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HomeMy WebLinkAbout0069 DEBBIES LANE - Health 69 Debbies Lane Marstons Mills ---- - - - — - - - A =' 011 016 Commonwealth of Massachusetts W Title 5 Official 'Inspection Form Subsurface Sewage Disposar System Form -Not for Voluntary Assessments �w .'' 69 Debbie`s lane Property Address David Nailor Owner Owner's Name information is Marston Miils f MA 02648 3/31115 required for every =_"• page. City/Town State Zip Code Date of Inspection � 4n�1 Inspection results must be sukmitted on this form. Inspection forms may not be altered in any way. Please see completeness-checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not James Ford I 1 use the return Name of Inspector key. Arab Company Name P.O. Box 49 Company Address arum Osterville MA 02655 City/Town State Zip Code 508-862-9400 S 12482 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails Needs Furthe valuation by the Local Approving Authority 4/8/15 Inspect r Signature Date The sy e inspec r shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report onlydescribl s 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 cone itions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 i P. Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposa[System Form - Not for Voluntary Assessments I e 69 Debbie's lane Property Address David Nailor Owner Owner's Name E; information is required for every Marston Mills MA 02648 3/31/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.), Inspection Summary: Check A,B,C,D or E/always complete all of Section D I; A) System Passes: ® I have not found any in?ormation 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: I i r I; B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.Tihe system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes'°,.' jp"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explai"n. The septic tank is metal ar'd 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 t ank'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 thatthe tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): tl ij li li ti gyp: i i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 E r Commonwealth of Masscichusetts Title 5 Officials Inspection Form Subsurface Sewage Disposal lystem Form Not for Voluntary Assessments 69 Debbie's lane Property Address David Nailor r Owner Owner's Name information is required for every Marston Mills €' MA 02648 3/31/15 page. CitylTown 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 ConditionallyI.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(withapproval of Board of Health): I! ❑ 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): l 0 k. ❑ 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): i ; i I C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which'lrequire 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 p,ivy 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 I f Commonwealth of Massachusetts Title 5 Official; Inspection Form Subsurface Sewage Disposal-system Form -Not for Voluntary Assessments r` � 69 Debbie's lane Property Address David Nailor Owner Owner's Name information is required for every Marston Mills MA 02648 3/31/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: i ❑ The system has a peptic 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. I, ❑ 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: ' �• I �i E, D) System Failure Criteria Applicable to All Systems: You must indicate"Yes').or %o"to each of the following for all inspections: Yes No El ® 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 :, i' S: Commonwealth of Mass Ichusetts Title 5 Officia„ 'Inspection Form Subsurface Sewage Disposal!':' isposal!System Form Not for Voluntary Assessments 69 Debbie s lane ! Prcperty Address a David Nailor I' Owner Owner's Name information is required for every Marston Mills MA 02648 3/31/15 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.)I Yes No :s f.. ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstr,ucfed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. An ortion of cesspool or privy is within 100 feet of a surface water supply or ❑ ® Y�- P P Y PPY tributfary 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. i ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from ia_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- 10,060gpd. ❑ ® The'py'stem 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 nec4sary to correct the failure. E; E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gp6.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. I Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply i . ❑ ❑ 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 Secti,66 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 vvitj 3110 CMR 15.304.The system owner should contact the appropriate (regional office of the Dep ,rtrnent. i t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 D �f + ii Commonwealth of Massochusetts u W Title 5 Officia ;; Inspection Form Subsurface Sewage Disposal i5ystem Form -Not for Voluntary Assessments 69 Debbie's lane Property Address !'~ David Nailor Owner Owner's Name information is MA 02648 3/31/15 required for every Marston Mills page. City/Town i' State Zip Code Date of Inspection C. Checklist Check if the following haveibeen 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 th l i'system received normal flows in the previous two week period? I : ❑ ® 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 tletermined based on: d �' ® ❑ 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)] E; 1 D. System Informati®n Residential Flow Conditions: I , Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on,31;0 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 F ' r . l5ins•3/13 I Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 u c i Commonwealth of Massachusetts u Title 5 Official' Inspection Form Subsurface Sewage Disposa4f`System Form -Not for Voluntary Assessments 69 Debbie's lane Property Address David Nailor � Owner Owner's Name information is required for every Marston Mills MA 02648 3/31/15 page. City/Town State Zip Code Date of Inspection D. System Informati®n Description: 0 Number of current residents, Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate swage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ElYes ® No I: Water meter readings, if available (last 2 years usage(gpd)): Detail: unavailable Pi h Sump pump? ElYes ® No Last date of occupancy- � z unknown Date Commerciallindustrial Fjpw Conditions: Type of Establishment: i; Design flow(based on 310 CMR 15.203): Gallons per day(gpd) i Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage DisposalkSystem Form -Not for Voluntary Assessments _ G. 69 Debbie's lane Property Address . David Nailor Owner Owner's Name information isMA 02648 3/31/15 required for every Marston Mills ` page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use..' Date Other(describe below): is o: ' General Information k Pumping Records: unavailable Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumpeddetermined? Reason for pumping: Type of System: ® Septic tang, distribution box, soil absorption system N ❑ Single cesspool r• ❑ Overflow cesspool ❑ Privy 1; f ❑ 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 inspectiorilof the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): s l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 i ;.. 6i r' I. Commonwealth of Mass4chusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments i, ^M 69 Debbie's lane Property Address David Nailor Owner Owner's Name information is required for every Marston Mills MA 02648 3/31/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: system installec - 1/16/03 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on'site plan): Depth below grade: feet Material of construction: ❑ cast iron ® 40 F'VC ❑ other(explain): Distance from p-ivate water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): 6' Septic Tank (locate on site plan): 1. 11 2 tanks in series Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) First tank was 22" below, the second was 30" below i If tank is metal, list age: years Is age confirmed by a Cerfificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 2-1000 gal. Dimensions: 2 Sludge depth: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 i l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage DisposaP'System Form- Not for Voluntary Assessments a 69 Debbie's lane Property Address David Nailor r Owner Owner's Name information is reqUired for every Marston Mills (:` MA 02648 3/31/15 page. City/Town State Zip Code Date of Inspection D. System Informatign.(cont.) Septic Tank(cont.) I Distance from top of sludge to bottom of outlet tee or baffle 24 Scum thickness 6 Distance from top of scum`to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 10 l i.. measure How were dimensions determined? Comments (on pumping reecommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to out invert, evidence of leakage, etc.): The tees were present.There was no sign of Ieakage.The second tank only had liquid. �I k c Grease Trap(locate on site-plan): Depth below grade: n/a feet i ' Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: �r Scum thicknessR IF Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle e Date of last pumping: I! i, Date 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Officiail .Inspection Form $ystem Form -Not for Voluntary Assessments Subsurface Sewage Disposal! )l ,M a 69 Debbie's lane I` Property Address David Nailor Owner Owner's Name information is MA 02648 3/31/15 required for every Marston Mills page. City/Town State Zip Code Date of Inspection D. System Information' (cont.) Comments (on pumping re6ommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): ,i Tight or Holding Tank (tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete . ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): N/a i" Dimensions: Capacity: gallons Design Flow: I' gallons per day Alarm present: i ❑ Yes ❑ No i; Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): 4, ' Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No i t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts w Title 5 Official. Inspection Form Subsurface Sewage Disposal'System Form -Not for Voluntary Assessments 69 Debbie's lane Property Address David Nailor Owner Owner's Name information is required for every Marston Mills MA 02648 3/31/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): 4 . Depth of liquid level abo4Putlet invert even 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 box was normal. The cdver was 32' below i r Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition)':off pump chamber, condition of pumps and appurtenances, etc.): N/a * 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 h Commonwealth of Masschusetts Title 5 Officials' Inspection Form Subsurface Sewage DisposaM`.System Form -Not for Voluntary Assessments ^M 69 Debbie's lane Property Address David Nailor Owner Owner's Name information is required for every Marston Mills MA 02648 3/31/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pit ,;:; number: ❑ leaching chambers number: 2-500 gal. ® leaching galleries number: drywells ❑ leaching treo�Oes number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: i Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): There was no sign of failure from the drywells. Y r' C' i Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration'! Depth—top of liquid to inlet invert L .i: I. Depth of solids layer Depth of scum layer ±.A; Dimensions of cesspool " Materials of construction ' Indication of groundwater inflow ❑ Yes ❑ No �I 4 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 f Commonwealth of Massachusetts t . v Title 5 Officia��,� Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 69 Debbie's lane l Property Address David Nailor Owner Owner's Name information is required for every Marston Mills MA 02648 3/31/15 4 page. City/Town State Zip Code Date of Inspection D. System Informatian (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i i Privy(locate on site plan): YI Materials of construction: Dimensions Depth of solids n Comments (note condition;of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/a f: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts IERW Title 5 Official;, Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ;M a 69 Debbie's lane Property Address David Nailor Owner Owner's Name information is required for every Marston Mills MA 02648 3/31/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal:;System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately i A - U.ck 1 I a � O 3 A Q y f: 41. t i. k (Sins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M a 69 Debbie's lane Property Address David Nailor Owner Owner's Name 1' information is required for every Marston Mills MA 02648 3/31/15 page. City/Town State Zip Code Date of Inspection D. System Informati®n (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar I ❑ Shallow wells Estimated depth to high ground water: 20' + feet Please indicate all methods:used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, dat"of design plan reviewed. 12/7/2002 Date ❑ Observed site(abutting property/oUservation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USES database -explain: r . You must describe how you established the high ground water elevation: 1' Design plan shows no water 136" I ; Before filing this Inspection Report, please see Report Completeness Checklist on next page. i t5ins-3/13 R Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 r r , F r f. GI Commonwealth of Massachusetts U v Title 5 Official; Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 69 Debbie's lane M ( Property Address David Nailor Owner Owner's Name information is required for every Marston Mills MA 02648 3/31/15 page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist i.. ® Inspection Summary: , 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 i! E, f I . t ' o• v I; i+ i S' 4• i, I' I I l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 I TOWN OF BARNSTABLE LOCATION _� ? �AF-10k S' SEWAGE # 7®0a `VrLLAGE `L1.�l�.-5 4--S I-Aelll- ASSESSOR'S MAP & LOT_I!-L6 INSTALLER'S NAME&PHONE NO.,/O.5,fg ` ,��e,1-,9S SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 2,,�D4�i¢��N�i'�%`lSsize) �3X �,5� NO. OF BEDROOMS 3 ` BUILDER OR OWNER 1),,VV/;A /V1411 PERMITDATE�2— OG—D3 COMPLIANCE DATE: `"& —03 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 ,, ��_ - . .. ,. �. . t - _ - _. _ _ f �.� w l 1 � � � ♦. C t _ .� `a'S � �=` Y3. � 1, ° _• � O �� �g ♦. No. �� - Fee THE COMMONWEALTH OF MASSACHUS9TTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppItration for Mi!5pogar *p$tem Conttruction Permit Application for a Permit to Construct( epair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. doers Owner's Name,Address and Tel.No. �9D�bbrr-s (� Assessor's Map/Parcel f21s41'9y�Jv1 s �,113 04Ill S A1,4 1/0 IiC / Installer's Name,Address,and Ael.No. �Z —'775 E Designer's Name,Address'and Tel.No. Jo�erk 0G 8o^orsS l3rrAlO ),10vec LA Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 10-1r411 leva 6141 —s%��/C 7lSiL9lc r 5%d L-J rri /��� �/•'lam �9�L�1= Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board oS Health. Signed Date Application Approved by "' Date a Application Disapproved for th following reasons Permit No. 1 4 0 '7 Date Issued 0 G � U No. .2 U4 ( fi. : ro. Fee _ A . Entered in com uter: l/ .._ THE COMMONWEALTH OF MASSACHUS ETTS p Yes .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS— ZippYication for Miopozal bpetem Construction Permit Application for a Permit to Construct(' Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location-Address or Lot No. G bbl�s G��F Owner's Name,Address and Tel.No. L € Assessor's Map/Parcel ydJfq/�3t(�YIS iY��JCS ),4 y/el A1/d J r1O, i _s 614 : W Ak//5 Installer's Name,Address,andel.No. 2 B T 3 Designer's Name,Address and Tel.No. J0S-c jolt 0-G l314rrWS 8FrA1t# e/ Y0(1e(7 Type of Building: ! Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow gallons per day. Calculated daily flow l gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil *_ A Nature of Repairs or Alterations(Answer when applicable) 1,05 r4J'J' /CJDa 6,41 Date last inspected: Agreement: .� The undersigned agrees to ensure the construction'and maintenance of the:afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this oard q Health. Signed Date h' i" hApplicationApproved by' p,\ -!7 „ Res, # . Datef 6 a ``. Application Disapproved for the following reasons r Permit No.0 G0 d -b 6 7 Date Issued U/ (J 6 D T r' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certif irate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(4,) epaired ( )Upgraded( ) Abandoned( )by 19.5 e_ ©-5 at lm /= //=5 z:,*olz o4, lAr,7.S has been constructed in,accordance with the pro/visions of Title5 and a for Disposal System Construction Permit No. w - d dated 0 /106 a Installer /D5 � 124 !d`'�oS Designer/aryl hpw yo/Jdr1t The issuance of this permit shall not be construed as a guarantee that the system�'II�- neVsigned. Date //b/D 3 Inspector A -------- No. goo —(�� ����----------------Fee .,y — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpool *p5tem Conotruction Permit Permission is hereby granted to Construct(4 aiir(, )Upgrade( )Abandon( ) System located at f Q bb//�:.S L !'y1ol-5 rrr,,v.s l2i'•%l_5 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:Construction must be completed within three years of the date of this permit. p ` Date:_ (I 0 L' Approved by D c. ��� /tea� /t C �b LIP `1 f 1 TOWN OF BARNSTABLE / SEWAGE # °'o©� 042 Z LOCATION Z�;y�t- S � VILLAGE ASSESSOR'S MAP & LOT it-16 INSTALLER'S NAME&PHONE NO. �O.Sfv4 SEPTIC TANK CtAPACTTY i LEACHING FACILITY: (type) NO. OF BEDROOMS / A BUILDER OR OWNER N11IAr PERMIT DATE:-I— OG 0-5 COMPLIANCE DATE: 03 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 faciili�) Feet Furnished by. �c 00 Y3> � 'c 0110HE Town of Barnstable P# �° 3 � Department of Regulatory Services BARN M Di ara Date $ Public Health vision p�Eo�►t a�0 200 Main Street,Hyannis MA 02601 tl T IUv M Date scheduled j "S �`�- Time /' —_. Fee Pd. � Soil Suitability Assessment for Sewage Disposal Performed By: -r. .v.2 ti f,�Z4^ih Witnessed By: IT �, 3 I ! a.. . Location Address C ,/��_ LL / Owner's Name rw//,O VA.1L �C G'E r c f l,✓I 2 Address G �5��/dam �✓� �'�'n Assessor's Map/Parcel: U Il—0/b , Engineer's Name Pe rrFn� REPAIR Telephone NEW CONSTRUC11ON # 3�15�sl9d �, o Slo es °/0) S Surface Stones /�� Land Use ��cii / ��"`"�,� p ( )---- Distances from: Open Water Body NA ft Possible Wet Area U ft Drinking Water Wellft ft Drainage Way /7 3.S ft Other �O D ft Property Line �— SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) ,31, tv A 9 V I` / J A2�� ;/" Depth to Bedrock /li a li'! 3.Sy _ ' +_l /ji vrJ r 4l:11✓ Parent material(geologic) � // Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face A Estimated Seasonal High Groundwater �( ,y f ^�`J I{� Z 'P 1 bF�.i 1 .k 1:�j 1 y 4�Y ('' , 1 V Method Used: in. Depth Observed standing in obs.hole: in. Depth to soil mottles: ft Depth to weeping from side of obs.hole: in. Groundwater Adjustment Adj.factor Adj.Groundwater Level Index Well# Reading Date: Index Well level � I y r ufl n P1�r ' ' y�r 1'� Observation ¢ Time at 9" �a Hole# 3 2 0 Time of 6" ' Depth of Pere 2 Start Pre-soak Time �"yJ Time(9"-6') 19 End Pre-soak U Rate MinAnch GL �3/uC�M� iS •� �� �� Site Suitability Assessment: Site Passed Site Failed: — Additional Testing Needed(YIN) I Original: Public Health Division Observation Hole Data To Be Completed on Back • I t �'Ir���l''�- r�,. 1�� IfiY�°t.'d;j i t � if i h �1'% it�;1 l a., I :n i• I rer`•. :� `� � � 1'�' i�� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistenc %Gravel 7 — `j / L/ �iOf:M ,ANl? J U /G. 7/ �iJ �v C7'ci✓' 71 WSJ tjt Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel t��.qq��:VnCµ�q�.l�rtdtt:F ( :kl I`yr� { r ry ; 1 v t t i�• 4UI., t ! I, a" Ifieri rf d Rlt �Y: p: :j .'J.: :i•.i!:� a 91 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel `� 1 �. t : �4 ra a:19 j �ii1R4'. I 1 R '�,la bt 1 i� �N7141p�InI i�aliR,�6hi5 ]r4`. PR 111, 1 R : L 'll'��t? t j vyliit"iTi1�jIP 'IJY lltulflb�:ly d f�, rt4 Si 1 LM:%F Y.iiM CROWN Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel Flood Insurance Rate Map: Above 500 year flood boundary No— Yes " Within 500 year boundary No Yes f Within 100 year flood boundary No V Yes Depth of Naturally Occurring Pervious Material. Does at least four feet of naturally occurring pervious material exist in all areas-observed throughout the area proposed for the soil absorption system? � 7 If not,what is the depth of naturally occurring pervious material?_ Certification I certify that on a /�—9� (date)Y have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature G Date A " AT ION �SoWEWAGE PERMIT No. ig V Nl � KG �E ���� INSTALLER'S NAME i ADDRESS B U I L D E R OR OWNER �1 DATE PERMIT ISSUED S � DATE COMPLIANCE ISSUED_����yy� F 0 0 �j- S f No._�l-••--.1� Kt F�$..J.r�P................. THE COMMONWEALTH OF OtSACHUSETTS � � y BOAR® OF HEALTH t k7 Gti 'uyl..........................O F.....�............................--------------- Appliration for Disposal Works Toustrurtiun Wrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Lo ation-Add � � .._. ._..._or•Lot No. Ol Address--_--••............. . ....._ --•---...... ..........••--------•--•••-------.......... Installer Address U Type of Building SizeSq. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder 4 Other—Type of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ............................ W Design Flow....S_r.........................•___gallons per person per day. Total daily flow............................................ WSeptic Tank—Liquid'capacity/.Q'?...gallons Length...�._. Width..'�/:•�-_._ Diameter-_-_____.-___- Depth.... _-.__. x Disposal Trench—No. .................... Width___ ....... Total Length.................... Total leaching area....................sq. ft. ' Seepage Pit No......../--.__-_-__-- Diameter.___ .......... Depth below inlet.._..-t.......... Total leaching area..!Pft..-2�q. ft. Z Other Distribution box (I/j Dosin tank ( ) 3 9' 66 p p, D Percolation Test Results Performed by. ��._�x_�s �kt---•t�•P- ----- Date__.1 ��_--�i.L ---,----- Test Pit No. 1..... '.--_--minutes per inch Depth of Test Depth to ground water--/7d4'X......_._ LL, Test Pit No. 2................minutes per inch Depth of Test Pit... Depth to ground water.a ��.080 Ox ............. --n Description 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 TITIS 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 b the board of health. igned_._.s�.���..... ------------------------ g.. . Application Approved ..._ -.--_-Z� ..................... Date Application Disapprove i f or e following reasons-------------•-------------------------------------------------------------------•--•--••-•-••••-----......••--- ............................................... ....-••--------•-------•-••-••----...........-----...•- Date PermitNo......................................................... Issued_....................................................... Date No. :._X. -• Frl .. .L .............:. THE COMMONWEALTH OF MASSACHUSETTS • BOARD OF HEALTH Applira#inn for Dispos al Works Tootkrurtion Frruat Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at* w CQ ... ,. .t��9 .c�s>....F r ' ...... 1 7 pl a h t��' 9 '"- Lo ation-Address or Lot No. - •.................. ........ .- --- ----..._.....---------•--....---.................................................. er W #err) 1 t' t u X Address ..................... . .. ............................................. Type of Building Installer F : «� Address , ? C? Dwelling No. of Bedrooms............................................E: -ap Atti6l A) Garbage Grinde YP g Size Lot__...-. PLI 'Other—Type of Building ............................ No. of pers -------Showers ( ) — Cafeteri 04 Other fixtures d r ...............................--------- ----allons_=-�L-ri---h_�_-----:----------;------�._.__.....__._...---•------------------.....-•----...--•---...-•-•----.. W Design Flow...3.. gallons per person pef day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/_ !_...g e gt �:._._. Width__.."____ . Diameter........... Depth...-c`�_'........ x Disposal Trench—No..................... Width:. ....______...__ Total Length.................... Total leaching area...-----------------sq. ft. Seepage Pit No......./._.________- Diameter.__ ___.__..... Depth below inlet.._..t. ...._.. Total leaching area,?-.!?.*...f Osq. ft. Z Other Distribution box (k ) Dosing tank ( ) '�_X •�� �;P,�. Percolation Test Results Performed b i / yam' 1. cry�_ �? e i '� Date_. t._._. . Test Pit No. 1____ :_..._._minutes per inch Depth of Test Pit...j.q!6t... __..Depth to ground water..`'& ....... f3, Test Pit No. 2................minutes per inch Depth of Test Pit__!_'` 6t...._.. Depth to ground water-.(z...:.....i......�40 R4 ------ ........... D Description of Soil..•• . =.......... it...---------••---------------------------- -•--- -------------- .,_- -------------------------------------------•------------ ---•--------------------......------------------------------------......-----•-••-•--•----•-•--•... UNature of Repairs or Alterations—Answer when applicable................. ..............................................................•,_•••--•••--• ,.:;:l 8. •• -----------------------------------------•;;-----------------------------------------------------------------------------•-----•--.-•-• Agreement: .. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL% . 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. igned....2... St -------------••----------•--- /1 Application ApprovedY— - ---•••----•---- •----- ``=' Date Application Disappro C• for •e following reasons:............................................................................................--a--............_ & Date, PermitNo......................................................... Issued............................. ==----=--... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...................................... a wrtifirate of TontpliFanrr THIS IS TO CERTIFY That the Indivi al .,$ewa isposal System constructed (6-�'or Repaired (It, by r: ---------------•-------------------------------------.--.--------•--.---------•--•--•--------- Installer has been installed in accordance with the provisions of TIT'VP 5 Or The State Sanitary C de 's scribed in the application for Disposal Works Construction Permit No...n —� ____________________ dated ./� -________.___..._._.._._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISF CTORY. DATE...................................................... Inspector... L:..._.... p THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................O F............ No. .. �...... FEE--':.................... Disposal ork j`Ton tr 1on prrmit Permission is ereby granted. • •---,1 ! • ----------•-•----------------••-------.--.-.---------..----------•--•-----.-.- to Construct Repair ( an ,IclrviduaL ge Disposal System Se Street as shown on the application for Disposal Works Construction Permit NQ._ __ !°``___ Dated.......................................... y ,w.. .......... ..................... ------------------------------••-----------..............---. Board of Health DATE ---------•-••... _... _1---......... / a FORM 1255 A. M. SULKIN, INC., BOSTON I.......... I. ......... IIITI THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) DATA NEW DA GONY 36'-0' a S`X4` {t'.g" 10'-4" NEW NEW NEW S. 6`SLIDER 24XI6TH NEW NEW p _m STORAGE RoQM s 9912ROQM 4 t{NPiNISNED z� V z • w. 101-4" NEW.1 moo . U h U aCG9 4X4 POST a "► — GEtLtNG LIME 110 �- 7�' - - - - - - .— -- - - - - d TURN EXISTING 4 : Two BEDROOMS `• INTOON --- � uxi 4 f 4 STORAGE AREA w x NEW SE-CONED FLQOR FLAN EXISTING FIR$T FLQQR_ PLAN EXISTING RIDGE VENT NEW . 2X13 RIDGE 2XIO RAFTERS* tb". O.C. . 12 Ilf PLY.814EAIWtNG M#ASPMALT PAPER SECTION - SEWAGE V -SEPTIC TANK - - "D" BOX - - LEACH �! TOP OFFDN I 111 �I•Sys fMSL)�c ,.2..OF 1 sTO lh" f sd v ._. . --•�'C�/ � � a ,�' WASHED STONE ,/ ,� ` } ♦ / �1 e IN- r U OT- IN» ticoo t1 G OUT. 1N- HM rtr y �� 1 / `�' �_ \\f •' / 43� ��\�:} `(\ � C�ct•S A — GQ.G>2 SEPTIC �nLrS i-I f`\1� \� �.. TANK Co .C30 4� ` \\ \\ Y ' �r ELEV. ELEV. ELEV. ELEV, �11� `l � ELEV. ELEV- ELt V+ ... OF 3/4"-142.. WASHED STONE TEST HOLE LOG ,� \ �c►�,.�� .�� I _ - -'•f'`--�`� � P SC19 uc o iz v � - C.1 oiZD ? �/ T,w Z, TESTY 'I'•1�IRS'.w.y,(4„�.'�. WITNESS \ � TEST QATE `�/?4Ps ) DESIGN 2 BEDROOM HOUSE S0, \ TM. # 1. T.H. 2 r oO0t ELEV. pp" ELEV. \ ( i �1 / Z-- DISPOSER DISPOSER � \� \ L M +�Mau So«. PERC RATE MIN/IN. Is -1 c�,'3 {E" 1 a.S ' FLOW RATE Z`z.o (GAL./DAY ) 0 SEPTIC TANK Z2_4-:;, (1.5)= _ \ i i ! 1 y� / REQ'D SEPTIC TANK SIZE 1 O[JG.) LEACH FACILITY G SIDE WALL 10 R4� 12.E 1 (Z.5 i 31�1-.IGo lb G/D. BOTTOM 74 CIS C,L.JQEA�.t Mr'cD. "..►�.IJt� 1_.Lt�iw1 M'ED SA.�-1 t7 to -c = -1 -* .a ) s S-50 G/D. TOTAL Zoo: = 3r12.e.e., Irk, USE: _LEACHING __ _-_-__ \\�� \\ l` i j 41 IV[7 M 'AWATER ENCOUNTERED 1� �1� \ \ / � / :� ' NOTES: (UNLESS OTHERWISE NOTED) 1. DATUM(MSL)+TAKEN FROM _• 4I 1�.........QUADRANGLE MAP 2.MUNICIPAL WATER �? __-- AVAILABLE 3.PIPE PITCH: 44"PEA FOOT ,p � \ �✓i 4. DESIGN LOADING FOR ALI-PRE-CAST UNITS: AASHO- -44 5.MIN. GROUND COVER OVER ALL SEWAGE FACILITIES:(1) FT. � ARNE H. � _-- �—DISTANCE AS CERTIFIED \ B.PIPE JOINTS SHALL BE MADE WATER TIGHT n ^ C Iz{Z,'TI 1x 11i Q^-0 O 7.CONSTRUCTION DETAILS T BE ACCORDANCE.WITH COMM.OF MASS. OJALA "t . \ t STATE ENVIRONMENTAL CODE TITLE 5 t CIVIL f HEREBY CERTIFY THAT THE BUILDING I SITE PLAN O SHOWN ON THIS PLAN IS LOCATED ON THE 1 = + GROUND AS SHOWN HEREON&THAT IT � ' ' 3 -r"Is � I L CUS 1 CONFORM TO THE ZONING BY LAWS OF THE A Aida, rMA�'�Ta►.Ks 1�1t�4.SJ ',IIajTAt�t.s�. t�1A5 . TOWN OF `r RE I NGiNEER WHEN CONSTRUCTED. DATE Z '� S � F6, 1 G REF: I.GST 10"7 (�L.? .. Z`12. f 'a L Af7NE �!+ down cape e_,vpiae@riag I . ' PREPARED FOR: t # CIVIL ENGINEERS �2 LAND SURVEYORS BCIARD OF HEAL,r'TNfr�� t; R � �Y SCALE �.r .y CONTOURS — �C� ("ISTING) -- 4 (PROPOSED)--O0-0-0-'. APPROVED DATE N� MA 1 ' Yarmouth MA DATE . h BENCHMARK: TOP OF FOUNDATION ELEV 71.85 APPROX. RIGINAL WAKEBY SITE PLAN DATUM F6' MAX 6" MAX 9" MIN, 36" MAX EXTEND COARSE AGGREGATE 12" ABOVE GALLEY cy COVER W 2" PEASTONB 1.00' MIN, 3.00' MA , 3" SEEDED TOPSOIL, 2% SLOPE LEVEL 2 MIN VENT s 1.17 1.17 0,17 RISER " SPUR o 70.00 MIN 0.93 2 PEASTONE 7*`�68.52 1.17 1.17 72,00 MAX o 0,25 67.79 0.2567,50 67.833 68.04 67,50 h ;,, :., .h''': ¢1 0.8 4.00 67.75 4.00 ..;r ,iA:, : 0 67.25 :' 67.G8 ,� ,�_;w �:}:M. :z_, 3/4 TO 1-1/2" ®®L7® ®C7 ®® ®® - " ®® CI®® per®C� DOUBLE WASHED STONE W 64.90 66.90 EXISTING DISTRIBUTION:%BOX 1000 GALLON SEPTIC TANK DB-=3 OR D'B-5 H-10 16.50' x 4.83' 4.33 LOCATION MAP INSPECT TEES AND REPLACE IF DEFECTIVE NEW 1000 GALLON SEPTIC TA IN SERIES WAFER TEST TO 4.00 BRING RISER OVER INLET TO WITHIN 6" OF GRADE ST-1000--H--10 PROVE EQUAL FLOW 2-500 GAL LEACHING CHAMBERS V) SOIL TEST P10, 383 BOTTOM OF TEST HOLE 60.57 A�I GENERAL NOTES 6" GRAVEL ON NATIVE SOIL OR 24.5' x 12.83' x 2' 05,1 1) ALL WORKMANSHIP AND MATERIALS SHALL DATE OF SOIL TEST 12-11-02 MECHANICALLY COMPACTED BASE CONFORM TO 310CMR15.00 THE STATE WITNESSED BY D. STANTON / ENVIRONMENTAL CODE TITLE V. MINIMUM SOIL EVALUATOR B.J. YOUNG 12.83 LOT 108 SERVED BY 17 REQUIREMENTS FOR THE SUBSURFACE DISPOSAL ao PERCOLATION RATE <2 MIN./INCH. C WATER , OF SANITARY SEWAGE, AVAILABLE FROM STATE .O.M.M. 20.02 4.00 , HOUSE BOOKSTORE 1-617-727-2834, AND OBSERVATION HOLE .94 Jw� TOWN OF BARNSTABLE RULES AND REGULATIONS LEV.= 71.90 ` FOR THE SUBSURFACE DISPOSAL OF SANITARY ELEV. DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING OTHER 14.03 o SEWAGE. 140.00 r��A�� �v ���� 2) CONTRACTOR SHALL VERIFY LOCATION OF 71.57 0-4 A LOAMY SAND 10YR 2/ N MASSIVE, VERY FRIAB E 2. 3 �3.22 �r Q EXISTING UTILITIES. CONTACT DIG-SAFE AND LOCAL WATER DEPARTMENT 3 BUSINESS DAYS 70.57 4-16 Bw LOAMY SAND 10YR 4/6 0 MASSIVE, VERY FRIABL � � N' BEFORE BEGINNING CONSTRUCTION. TWIN PINES TO BE REMOVED 3) CONTRACTOR RESPONSIBLE FOR OBTAINING 60.57 16-136 C MED. CRS. 1OYR 7/4 N SINGLE GRIN. LOOSE tW ADEQUATE HORIZONTAL AND VERTICAL CONTROL. SAND �j 4) CONTRACTOR SHALL VERIFY ALL PLUMBING E I VENT FLOWS TO PROPOSED SEPTIC TANK, AND SHALL 00 LOCATE ALL OTHER EXISTING SANITARY 1 0 0 FACILITIES ON PREMISES NO LONGER USED AND 1 PUMP, AND FILL OR REMOVE SAME IN PERCOLATION TEST DONE AT A DEPTH OF 30"-42" 4.0 � ADD 1000 GST IN SERIES ACCORDANCE WITH LOCAL REQUIREMENTS. NO WATER ENCOUNTERED I 72T 39.09 5) ALL COVERS OF SANITARY UNITS SHALL BE �f / N °"� 1.90 EXISTING 1000 GST �`� BROUGHT TO WITHIN 6" OF FINISHED GRADE. V)I c" "� I24,50 _ ALL MASONRY UNITS TO BE MORTARED IN �. PLACE. ALL PVC PIPE TO BE SOLVENT WELDED. I 6) UNLESS OTHERWISE SPECIFIED, EXISTING AND IlIV63 ---,,_- FINAL GRADES SHALL REMAIN ESSENTIALLY I 8 � UNCHANGED. BR LIV7) NO HAS BEEN EXISTING PIT TO BE ABANDQN 87 COMPLIANCE ENTHAD�DED OR ZONING DE AS TO PER STATE & LOCAL REGULAT40 S RESTRICTIONS AND/OR REGULATIONS. BR IBA KIT I 70 0 OWNER/APPLICANT MUST OBTAIN SUCH 63 DETERMINATION FROM APPROPRIATE AUTHORITY. FLOOR PLAN (NTS) I I DECK �p 8) EXCAVATE AND REMOVE UNSUITABLE MATERIAL BELOW THE LEACHING INVERT x ELEVATION FOR 5' AROUND LEACHING SYSTEM I R150.00 0 69.68 DRIVE AND REPLACE WITH CLEAN SAND. co I '' WETLAND RAIN ION OF LL P 9) IF ANY DETAIL OF THIS PLAN IS NOT L f AREA SURVEY PLAN R CO UNDERSTOOD, CONTACT DESIGN ENGINEER AT w 72 150.55 TO WELL AT HEALTH DEPT. 394-1960. LEGEND: y. cn F �\ PERM 4 95 10) 48 HOUR NOTICE IS REQUIRED FOR ANY EXISTING SPOT ELEVATION Ox00 INSPECTION OR CERTIFICATION REQUIRED.. EXISTING CONTOUR 16 Z y I ly 16f 11) SITE LIES WITHIN FLOOD ZONE C AS SHOWN FINAL SPOT ELEVATION Ox00 -� G"� ON MAP 250001 0015 C DATED 08-19-85. FINAL CONTOUR ELEVATION ® i a o N '�` 12) SITE LIES IN GROUNDWATER PROTECTION 1 j 1 1.53 TO WETLAN /D AINAGE EA DISTRICT AND IS SERVED BY A PRIVATE WELL. SOIL TEST LOCATION AND ELEVATION �0x00 t"� F TLI ITY POLE -0- I r * 11F 10. �''� ' U L o 0 0 I UNDERGROUND GAS, WATER, ELECTRIC, I n 0 I � I \ APPROVED BY BOARD OF HEALTH TELEPHONE, CABLE -G,W,E,T,C 1 CATCH BASIN Z © 1 DATE; AGENT: y '°y. ASSESSORS MAP: 11 PARCEL: 16 DESIGN CALCULATIONS I V ►3- �'� �,. PLAN BOOK: 272 PAGE: 92 LOT #: 107 r DEED BOOK: 3986 PAGE: 109 NUMBER OF BEDROOMS 2 3MIN . o K GARBAGE DISPOSAL UNIT NOT ALLOWED DESIGN FLOW I q ^' 15� PROPOSED TITLE 5 REPAIR PLAN 3 BEDROOMS x 110 GAL/(BR-DA)=330 GPD, � r -< 0 0 I 68 66 I REQUIRED SEPTIC TANK CAPACITY 1500 GAL (MIN), "'` I I / 64 / 69 DEBBIES LANE, MARSTONS MILLS -'' (N OFtij �,, ACTUAL SEPTIC TANK CAPACIT 2x1000 GAL IN SERIES ,�v ass , N ors srr�'aF� q°y I ,,/ 62 AS PREPARED FOR: LEACHING AREA REQUIREMENTS s JOHN YOUNG CALF DATE: DEC 17, 2002I --BOTTOM 0.74 GAL/(SF-DA) 4 o No.3CO78 60 DAVID NAILOR "=20' --SIDE 0.74 GAL/(SF-DA) " �acH• o I / / 01 REV,: LEACHING CAPACITY sT.- �� BERNARD J. YOUNG, P.E. ((24.5'x12.83') + 2x(24.5'+12.83')x2') `SS Gay �' 60 x0.74 GAL/(SF-DAY)= 343 GP � n" � � � / . BOX 1539, DENNISPORT, MASS 02639 (508) 394-1960 /Z ZZ, / FILE NO. � 0000-00 SHEET 1 OF 1