HomeMy WebLinkAbout0029 CHOPTEAGUE LANE - Health +29 Chopteague Lane
I'Marstons Mills F/R -
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of tHE•°'°ti____.Town of Barnstable U.S.POSTAGE>>PITNEY BOWES
Public Health Division L"—_ 2922Y �Pii
• BARNS ABLE. ' 200 Main Street I /
MASS. G�
�prEo p O� Hyannis,MA 02601 1 ZIP 02601 $ 006.960
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=. 0000.37.3143 AUG: 06. 2021.
7021 0350 0000 1549 3983
RI PROPERTY WIRE LLC y
265 WICKENDEN STREET
isirXTF act eF i RRRdq;r,e7.r;s
RETURN TO .5.END.ER
NOT DELIVERABLE AS ADDRESSED
UNFABLE i4J_ tU3RWARD
4
-r- D 'BC: 02601.40020 '`302Z-0B58 - 6-,}B
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SEN:1.
A. Signature
■ Complete items 1,2,and 3.
❑Agent
i ■ Print your name and address on the reverse X
i so that we can return the card to you. ❑Addressee
! ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
or on the front if space permits.
f 1. Article Addressed to: _D._is_delivery address different from item 1? ❑Yes
delivery address below: ❑No
_ - -- RI PROPERTY WIRE LLC
:. 265 WICKENDEN STREET
PROVIDENCE, RI 02903
i ryT
1 - .,...... ❑Priority Mail Express®
/ II I II�lOI IIII II I II II I I II I
❑Adult Signature ❑Registere
d MailTM
Adult Signature Restricted Delivery ❑ gstered Mail Re strctedi lollIIIIIIII 1111 Certified Mail® 221,iwery
Si❑Certified Mail Restricted Delivery Signature Confirmationm
s 9590 9402 6702 1060 1007 31
❑Collect on Delivery ❑Signature Confirmation
�2._Article_Number.fTransfer_frnm.ePrviro,1 h n.-.. n-r. uA�r DeliveryRestrictetlDelivery Restricted Delivery
ail
7021 0 3 5 0 0 0-0 0 15 4 9 3983 I a it Restricted Delivery
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PS Form 3811, y - p
July 2020 PSN 7530-02-000-9053 Domestic.Return Receipt +
�j, r Town of Barnstable
aE
Inspectional Services Department
♦ 1-
` Public Health Division
9 MA3S.
•i639 �0
CFO 39 200 Main Street, Hyannis MA 02601
Office: 508-862-4644
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7021 0350 0000 1549 3983
August 9, 2021
RI PROPERTY WIRE LLC
265 WICKENDEN STREET
PROVIDENCE, RI 02903
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 29 Chopteague Lane, Marstons Mills, was inspected on
07/21/2021 by Dan Hawkins, 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:
• Leaching facility with standing liquid level at or above the invert pipe (per
Town Code 360-20 h).
You are ordered to repair or replace the septic system within two (2)years from the date
you receive this notification. Failure to repair/replace the septic system within the
deadline period will result in future enforcement action.
You may be eligible for a waiver from replacing an onsite sewage disposal system if your
property will be connected to public sewer in the near future. For information regarding
public sewer availability at your property, please go to
https://www.townofbamstable.us/Departments/Assessin /g Property Values/Property-
Look-Up.asp or telephone the DPW Administration Office at (508) 790-6400. Any
written request for a waiver or extension must be filed in writing to the Board of Health,
200 Main Street, Hyannis MA, 02601
PER O 'PER OF THE BOARD OF HEALTH
11, 'Alia
omas McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\29 Chopteague Lane Marstons
Mills.doc
TOWN OF BARNSTABLE
LOCATION i9A G v`tt— — SEWAGE #
VIiLAGE ASSES 'S MAP &
INSTALLER'S NAME&PHONE NO, 01
SEPTIC TANK CAPACITY
LEACHING FACILITY: ( pe) �G�L` tc�5 (size):3� �� 16�
NO. OF BEDROOMS
BUILDER OR OWNER �n -'
PERMIT DATE: 6 "Qq COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by '
0
Sr u All
.. .
Q�� a
-
1L3
TOWN OF BAR,NS.TA�BLE
LOCATION CL �`�'�— SEWAGE#
i VILLAGE , ASSES 'S MAP &LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: ( pe)� L� vC-z (size) C
NO.OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE: E3� COMPLIANCE DATE:.
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
!l D
0
t
All
6`r Aki D
No. c2 o ,_ c Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLE., MASSACHUSETTS
2pplication for �Diopaal *pgtem Construction Permit
Application for a Permit to Construct( )RepairX Upgrade( )Abandon( ) ❑Complete System ;R�idividual Components
Location Address or Lot No. a9 CV' �y� Owner's Name,Address and Tel.No.
'1 \S ��''`j F'ceclt Gc C,¢gdc`e
Assessor's Map/Parcel rl� o(AR
Installer's Name,Address,and Tel.No.O� (12tk t-S b10 Designer's Name,Address and Tel.No. �,
�i��k S SQ?•t;� �v,re Sty �,���-� �i e.s .
5 ��kc�, Sit- , Y cccY,o.T-��"'tom �, .�• � cod�, �.�I rraa� 1 u�.atr
Type of Building: +.
Dwelling No.of Bedrooms 3 Lot Size 90, Cs l sq.ft. Garbage Grinder(I✓�
Other Type of Building IIJ ate No. of Persons �5 Showers( / Cafeteria
Other Fixtures c� t+� 'Ste-Az
Design Flow 2)2>0 gallons per day. Calculated daily flow 1 0 gallons.
Plan Date (o ��1 DIA Number of sheets I Revision Date
Title Fe C S_aS�P^
Size of Septic Tank M0 Ca ,t`S� r Type of S.A.S.
Description of Soil �12c' ArA om /0' A 3;1-;2S' X -P3
Nature of Repairs or Alterations(Answer when applicable) rlon
Date last inspected:
Agreement:
The undersigned agree to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provi 'ons of Title 5 of the E vironmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been t ued by s oard
Signed Date r v
Application Approved by A'- Date V
Application Disapproved for the ollowing reasons
Permit No. 6 0� Date Issued
,3r �� ti, xZ«,„r',.a�' ,...""..3i..«.`^,,^•!f-* �` 7;u.ua.;.:...,<.:.7,1~i..�'• ,+`w.c:�..- - , y.:... r- .
t•1 Y � ?�
No. d oo — �3 y• Fee _ t
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZIpplication for Dig ool Stem (Congtructiott Permit
Application for a Permit to Construct( )Repair Upgrade( )Abandon( ) El Complete System individual Components
Location Address or Lot No. 9 Owner's Name,Address and Tel.No.CV
Assessor'sMap/Parcel
(�A 3�8 ou6 v SP M E
Installer's Name,Address,and Tel.No.
6 4 E3 -S bi u Designer's Name,Address and Tel.No. S y 18— 0 49(,
L S `� cjsav�c �NRY 9-n0 t cum cr¢.r.�a\ 5,�c S
yam
,., . Type of Building:
Dwelling No.of Bedrooms= Lot Size r . U-SX, sq.ft. Garbage Grinder
r""" ••'. Other Type of Building N orn._ No. of Persons 3 Showers( pKCafetena
Other Fixtures I I A-a� Sur,c�cC•��
Design Flow 1?)0 gallons per day. Calculated daily flow J�Jl go gallons.
Plan Date ( 1 a ,�,Chu Number of sheets Revision Date
Title -41 c Su S�pM" O p Scf'GC�R
Size of Septic Tank rmo \ 9'et 151S Type of S.A.S. Y S' int 0 t.��
Description of Soil Ra�_k :r ?ern �� 3�'�� X `i�3
Nature of Repairs or Alterations(Answer when applicable) �Ra� A., rlo1%
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 E vironmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been i ued by s Board W22M
Signed Date
Application Approved by &- Zw S Date
Application Disapproved for the ollowing reasons
A '
k
Permit No. ebb 0-7 " Date Issued = o
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CE TI Y, t at!the On-sit Sewage Disposal System Constructed( ) Repaired ( ) Upgraded )
Abandoned( by t L.�c �.-
at r' s has been construct d in t;cordance
with the provisions°�f ill e f)r Disposal System Construction Permit No. do ,3 dated d N
Installer� 6 /� 1 TMr, Designer c Gf Nvn q—A
The issuanc f 7s e it shall not be construed as a guarantee that the system will furicti• (esigned.
Date d Inspector
---------------------------------
Fee 5 i
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Mi$pozar *pg;tem Con!5truction Permit
Permission is hereby granted 4o Co s uct( MUL
ir( )Up rade(�)Abandon( /
System located at 7�
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Consrjctio must be completed within three years of the date oft 's ermit
r p
Date: (,)v Approved by �`�f J
���ti kr•� 6VCIC 01.101 110_41lnLf4 jseW/ nt1•H�F/ .
APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS ,
LOCATION 0hQQt=u6 1,anC'. Moe,
Cae,, L oT I NO
VILLAGE _ DATt
APPLICANT,goelzsfab/e Holdl�y Coo. -7ix-7. _ FEE S
ADDRESS f QQ 14/, /)/1 G[/�7 L9/- TELEPHONE on-refundable)] �
ENGINEER j� % TELEPHO E :NO. c3 ��
A. i
DATE SCHEDULED I / 1�z
—� (Applicant signature)
ASSESSOR'S MAP 6z LOT NO: SOIL LOG -
SUB-DIVISION NAME l DATE TIME
EXPANSION AREA: YES ENGINEER
TOWN WATER PRIVATE WELL BOARD OF HEALTH
EXCAVATOR
SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and
percolation tests, locate wetlands in proximity to . test holes )
NOTES:
/Go,ism
alctd - 1
i
v
PERCOLATION RATE:
TEST HOLE NO: / ELEVATION: TEST HOLE' NO:T ELEVATION:
1 1
2 2
3 .5 t1V Zzz 3
4 4
5 5
6 6
7 7
8 g
9 9
10 10
11 11
12 / r-v 12
13 13 ����
14 14
15 15
16 16
SUITABLE FOR SUB-SURFACE SEWAGE: ; LEACHING FIELD LEACHING PITS_ f
LEACHING TRENCHES
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:
NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION
ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH
COPY: RETAINED BY APPLICANT
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
RENEWED
FAILED INSPECTION MAR 2 3 2004
TOWN OF BARNSTABLE
TITLE 5 HEALTH DEPT.
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION MAP
Property Address: 29 Chopteaitue Lane
PARCEL
Marston Mills, MA 02648 LOT
Owner's Name: Fred&Paula Lepore
Owner's Address:
Date of Inspection: February 26, 2004
Name of Inspector: (Please Print) James M. Ford
Company Name: James M. Ford
Mailing Address: P.O. Box 49
Osterville,MA 02655-0049
Telephone Number: (508)862-9400
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15—W of Title 5(310 CMR 15.000). The system:
Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
✓ Fails
Inspector's Signature: Date: March 1, 2004
The system inspector sh\submicopy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving
authority.
Notes and Comments
a
****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.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 29 Chopteague Lane
Marstons Mills. MA
Owner: Fred&Paula Lepore
Date of Inspection: February 26, 2004
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass"section need to be replaced or
repaired The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined", please
explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s), The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
2
Page 3 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 29 Chopteague Lane
Marstons Mills, MA
Owner: Fred&Paula Lepore
Date of Inspection: February 26, 2004
C., Further Evaluation is Required b the Board of Health:
�l y
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health,safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the
system is not functioning in a manner which will protect public health,safety and the environment:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone I 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 aseptic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well". Method used to determine distance
"This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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:
3
Page 4 of 1 I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 29 Choyteague Lane
Marston Mills, MA
Owner: Fred&Paula Lenore
Date of Inspection: February 26, 2004
D. System Failure Criteria applicable to all systems:
You must indicate either`yes"or"no"to each of the following for all inspections:
Yes No
✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow
✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
of times pumped_
✓ Any portion of the SAS,cesspool or privy is below high ground water elevation.
✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
✓ 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 coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility 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.]
Yes (Yes/No)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 System:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd•
You must indicate either`yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
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.
4
Page 5 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 29 Choptea w Lane
Marston Mills, MA
Owner: Fred&Paula Lepore
Date of Inspection: February 26, 2004
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 h d the SAS located n
— Ys P g o 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:
Yes No
✓ 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(3)(b)].
I
5
Page 6 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 29 Chopteague Lane
Marston Mills. MA
Owner: Fred&Paula Lepore
Date of Inspection: February 26, 2004
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: 4
Does residence have a garbage grinder(yes or no): No
Is laundry on a separate sewage system (yes or no): No [if yes separate inspection required]
Laundry system inspected(yes or no): No
Seasonal use(yes or no): No
Water meter readings, if available(last 2 years usage(gpd)): Unavailable
Sump Pump(yes or no): No
Last date of occupancy: Currently occupied
COMMERCIALANDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): epd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):
Industrial waste holding tank present(yes or no)
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: Pumped I month ago-per owner
Was system pumped as part of the inspection(yes or no): No
If yes,volume pumped: _gallons--How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
✓ Septic tank,distribution box,soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system (yes or no) (if yes,attach previous inspection records, if any)
Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Tight Tank Attach a copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information:
Installed 1011186-per as built card
Were sewage odors detected when arriving at the site(yes or no): No
6
Page 7 of I 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 29 Chopteague Lane
Marston Mills, MA
Owner: Fred&Paula Lepore
Date of Inspection: February 26, 2004
BUILDING SEWER(locate on site plan)
Depth below grade:
Materials of construction: _cast iron _40 PVC _other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
SEPTIC TANK: ✓ (locate on site plan)
Depth below grade: 20"
Material of construction: ✓ concrete _metal _fiberglass _polyethylene
_other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions: 1000 gal.
Sludge depth: 2"
Distance from top of sludge to bottom of outlet tee or baffle: 30"
Scum thickness: 2"
Distance from top of scum to top of outlet tee or baffle: 8"
Distance from bottom of scum to bottom of outlet tee or baffle: 10"
How were dimensions determined: Measuring stick
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
Tees were present. The liquid level was above the outlet invert. Liquid was backing up from the leach pit.
GREASE TRAP: None (locate on site plan)
Depth below grade:
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:
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
7
Page 8 of 1 I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 29 Chopteague Lane
Marston Mills, MA
Owner: Fred&Paula Lepore
Date of Inspection: February 26, 2004
TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass_ _ _fibe g s __polyethylene _other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: Above
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 under water. Liquid was filling the hole and backing up from the leach pit.
PUMP CHAMBER: None (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no)
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
8
Page 9 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 29 Chopteague Lane
Marston Mills. MA
Owner: Fred&Paula Lepore
Date of Inspection: February 26, 2004
SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required)
If SAS not located explain why:
Type �
✓ leaching pits,number: I - 6'x 6'(1000 gaL)
leaching chambers,number:
leaching galleries,number:
leaching trenches,number, length:
leaching fields,number,dimensions:
overflow cesspool,number:
Innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,
etc.):
The pit appears to be under a shed The pit was not dug up. Liquid was backing up to the D-box
CESSPOOLS: None (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 or no):
Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.):
PRIVY: None (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.):
9
7
Page 10 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 29 Choptegyx Lane
Marston Mills. M4
Owner: Fred&Paula Lepore
Date of Inspection: February 26, 2004
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.
O LIJ01 Por
a
' 3
10
Page 11 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 29 Chopteague Lane
Marston Mills. MA
Owner: Fred&Paula Lepore
Date of Inspection: February 26, 2004
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 50 +/- feet
Please indicate (check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record- If checked, date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
✓ Checked with local Board of Health-explain: Topographic and water contours maps
Checked with local excava.ors, installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Using the Barnstable topographic map and water contours map the maps were showing approximately 50'+/ to ground water
at this site.
This report has been prepared and the system inspected and failed as of the date of inspection. This report is
not a warranty or guarantee that the system will function properly in the future. There have been no warranties
or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report.
11
F..i{A.., s
Page: 1
M CERTIFICATE OF ANALYSIS RECEIVED
Barnstable County Health Laboratory
Report Dated: 6/15/2004 JUN 2 12004
Report Prepared For:
Order No.: G04255 7
TOWN OF BARNSTABLE
Dawn Reed HEALTH DEPT.
75 Partridge Valley Rd.
W Yarmouth, MA 02673
i
Laboratory ID#•
0425527-01 Description: Water-Drinking Water
Sample#: 25527 Sampling Location 29 Chopteague Ln Marstons Mills MA Collected: 6/9/2004
Collected by: D Reed Received: 6/9/2004
r
I
Routine
ITEM RESULT UNITS RL MCL Method# Tested I
I
LAB: IC Lab
i
Nitrates 2.2 mg/L 0.1 10 EPA 300.0 6/10/2004
I LAB: Metals
I
Copper 2.4 mg/L 0.1 1.3 SM 3111B 6/14/2004
Iron BRL mg/L 0.1 0.3 SM 3111B 6/14/2004
Sodium I; mg/L 1.0 20 SM 311113 6/14/2004
LAB: Microbiology
I
Total Coliform Present P/A 0 Absent 307 6/9/2004
LAB: Physical Chemistry
Conductance 130 umohs/cm 1 EPA 120.1 6/9/2004
I �
pH 6.0 pH-units 0 EPA 150.1 6/9/2004
Recommended maximum contamination level exceeded due to Coliform Bacteria.Retesting is recommended.
Approved By: 11114- 1
Director)
RL = Reporting Limit
MCL=Maximum Contaminant Level
Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
Town of Barnstable
�FtNE Tn_�O Regulatory Services
Thomas F. Geiler, Director
* BARMSi'ABLE,
9�AM�; ��� Public Health Division .
rFD39.i1k Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date:
Designer: n Installer: 73t� �C
Address: G23 Address: ,c, c'�
91
On to I A 16M
_ was issued a permit to install a
(date) (installe )
septic system at ` r i based on a design drawn by
(a dress
e CSdated oLfi
(designer) ,
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.
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.
"OF
CARMENcN .
±nstaller's Signature) SHAY N
No. 1181
I—Oak,z WN
0
T F, _
(Designers Si nature) (Affix Designer ere)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. 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:Health/Septic/Designer Certification Form
+k. r
No............ ...... Fes$.... ............
THE COMMONWEALTH OF MASSACHUSETTS
BOAR..® F H H
-------------------OF. ....:... -� ....................................
Appliratilan for Disposal la") or
nnstr inn Prrmit
Application is hereby made for a Permit to Construct ( Repair ( ) an Individual Sewage Disposal
systemt: „�� . ................ .• .... -....._.....---- ... ............--------- ----------......... .. .. __ .. ........................... ---------•-
Locatio Addres or Lot No.
- ...._.... .. ........ ........ ••••••••••--._.............••---...•--........._......-•-•-••-•--•...............•................
W
Address
..................•--•-•--•----.
Installer Address
Type of Building Size Lot_. �.. _�r`_.....Sq. feet
aDwelling—No. of Bedrooms . :......................................Expansion Attic Garbage Grinder (101
P4 Other—Type of Building _. ............. No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtu -._.
W DesignFlow.:............. ... ..................gallons per ersoe>e pia Total flow....... "
P P L` y. ...:. . . ............gallons.
WSeptic Tank—Liquid.'capacity-/ allons Length-_e-........ Width... ........ Diameter................ Depth-.y..........
x Disposal Trench—No .. Width...................Total Length...... - :-------- Total leaching area..._.._... sq. ft.
Seepage Pit No..Q � 'ameter..=.._ Depth below inlet....�.............. Total leaching area..!�� ._sq. ft.
Z Other Distribution box (,,4 Dosi
Percolation Test Results Performed : ....-. ....................................................... Datc ...�_..._.'... �...•.........
W
Test Pit No. 1...........:....minutes p in epth of Test Pit.................... Depth to groun water........................
Pro Test Pit No. 2................minutes p "nc Depth of Test Pit.................... Depth to ground water........................
9 •.....
- ----------------------..............
•.......
-...
-......
........
.---•-----------_---• --•••••......••.•-• -••---•......-•••-....---.....
0 Description of Soil......................................-•----......--•--------•--•-----........-•-------.......-----------•-----•-•-•-------....------------------------..........•••...
V
W
i, f
UNature of Repairs,oi�A�7terations—Answer when applicable...............................................................................................
p. -------•------.---- . .......••••••••................••••--••-----•-------..........-------•-------------•-...------------ .....................
Agreement: ' fi
The undu=signed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of i.ITU 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance h e ssued the board of health.
Sig . ..:: .......• -•-----•.................................. lB ..� ......
*a?
ApplicationApproved By.................. ...... . ---••---•-••••••••......PQ••-•- .......................-
Date
Application Disapproved for the f 1 "ng reasons------- -------•-----•-.......--••-•-•----..._....--•-------•----..........__.....--•-•------------ -
Date
PermitNo......................................................... Issued.......................................................
Date
------------------------------
artment of EnvironmenraldNanagement/Division of Wat esources
/ . WATER WELL COMPLETION REP
WELL LOCATION
• I
Address 1,6f
City/Townmrsyr)/ 116
G.S.Quadrangle Map
Grid Location \
Owner hrel,
Address
WELL USE CONSOLIDATED WELL
Domestic z Public ❑ Industrial ❑
Type of Water-bearing Rock �
Other
Water-bearing Zones
Method Drilled /"�
11+.►�-
`,,,,,r 1) From To
2) From To
Date Drilled 3) From Tc
4) From To
"
CASING Depth to Bedrock
/ a
Length 0 Diameter
Type UNCONSOLIDATED WELL
STATIC WATER LEVEL Water-bearing Materials
Feet below land surf ce Sand: fine[(medium 9 coarse❑
Date measured .3 Gravel: fine❑ medium❑ coarse❑
Screen:
GRAVEL PACK WELL Yes No Slot# /0 length 3 from to
❑ [�
Split Screen (or 2nd screen)
WATER Q LITY TESTS MADE Slot# length from to
Chemical ell' Biological ❑ Depth To Bedrock
PUMP TEST
Drawdown feet after pumping days
hours at 9 GPM.
How measured Recovery feet after hours.
LOG of FORMATIONS COMMENTS: (On well or water)
Materials From To
0
[Cb
DRILLERl►�ee% n k)ej
Firm )lino
�sAddress YD�X Eoo
City -FreS+dW e_
I Ve Registration No.
Aerators bignature
ease print firmly. CUSTOMER COPY 25M•10.85.807101
No................_....... FE$.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD� F H H
"... .".�A--*........
.............OF...��� i<�...._..�:+.. :. ...__...._..._._..._._....._._.
Appliratiort for Biipos al .vrko oato rrtr uan f ermi#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
system t:
. _
Location/Address or Lot No.
s Address
.... _;17-!•r—:........ ..............••.... --...------.........------.............._.......---••-•----....------.............................
( Installer Address
UType of Building Size Lot._,: ',.,d% ..Sq. feet
I_l Dwelling—No. of Bedrooms _ _____ _________________________________Expansion Attic o c Garbage Grinder
'4 Other—T e of Building e . No. of persons____________________________ Showers — Cafeteria
Other fixtu
WDesign Flow............... ._a_._..__.___________._gallons per perso er f day. TotalLil flow_........ _.,y.; _..:............... Ions.
WSeptic Tank—Liquidcapacity.s`_ allons Length.i'._1'__._. Width_��`- ..... Diameter________________ Depth__.._.._..
x Disposal Trench—No. .,--_ Width.................... Total Length____ Of--------- Total leaching area.....................sq. ft.
Seepage Pit No......A ....... h meter....... f Depth below inlet.... .............. Total leaching area.. :- ,.sq. ft.
z Other Distribution box („-< Dosi ( -�
'~ Percolation Test Results Performed ._ ��_'....................................................... Date3_. ...__. �. . ___________-
aTest Pit No. 1................minutes p in epth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes p in Depth of Test Pit.................... Depth to ground water........................
a -•-•------•---•-••--•---•---•••-•---._......-•--...._••------•----•••----------•..................•-..........................................................
ODescription of Soil........................................................................................................................................................................
----------------
•-----------------------------------------------------------------------------------------------------------
-------------------------------------------
... ......
------------------
W ----------------------------------------------------------------------------....--------...•------•-------------------------------------------------......_...-----------------•--••-•-•---------_..._.
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
----•--••-----------------------------------------•-------•-----------------------------•-_-----•--•--•--•------•-----•--••••••-••-------•-----••-•--•--••-•----•---_..__....••--•--••-...........-----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance h ee ssued r he board of health.
Signed
Application Approved BY -_ _ 1 t�
...................•-- ------•--- ----' Date•••-•••-•-----
Application Disapproved for the f to ng reasons:---••-- ----------------------------------•----------•----._...--------------r -
•-•-----•-•-•---•-•_--••-----•------•-•------•-----•-•--•-------•-•-•-•------•-•---•....................-•-----•-------------••.....-•----••-••----••----•----•--._.__...••-•---••---••-•--•-----...__.
Date
Permit No......................................................... Issued-.....................................................
-
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F h1EALTH,
.......................oF.....fis. f ... ........
9trfifirate of (gorat�lt�artre
T,IdIS IS RTt FY.q,.�T t-the Individual Sewage Disposal System constructed ( y r Repaired ( )
---
' {�� ✓ % -- .r� o», Installer
har been installed in accordanc with tV provisions of TIT 5 of T1je State Sanitary Code as clesclibed in the
application for Disposal Works Construction Permit No........ .... _ -��_..... dated_.
. �___________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARATHAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE,................................... �-.............................. Inspector--`•-•-•••--------------•-----•--......____.._........._--•-----........._......
a THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEA T D SIGNING ENGINEER MUST SUPERVISE
/� - I STALLATION AND CE IFY IN W ITING
� ....................OF.... �. 'Cr '� : . ...._ .THE SYSTEM-WAS INS 13.1 ICT
No._��`"_G7 ^MCORDANCE TO PLAEE...... ....
.......6
.....
oar it eruttt
Permission is eby`g ranted... .. . ........ :.... --..... ----•--------••-......................................................
to Construct ( pair, I ' r e sposal System
atNo.•--••-•••. --•--. . --•-- ...---- --••••-••---•--.....---•---•-•-•---•---•----•-••--•-•-•-•-•••--•-•-• ------•---
Street
as shown on the application for Disposal Works C struction Permit No.5m�6_4_3 ated_
..............................•-----•--••------••- •-
_ Board f ea
` = --------------
DATE------------ ` J <_,
FORM, 1255 A. SULKIN, INC., BOSTON
T # '
�P f A Y
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44 Al
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26-1 D °
it ,
JAAL
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b a t0AC0B9 z
�o UPPERCAPE ENGINEERIN No. 814
�. P.O. BOX 616
SANDWICH, r � �P
E. 5A H, MA 025 7 �
362-62
TOP OF FOUNDATION 3
CONCRETE COVER
CONCRETE COVERS
4"CAST IRON 12"MAX.
.OR SCHEDULE 40 12"MAX.
P.V.C. PIPE .,4"SCHEDULE 40 P.V.C,(ONLY) .
•• PITCH I/4"PER.FT PIPE- MIN. LEACH
e �
PITCH I/4"PER.FT. PIT. PRECAST
o' \—INVERT gyp" ,y/ t-tjQ LEACHING
ELy .�.. (2 PIT OR
•'• SEPTIC TANK INVERT bIST. INVERT • ;;�
INVERT ELy7��. . .. BOX EL/l,1'� ' : >z EQUIV.
DAD .. �p� •.
...... GAL. INVERT �~a. V
INVERT-.. w W :;�: 3/4"T0 11/�
EUZZ. .
u-Q WASHED
� • /0 , w STONE
i -
/� DIA. y
PROFI LE OF A/V GROUND WATER TABLE
SEWAGE- . DISPOSAL SYSTEM �$
NO SCALE
.;
S P I L LOG WITNESSED BY :
DATE f/!�O& TIME.• •, ,,., • UPPERCAPE ENGINE RIN BOARD OF HEALTH
TEST HOLE 'L 'TEST HOLE .2 P.G• •BOX 616
EL-!<V,.y�r+�Q,. . . . ELEV, `/`„h'Q... 'E'•'SANDWICH; MA' '02537 ENGINEER
362-6281 . . . . . .
DESIGN DATA :
ccny
NUMBER OF BEDROOMS . .. . .; . . . . . . . . .
i TOTAL ESTIMATED FLOW , r3.�.Q , • , GALLONS/DAY
9 BOTTOM LEACHING AREA ,�� . , . . SO.FT./PIT
3� SIDE LEACHING AREA . . .����. . . . . SO.FT./PIT .
i
GARBAGE DISPOSAL . . : '. ..(50% AREA INCREASE) .
TOTAL LEACHING AREA , a:G, , , , , SQ.FT
F_36,d)PERCOLATION RATE rC s.s . . . . MIN/INCH
�j LEACHING AREA PER PERCOLATION RATE .. SQ.FT.
..WATER ENCOUNTERED
' NUMBER OF LEACHING PITS . .Oyz— . . . .
{ APPROVED . .. . . . . . . . . . . BOARD OF HEALTH //.3 Si ! J' �/3 ,/�47 gel
DATE. . . . SOS. � �'. ,•S
. . . . T riot -�r'Sf Sf`P� s AGENT.'OR INSPECTOR
'ilk l��/��✓� l�.G� /�7���C'Vsous �p`�K OF M,gf��i,*
s
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J. JACOB I
—17 /6. . . . . .•. . . . . . . .
814
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PETITIONER:; ' ' ' • ' • ' dp N YqR%�N\
l
ASSESSOR'S MAP NO.-28—ig `PARCEL '�C - 6g3
Ltv1CATION SEWAGE PERMIT N
_I Ve- _
VILLAGE
Wqke n, j C�STC)1 �;e csTntls JAB &s�`�A
I N S T A LLER'S NAME i ADDRESS
,SSW,c\r,
�R U I L D E R OR OWNER
CP�( \NOme S
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED ��/(/�
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PROJECT TITLE
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PREPARED .FOR
3 I
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Central Construction Company, 11
Steve Devlin •President
261 Blrkh a f orn Drive•Morstons Mills,MA 02648.508420-1340
Tr
Vlo
SCALE �-- -
%>•i ' LI
r
DATE DWG.NO.
CHECK.
i�,.. - DRAWN
PROJECT .TITLE
V `
r -
jw � S �:L (�A✓ 6�V
1JUrl Q 1�LUUti `
Z
__—
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C6` �
a-.-
_ . ........ _ PREPARED FOR
f y l
! _._._.._..._ - - -�._._�_-....._..-. ..
V Central Construction Company, Inc.
`3,) t Steve President
Z.�1 ; I _—.- t Devlin •Pr den
�. 261 Blackthorn Drive•Marston Mills,MA 02648.5d8420-1340
— ZO SCALE
� O
c
ij
v-z ----K.._ DATE DWG NO.
! DESIGN
i CHECK
tt7-11 DRAWN
_" }. _ '.. . ,_ -. -�.._ --._._..___-___._ ...._ .. JOB NO. SHEET OF
.: SECTION A --A
w...,
, s ALL ounET ppEs Frtou THE
10 min. from NOTE. A11 PIPES ARE TO BE 4 SCHEDULE 40 P.V.C.' VENT PIPE (o Least 24 Inches toil E V EW dF ADDITION TO LEACHING 'SYSTEM D�smeuTION sox SHALL BE
( ) PROFIL I 12• w { � ,
Existing Foundation house to septic tank Schedule 40 PVC w/Charcoal Odor Filter SET�FOR AT LEAST 2 Fr ;m
Septic tank covers must be 3 of 1/8 - 1/2 ,Washed Peaston �
TOP OF FOUNDATION ELEV. 100.00 (Assumed) within s In. of rH,tsn.d a x ,.
grad 314. to 1 1/2 " Washed Crushed Stone 3 - 5.OUTLET BruseaL�blc ?
Grade over Septic Tack - 98.00 Grade over D-Box- 97.00 over SAS- 97.00 a - .••s...
7
-11
S.S" OUTLET 12' INl£T
S a 0.02 s 3 HOLE BOX 3' Maximum coves lap Load - ENv. =93.25
- DIST. BOX ..Y ..•::.- :--.•
.% EXIST. Sao.ot or Greater. r 15.5' - !
NEW P>t� 14' 1.000 GAL. 5- 0.01" per toot ♦ 4' - SCH. 40 T
.X � 45 10••Elfeethe Depth r -
FROM Ex1ST. FLIINNDATmN ,.1 - SEPTIC TANK S `
x W H-10 f s Units 6.zs' _ ao PLAN SECTION_ CROSS-SECTION 4Tm.r of /
n o k?ts44per
CONCRETE FULL FGx1HM o r N 0.8 Inc 3 31.25 3' �
a d+f `' I a j�
a $ - e °' oK�G 3 HOLE H-10 DISTRIBUTION BOX
B h.of 3/4-t t/Y 1 v > N �j t ( G 37.25 Length NOT TO SCALE
SYSTEM PROFILE 'c compacted st«w > o u a' l l ll� Effective
Not to Scale
- c m r '
- ° 4 4' SOIL ABSORPTIDN SYSTEM (SAS)
m>oe+tLaditwertc.a 'stroatW ° t.�.,e -"- o
> _ _
6 In.of 3/4*-1 1/2* � 0', � INFILTNTROR HIGH CAPACITY (H-20 LOADING)/ GEORGE ❑'BRIEN GENERAL. NOTES
Effective Vldth
compacted etstonew o � �OR EQUIVALENT) Not to Scale 1. Contractor is responsible for Digsafe notification
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE a Bottom of 7aet Hde I Elea.-85.00 m \ Y.
No Groundwater Observed o 144• .NOTE: OVERALL HEIGHT OF INFlLTRATOR IS 18" /EFFECTIVE HEIGHT IS 10' : - and protection Of all underground utilities and pipes. a
--------------- 2. The septic tank ang, distr, ution box shall be set
I level on 6 of 3/4'-1 1/2 stone.
3. Backfill should be clean sand or gravel with no
stones over 3" in size.
I 4. This system is subject to inspection during installation
(b by Carmen E. Shay Environmental Services, Inc.
CS 5. The ,contractor shall install this system in accordance
G with Title V of the Massachusetts state code, the approved plan
PERCOLATION TEST and Local Regulations.
r
/ I r 6. If, during installation the contractor encounters any
Date of Percolation Test: JANUARY 17, 1986 20.66' , Ur soil conditions or site conditions that are different
Test Performed By. DOWN CAPE ENGINEERING , PLi from those shown on the soil log or in our design
Results Witnessed By. TOM MCKEAN (Barnstable B.O.H.) 1 'I!'' 104.34 installation must halt & immediate notification be
Excavator - Unknown /
4" PVC j r made to Carmen E. Shay - Environmental Services, Inc.
Percolation Rate: Less Than 2 MPI 0 54" VENT /
7. No vehicle or heavy machinery shall drive over the
septic system unless noted as H-20 septic components.
8 •25' uj' UU 8. Instal Tuf--Tite gas baffles or equals on all outlet tee ends.
.�- `" ► 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
Test Hole = 10. All 'solid piping, tees & fittings shall be 4" diameter
No. 1i
�.:: :` _
;; _K• `� � Schedule 40 NSF PVC pipes with water tight joints.
w
DEPTH SOILS ELEV. '=y ,�� ` - / 11. Municipal Water is NOTConnected to The .Residence and Abutting
97.00 '' f0 -Bo ��_�` /�,�� Properties Within 150 Feet. ;PRIVATE WELLS ARE AS SHOWN.
Sandy
I Loom j �i' THE PROPERTY LINES ARE APPROXIMATE AND
10 Y 3/2 97'� -�� Faile PI I COMPILED FROM THE SURVEY PLAN GENERATED BY
0"-6" A ss.so TEST HOLE #1 Leacht DOWN CAPE ENGINEERING OF YARMOUTH, MA
i Approx. ENTITLED "_SITE PLAN OF #29 CHOPTEAGUE LANE, M.MILLS, MA,
Sandy ELEV.= 97.00 SHED •
Loom . DATED DUNE 6, 2004
to rR s/s AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
94.50 IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
Mee. ��/ THE SEPTIC SYSTEM INSTALLATION.
Sand
2-5 Y 7/4 ,�� O EXISTING LEACH PIT TO BE PUMPED OUT AND FILLED IN PLACE OR
30"-56' C, 92.33 ". O w REMOVED TO FACIUTATE NEW SEPTIC SYSTEM INSTALLATION
Med. . EXIST. 1000 gal. I Cj NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
p / Septic Tank
Sand , LOT #18 FROM THE EXISTING LEACH PIT TO BE DISPOSED
56'-1e4" 25 G 7/+ 85.00 i OF AS PER BOARD OF HEALTH SPECIFICATIONS.
_ ______LOT �7 / 146.5 --NO WETLANDS ARE PRESENT WITHIN 200 OF THE
E PROPERTY --- -
LS O
DECK ASSESSORS MAP 28, PARCEL 068
N LEGEND
E%`STING
Perc #1 3 BEDROOM
o �• DENOTES PROPOSED
Depth to Perc: 56" to 74" 104X 1
Perc Rate= Less The 2 MPI , AMUSE SPOT GRADE
Groundwater Not Observed Ur ---i #29 r
No Observed ESHWT � r I r DENOTES EXISTING
r 1 X 104.46 - SPOT GRADE _
ADJUSTED H2O Elev. None
RPD`us l l PL PROPERTY LINE
150 r +
r -----r , 96 PROPOSED CONTOUR
9$ F i PROJECT BEt CH MARK --- - - -97 EXISTING CONTOUR
TOP OF FOUNDATION
1
ELEV. = 100.00 assumed)
T HOLE &
TYPICAL 1000 GALLON SEPTIC TANK , ASPHALT , ® DEEP EST.
NOT TO SCALE DRIVEWAY LOT,'#16_
PERCOLATION TEST LOCATION
2-13' DIAL. ACCESS MANHOLES i 1 20,003 Sq=re Filet +/- • 6 FOOT STOCKADE FENCE
g i i 125.00'
L--------- - PLAN
INLET �-- � CH O P TEA G UE LA 1V�' P LOT
' 1HE'AGx£SS COVERS FOR THE SEPTIC TMIK, (4o FOOT R►cHrt of WAY) OF PROPOSED SEPTIC SYSTEM UPGRADE
DISTRIBUTION BOX AND LEACHING COMPONENT
PREPARED FOR
-..;-r >A,_,,:�.:�.:�„•• SET DEEPER THAN a 91GiE5 eEtow FINISHED, �;
•. ; GRADE SHALL BE RAM To M1THIN 6' OF
STEM REINFORCED PRECAST CONCRETE nNlstlEv GRADE MR . F R E D R I C K L E P 0 R E I
PLAN VIEW INSTALL TUF-TITS GAS BAFFLES OR EQUALS I
a-24•REMOVABLE mvtRs LOCAL UPGRADE. VARIANCE REQUESTED: 'I AT
t #29 CHOPTEAGUE LANE
-r: 1. REDUCE THE DISTANCE FROM THE ONSITE PRIVATE WELL TO THE SAS i MARS 1 O N S MILLS , MA
,' 4' - R
3• ndn. deaa,oe r Lr ftrr FROM 150 FEET TO 148.5 FEEL
blet to cutlet
INLET i B' m`rir LlpUkt I.vd Ir ede. OUTLET •. Design Calculations
1LI•mil. lr ; t 7. '- -, �►+ �� PREPARED BY:
5. -T s -�" Number of Bedrooms: 3 Equivalent to 330 Gol./Day (330 Gal./Day Min.,per Title V)b.
;� c SHAY
E 4'-0' min. Garbage Grinder: No CAR NEW W E. S l 1`I l
uaL+d °iptl' Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V)
$ Septic Tank - 2 x 330 Gal./Day - 660 USE EXIST, 1,000 GAL Septidl Tank. 0 20 40 50 NYIRON�fENTAL SERVICES, INC.
J _._ • SOIL'ABSORPTION AREA: Using percolation rate of <2 min./inch
4 -10• 1 Bottom Area: 0.74 gal/sq. ft. x 370 sq. ft. = 273.8 gallons NC• P.Q. -BOX 627
��• Sidewol Area: 0.74 gal./sq, ft. x ';78 sq. ft. 58 gallons r �aF� ,; EAST` FALMOUTH, MA 02536
CROSS SECTION
END-SECTION r Providing: 331.80 gallons
a � S Ii+.►TAtttPr' -'"L TEL/FAX : 508-548-0796
- SCALE: 1 =20
Use. (5) INFILTRATOR HIGH CAPACITY H 20 UNITS, HAVING A 0.83 (10 INCHES) EFFECTIVE DEPTH, $ A : 1"=20' DRAWN BY: CES DATE: JUNE 28, 2004
L
TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3.5' OF `WASHED STONE
T S 594 FILENAME: SD594PPDWG SHEET 1 OF 1
ON THE ENDS, NO STONE UNDER. PROJEC # D
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