,. ���r � a , ..,..,f, -Log Number: Bottle # BC94A Date: Oct 2, 1989 BAR'�'s BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT a k SUPERIOR COURT HOUSE v BARNSTABLE. MASSACHUSETTS 02630 o • �1ASS DRINKING WATER LABORATORY ANALYSIS PHONE:'362-2811 Ext. 337 Client: Dacey Homes Collector: Sean' O'Brien '1 Mailing Address: • 100 West Main- Street Affiliation:" bUHLU Hyannis, MA 02601 Time & Date of Attn: Timothy Sheehan Collection: 9/25/89 11:15 a:m. Telephone: 771-4400 Type of Supply: we ff Sample Location: Lot 25 Chinningstone Well Depth: Marstons Mills, MA Date of Analysis: 9 2.5/89 3:20 p.m. PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 0 ' H 5.5 Conductivity (micromhos/cm) 63. 500.0 _ Iron ( m) 0.1 0.3 Nitrate-Nitro en ( m) 0.2 10.0 Sodium ( m) 7 20.0 I . XX Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results of the parameters tested for this sample, the water is suitable for drinking but may present the problems checked below: A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. . C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high levels of sodium. Persons on low sodium-diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. High Nitrates REMARKS: The Barnstable County Health and Environm'ental Department shall not endorse any statements, interpretations or conclusions made by anyone CC: Barnstable °Board of Health else concerning these results without written consent. R,CC: Meehan Well Drilling �J La oratory irector 1 /7/85 Explanation of Test Results Total Coliform Bacteria Coliform bacteria are an indicator of the sanitary quality of ;a water supply. Water supplies may become contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved. pH pH is the measure of acidity oralkalinityof the water. On the pH scale,the number 7 is neutral,less than 7 is acidic and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5. Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally considered unacceptable and may have a laxative effect upon users. Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent taste,cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of-iron in water may cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen The Massachusetts Drinking Water Regulations have..set.a.maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes. - Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish-green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water supply has more than 20 ppm sodium, it is up to the peoplewho are on such a diet to find another source of drinking water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm indicate that there may be ocean water or road salt runoff water getting into the well. i BARNSTABLE COUNTY IJEALTII AND ENVIRONMENTAL DEPARTMENT z �az,� , SUPERIOR COURT HOUSE p � �t ©ARNSIABLE, MASSACHUSETTS 02630 PHONE: 362-25 '`- EXT. 330 VOLATILE ORGANIC C011POUIIDS REPORT LAB 337 - - ---- - - --- - --- ------- CLINIC 340 Client: Dacey Homes Collector: Sean O'Brien Mailing Address: n: limothy Sheeman Type of Supply: private well 100 West Main Street Date Collected: 9/25/89 Telephone : ' Hyannis , MA 02601 Date Received: 9/25/89 Sample Location: Lot 25 Chippingstone Analyst: 11ams arstons Mills , MA Date Analyzed: 9/26/89 LOCATIOI E42 C01•1000I11) Lot; 25 Chippingsto e Marstons Mills , MIA Chloroform 25 Methylene Chloride 0.4 cc Barnstable Board of Hea th All values are in micrograms per. liter (equivalent to parts per billion, or ppb) . EPA Method 502.1 was used and only those compounds listed above were detected. Attached is a list of chemicals which :the method is capable of detecting . Detection limits for these compounds are stated on the attachment. Chloroform is commonly found in Cape Cod groundwater at levels ranging from 0.2 to several ppb. The drinking water limit for Total Trihalomethanes , of which chloroform is an example , is 100 ppb. t'titltitilttititiiititittiitiiitittiitiiiitititiliiiitii'ititiii►ttitii"tiitiitiititiiitiiitiiitiftti'itiititititititiititiititiftiitittitiitiiti'tiiititititiiittitiiiit11111iii(11tt1iiittitittiltiiiitiiitiiitl(itiitittiiiiiitiitiitiii(!f� ENVIROTECH LABORATORIES _ >` 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 CLIENT: John Deignan LOCATION: Same ADDRESS: 33 Chippingstone Rd. Mars_ tons Mills. MA 02648 COLLECTED BY: Meehan Well SAMPLE DATE: 11/21/89 TIME: 4 PM _ DATE RECEIVED: 11/22/89 SAMPLE ID: 544 JOB #: New Well 70 f t WELL DEPTH: RESULTS OF ANALYSIS: ?= Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 PH pH units 6.0-8.5 — _ 5.84 Conductance umhos/cm 500 109 Sodium mg/L 20.0 6.0 _ Nitrate-N mg/L 10.0 1.49 Iron mg/L 0.3 .08 Manganese mg/L 0.05 Hardness mg/L as CaCO 500 3 Sulfate mg/L 250 Potassium mg/L 20.0 Alkalinity mg/L 200 Chloride mg/L 250 Turbidity NTU 5.0 Color APC units 15.0 B Background bacteria COMMENT: YES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETE TESTED. Mxx ❑ DATE I L /itt{t{ttitltti{lullillil111{!{ttlliilltiiiiililiililiitlllilll{titti{ll�ill�{����UitilUiillltltill�ilill!!{!lE1i111tt1tliiliiillilii111t11tltililitlili1111i, lllillllililtlilllli 11 Willltlil!lIIW1ltttl1111 ill tlitiialiliill►� . &,, t s R l� BARNSTABLE r NTY HEALTI I AVID ENVIROGENTAL DEPARTMENT t Z �Qp SUPERIOR COUnT HOUSE O �7 BARNSTABLE, MASSACIIUSETTS 02630 o 0 0 �!A S`?% PHONE: 362-2 EXT. 330 VOLATILE ORGAII I C COMPOUIIDS REPORT LAB 337 --�---"'--- `-' -_"- '- CLINIC 340 Client: Dacey Homes Collector: Sean O'Brien Mail ing. Address: n: fimothy Shee an Type of Supply: private well 100 West Main Street Date Collected: 9/25/89 Telephone : ' Hyannis , MA 02601 Date Received: 8 Sample Location: Lot 25 Chippingstone Analyst: S. Williams arstons Mills, Date Analyzed: 9/26/89 LOCAT I DI1 E42 COMPOUIID Lot 25 Chippingsto e Marstons Mills, MA Chloroform 25 Methylene Chloride 0.4 cc Barnstable Board of Hea th All values are in micrograms per liter (equivalent to parts per billion, or ppb) . EPA Method 502.1 was used and only those compounds listed above were detected. Attached is a list of chemicals which the method is capable of detecting. Detection limits for these compounds are stated on the attachment. Chloroform is commonly found in Cape Cod groundwater at levels ranging from 0.2 to several ppb. The drinking water limit for Total Trihalomethanes , of which chloroform is an example, is 100 ppb. j BAnNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE BARNSTABLE. MASSACHUSETTS 02630TABLE 1. Compounds Detectable by EPA Method 502.1* PHONE: 362-2511 EXT. 330 LAB 337 COMPOUND D.L. COMPOUND D.L. CLINIC 340 Benzene 0.5 1 ,1-Dichloroethane 0.5 Carbontetrachloride 0.5 1 ,1-Dichloropropene 0.5 1 ,1-Dichloroethylene 0.5 1 ,3-Dichloropropene 0.5 1 ,2-Dichloroethane 0.5 1 ,2-Dichloropropane . 0.5 para Dichlorobenzene 0.5 1 ,3-Dichloropropane 0.5 Trichloroethylene 0.5 2,2-Dichloropropane 0.5 1 ,1 ,1-Trichloroethane 0.5 Ethylbenzene 0.5 Vinyl Chloride 0.5 Styrene 0.5 Bromobenzene 0.5 1 ,1 ,2-Trichloroethane 0.5 Bromodichloromethane 0.5 1 ,1 ,1 ,2-Tetrachloroethane 0.5 Bromoform 0.5 1 ,1 ,2,2-Tetrachloroethane 0.5 Bromomethane 0.5 Tetrachloroethylene 0.5 Chlorobenzene 0.5 1 ,2,3-Trichloropropane 0.5 Chlorodibromomethane 0.5 Toluene 0.5 Chloroethane 0.5 para Xylene 0.5 Chloroform 0.5 ortho Xylene 0.5 Chloromethane 0.5 meta Xylene 0.5 ortho Chlorotoluene 0.5 Bromochloromethane 0.5 para Chlorotoluene 0.5 . Dichlorodifluoromethane 0.5 Dibromomethane 0.5 Fluorotrichloromethane 0.5 meta Dichlorobenzene 0.5 Hexachlorobutadiene 0.5 ortho Dichlorobenzene 0.5 Isopropylbenzene 0.5 trans-1 ,2 Dichloroethylene 0.5 -n-Propylbenzene 0.5 cis-1 ,2 Dichloroethylene 0.5 Sec-butylbenzene 0.5 Dichloromethane 0.5 Tert-butylbenzene 0.5 D.L. is Detection Limit in micrograms per liter or parts per billion (ppb) . This table lists our normal limits of detection. If we report a smaller amount, then our detection limit was lower for that analysis. *A photoionization detector is used in series with the electroconductivity detector, thus allowing for the analysis of most of the compounds listed in EPA Method 503.1 as well . TABLE 2. Compounds which have Maximum Contaminant Levels (MCLs) set by the Environmental Protection Agency. COMPOUND MCL (in ppb) Benzene 5.0 Carbontetrachloride 5.0 1 ,2-Dichloroethane 5.0 1 ,1-Dichloroethylene 7.0 para Dichlorobenzene 75 1 ,1 ,1-Trichloroethane 200 Trichloroethylene 5.0 Vinyl Chloride 2.0 Total Trihalomethanes 100 Chloroform, Bromodichloromethane, Chlorodibromomethane, and Bromoform comprise the total trihalomethanes. att+ .4 W.tttS:TMtn ZV!'..aS.. dMHc : 1 rN't.'i;an••"nen'Cey - a5R•C3R.•tl6i!L1ab.41'i..e+NPSVM._. ANRiSC,?n.-1S..MiMl9f,aM.: 't'+S,r'.5 �M�]mN7S�:°.Y�'G':'�''�1 '#�M,9•CDA.k#l�::M1�l•'[vkU.C-•'fkYiYNtfKM'.. . i81•aYd7,Y&iC5dY N8b5$>M tkfJ!S' +Q. ti'rV3.' 4TG .. 'u MlM.. FS.`4.YM'1tni+ffiMv+1G..1+?:4!%vtMV:s•C_+Ak"u.l:ndY,., wc,T^`d[t..travt As1lSGeKt.Ntx.., Maaa. 'x1e2Ll.4enlKSN1 by ^1RIf.F',X, �!P'!y'1S•i'JWXli9R`k6fif526NKi.�k-'YN.0.ovr � MrC•f+t:5'.^Mt_+'rx:_+'1'•4.-r:ecHW:vi9nYt,^w'ltvPn2MiYeFk••a+R4E+iN`+SYACd-?W,+Y.k•.?! 4::tYeYt.^Mli=w"ldY1tMS.+�•LKbn.ACW_T:+ 'tR•'.W#H'6'l.l 7WsrvtlN.iNM'St'tb44:t•A^W1•1+'.iW+n9`qS9•f1/JfVi9.lii'fX:f £K+»x+LCaNil'CfP::, _ .. 'h,ffiG .YaW _ ,. a TOW PROFILE t. NOT TO SCALE ' } T TOP FDN. o FINISH GRADE AVER ' . �'L , /. FINISH GRADE ° 's: FINISH GRADE "AVER.' DIST._ BOX zc� . i FINISH GRADE OVER ! :.°'... SEPTIC TANk' .o e PI y LEACHING T � • 12" MAX. a k. . a:o e :Q, :.• •e•.e: d; «• o e. A•e 12 MA.K .t'd ••,,, PRECAST CONC. OR ' : ASHED PEAS'TONE :po.t_p.:.• 1�7 BRICK 6 MORTAR °.... . 3„ OUTLET PIPE LEVEL p12 D TQ BELOWGRA EFOR2 FT. MIN. :b o ..:. :. n �`''••,^•• T,.rt.ram, p '. s .• :b' s: :� 1 Q' '0• d.: ;ql �rli. V.J "e:•• b• �. A 9 e '07 rDQ. C. I. OR PVC TEES. F' b • Q ..� •.Q v 0 a n • • • f B59�PT. FLR. _ 44. G . . o p _ p, EL . e loan : QDISTRIBUTION O • 4• a a INSTALL ON LEVEL BASE N' P Ei.+A S T CO i.i E T 3/4 TO 1-1/2 a 6 r PRE'CA S T I .,q,•q..•.0•..Q �; a D: pa . . • � o: "GRUB,��ED • , 1 CONCRETE t b,' e.p,a'.o.oa:o:o,'p•o,00. o •q 'e.c ;o:oo o'c.• ;a p Q b:o. �•, O:. r H_ / E"i SEPTIC TA a j e. 0 e INSTALL ON LEVEL BASE NQTE: EXCA VA TE TO ELIEV. �. =' OR n' eaQo, ' ' .4�0 ' LOITER TO REMOVE ALL IMPERVIOUS - =`=' MA TERIAL BENEA TH THE L EA CHING AREA 2 1-0 2 '-0 „ REPLACE EXCA VA TED MATERIAL WITH CLEAN, CLA Y FREE SAND „ 101 EFFECTIVE IAMETER j GENERAL NO TES' LEA CH.I'NG PIT I. , ALL ��L EVA TION S .SHOWN APE ,BASED ON ASSUMED INSTALL ON LEVEL BASE , 2. ALL PIPES IN THE S YSTEM MUST BE CAST IRON , OR SCHEDULE '40 P''C. "►" OB, P IIA TION .I" r t 3.. THE SOLRO OF ,HEAL 1, ., . +�a r T .t`J I`v®T 1�'x�.�a j PHEN CONSTRUCTION IS COMPLETE PRIOR PERC TEST NO. 7�C?�> TO l�BA CKFI L L ING PERC+ L A 1'.i a^r4' RA T :" I 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 2 MIN./IN. ' BY THE BOARD OF HEALTH AID CAPE 6 ISLANDS W.I TNESSED B Y' , 1 SURVEYING' CO., INC J.DUNNING . .5. MA TERIAL S AND INSTALL � TION SHALL :BE IN A, CHIApI COMPL IANCE WI TH THE STA TE SANITARY :,�[ST�BLE BRU. OF HEAL TH DESIGN D, TA ,c CODE — TI TL E V AND LOCAL APPLICABLE DATE A_.UG. �,J q86 G S AOA� " RULES AND REGULA TIONS 0o N 36.`' ----. ✓ JVUMBER OF BEDROOMS 3 A® 1 tts, 2"w '`— �a. NORTH ARROP. .IS FROM RECORD PLANS AND i7 �9 � ' GARBAGE DISPOSAL ss IS NOT TO BE USED FOR SOLAR PURPOSES TOPSOIL 6 G NO AL . i 7. FLOOD HAZARD ZONE .C�. .Q .ARD � DAILY FLOW _ 330 B. PIA TER SUPPLY SUBSOIL ,, PR�VA�� w�LL 36 , SEPTIC TANK REQ 'D. 1000 GAL . CONCRETE D GAL PRE-CAST coNCR SEPTIC TANK PROVIDE 1000 \ w: L EACHING PIT , _ L EA CHING REQUIRED 330 GPD. Q z• ' • It q °� MEDIUM o .. 1000 GALLON �`'� SAND Q Q q . V �� PRECAST CONCRET /o 3 SIDEWALL AREA '= 188 S.F., wto di z y. SEPTIC TANK - 1 B8 S.F.X 2. 5 G%S. F. 471 GPO g ` - Z BOTTOM AREA — 79 S.F. o T 5 L 79 S. F.x 1. 0 G/S.F. 79 GPD Q, � I oT_� z t L EA CHING PRO VIDED 550 GPD ,o000P WELc t PRQPOSE? ELEVA rION 144",. IV o eQ U V Z 7- ?$ �J 160,00 20 .._» EX.tsTING CON SINGLE FAMILY RESIDENCE G S 43'15 35"E OB SERVA TION PIT raxa � Wes,. C! CJISTRIBUTION BOX �. a;,����.. .rt. i F` HAI�iJ c���� a PROPOSED SENA GE DISPO,SA L S YS T El f N rg�r��s `,:✓ TRAND LEACHING PIT pia, 2989d `n PREPARED FOR ' a o SEPTIC TANK *,� FS� ,���,�' � .��It)N�AL ��'. rd � . ,��A RNS TA BL E HOLDING CO-. � X,. � 3 y L O T 25' CHIPPINGS TONE ROA D WELL AND LEACHING LOCATIONS IN ARP 1 l RESERVE ACCORDANCE WITH A MASTER PLAN ARS TONS MIL L.S MA SS. ON FILE KITH THE BARNS 1'APLE "r . DAViD i BOARD OF HEALTH PIPE INVERT ELEVA TION / CHAR. ., 1+. 28085 �' CAPE AND ISLANDS.SURVEYING CO., INC PLOT _PLAN a �? ' ��C15T�, �� ,;, SCALE L�E" A S NO TE"D SCALE.' ? " O z �/ 2s, � I3/ SPR/NG BARS ROAD _.: s' PLAN :1 'O, .S' G 7 q FALIVOUTK MASS , .. .r,. ..,er.r+,.. a ..,.-.,r,,. ...++-.,-4w+w-e..xnw.ar.,n•--nrx, ,.. w.r..r,.. a.,..,. ..w+ ,... ....-r ,.,..e:., e.- sF f'`,. I