Loading...
HomeMy WebLinkAbout3072 FALMOUTH ROAD/RTE 28 - Health 3072 iF'alnnout.h Roach A=099-02.9 Marstons Mills �' �� � �, I °F IH Town of Barnstable Barnstable P , 1' I�,(R� Regulatory Services Department I�ca�F ARi-"rAM3LE, ti MASS. I ' Public Health Division -0 MAt A. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO January 2, 2008 Roberta Weiner 85 Lakeview Avenue Westhaven, CT 06516 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 3072 Falmouth Road, Marstons Mills MA was inspected on November 16, 2007 by Patrick O'Connell, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system FAILED under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. UThomas DER OF THE B ARD OF HEALTH 7007 0710 0005 5820 7601 McKean, S., CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures\3072 Falmouth Road.doc 70n7 n7l,n nnn; gRan 7[,ni. Town 01.B� r°nstable P# Department"'of Regulatory Services suxrrereetr, 1 Public Health Division 200 Main Snret,Hyannis MA 02601 Date Date Scheduled . CJ Ti. . me Fee Pd. $Oil Suitability Assessment.f or ��/� L (� Sewa a Dis osal: Performed By:_�" i G11�R— I}��. �• '�. . . ...' .. .. . Witnessed By _ - 'Location Address z �' OCATIp1v & GENIERAL IN,ORMA,I,I. ON J 0 ? 14,j V j. ' Owner's Name y /1,0 Address Assessor's Map/Parcel• a Engincer's Name NEW CONSTRUCTION 5 G C �'r/ REPAIR . Telephone# Land Use. � � 4 1'PGI vt; es slo % p ( --V-- Surface Stones Distances from: Open Water Body /1!/I' '" ----�_R .Possible Wet Area Ail+^R Drinking Water Well /1f 4—R Drainage Way�Q/— Properil Line r t tY Omer q SKETCH:(street name,dimension's of lot,exact locations of test holes.&perc testa,locate wetlands In r p oximily to holes) . "f , •.M >. V, cp Cn 54� Parent material(geologic) �'f Gasp S , Depth to Bedrock ✓lJ Depth to Groundwater. Standing Water in Hole: �jy� �� •• _,-_-_._�_._w �� i ' ` Weeping from Pit Face A Estimated Seasonal High Oroundwater �� UkJ DETERMINATION FOR SEA ONAL Method Used: Pub tr HIGH WATER TABLE Depth Observed standing In obs.holes Depth to weeping from aide of obs.hole: la....Depth to roll mottleat In. Index Well M Reading Date: Index Well Icvcl In. Groundwater Adjustment fr. A41.factor, Adj.Oroundwater Level ,,,, Observation PERCOLATION TEST'...1101c M ,CIA PereDepth of Pe 5 p' • Timo Start Pre-soak Time® Bnd Prc-soak ID:/ /0- Z Rate MInJ:nch Site Suitability Assessment: Site Passed .: Sitt 02111d: Additional Testing Needed(YIN)_- Original: Public Health Division F71 ObservrWOn Hole Data TO Be Completed on Back----------- ***If percolation test is to be conducted Within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(I) Week prior to beginning. ' Q:-SBPTICtPBRCPORM.DOC a ti DEEP-OBSERVATION 1107i,E LOG Hole# _ Depth from Soil Horizon Soil Texture h,Soll Color • Sell• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.' . cam _p vn: �. DEEP OBSERVATION IIO E LOG Hole# Depth from Soil Horizon Soil Texture 1 Soil Color Soil r Surface(in.) (USDA) (Munsell)_ Mottling (Structure,Stones,Boulders. s e % r 14 DeptDEEP OBSERVATION HOLE LOG Hole#Surface from Soil Horizon Soli Texture Soil Color Soil Other Surface(In.) (USDA) Wunsch) .' Mottling (Structure,Stones,Boulders. t c /Z.4 • t�C1 '4"4y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soll Textur e 5011 Color Soli Ot er Surface(In.) h (USDA). (Munsell) Mottling (Structure,Sionea.Boulders. Consistency, Flood Insurance Rate Man: Above 500 year flood boundary:.;No_ .Yes ,,;, Within 500 year boundary No Yea Wilhiti 100 year flood boundary No Ye Depth of Naturally Occurrine Pervious Ma erial' Does at least four feet of naturally occurring pervious-malarial exist in-ail areas observed throughout thly area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervitus material's Certification . I certify that on // .O Z (date)I have passed the soil evaluator examination approved by the Department of Envi onmental Protection and that the above analysis was performed by me consistent with the required trainin expertise and x erience described in)10 CMR 15.017. Signature Da . Q:4RCP77CU'BRCr'ORM.DOC r^,`'�• it . . _ ., • F TOWN OF BARNSTABLE .LOCATION /A uv tT CSC SEWAGE#Q —t 6,5" VILLAGE M AS�E (�R'S MAP&PARCEL INgTALL S NAME&PHONE NO. s�7 S-or 6-L SEhIC TANK CAPACITY ®oG Ah o LEACHING FACILITY:(type foo D X /3 X �2 NO.OF BEDROOMS 3 i S.L oo—s l Ni X t 4< e OWNER `e •', // t -0 c /ems PERMIT DATE: 3/a v/0 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY - ,� /. S,R lh or, r- ILI 93 Oil f e U� ll `73 14 • r `� , , ' •• i V o. k t= 4 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zfppltratton for 33iopoal *pgtem Con.5truaton Vermtt Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot NoJ,071_ -,Q�/Y�3r✓�i� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address and Tel.No. Designer's Name,Address and Tel.No. -C�/ ee�:, _ CSC 61zaalo a r 7 '7 5— 1_34f� 4_1W 114)17- 4mv Type of Building: O Dwelling V-No.of Bedrooms 1�? Lot Size - sq.ft. Garbage Grinder ( ) Other Type of Building 'sjly tJT No.of Persons Showers( 2 Cafe'teria( ) Other Fixtures x Design Flow(min.required) SpjQ , gpd Design flow provided gpd Plan DatelXwaW 17 2 pp$3 Number of sheets Revision Date Title Size of Septic Tank ype of S.A.S. 2d Description of Soil Nature of Repairs or Alterations(Answer when applicable) 3(2 Date last inspected: �0662jg6a 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 Environment I ode a of to lace the system in operation until a Certificate of Compliance has been issued by this rd ealth. Signed Date Application Approved Date c3 o Application Disapproved by: Date for the following reasons Permit No. �6 5 Date Issued D 8 - • - f T'J r 'sr "'w "�' .3.+Ww L {- ..l`..'a:''..n '4 V`f..'• -'+,1 { ? .�_:a✓`TM-�-^._..ate. �-�.:' " t^�'. --:iS.y A��� �No. CJ� � _....% td Fee 5O 1�7 -'THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for Mi5pogal *potent construction permit Application for a Permit to Construct O Repair O Upgrade O ;Abandon O ❑ Complete System ❑Individual Components .a Location Address or Lot No.yo Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address and Tel No. Designer's Name,Address and Tel.No: S i-3Ad .�4/ z-" W.4/,v 57 l i d W,XA e1W1V7P A V Type of Building: 0�67 Dwelling '4 No.of Bedrooms Lot Size �� , 264 '` sq. ft. Garbage Grinder (( ) Other Type of Building et yp g G's-"si�',Ur.�� No.of Persons � Showers(Z) Cafeteria(�) Other Fixtures Design Flow(min.required) gpd Design flow provided (mow gpd 1 Plan Dat&AR)'j0 17. 2 67" Number of sheets �j/j 1, Revision Date p 1 w Title f/ ! , v M Size of Septic Tank 4 L� v ' 1'Type of S.A.S. Description of Soil 'ImIn Nature of Repairs or:Alterations(Answer when applicable) Date last inspected: N0411ff6ac�DD7 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�.f--the Environmental Code and.not to place the system in operation until a Certificate of Compliance has been issued by this,Board e/al�th.- Signed Date Application Approved by Date Application Disapproved by: Date for the following reasons i Permit No. a~oc)�: ��� 5 Date Issuedd THE COMMONWEALTH OF MASSACHUSETTS -_ BARNSTABLE, MASSACHUSETTS (Certificate of Complianc THIS IS TO CERTIFA thatf her n-site Sew -ageiem Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by . t�(.�" rn,. Oat J d 72 {�+iwt ,rot (/p!E-t)I tic' J4A cA has been constructed in accordance f with the provisions of Title 5 and the for Disposal System Construction Permit No. C9CO 0 '1 7 n dated Installer Designer t #bedrooms -r Approved design flow 40 gpd The issuance of this permit al n itVe construed as a guarantee that the system wil f�ion}a�ss designed � f L ° Date- Inspector r No. 3�c i' ' /� S Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Digoar *pgtem construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at 36 7 Z j A-t- W, C)Ulu t2D osr-r p I C t f= 1A A.A . and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction in st be completed within three years of the date of this 't. / Date ©A � Approvveed-by / i Town of Barnstable �pINE 1py, Regulatory Services Thomas F. Geiler,Director BARNSTABLE. « Public Health Division 1639n. A``� Thomas McKean,Director fp MA'S 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 0 5/02/0 8 Sewage Permit# �O Assessor's Map/Parcel 0 9 9/02 9 Installer&Designer Certification Form Designer: BSC GROUP, INC. Installer: A d sf� ` O 4/5"1 Address• 349 Main Street, Route 28 Address' zypy W. Yarmouth, MA 02673 �� "/7 On 3 ,p le i /-L was issued a permit to install a (date) (installer) septic system at 3072 Falmouth Rd, Osterville based on a design drawn by (address) BSC Group, Inc. dated 3/20/08 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. - Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if re u' vas inspected and the soils were found satisfactory. �N of I �►`� Uss'�o moo`' MARK D. tiN nstaller's Signature ; C59 No.4�:D37 IST�F`G� AL (Designer's Signature) (Affix tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice fonnsWesignercertification form.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 required for every page. City/TownState Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out � q forms on the computer,use 1. Inspector: only the tab key to move your Patrick M. O'Connell cursor-do not Name of Inspector use the return key. Septic Inspection Services Co. Company Name reD 189 Cammett Road Company Address Marstons Mills MA 02648 re•n City/Town State Zip Code 508-428-1779 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. Thnspection was performed based on my training and experience in the proper function and maintenance fflon sate sewage disposal systems. I am a DEP approved system inspector pursuant to section 15K3t40 of�:; Title 5 (310 CMR 15.000). The system: <t co ❑ Passes ❑ Conditionally Passes ® Fai ❑ Needs Further Evaluation by the Local Approving Authority r _j rn November 16, 2007 In ector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system 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 only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 07-257 Weiner.doc-08106 Title 5.Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is required for 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 -- ------ --- — every page. City/Town State Zip Code Date of Inspection B. Certification Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 07-257 Weiner.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M a,•°"P 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is required for 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 07-257 Weiner.doc-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is g5 Lakeview sthaven CT 06516 November 16, 2007 Ave.. required for ---- every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than_day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 07-257 Weiner.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 07-257 Weiner.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is g5 Lakeview sthaven CT 06516 November 16, 2007 Ave.. required for — every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ ® Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with ® information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 07-257 Weinecdoc•08/06 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 6 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments <c 3072 Falmouth Road, Marstons Mi lls MA 20648 Property Address Roberta Weiner Owner Owner's Name information is 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): Unknown Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): N/A 0 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Sump pump? ❑ Yes ® No Unknown Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 07-257 Weiner.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: None Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: Overflow pit installed 9/30/85 Were sewage odors detected when arriving at the site? ❑ Yes ® No 07-257 Weiner.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is required for 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): 6" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other (explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑,other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No --------------------=------------------------------- --------------------------------------------------------------- Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? 07-257 Weiner.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .' 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is required for 85 Lakeview Ave. Westhaven _CT 06516 November 16, 2007 ----- every page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction.- El concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 07-257 Weiner.doc•08106 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is required for 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): Pump Chamber'(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order. ❑ Yes ❑ No 07-257 Weiner.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is required for 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: Two 6x6 pits ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Newest overflow pit had previously been full to top system is in hydraulic failure. 07-257 Weiner.doc•08/06 Title 5 Official Inspection Form.Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° .0 3072 Falmouth Road, Marstons Mills MA 20.6_4.8_ Property Address Roberta Weiner Owner Owner's Name information is required for 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration One with two overflows Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Cesspool is located under excessive overgrown brush and was not opened. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 07-257 Weiner.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 f Commonwealth of Massachusetts j Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner Owner Owner's Name information is 85 Lakeview Ave. Westhaven CT 06516 November 16, 2007 required for -----------------__-..._ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Route 28 - Falmouth Road Water Service +f ! f ! f ! U i 14 / ! +f X 1,\ \ \ \ \ \r r\• \r\•\f\ 11 .1 .1 f ! f 2 3 39 38 ;�.�� i r rxs3. r h f�j;� t•�AY�, Orig. Overflow Main Cesspool Overflow pit installed in 1985 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3072 Falmouth Road, Marstons Mills MA 20648 Property Address Roberta Weiner _ Owner Owner's Name information is 2007 16 b CT 06516 N th W Ave. k aevew esaven November , required for 85 L II every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to ground water: N/Afeet Please indicate all methods used to determine the high ground water elevation.- El Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database - explain: You must describe how you established the high ground water elevation: 07-257 Weiner.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15 I- Town of Barnstable Op SHE 1p� Regulatory Services snxxSTns Thomas F. Geiler, Director �A•0� Public Health .Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town ofBarnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automaticallya the number of bedrooms listed within this approve the report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit'. If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. S78 0`2 b 03f1SS1 33itviidwo3 31r`a 03ASSI IIW 3d 3 1 V a IN,n37 V3 NAA0 a0 v`3 a l 1 IA ) SS3Maar T 3Wr .Wl r S N I 'ON l NN 3d 3 9 r N13 S �o 14 s ` u e �� Pk0, LOCATrR<dDN SEWAGE PERMIT NO. VILLAGE I N S T A LLER'S NAME & ADDRESS S U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED 1A A)jj 1 No..... 5.. ..� Fss....... - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. ... ....................OF........................................... ...... AVV ira iun for Diupuuttl Workii Cnunutrnr#iun fermi# , b Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ............................ ....----- ----- ------................... Locaf n-A or Lot No. ............................ ......_gin .. .................. _. �` Owner A' re ....... Installer Address U Type of Building Size Lot............................Sq. feet �., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------------------------------------------------------------------------------------------------------ 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............................ 4� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0+ •---••••••-•---------•--••---•-•--•-•-•...... .........•--•-.........---•-••--------------•---•--......................................................... 0 Description of Soil............................................................-----....---•--•-----....------------------------------------------------------........I........._--------... x U ..............••--------•----•••.........----•••--•-........_............-•--•-•••••--•-•-------•-•-........•-•-••••---..........•••••••-••-•----••••••.....•-•-•••-••-•--•-•-••------....-••---......... x •-•-•••----•------•---•--------------------------••----••-------•----------•-•-•-•-----.........--•-----•--...................................... Natuqrea of R airs or Alterations—A r livable.. . �v. .. �.. � Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'L 1 TAIE 5 of the State Sanitary — dersigned further agrees not to place the system in operation until a Certificate of Compliance has een t e and of health. S- ----.--• .:..................•----.................. �- •-® � - Application Approved By-•.....-•-•••. -• -•--•• .... . . •• ...................................... -•-••-_..8. AD� S._.. Datdddd Application Disapproved for the f ll wing reasons:.................... -•••-••••-••••-•••••-••••••••-••...--••-•••-----•----•••••---....••--...-•----•----....._ .............................•---.........------......--------•--•-------•------..--......................------------................---•---•-----------•---------------....--•••--•-...•-•-•-•--------- Date PermitNo.......................................................- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal stem at: or Lot N Wmws !?!"._ ID N Installer Addre A4 Other fixtures � ' day. Total daily SepticTuok--L�oit Leootb'---__-' I�anz�ec------- gallons. Disposal Treoch--No..................... Total ______' Total leaching area...................sg f� Seepage Pit No--.---...--' Diaoetcc.-'...------. Depth below inlet.................... Total leaching area..................sq. {t. Z Other Distribution box ( ) Dosing tank ( ) '- Percolation Test Results Performed 6v----.-------------------------------- Date........................................ 1.4 Test Pit No. l................ro6noteaperinch Depth of Test I`6L---------' Depth to ground water........................ 44 Test Pit No. per inch Depth of Test Pit.................... Depth to ground water........................ ._ . ---'--.-------_--'-------------'--------'------_---'---------------------------_ 0Dof Soil.--------'-'-_--'----_----'____..________________________________________________________ -------------- . -------- ------- _ ---------------- ------------------ ------------ --_'-_--------- ------ ----------------- ------------------------ The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systemin accordance with the provisions of T I IL LE 5 of the State Sanitary ersigned further agrees not to place the sy tem in, operation until a Certificate of Compliance has een i u t rd of health. Application Approved By.............. ....... ............................... .......... ...Dat.e) ,MW ..................... Date .�^ -------- - -- �t o^� ` ` ' THE,COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / � «��� ' ----. -----__- _--''---'------- �� n&�%��u������ ��� �������lK��4K��� . THIS IS TO CEL?TIFY, That t vi u-1 S age Disposal S7stem constructed or Repaired - Installer has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as describgd in the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Permission is hereby granted..........W,�.� to Construct or RSpair an Individual Sewage Disposal System Street as shown on the application for-Disposal Works Construction Permit No. Dated......... �lioard of Heal FORM 1255 M. --, --~ ---_' � ^ | SOIL TEST PIT DATA: P-12128 SEPTIC TANK DETAIL: 2,000 GALLON DISTRIBUTION BOX DETAIL: NOT TO SCALE LEACHING DETAIL: H-20 NOT TO SCALE REVISIONS I NO. DATE DESCRIPTION NOT TO SCALE NO. OF OUTLETS 9 42.5' 1. 3/20/08 ADD. 2 COMP. TEST PIT #2- TEST PIT -92 TEST PIT -#2_ TEST PIT -#2- 5. INLET AND OUTLET TEES TO BE CAST IRON, FINISHED GRADE 4" PVC NOTES: 1. SEPTIC TANK SHALL BE STEEL PIPE o0 0 0 0 0 0 0 0 0 0 ° 0 0 0 0 0 0 0 0 0 0 0 0 0 63.4 63.5 63.6 64.0 SCHED. 40 PVC OR CAST-IN-PLACE CONCRETE. o 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TANK GRD. EL. GRD. EL. GRD. EL. GRD. EL. REINFORCED CONCRETE. 0 0 TEES TO BE CENTERED UNDER MANHOLE COVER. REMOVABLE 3' WALLS °o ° EST. HIGH GW. 51 9 EST. HIGH GW. N A EST. HIGH GW. N A EST. HIGH GW. N A 2. SEPTIC TANK TO WITHSTAND H-10 LOADING COVER I NOTES: o °o UNLESS UNDER PAVEMENT, DRIVES OR O o TRAVELED WAYS, WHEREIN H-20 LOADING �;;y ;y 5" 1. DIST. BOX TO WITHSTAND H-20 LOADING 0o C� - - 0° 56" 12'-10" SHALL APPLY. O O GENERAL NOT AND LOAMY SAND 2. o O o ES. LOAMY SAND �� LOAMY SAND �� LOAMY S ,� 10YR 4 1 � T PROVIDE INLET TEE OR BAFFLE WHERE .. 3. ALL PIPE CONNECTIONS AND CONCRETE oo Fr-20 50 GAL LE CHING DR LLS o 10YR 4 1 8 10YR 4 1 10 1OYR 4 1 10 10 � SLOPE OF PIPE EXCEEDS 0.08 FT./FT OR o 0 1. THIS PLAN IS FOR DESIGN AND B B g B CONSTRUCTION SHALL BE WATERTIGHT. 0 0o c o 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0 o CONSTRUCTION OF THE SEWAGE IN PUMPED SYSTEM. o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o DISPOSAL FACILITY ONLY. 4. FILL ALL UNUSED KNOCKOUTS WITH 2-24 DIA CONCRETE MANHOLE COVERS 3. FIRST TWO FEET OF PIPE OUT OF DIST. 2. ALL CONSTRUCTION METHODS AND LOAMY SAND LOAMY S ND LOAMY SAND LOAMY SAND " 20" 50.5 10YR 5/4 10YR 5,4 10YR 5/4 10YR 5/4 MORTAR. BROUGHT TO WITHIN 6�" OF FINISH GRADE 6" 9,5" OUTLETS 8' F ' 30 30 28 30 TEE TO BE UNDER " :y BOX TO BE LAID LEVEL. MATERIALS SHALL CONFORM TO MASS. EL = 60.9 EL = 61.0 EL = 61.3 EL = 61.5 M.H. OPENING 120 MIN. PLAN VIEW - LEACHING CHAMBERS ^ e+ e " 'e * 'o ' 'e" tee+ T 4. RECOMMENDED MANUFACTURER-ROTOND�O, D.E.P TITLE 5 AND LOCAL BOARD 3 ab�� �a" % '�aa�� OF HEALTH REGULATIONS. 4" OR APPROVED EQUAL. RAISE M.H W� ` ! 4' BOTTOM ON LEVEL LOAM & SEED DISTURBED AREAS 3. ALL PIPES LOCATED UNDER PAVEMENT 12'-0" SEWER BRICK �_ : STABLE BASE 6- MIN. 3 4" TO 5. ALL PIPE CONNECTIONS AND CONCRETE OR TRAVELED WAY SHALL BE SCHEDULE 1 1/2 CRUSHED CONSTRUCTION SHALL BE WATERTIGHT. 40 OR EQUAL. " " 11'-6" & MORTAR t 2» _� CROSS-SECTION STONE BASE 3' MAX. 56 52 WATER LEVE 6. FIT BREAKOUT BARRIER SNUG AROUND RISER ACOMPACTEDFf M 12"MINIMUM 4. THERE ARE NO KNOWN PRIVATE WELLS 3^ �= D-BOX AND USE EPDXY RESIN FOR WAITER MAXIMU LOCATED WITHIN 150 FT. OF THE " TIGHT SEAL. ° 0 ^ PROPOSED LEACHING FACILITY NOR C C C C PRECAST SEPTIC TANK 10 20T T o 0 3 LAYER MEDIUM SAND MEDIUM SAND MEDIUM SAND MEDIUM SAND a INLET TEE � " 7. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. " I � � O PEASTONE ANY KNOWN WELLS PROPOSED WITHIN 5-0 30 36 " O ( 150 OF ANY KNOWN LEACHING FACILITY. 5. WITHIN LIMIT OF EXCAVATION REMOVE PRECAST DIST. EFFEC. UNSUITABLE 1 OYR 7/3 1 OYR 7/3 1 OYR 7/3 1 OYR 7/3 _ - - 5'-10" 4'_7" .> 5._8» 24 p tD Q Q Q REMOVE _ 4-0 MIN. 6 as eaao oN 30" BOX / 18" DEPTH Co MATERIAL FOR ALL TOPSOIL, SUBSOIL AND OTHER ? =' LIQUID DEPTH ►s� - DIAMETER 1 0 5' ALL AROUND IMPERVIOUS MATERIAL. 6'-6" T-4" 3-8" CLEANOLIT 6. REPLACE ALL EXCAVATED MATERIAL WITH 1278 GAL 638 GAL " ^ CLEAN GRANULAR SAND, FREE FROM ORGANIC o 3/4 - 1 1/2 WASHED STONE MATERIAL AND DELETERIOUS SUBSTANCES. ���' •: e.:`':d� 56" MIXTURES AND LAYERS OF DIFFERENT CLASSES - 138" 138" 138" 138" s-: . :':---*�.�:•:�-�:=�::� EL = 51.9 - EL = 52.0 EL = 52.1 EL = 52.5 �c BOTTOM ON LEVEL STABLE BASE �a 4" OF SOIL SHALL NOT BE USED. THE FILL SHALL PLAN VIEW �'"8»"� 12'-10" NOT CONTAIN ANY MATERIAL LARGER THAN DATE: 6" MIN. 3/4' TO TWO INCHES. A SIEVE ANALYSIS, USING A #4 CROSS-SECTION VIEW CROSS-SECTION OF CHAMBER SIEVE, SHALL BE PERFORMED ON A 3/13f08 INDICATES 1 1/2" STONE PLAN VIEW REPRESENTATIVE SAMPLE OF FILL. UP TO 45% TEST BY: v _ ESTIMATED BY WEIGHT OF THE FILL SAMPLE MAY BE THE BSC GROUP, INC. _ SEASONAL HIGH � RETAINED ON THE SIEVE. SIEVE ANALYSES GROUND WATER DESIGN CRITERIA: ALSO SHALL BE PERFORMED ON THE FRACTION WITNESSED BY: IRON PIPER HIGH GROUNDWATER COMPUTATION �_ � �,,, STAKE & TOWN OF BARNSTABLE REGULATIONS OF FILL SAMPLE PASSING THE #4 SIEVE, SUCH ANALYSES MUST DEMONSTRATE THAT THE DON DESMARIAS INDICATES F❑UND �- . NAIL SET REQUIRE ENGINEER TO CERTIFY SYSTEM, EXISTING & PROPOSED DESIGN FLOW: MATERIAL MEETS EACH OF THE FOLLOWING BASED ON TP#1 V OBSERVED / °` r•,..._ �, ` PERC. RATE: = SPECIFICATIONS: GROUND WATER CONTRACTOR TO GIVE 48-HOUR NOTICE 3 BEDROOMS AT110G.P.B. D 330 GPD PECI MUST PASS 4 SIEVE DEPTH TO BOTTOM OF HOLE 11.5' `"� - # _2-MIN./INCH { ~`"wLL� TO ENGINEER FOR EXCAVATION INSPECTION 1 DOCTORS ❑FFICE @250 GPD = 250 GPD 10(4.75 mm EFFECTIVE%-100% MUST PASS 50RSCVE SIZE) NO GROUNDWATER ENCOUNTERED "4-- - SOIL EVALUATOR INDICATES �, IRCNM+F'TPE MARK DIBB PERC. fi -..� AND FINAL SYSTEM INSPECTIONS TOTAL DESIGN FLOW = 580 GPD (0.3o mm EFFEc11VE#PARIICLE SIZE) TEST - FOUND oX-20X MUST PASS #100 SIEVE r -•'x r} (0.15 mm EFFECTIVE PARTICLE SIZE) SOIL CLASS: �i ��. P OX-5X MUST PASS #200 SIEVE 1 �yy f L RE UIRED SEPTIC TANK: 0.075 mm EFFECTIVE PARTICLE SIZE INDICATES `� �;, �� ;'" 'qN e + Q ( ) � UNSUITABLE z.TM \ BEANP�QLE `�� S8 DOf� 5 (FIRST COMP.) 580 X 200% = 1,160 GAL. 7• EXISTING UTILITIES WHERE SHOWN S 36, �� 69, P 1� • IN THE DRAWINGS ARE APPROXIMATE. L.T.A.R. MATERIAL F SET 2,3 qr; (SECOND C❑MP,)580 X 100% = 580 GAL. THE CONTRACTOR SHALL BE RESPON- p 74 G.P.D./SQ.FT. ��� WV CIE .,.. 0 �20, , 7 -< + Deb` SIBLE FOR PROPERLY LOCATING AND 90 =' �Z SEPTIC TANK PROVIDED: _ .00O GAL. COORDINATING THE PROPOSED CON- STRUCTIONDATUM'. �� \ N IRON PIPE �6 STRUCTION ACTIVITY WITH DIG-SAFE i�.- 5 AND THE APPLICABLE UTILITY COMPANY AND MAINTAINING THE EkI I F❑UND;j [SIZE OF LEACHING FACILITY REQUIRED: EXISTING UTILITY SYSTEM IN SERVICE. VERTICAL DATUM: ASSUMED PROPOSED Sr NG S -' �/ BENCH MARK SET: TOP OF, FOUNDATION AT SOUTHEAST CORNER OF BUILDING / 12,83 x 50,5' ` �ETBgCK �' / _ DESIGN PER(. RATE: <2 MIN./ INCH �FiE srAErEsoF SHALL BE PRIMARY S.A.S. / SIN ELEVATION 65.27 c� C� LONG TERM APPL. RATE 0,74 G.P.D/S.F. SECTION 409 \ E STAKE & ` STATUTE GRAPIER 82, + NAIL SET AT TEL. 1-888-344-7233. THE i ENGINEER DOES NOT GUARANTEE • J ` TP#4 \ �-50/ 580 GPD T 0,74 GPD/SF = 784 S.F. THEIR ACCURACY OR THAT ALL NOT TO SCALE TP#3 UTILITIES AND SUBSURFACE STRUCTURES PROFILE: � ,�, ARE SHOWN. LOCATIONS AND 'llwFIRST PIPE LENGTH _ ELEVATIONS OF UNDERGROUND UTILITIES EL.=A _ SIZE OF LEACHING FACILITY PROVIDED: TOP FOUNDATION ,�' '" �.Y _. � \ rv„ .-�` TAKEN FROM RECORD PLANS. THE CONCRETE COVERS TO WITHIN TO BE SET LEVEL f 4l �Q G�� +` USE CS) SOO H-2O GALLON CGaNC CONTRACTOR SHALL VERIFY SIZE, EL.,-, 64.0,5 6" OF-FINISHED GRADE. F'OR MIN. 2' /PR❑P❑SED� ` O�/ � � r I�OCAI :,�V Aw O INVERTS OF UTILITIES " FINISH 4G0RA63E5 f "D" BOX ����, GF'��P ': LEACHING CHAMBERS 12,83�X2'X50,5' TAND O THE STRUCTURES AS REQUIRED PRIOR = 4 PVC,SCH0 n , \,\ /� ART OF CONSTRUCTION. _ SIDEWALL = 2(12',83+50,5') X 2' = ?53.3 4" P40 H-20 LEACHING CHAMBERS / / \\ v } - , , 8. THIS SYSTEM 13 NOT DESIGNED FOR SCH 40 4" PVC SCH 4 � _ r '� ¢' �3 B0TT - 12,83 X 50.5 = 647.9 \71202% 36'®1X o o c3 o 0 0 0 C3 M o l� kR IS NOT 15'®1X oc000000co t I i`�.. _ 901S.F.®M � -�� THE USE OF A GARBAGE GRINDER.0000000000 AGARBAGEGRINDE I=D I=G RECOMMENDED DUE TO RECOGNIZED f ` .....,_.._, c r cn f PROPOSED , 2000 901 S.F x 0.74 GPD/SF = fj66 GPD ADVERSE l,M. ACTS TO THE LEACHING o I=E H FACIU'�Y. =� `� GALLON 2 COMPARTMENT 5 OUTLET I=F �� BEANPOLE ..,. �i SEPTIC TANK " ' 666 GPD < 580 GPD REQ, = 86 RESERVE SEPTIC TANK DIST. BOX 5.7 SEPARATION ^ a 9. EXITING INVERTS ARE TO BE CHECKED BY J EST. HIGH GROUNDWATER SET '1 / r THE CONTRACTOR PRIOR TO CONSTRUCTION. PROPOSED "Y" CONNECTION CONFIRM LOCATION & NUMBER OF INVERTS. CIV M / r ' � ' - '` .. / , WITH CLEAN OUT TO GRADE, v 0. THE ENGINEER IS TO BE NOTIFIED OF INVERT ELEVATIONS. Off' s / ANY FIELD CHANGES THAT MAY BE � LOCUS INFORMATION REQUIRED. BEANPOLE TOP OF FOUNDATION 65.27 A �w,. / � � SET �-�- �� 4 INVERT AT BUILDING 61.97 B / Plf, )UP CURRENT OWNER: TIMOTHY & EILA DESROCHER � 4" INVERT AT SEPTIC TANK (IN) 60.50 C a`i �� TITLE REFERENCE: DEED BOOK 22676, PAGE 91 349 Route 28, Main Street, Unit D \ W. Yarmouth Massachusetts t� �� PLAN REFERENCE: NO RECORD PLAN 02673 4" INVERT AT SEPTIC TANK (OUT) 60.25 D \ '` ^J § P 4" INVERT AT DIST. BOX (IN) 59.89 E >• �. OFFICE h� Q 352/68 & 569/7 4" INVERT AT DIST. BOX (OUT) 59.72 F '' 5087788919 ASSESSORS MAP: 99 .s� - •�� O� PARCEL: 29 PROJECT TITLE: INVERTS AT LEACHING FACILITY: � �` PROPOSED RESERVEQ '� ZONING DISTRICT: R-F DESIGN FOR SETBACKS: FRONT 100' 59.64 G f AREA / \ �P� , IN LEACHING CHAMBER #3072 \ 12.83 x5o.5 Q REA 15 SEWAGE DISPOSAL OUT LEACHING CHAMBER 57.64 H i` 4`1 / DWELLING / MINIMUM LOT SIZE: 87 120f 2 ACRES BOTTOM OF TEST HOLE 51.9 J / ( SYSTEM REPAIR TP EXISTING LOT AREA: 74,269t S.F. (1.7t ACRES) OVERLAY DISTRICT: TOWN OF BARNSTABLE GP VARIANCES REQUESTED: (bb / :� �+cyG NITROGEN SENSITIVE #%3072 BEANPOLE A �OoJ` ZONE: N 11 YES FILM OU TH ROAD NONE SET FEMA FLOOD &fiAKE / `. `S>>� N0 ZONE DISTRICT: "C" DATED 8/19/85 OSIERVILLE NAIL '�. �C. / PANEL #250001 0015 C FLOOR PLANS: EXAM EXAM SET 1 MASS HIGHWAY £ • .' . MASSACHUSETTS ROOM ROOM BOUND FOUND & HELD ' . X `�'- r LOCUS PLAN: NO SCALE 2,78,FILE BATH R❑❑M DECK N PREPARED FOR ❑FFICE / w 1 MARK D. cti� 149 W RECEPTION BATH / C,2O� 1 C „ -� ' DRIS _ Mr. TIM DESROCHES LAUNDRY . 63 , �; CIVIL �, Q BED #1 ` /�,5040• " Mo•45937 354 OLD JAIL LANE LOCUS v� UNFINISHED DECK y ii '' "3r C�� Z BARNSTABLE MA 02630 STORAGE AREA ` -- .� Y ' FAMILY KITCHEN : ; : - \: o t Q (508) 221 -7167 ROOM LIVING ROOMV' PLAN VIEW 3 BATH HALL \� 28 TH RD. W DATE: MARCH 17, 2008 _..� < .LL ~ IR❑N PIPE SCCALE: 1' = 20 FEET FALML7U -I COMP. DESIGN: K. HEATY . - FOUND & H �,9 � CHECK: M. DIBB BED #2 ��� / 0 r BED #s EXISTING FIRST FLOOR � ,;. >.0 20 40 FT. �/i DRAWN: P. HAGIST ABAND '� `- 3o Q �� �-- FIELD: D. GAZZOLO / N. MERCIER BED ,�_ \ \., ��� '6 T FILE NO. 9326-EXC.DWG ��¢ --•�� � � • �� •\ �� �y.�; 04o Q , F�U/� NIGH � 0 D Ay DWG NO. 5887-01 .,....,-_........� : : - �",............�_,.._... NE Cl SHEET 1 OF 1 TING SECOND FLOOR _ N EXISTING \ �\ D D JOB NO. 4-9326.00 - - - -- - -