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HomeMy WebLinkAbout0094 EVERGREEN DRIVE - Health 94 EVERGREEN DR' t 1t '�- l_ f �a rs r�,,rs � . L, S'�y LOCUS IS A.M. 126, PARCEL 88. cL ELEVATIONS ARE ASSIGNED. �cj T �N LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. GLEN'S POOLS LOT 52 5085777410 LOT 53 � 6 KNIGHTS WAY SANDWICH ILIA 02563 S 7�35,6� E S yh5 W Ln LOT 43 FO' LOT 45 N w TOP--170 4 N w M ^ � �� J s F ' N z 29.7' , 28.7' LOT 44 0 43,110f S.F. L=203.30' R=710.0v EVE R GR EEN ,THIS PLAN IS A VALID COPY IF IT HAS AN ORIGINAL RED STAMP SIGNATURE. ASBUILT PLAN FOR F � GERALD & SUZANNE VAN DYK N D N SCALE: 1" = 50' SEPTEMBER 9, 1996. #35 y RONALD J. CADILLAC, PLS,RS �Pv P. 0. BOX 258 WEST YARMOUTH, MA 02673 su (508) 775-9700 t 0 PLAd PCf2H 7r 44 .201`10367 LOCUS IS A.M. 126, PARCEL 88. ELEVATIONS ARE ASSIGNED. LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. LOT 52 LOT 53 S 7'1640 S v1rAwr- t,)& Poc►L. N LOT 43 r , EX TE A LOT 45 W F0 N w TOR� °`4 Ili � z 29.7' g2.5 i 28.7' LOT 44 43,110f S.F. O L=203.30' R=710.09' EVERGREENflR`� THIS PLAN IS A VALID COPY IF IT HAS AN ORIGINAL RED STAMP AND SIGNATURE. ASBUILT PLAN FOR GERALD & SUZANNE VAN DYK OF6�{`c c I o= a N SCALE: 1" = 50' SEPTEMBER 9, 1996 ss y RONALD J. CADILLAC, PLS,RS P� P. 0. BOX 258 �lq/q6 WEST YARMOUTH, MA 02673 �' ` (508) 775-9700 COMMONWEALTH OF MASACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET BOSTON MA 02108(617)292-3500 TRUDY CORE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 Name of Owner GERALD VAN DYKE Address of Owner: 94 EVERGREEN DR.MARSTONS MILLS,MA 02648 Date of Inspection: 6/23/00 L/G /� Name of Inspector: JOHN GRACI �O , I am a DEP approved system inspector pursuant to Section 15.340 of Tifle 5(310 CMR 15.000) Company Name: SEPTIC INSPECTIONS Mailing Address: P.O.BOX 2119 TEATICKET,MA.02636 Telephone Number: 608-564-6813 FAX 608-564-7270 CERTIFICATION STATEMENT f \ 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 inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: X Passes _ Conditionally Pasjaluio, _ Needs Further EBy the Local Approving Authority _ Fails Inspector's Signature: Date:6/26100 The System Inspector shall sub it a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyerilf applicable,and the approving authority. NOTES AND COMMENTS "The inspection is based on criteria defined in Title V code 310 CMR 15.303.My findings are of how the system is performing at the time of inspection.My inspection does not imply any warranty or guarantee of the longevity of the septic system and any of its components useful life." THE SYSTEM PASSES TITLE V INPECTION.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. revised 9/2/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:, 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 GE Name of Owner RALD VAN DYKE Date of Inspection: 6123100 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: X I have not found any information which indicates that any of the failure conditions described In 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. 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. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. Illd The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank, whether or not metal,is cracked,structurally unsound,shows substantial Infiltration or exfiltration,or tank failure is imminent.The system will pass inspection If the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. D& Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). _broken pipe(s)are replaced _obstruction is removed _distribution box is levelled or replaced 1>Ld The system required pumping more than four 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 j, revised 9/2/98 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 Name of Owner GERALD VAN DYKE Date of Inspection: 6/23/00 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 16.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of 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 AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis 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,Method used to determine distance j9a(approximation not valid). 3) OTHER n/a } revised 9/2/98 Page 3 of 11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 Name of Owner GERALD VAN DYKE Date of Inspection: 6/23/00 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. - X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. - X Static liquid level in the distribution box above outlet Invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, - X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped 0. - X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. - X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tribunary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X 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.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: 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: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No - X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply - X 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) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. E� •1'1 revised 9/2198 ' Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 Name of Owner: GERALD VAN DYKE Date of Inspection: 6/23/00 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and-the system has been receiving normal Flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X _ As built plans have been obtained and examined.Note if they are not available with NiA. X _ The facility or dwelling was inspected for signs of sewage back-up. X _ The system does not receive non-sanitary or industrial waste flow. X _ The site was inspected for signs of breakout. X _ All system components,excluding the Soil Absorption System,have been located on the site. X _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X _ Existing information,For example,Plan at B4O,H, X _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)1 5.302(3)(b)J X _ The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal Systems. revised 9/2198 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 Name of Owner GERALD VAN DYKE Date of Inspection: 6/23/00 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual): Total DESIGN flow: 620 gpd Number of current residents:2 to Garbage grinder(yes or no):YES Laundry(separate 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 two year's usage): n/a gpd Sump Pump(yes or no): NO Last date of occupancy: n/a COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow: n/a gpd(Based on 15.203) Basis of design flow:n/a Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no): NO Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available: n/a Last date of occupancy:n/a OTHER: (Describe) n/a GENERAL INFORMATION PUMPING RECORDS and source of information: n/a System pumped as part of inspection:(yes or no):NO If yes,volume pumped n/a gallons Reason for pumping:n/a TYPE OF SYSTEM X 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract _ Tight Tank Copy of DEP Approval Other:n/a APPROXIMATE AGE of all components,date installed(if known)and source of information: 1997 Sewage odors detected when arriving at the site:(yes or no) NO revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 Name of Owner GERALD VAN DYKE Date of Inspection: 6/23/00 BUILDING SEWER:X (Locate on site plan) Depth below grade: 22" Material of construction: _ cast iron X 40 Pvc _ other(explain) Distance from private water supply well or suction line: n/a Diameter: 4" Comments: (condition of joints,venting,evidence of leakage,etc.) THERE IS TOWN WATER SEPTIC TANK: X (locate on site plan) Depth below grade: 16" Material of construction: X concrete_ metal_ Fiberglass_ Polyethylene_ other explain: n/a If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO Age: n/a Dimensions: 1600G L 10'6"H 6'7"W 6'8 Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 32" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: n/a How dimensions were determined: MEASURED Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. GREASE TRAP: _ (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other Explain: n/a Dimensions:n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle n/a Date of last pumping: n/a Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) n/a revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 94 EVERGREEN DR. MARSTONS MILLS MA 02648 M126 P088 L44 P Y � Name of Owner GERALD VAN DYKE Date of Inspection: 6/23/00 TIGHT OR HOLDING TANK: _ (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other Explain: n/a Dimensions: n/a Capacity: n/a gallons Design flow: n/a gallons/day Alarm present: NO Alarm level:N/A Alarm in working order:NO Date of previous pumping: n/a Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n/a DISTRIBUTION BOX:X (locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) THE DISTRIBUTION BOX IS STRUCTURALLY SOUND. PUMP CHAMBER: _ (locate on site plan) Pumps in working order:(Yes or No): NO Alarms in working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n/a revised 9/2/98 Page 8 of 11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 Name of Owner GERALD VAN DYKE Date of Inspection: 6/23/00 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n/a Type: leaching pits,number:(n/a)n/a leaching chambers,number: (n/a)n/a leaching galleries,number: (n/a)n/a leaching trenches,number,length: (2)22 leaching fields,number,dimensions: (n/a)n/a overflow cesspool,number: (n/a)n/a Alternative system: n/a Name of Technology: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH TRENCHES ARE FUNCTIONING PROPERLY.THEY ARE 22'LOND SOIL PROBED DRY IN LEACH AREA.EACH TRENCH HAS TWO RECHARGERS CESSPOOLS: _ (locate on site plan) Number and configuration: nla Depth-top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer. n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection)NO Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a revised 9/2198 Page 9 of 111 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 Name of Owner GERALD VAN DYKE Date of Inspection: 6/23/00 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) G a � A 6 O 4�Ap if N Q� 4y y revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 94 EVERGREEN DR. MARSTONS MILLS, MA 02648 M126 P088 L44 Name of Owner GERALD VAN DYKE Date of Inspection: 6/23100 NRCS Report name: n/a Soil Type: n1a Typical depth to groundwater: n/a USGS Date website visited: n/a Observation Wells checked: NO Groundwater depth: Shallow_ Moderate_ Deep_ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater 12 Feet+ Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions Checked with local Board of health _ Checked FEMA Maps Checked pumping records _ Checked'local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS-12+FEET revised 9/2198 Page 11 of 11 I TO STABLE C��LOTION � �`� � SEWAGE # 1-4 i VILLAGE ASSESSOR'S MAP & L '�-7 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DAT�4,/,' 9--d 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 G, IA A4�5 N 35 L v `14 TOWN OF BARNSTABLE I.:OCA. IUN ,. SEWAGE# ASSESSOR'S MAP & LOT ;9�f INSTALLER'S NAME&PHONE NO. --� '� 21" SEPTIC TANK CAPACITY / LEACHING FACILITY: (type) ��°� ( f� (size) NO.OF BEDROOMS BUILDER OR OWNER 14 ZO ®K2�''j 0 Va PERMITDATE: `"'��'"' I COMPLIANCE DATE: Z/f 12—A Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility NO 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 leachin facility_) Feet Furnished by tyjf t a 0 f P � f I � I I P I I f t I 1 0 No................ .�! o/ Frzs.....(..... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apo iratiou for Divi-pw3al Warkri Towitriirtiou lierutit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: .... /t.....Eve.q.1[:+°e --...Dc................•--_........... --•---------------.--a-t--..... - or Lot.--•-- !�3.............. ttrt.S /� .Location-Addre�s�s •-••• --.-or Lot No. �.J 12At� zA-n�►� ...._�y1J._. .Vie.-------•_.... ..................--•-------------- .._.. W / OwnCr ddres�s- `� T ' e `L oa1 f-S --------------------------- - �` -- fj1 :.----- Installer Address + `� Q Type of Building Size Lot.. :....Sq. feet U Dwelling—No. of Bedrooms..............3--------------------------Expansion Attic ( ) Garbage Grinder (Vee 5 aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- - - W Design Flow............ .a_rJ..................gallons per person per day. Total daily flow.._......�.q.J_..............._....gallons. o� e — WSeptic Tank—Liquid capacity.1.5 .gallons Length__1��_�.__-_ Width_--5_'_l ___ Diameter................ Depth.....4...�.t�_ x Disposal Trench—No. .....' ........... Width-. PI 3..3---- Total Length--- !.:..67.... Total leaching area-..-'7D ...... ft. 3 Seepage Pit No.............:....... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �`U�ItANY✓Pd' �©� Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1_:!;�5.._..minutes per inch Depth of Test Pit_---_--1._ ,1..... Depth to ground water------Nw .._. Test Pit No. 2..... .....minutes per inch Depth of Test Pit---------+_O!... Depth to ground water....Ag.LCI_6.... a ------------------------------------------------------------------------•---•---•------•-•-•-•-••---......................................................... 0 Description of Soil---------------. 1-----•------------------•--------------------------------------------------------------------------------------•-••-----------. x --------------------------------------------------------------------------------------------------------------------------------•------------................. VNature 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 Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issu e board of health. Signed ............. . .... .. - -. --------- -.... ... �yi9�G r ^Date Application Approved By ---------- -- ------- ---------- .... - - � Date Application Disapproved for the following reasons: ..... .... .............. ........................ .. ...... ............ --- .............. p.../.... .......... � gooe Permit No. .......... lv... 'Z..' ....... Issued Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M A�C(, I DATA THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE , pphration for Di-tipoitt! Workii Tonitrnrtion ramit Application is hereby made for a Permit to Construct (>,) or Repair ( ) an Individual Sewage Disposal System at: t .... .v...---'.................----" . -----------•-----._.............._ •---------•------------------....---....• - -----•--......_.-•-•---..............---- Location Address or Lot No. "J�C- Ti�T/ '�/' .y�] �� O/�wn�r�. j r /Addr•ess— W �/ / / \ ( 7 l l�y( J j �if r r,.h ......._...' '' ' '_"'_!_'................. Installer / Address Type of Building Size Lot...` __�!_1............Sq. feet t, Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ). aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ................ .............. . . W Design Flow............6 _:_ram__________________gallons per person per day. Total daily flow---------- -------------------gallons. R: Septic Tank—Liquid capacity-!. ;, -gallons Length__If 5---__ Width--.`-' Diameter---------------- Depth....'.i:........ . Disposal Trench—No. -----�-:.......... Width___:t!:.2 zt.... Total Length... 7---- Total leaching area.....11-n-. ......sq. ft. Seepage Pit No-------------_----- Diameter-------------------- Depth below inlet.................... Total leaching area..._...._.........sq. ft. z Other Distribution box ( ) Dosing tank ( ) < l't' t r;vlfv' ,Percolation Test Results Performed by....... .................................................................. Date...,............ Test Pit No. 1. __ �.._..minutes per inch Depth of Test Pit--._-._-�_>_.I..... Depth to ground water------ ........ (i, Test Pit No. 2_____-------minutes per inch Depth of Test Pit._.__-_-..q.: _°_. Depth to ground water....!_.i.'d'!....... a ............................................................ ........................ .----------- ------------------------ '................. ......._....... DDescription of Soil r {.�F±..---------------------------------------••-----------------------------------------•-•--------"--•--"•-----•"......------------ x 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued-Ciy the board of health. Signed r ..... ................... ---------- - f Cf � f .... Dare U Application Approved BY :.°./�1 f,- CT /.'.*._..., r e ./.,. 1.r.. .`:,*C r'1 r Date Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ........................................ Date o Permit No. G j- . ...... Issued k�........ �....�.......... Dare --------------. _.-----_.----,—_'—_'-- ------------_ ----------------_ ------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE l V Prtifi ate of (Clo plianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -----------------------------------------------------------......------------------------------------- ----------------- ---- --- ----------------------------------------------------------------------- Lo-i Insrdicr aC ................................i `��.t...i......�� � ��C�/r�f.�``.'.��:t �./'.1_tl_ --.-----------���-�.. 7rt a t..!.... ��? ! '�= �--------------_.----- ----------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. _------:?r-.....-......` <�J.....__ dated ....�"....`.. .��} f ,- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE / /'' f ' {� Inspectors ' ------- - --- �r r / __%_ Y.r. .A ry Lem ---------------------------------------------- -------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No..•..................... FEE:... <00 Utspooal Workii Tomitrurtion Prutit Permissionis hereby granted----------------------------------------------------------------------------------------------------------------------------•---..--------.-. to Construct (K) or Repair ( ) an Individual Sewage Disposal System at NO. �� __..._. _c• P ', I P 12 1>Y`I.L�l: .✓_._.� _____ ________________...._..._.....__._._.....__.__._...-._....__._._._...__............__...._._._.._____ .................................... 'Street yG Ve as shown on the application for Disposal Works Construction Permit No-----_-------------- Dated............__..................._........ / r l Board of Health DATE............ . ...... ........................................ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS No................_....... Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Biupnuttl Workii Tunutrnr#inn lirrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ----------•-••-------••------•-------------------------•---•--------------------------------....•. -----•--•-•-•----•••---•••----....-•----••----•-------------•----•••••......•.......--••--....--•- Location-Address or Lot No. --........--••-•------..............•-•----•-----....----...------......------......_......._...• -••-•••-••...------••---•----...-----••-••.....-------••••--••••----•••-•••••-•---•••••--.......•. Owner Address W Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) al Other fixtures ..................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity__.---_----gallons Length................ Width---------------- Diameter..-------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date....................................... Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water..___----.--_-__----_._. (1 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 9 •--•••-•---------------------•-••----• ............... ...................................................................................................... 0 Description of Soil........................................................................................................................................................................ x U ....••••-•-•-•-•-••-----••••••••--••-•-•••-••••--•------•--•-----•-•-•-••-••------•--•-••••---------••--••---••-•••--•---•--•••••--••-•--------•--•---••---•-•-•-•-•-•-••--------•.................•••-- w ---- ----------------------------••....-•-•----._... .................................................................................................................................................. Z. Nature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed -------------------------------------------------------........................-------------------------- -------------------------------.. ------ Dace ApplicationApproved By ........... ...................................................... . ..................................... ........................................e Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------------------- ---------------------------------- --------------------------------------------------------------------------------- -- --------------------------------------------------------------------------- . . .......................... Date PermitNo- ------------------- ------------------------------------------- Issued . ... ............................................... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BAR����TTNSTABLE V Ertifi ate of (loraptiance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ------------------------------ -------------------------------- ---------------------------------------------------------------------------------------------------------------------------- Insr,Jler ----------- -----------------------_.-------------------------------------- ----------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ------------------ dated .-----------.._------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WALL FUNCTION SATISFACTORY. DATE.. 6.""'./ /.. .... --- - ---------------------------- Inspector", ---- __ i----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No......................... FEE........................ Ei poal Vorkg Tnnutrurtinn rrntit Permissionis hereby granted-----------------------------------------•---------------------------------------------------------------------------------••----------..-•-. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo----------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------•----------- Street as shown on the application for Disposal Works Construction Permit No-----_------------- Dated........................................... -----...•--•••-••---------------•-•••••-•--•-••-•-------------------••---••--•-••••••-•-••-------•-•••... Board of Health DATE................................................................................ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS No................_....... @a FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Elinpuittl Workii Towitrurtiun Prrmit Application is hereby made for a Permit to Construct ( . ) or Repair ( ) an Individual Sewage Disposal System at: .................................................. ----tion :---•-----•------------------------------------- ------------------------------- ----•----------•.....-...................-......... .... Loca -i\ddress or Lot No. ......................._....................:_:.................................................. ----------------...------------------------------------------------............................._. Owner Address I nstaller Address PQ 4 Type of Building Size Lot.............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------- -- WDesign Flow....................__..:_________._....____gallons per person per day. Total daily flow..._........:_._.(._..._..._...._...........gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter---------------- Depth................. x Disposal Trench—No. .................... Width.................... Total Length------1............. Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) f aPercolation Test Results Performed by.......................................................................... Date..------------------------------------ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit................_... Depth to ground water.................. a ----------------------------------------------------------------------------------------------------........................................................ 0 Description of Soil.......................................................................................................................................................................... W U ...........................................•--------------------------------------...------------------------------------------------------......--................................................... W ---------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable...__._......................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed -------------- ..................---------------------......--------------------------- ........---- ..-... - Dace Application Approved By ............................. . . ..............................:. i Dace Application Disapproved for the following reasons- -------------------------------------------------------------------------------------------------------------------------- -------- ........ .................... .. ............................... ..................... ....................... -- . ------------------------------------- ........................................ Dace PermitNo- -------------------------------------- ........................... Issued .............:...................................................... Date THE COMMONWEALTH OF MASSACHUSE77S BOARD OF HEALTH TOWN OF BARNSTABLE C�ertifirate of CZomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by ------------------------------------------------------------------------------------------------------------------ Installer t 4 has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ._......................_..-.-..._---------- dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. L DATE ' Inspector' .G� 5� .- -�� E�-�'-- �"/_ ----- - ----------------------------------------------------------------------- -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r , TOWN OF BARNSTABLE ; No........................ FEE........................ Diulnwal Workii Tuntrudiun "emit Permissionis hereby granted...................... -------------_----.-__----------------------------------------------------------------------------------------•-•--- to Construct (',,) or Repair ( ) an Individual Sewage Disposal System atNo-------------------------------------••--------••---------------•--. -----------...------•-----._!....... -----------------------------------------------------------------------.............. Street as shown on the application for Disposal Works Construction Permit No..................... Dated........................................... ...................................................... .................................................. Board of Health DATE................................................................................ FORM 36508 HOBB8 A WARREN,INC.,PUBLISHERS SOIL EVALUATOR&PERCOLA I N TEST F�ORMS'e"`� o ge 1 of 4 � FtHEi�, Town of Barnstable ,� Q` BARNgrABLE, t and Environmental Services- q0G f4�'P ' MASS. Department of Health, Safety, 9� i639 Public Health Division A f0 MA � l r 367 Main Street, Hyannis MA 02601Ahw �`�`�'b' r Office: 508-790-6265 `� !' FAX: 508-775-3344 � Soil SuitabilityAssessmentfor Sewa" Dlsposa1 r''��� Date: ��t� NO. � Performed By: �$ t ��� A�. Date: Witnessed B k1gia �-•� Location Address �--� Owner's Name J, WO, ���n�� S�z��•N Vtpv D y� Lot#: y Address,and Pj P aSoX3 04- C U M,'V.4 L? DNA oze 3 7 Assessor's Map/Parcel: !1 0� ,�j ex Telephone# NEW CONSTRUCTION Y REPA-I✓R 3 6z—1467+ Office Review Published Soil Survey Available: No Yes Year Published r1 ,3 Publication Scale 41 Z50 Od�co Soil map unit En A Drainage Class W E+-, Dry Soil Limitations pcya,- 6/ r Surficial Geological Report Available: No Yes Year Published Q 8 6 Publication Scale k OD D° (M t Geologic Material Map Unit) _�A __ Landform Lr .-gL.I Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Wetland Area: National Wetland Inventory Map(map unit) Ala!�.!g/) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month rn Range: Above Normal Normal ✓ Below Normal Other References Reviewed: U S Qct A-Cl jk"_r DEP APPROVED FORM-12/07/95 FOR114 11 - SOIL EVALUATOR FORM Page 2 of Location Address or Lot 140. � - ue r. On-site Review � Time: 11 . 36 Weather oa>v-1 Deep Hole Number . Location )identify on site plan) o Surface;::.Stones Land Use Slope (/o) � Vegetation :..... : Landform ` Position on landscape (sketch on the back) Distances from: feet NIA feet Drainage way 3° Open Water Body feet Property Line .. 25.r.. feet ZS Possible Wet Area NIA. 1-1 Drinking Water Well ro R .. feet Other _::.....:.:...:::....... ....::.::.. E p v c j�,ATl�cMaw`� DEEP OBSERVATION HOLE .0 r , Otfier Soil Depth from Soil Horizon Soil Texture Miunsell) Mottling (Structure,Stones,Gavlel)rs, Consistency, °6 Surface(Inches) 0 1° 3 sue, z.s y�/� ,; i�r�J�7�j7��Y./o i ` r :�'t. , ) .r) 'td" (4i1,� .:-•,ny>•_� 1Z0 2,9V 6/+ vj wA S�` 1� DepthtoBedrock: AJ�A ��G S parent Material(geologic) I fl T Weeping from Pit Face: Depth to Ground`^/ater. Standing Water in the Hole: t + ��N ��;Q�'� �N g161 — Estimated Seasonal High Ground Water: Z4) :r DEP APPROVED FORM-12/07/95 y FORM 11 - SOIL EVALUATOR FORN Page 2 of ZA Cu Location Address or 'Lot too• 1 • f$ Z . Date:. 4 1 l� Iq 6 Time: l! o Weethet Deep Hole Number Location{identify on site plant Slope (961 3 % Sutfttce Stones Land Use W ova� Vegetation . �® s. .. ... .._ Lendform ... . ... .1. Position on landscape (sketch on the back) Sk"('A' Distances from: Drainage way 3S r feet Open Water Body NIA feet Possible Wet Area fulft feet Property Line •i. feet Drinking Water Well feet Other - Y DEEP OBSERVATION HOLE L00. SON Depth from Soil Horizon son Texture sou Color Gravel) Surfeoe Itnchesl (USDA) tMunseNl Mottling (Structure*Stones,Boulders,Consistency. 3 " S ,�I l a Apt i ( G o gwvt ` rhej �pyd• Sig r .. 2 X"My PROPOSED DISK— .l k w(fl � 1/ Parent Meteriaf ttMoloplcl d V� ne..th I rraundw art Standing Water in the Hole: A1 �} W@Wng tram Pit Face• v u,v uS6C F;Atimated Seasonal High Ground Water' t)8P APPROyM FORM•IV87195 FORM 11 - SOIL EVALUATOR FORM Page 3 of 4 Location Address or Lot No. 4 ye��1 ram''' r N-ft Determination for Seasonal High Water Table Method Used: ��v rL lk 20' N o VJA}e- '9NCOv �c��s�n• b � vpv..� ❑ Depth observed standing in observation hole.......41+0 inches ❑ Depth weeping from side of observation hole .......�.If inches I a 6S ai ❑ Depth to soil mottles inches pv,;oS� ❑ Ground water adjustment ....ffl.... feet Index Well Number .................. Reading Date .................. Index well level ...._. ..... Adjustment factor ........... Adjusted ground water level .................................. .... ....... 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? Ye:S. If not, what is the depth of naturally occurring pervious material? Certification I certify that on po, lqk3 (date) I 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 ����Date _��_ i DEP APPROVED FORM-12/07/95 I FORM 12 - PERCOLATION TEST Page 4 of 4 1 Location Address or Lot No. him COMMONWEALTH OF MASSACHUSETTS '6 frriv SIA--bl e , Massachusetts F T(J I- Percolation Test* Date: ..... .6 It 3 ( ct., Time:, Observation Hole # - Depth of Perc Start Pre-soak 0 , O O End Pre-soak r_ pp cc Time at 12" Time at 9" Time at 6" Z r— ZD Time (9„-6") a/^ 4 0 i( Rate Min./Inch Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed LJ Site Failed ❑ Performed By: CA L)t L-C 4-e__, Witnessed By: Comments: ..,.:.::::P : .:.:,. . . .: ti' ' ?::.:...... .: .: �� ..w.....w.. �.:M.._.... ��...�._� ...._...� DEP APPROVED FORM-12/07/05 NOTES NOT 1. LOCUS IS A.M. 126, PARCEL 88. SCALEO O 2. ELEVATIONS SHOWN ARE ASSIGNED. N 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. Race Lane 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) 12 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. o 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. 1, ° 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". rn oc v BENCH MARK--TOP OF CONCRETE 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW ; J BOUND=30.14 ASSIGNED D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. Lot 43 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. BUILD UP COVERS TO WITHIN 1' OF GRADE, MORTOR CHIMNEYS IN PLACE. ONE COVER OF TANK TO BE WITHIN 6" OF GRADE. LOCATION MAP 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEASTONE ON TOP. 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, X 30.9 CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. x 33.3 12. ALL FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING, IF NEEDED, TEST HOLE 1 IS TO BE CLEAN GRANDULAR SAND MEETING SPECIFICATIONS OF 310CMR 15.255(3). 13. PUMP AND FILL ANY EXISTING CESSPOOLS. BENCH MARK--TAG BONNET BOLT " E N N 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. DEPTH (inches) ELEV.(feet) , HYDRANT 1017=30.00 ASSIGNED -12'5431, x 32.4 / « :30.8 A Lot 53 0 0 layer29 6 N TEST HOLE DATE: June 13, 1996 S' PERFORMED BY: Ron Cadillac, Soil Evaluator rn 33.5 WITNESSED BY: Edward Barry, Inspector 30" B I sandy lo loom yr /6 X 30. 0.9 o X 32.6 <-4 31.9 PERC RATE: <5'-00"/inch (C2 layer TH 1) C1 layer 2.5y 5/ , TOP FOUND. SOIL SURVEY(1993): Enfield silt loam 48" sandy loam X x 31.7 ` GEOLOGIC MAP(1986): Mashpee pitted plain deposits 25.6 VENT o� 30.1 Lot 52 Invert 27.33 C2 layer 10yr 6/4 I Invert 26.72 60' a med. loamy sand 3 S Proposed Screened Vent & gravel k, o� �2 582�, Use Gans Baffle Invert 25.30 I 8.2 ^v 3 0.6 S S^ � 120 30. Proposed C3 layer31.7 6� S=1/ "/ft. 25.3 support med/tine sandLot 4 6 s=1 /ft Ij ' top peastone conc. C s=varies blocks 28.5 ,� -' �5 q PO N 43,110± S. I 1500 Gal. 1 144" no water 17.6 TH\ 2o0Ch 0. X 32.5 Invert 26.97 T 24 \ �� �• G � _ Invert A 24.60 10 Basin 25 R�SERV� �0 Proposed Invert 25.47 Invert B 24.80 TEST HOLE 2 I \ p 7�y0 Use 6" Stone under Proposed 5 min. \� b, P Proposed \ - _ ' ! i TH 1 jr, \I �,, � 15' I I A-35 � DEPTH (inches) ELEV.(feet) I 1 . $� 9 4 0 X 30.6 \ �- I r- B�7' I Bottom TH 1=17.6 0 28.8 \ 8.1 2�a 31.2 Lot 45 y 0 layer I \ 2 1500 gal. Two-Compartment DESIGN DATA 3 B layer 10yr 5/6 \\ � \ 0 i \ Septic Tank* 29.2 ` 31.0 \ 3 2.0 28 sandy loam 32 BEDROOMS: 3 C1 layer 2.5y 5/ \\ \ ` �� ��. GARBAGE GRINDER: YES sandy loom \\ \ 0 t�0 2 REFERENCE: LAND COURT PLAN 12034D ( ) LEACH AREA 48 C2 layer 10yr 5/6 24 8 0.1 REQUIRED CAPACITY: 330 X 1.5 495 GPD *SEPTIC TANK: 1500 GAL. \\\ \ �7 � V�.ou% IMPERVIOUS SURFACES: m& gravel d \ � �� HOUSE 1840 S.F. BOTTOM LEACHING AREA: 447.7 SF USE 2 LEACH AREAS, AS SHOWN. �EACH lk�1.7 DRIVEWAY 2740 S.F. [2(10.33' X 21.67')] LEACH AREA USES 2 RECHARGER 330'S \\ X 26. \ 2 6 29.1 �P'� X 6 BRICK WALK 310 S.F. SIDE LEACHING AREA: 256 SF WITH 3' OF STONE ON THE SIDES AND Q [2(64'perimeter) X 2' DEEP)] 4' OF STONE ON THE END, FOR A 10'-4" TOTAL 4890 S.F. BY 21'-8" BY 2' DEEP LEACH AREA. PROPOSED % COVERAGE WITH IMPERVIOUS SURFACE=11.4% DESIGN CAPACITY: 520 GPD [(447.7 SF + 256 SF) X .74 GPD/SF] no water \\ Q \ x 27 4 QP 29. 120" 18.8 \\ 6 o��O �, x 0 4 SITE CLEARING THE LOCUS APPEARS TO BE IN A :I O RF ZONING DISTRICT. GOVERNING A MINIMUM OF 30% OF LOT AREA ZONING YARDS APPEAR TO BE: IS PROPOSED TO REMAIN NATURAL. FRONT YARD 30 \\� SIDE YARD 15 \� REAR YARD 15 x 25. 28.4 ACTUAL .ZONING DETERMINATIONS MUST BE MADE BY THE TOWN ZONING OFFICAL. THE CUS ALSO AVPEARS TO BE E\ 28.6 N THE O GROUNDWATE1R PROTECTION 25.7 \ UTILITY PAD OVERLAY DISTRICT. k 25. 5�/ 25.3 *NOTE: A GARBAGE GRINDER REQUIRES SITE PLAN A TWO COMPARTMENT SEPTIC TANK, OR TWO 1000 GALLON TANKS IN SERIES. FOR �•P THIS PLAN A VALID COPY ONLY IF IT BEARS GERALD c SUZANNE VAN DYK OAN ORIGINALL RED STAMP AND SIGNATURE. AA,v` LEGEND y�`�P� OFM�S OF MAssgc RO ,.L s s� LOT 44, 94 EVERGREEN DRIVE, MARSTONS MILLS, MA TH 1 TEST HOLE LOCATION, NUMBER - CADILLAC o CADILLAC AUGUST 8, 1996 SCALE: 1 "-30' W WATER LINE MARKINGS v #f 35779v v #1060�p y G GAS LINE MARKINGS (IF SHOWN) Sq�''/SitiPP�a ��L__��_���� tipSUR NI TA4 -PW-- PROPOSED WATER SERVICE x 9.5 .11.0 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) /� �� JC RONALD J. CADILLAC, PLS, RS �--6- - EXISTING CONTOUR O /6 8--- PROPOSED CONTOUR PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN M.> UTILITY POLE (IF SHOWN) P.O. BOX 258 -Ply- PROPOSED UNDERGROUND UTILITIES WEST YARMOUTH, MA 02673 ' TREE (IF SHOWN, NOT ALL SHOWN) (508) 775-9700 E UNDERGROUND ELECTRIC MARKINGS HEALTH AGENT APPROVAL DATE PAGE 1 OF 1 - I