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HomeMy WebLinkAbout0160 FLUME AVENUE - Health 160 Flume Avenue Marstons Mills A = Ckcj- 01®- W �- i TOWN OF BARNSTABLE "` LOCATION 1600 �411e— #C-�AC-400r\ VILLAGE V)1) ASSESSOR'S MAP&PARCELO Z/ 0/0 00� IN94at==NAME&PHONE NO. '('Z 1"i'('k-0S C0,1AX(H G/ f;-117 ej SEPTIC TANK CAPACITY /S©o LEACHING FACILITY: (type) ,,�l tf�c�10 rS (size) NO.OF BEDROOMS OWNER �h�1611`5ew►JQ/1 PERMIT DATE: COMPL=4SATE: '�• 1 ©(p Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY t � i Q 1 j 1 30 15 36 COMMONWEALTH OF MASSACHUSET TS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS � d DEPARTMENT OF ENVIRONMENTAL PROTECTION A� t TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART.A CERTIFICATION Property Address: 160 Flume Ave Marstons Mills MA 02648 Owner's Name: Phyllis Daniel Owner's Address: Same r Date of Inspection:November 22,2006 Job#06-296 �-- '- Name of Inspector: PATRICK M.O'CONNELL � + Company Name: SEPTIC INSPECTION SERVICES CO. y Mailing Address: 189 CAMMETT ROAD MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 Iri CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the informatio reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP,.. approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ���JN 4OF _X_ Passes s�• 5�;%, Conditionally Passes _ O Needs Further Evaluation by Approving the Loc I A Authority TnIC _ •r Fails = M _{ Inspector's Signatur Date: 11/22/06 S?- �����\ Health or The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of .r tt1►10 DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of I0,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments: Tank has liquid only and is not in need of pumping at this time.Leaching system has no evidence of prior standing water. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection doe's not address how the system will perform in the future under the same or different conditions of use. Page 2 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection: November 22,2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _XX_ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection: November 22,2006 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. I. 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. _ 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 and volatile organic compounds indicates that the well is free from pollution from that facility and r 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: Page 4 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection: November 22,2006 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X Backup of sewage into facility or system component due to 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_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. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. —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. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] _No_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large 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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply _ — the system is within 200 feet of a tributary to a surface drinking water supply — _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered";yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 1 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection: November 22,2006 Check if the following have been done.You must indicate"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 Were any of the system components pumped out in the previous two weeks? _X_ _ Has the system received normal flows in the previous two week period? _X_ Have large volumes of water been introduced to the system recently or as part of this inspection _3C _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X — Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs.of break out? _X_ _ Were all system components,excluding the SAS, located on site? _X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the bafflers or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ — Existing information.For example,a plan at the Board of Health. _X_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] Page 6 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection,: November 22,2006' RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):330 Number of current residents: 1 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use:(yes or no):No Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no): No . Last date of occupancy: Currently Occupied COMMERCIALANDUSTRIA L Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no):— Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records: Tank has never been pumped Source of information: Owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy —Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) —Tight tank —Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 6/13/03 Were sewage odors detected when arriving at the site(yes or no): No r Page 7 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection: November 22,2006 BUILDING SEWER: XX (locate on site plan) Depth below grade: I' Materials of construction:_cast iron _X-4o PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: 1.' Material of construction:_X_concrete metal fiberglass_polyethylene _other(explain)_ If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 10.5'long x 5.8'wide—1500 gal. Sludge depth: 0" Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: 0" 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: STICK WITH HINGE FLAP. Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tank has_liquid only,no solids. Liquid level at bottom of outlet invert and tee are intact GREASE TRAP: No (locate on site plan) Depth below grade:__ Material of construction:_concrete_metal fiberglass_polyethylene_other (explain): — Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping:_ Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 11 t OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection: November 22,2006 TIGHT or HOLDING TANK: No (tank must be pumped at time of inspection) (locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: XX (if present must be opened) (locate on site plan) Depth of liquid level above outlet invert: 0" Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Liquid level at bottom of outlet pipe no solids or high stains PUMP CHAMBER: ,No (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection: November 22,2006 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type _leaching pits,number: leaching chambers,number: Three Cultec"Rechargers". leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): Leaching system has no standing water or evidence of arior standing water. CESSPOOLS: No (cesspool must be pumped as part of inspection) (locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: No (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.): r Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection: November 22,2006 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. 30 15 36 2 k i S Page 11 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECT ON FORM ASSESSMENTS PART C SYSTEM INFORMATION(continued) Property Address: 160 Flume Ave,Marstons Mills Owner: Phyllis Daniel Date of Inspection,-. November 22,2006 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water: More than 20 feet Please indicate(cheek)all methods used to determine the high ground water elevation: —Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) _X_Accessed USGS database-explain: USGS topo map and town GIS You must describe how you established the high ground water elevation: Town groundwater contour map shows water at el.40 and topo map shows property at el.60. TOWN OF BARNSTABLE LOCATION z iGt.✓ G+� 41/e1i4,>-- SEWAGE # ZC)UZ -024 VILLAGE M 1M ASSESSOR-S MAP & LOT to I 010 ( '3INSTALLER'S NAME&PHONE NO. 51W / / �SEPTIC TANK CAPACITY —— � t� LEACHING FACII.TTY: (type) 3Rer'_ham = lfZ�> (size) 7,le�k 114 NO.OF BEDROOMS-3 BUILDER OR OWNER PERMTTDATE: 1 'Z2 O Z. COMPLIANCE DATE: 3 U 3 Separation Distance Between the: M 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 i Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ,� � �3 3s� P �t�� f ✓ ; r . � ' Fee too THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zippftcation for Dt.5pozal 6p6tem Congtrurtton Permit Application for a Permit to Construct()Q Repair( )Upgrade( )Abandon( ) Xcomplete System ❑Individual Components Location Address or Lot No. L-b i 7 F to vn.t, Avv- Owner's Name,Address and Tel.No. ? 7/-!0/1-0 Assessor's Map/Parcel MAP 61 / PA ec--L016-007 P,6.. (icx 95' Ler,l�ve�</ ;^1 02634. Installer's Name,Address,and Tel.No. 8` (�?(� Designer's Name,Address and Tel.No. 4 25-5(3 ( Type of Building: Dwelling No.of Bedrooms Lot Size Z 3, f�3 sq. ft. Garbage Grinder((�/d Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow /JQjg#lg �464-1n gaH"niTm-day. Calculated daily flow_ :33 O gallons. Plan Date V///;K/yam Number of sheets Orte- Revision Date Z121;/gS Title C_ P. P r 7 Size of Septic Tank a Type of S.A.S. k"rti,65 Ciomfaris I2,X Z 6' is 2t�1C, Description of Soil /ems s.c ,.-r zr -.16 _s.p s/ Ag;d Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed riWA104 Date Application Approved by Date -7-i29 A�� Application Disapproved for hie fol owing reasons Permit No. hI9 � Date Issued p` tJ 6 r N �t� Fee 100 VAW — 'k a THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �UBLIC HEALTH DIVISION -TOWN-OF BARNSTABLEs MASSACHUSETTS ZIpprication for �igpozat bpztem Conotruction Permit Application for a Permit to Construct()Q Repair( )Upgrade( )Abandon( ) XComplete System O IndividuAComponents Location Address or Lot No. La T 7 (v m.t A� Owner's Name,Address and Tel.No. -2 2/ /U� 1 M •M• t3��lcQ�•� Co Snc Assessor's Map/ParcelnsCei-C , V"Vk9 C.1 / Pplrece-L-018.007 (,G. ismc 95- k eu Ille IMIf 0263L = Installer's Name,Address,and Tel.No. 39 X .9 q?(d Designer's Name,Address and Tel.No. 4 ZS-113 /7 ! 7! 'L3axrcr E A.)�-c Ijvc. — �G/�r >✓tz m�,k GSJrrvj'/[e &Np Oz(bSS Type of Building: Dwelling No.of Bedrooms TJirLG ot,S.izel .2 ft. Garbage Grinder K10) Other . Type of Building ( No."of Persons $ f Showers( ) Cafeteria( ) f Other Fixtures Design Flow /dD g.o�� g&Hemsetay. Calculated daily flow 3 3 O gallons. Plan Date Number of sheets onj. Revision Date 7�/4lfS Title C. P, P L -j r -7 f"1 a wu. A\.m ` _ Size of Septic Tank k Type of S::A.S. ;�LQCVIih�C�GMLXrS 1 Z,x Z tom, x ZI hC Description of Soil /r—s., �o c GAs t'.�-i . Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site-sewage disposal system in accordance.with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. a m - Signed 111_Dr YQ,.,Vo 1t Date - Application Approved by Jct Date 7_;j_q_Q�2 _ Application Disapproved for Me fol owing reasonsv'l Permit No. Date Issued ", 0� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance m THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( 1/)Repaired( )Upgraded( ) Abandoned( )by A1q Y COT1512-10) at FLUME V 9- M. 441 LLS b�jen cted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit New- O�d Installer Designer The issuance of ermit shall not be construed as a guarantee that the syste f io =es'gned. Date 113 03 Inspector- - --------------------------------------- No. Fee THE CO MONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS Migonl *pgtem Construction Permit Permission is hereby granted to Construct( ` Repair( )Upgrade( )Abandon( ) System located at 3/kn R-04 g d/F- M M 1L.CC, and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construc on mu t be completed within three years of the date of this permi . Date: Z 2 G 2 Approved by TOWN OF BARNSTABLE z0oSEWAGE # `� LOCATION ASSESSOR'SMP & LOT/O1 blo VILLAGE S —,A -3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size)�►�t 1t,l�.� INO.OF BEDROOMS + BUILDER OR OWNER ` PERMITDATE: ! 2Z p't2 COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by t 4'- �'' 4'-4' 13'-4' 11•-d A 1- ' b b a REAKFASTD"�"5-2 b 58 a'yG6 3/a' 68 31^16 3/a' s� m (OAR) x Q b s � o _ � x rym e b in L H L O 1O � I SM KE DETECTORS O.K. „a��MA" ----- o LAUN RY El, . b CcaR T� B RIVaY�®6B BUILDING DEPT. I AI"IIL'r ROON a *� ak KITCHEN (OAK) g KITCHEN I F f-f,Z, c (oAR) GARAGE Y UP m I I z, RE G 0� �o (O RAT ) ' I GTO 2g73 a � BATH V1 m (�R) p 3 d'Y73 3/d W I (oAR) ` v 8 IL :2 sag a+-F b ( cR) a L_ a x crD 3 < O � 8" 2 LIVING ROOM 8 � w•-v I V w•-a g o v o M PTO 2af3-2 p R = FOYER Q- Ro 2473 ` sa 3/A'r46 3/d ' i<v b (OAR) 0 ` Zq 3.4'YTa 3/a �o 4 3p m FIRST FLOOR FLANo b PORCH � � sr-ALE. 1/d/ '_O� u �i u 2 L'-O' 6'-2' T-IO' T-w W_2' 72-a ' 24'-O+ 20'-d 26•-0' a'"0' a,-D' h Divi public ea _ Town of Barn itable PO Box 534 02601 . ; H Myannis, I ssachus �s Fax(508)7 5-3344 Phone(50 790-6 65 I Q R a ^ � o J Q n PCG 2S J ^ SBAT 25 3/ Y25 3/ D;c6a 2.-,. 13-0� SPS 2 2. sD at-no t3.-0. 15'-0• 1+xSa 3/I BEDROOM #2 BEDROOM #3 (CARPET) (CARPET) cloy � MAS TER - - a a MASTER (`ARr ) BATH SUITE a (TILE) t, . (t:ARrET) _ "j& 2fi Ng\ M=2 15 E D 2Y4 / 26a (OAK) 24 eEAT!! 25 3x25 3/l..�1b ( 24 2b ^ b rc P"m 2Q5A o CLOSET 2,5/A'y54 5/ * BATH 3*3 yy cmt) W AT p OFFICE �°T O /1 PTD 2W5- a (l♦�♦ _ SD d-rLD 7-V 6•-6• `! a 24 3/1+xS4 3/A' {Y (OAK) DN. § 2d BEDROOM #4 (CARPET) Pro 2qsn p BATH 02 2-4 I I (TILE) 0 5EG ND FLOOR P AN m SCALE, 1/4+ 1'- ' l pT S a t tr 0 0 A 0 A 0 • TS-O' 2A'-d 1'i' t3'-O• I I I I I I I I - a I I I I L IF ----------- i i t L----------- I ------------- to I ---------------, I � I I I I L- ---- � � I I t, i e I �• '° i I I I r-------- -� I I o I DEPRESS 10•FOR DOOR 2�� - I 2 Lu I I I AI 3 6r36r2• CONC.PAD N FULL BASE"ENTr- 1 a1/2"5Tdt1 COtAI'M II II&I a I/Y CauncTe e I � A y I I GARAGE r ETe cDNCRsue I I a Dncr cone.NA" I I I m I&- - - '- - TD r I � J J a're'A' Ccrtc I I y Ivrw'coNr. FDCTIO{1Nf. I I I S I a o- I re DfivsS5 id FOR Donl: I I � --- --------- � •, I I I I b I I 36'r36'r12' CONC.PAD a I/2 5TLil.Ca.uw - I I e•ra •r Cork. r4Au I - ------ I L_I_J 2 5 I w r,o'CCNT FCOTI>G I i I I TIAt IL----------- ------------j "' I lob L---- J I h --------------------------- a I I I I I o weu. I I i L ---------- --- rc —. a I --- I I _ _J h i 6 FOUNDATION FLAN 4' T-IO T-Id T-Id a 2A'-d e'-O' IJ'-d 26'-0' T-W 70'-O' ' I'uwl>I ut mil o Department of llealth,Safely,and Environmental Services Public Icaltli Division Date _ dew ai St, e,IIlyAdSjAW6o1 fh,6 7 I pAgrlRtAOUr. I . e M .� Q Time Fee I'd. �Eurn►�+'' Date Scheduledi 3 Soil Suitability Assessinent,for Selvage D sa Witnessed By: voJ�11J Performed By: �t td A A�rrt3'` 7777777777777-... LOCA1I01"I & XT II VOiWA`[Ic N owner's Name Indian Lakes Dev. r. Location Address Lot 7 Flume Ave AddressP.O. Box 95 Centerville, Ma. 0263 Engineer's Name Assessor's Mnpiparcel: Map 61 Pcl 10 (Part) Baxter & Nye Inc. NEW CONSTRUCTION - X REPAIR Telephone# 428-9131 o ) 0 � Surface Stones Land Use Slopes � •)(..�t.D�J.ri A-�-- (/o ObO fl Possible Wet Area � �n Drinking Water Well 3oa ItDistances from: Open Water Body_ 30 Drainage Way�—a Property Line - It Other R SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to holes) . 18 T 0.01, 00 LD ,V 23,193 sq.ft- + J a DRAINAGE EASEMENT o U 87.00 N81'44'27"W o t-- Depth to Bedrock - Parentmatcrial(geologic) %Vccping from I'll I'nce Deplh to Groundwater. Standing Water In l loie:____------ Estimated Seasonal I ligh Groundwater _____----- -- -"- 1)I?.�I�I!;IZf1)i(N�1�1•It.�iV x�oit s[�;n����tvl>,�; i lt�ati '��'.i1��'1?,.tt lAl;�.,>! Method Used: ----- ht. Dcplii to soil mottles:_ in. Depthbs Oerved standing in ob.a,hole; ----- Itl Oroundwstet Adjustment---------.-__--_a Depth to weeping from side of obs.hole: —_�.__-.__-._ -- Adt.f:lLlot- Ad).Gloundwatei Level Index Well �- dtradin Date:_, Index Well H .___ g _ I'I:ItCOAA1 0N '1V8I' Itate,� lGi� 11me�®A�a�` Observat.iun 1 'I isle at 9' _ - Iolc# --' lie-pill of rcic -- 84n 1 r,--k Tlm•QD DtJ Q.r3c..t�' Vy SA�/tA-1� -�r ,..sv-��•� Lod Pre-sunk -- — � (i1114 Jr2,AjtIJ ' - Ratc Min./Inch — ✓/ Site Paik-d:--__ Additiollal'yeslhlg Welled(YIN).---- Site Suitability Assessment: Site I osscd _ Ori final: Public Health Division r (a'1'o BeCompleted on Observatlou Ilole.11a g brrl' OBSERVATION HOLE LOG Ilnle# I Depth from Soil I lorizon Soil Tcxlure Soil Color Soil other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. ° ►� art 4,,, � ' caarr�,� Sauo Id �14- D 50 Yo W— ��" lid' GZ Sa� 10 i2�1� © 5�d t� -- `DEEP.OBSERVATION HOLE LOG other Depth from Soil I lorizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. I , UI+;EP C�I3SCItVA`I'ION IbLC:LOG ` Note'# Depth from Soil I lorizon S(USDA)11re Soil Color Soil other (Munsell) Mottling (Structure,Stones,Doulderes. Surface(in.) ° i DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Ilorizon Soil'fexlure Soil Color Soil other Surface(in.) (USDA) (Munsell) Mottling. (Stricture,Stones,Boulderes. Consistency.%gravel) Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary . No `�/ Yes Within 100 year flood boundary No✓ Yes Death 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? If not,what is the depth of naturally occurring pervious material? Certification v I certify that on 1 (date)I have passed the soil evaluator examination approved by the Department of Environ ental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. r ` Date 3 TOTAL UNITS I STA.?TMI END 1 TOTER TES / f 0 1. THIS PARCEL IS NOT LOCATED IN THE FLOOD PLAIN. cos T(P.3M 33CE 2. THERE ARE NO WETLANDS LOCATED WITHIN 100 OF THIS LOCUS 3.0 7.5' 6.as s.25'3.0 'WASHED STONE so'1-9.5 `P 3: REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFILL •_• Eli �� WITH CLEAN GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 90% RETAINED 8�`37'25 W ON No. 50 SIEVE, OF FRACTION PASSING No. 4, 10% OR LESS TO PASS No:. 100 SIEVE AND 5% OR LESS TO PASS No: 200 SIEVE, SOIL TO BE APPROVED 26'00=--� 180.01' t� BY ENGINEER FOR COMPLIANCE PRIOR TO.PLACING ON SITE. PLO OF 4. LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE No SCALE THE REQUIRED NOTIFICATION TO DIG SAFE (1-888-344-7233) AND APPROPRIATE y { PROP` PROPOSED WATER DISTRICT TO DETERMINE UTILITY LOCATIONS. p ! 0 GAR• DIRlVE11L `Y e.L— CL12' � CE B988� FlNI5r!ED G,24L - - - M 2 No' C3 e;rlcERVO - # COMPACTED FILL �"' z ..S MAX.- t2'M1N. / �� � a a , � #2 'jp� SINGLE FAMILY- 3 BEDROOMS 2"-I - - _ _ _ -� - P=ASTONE '�9 20 YP a0 NO GARBAGE GRINDER 3/a• TO 1/2 " J �. DAILY FLOW. = 110 X 3 - 330 G.P.D. 3 s" s r� aaue�L ` 48 SEPTIC TANK 330 X 200 0 = 560 SVASI;Ea STONE �- °`e , r �? USE 1500 GAL. SEPTIC TANK N8144'27>,w ®$ No®SCALE � � 19 .g2'. , N r 87.00'immumm MDR ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED p WITH CAPPED ENDS �8 7.0o' USE 1 - 4" DISTRIBUTION LINE IN 3 RECHARGER UNITS I CERTIFY THAT THE PROPOSED FOUNDATION / �� A _ yrN IN A 12'X 26' 'MASHED STONE TRENCH AS SHOWN COMPLIES WITH THE TOWN OF BARNSTABLE SIDELINE n LEACHING AREA REQUIRED AND SETBACK REQUIREMENTS AND IS NOT LOCATED a J WITHIN THE FL❑❑D,PLAIN- 3--0 G.P.D./..74 = 446 S.F. R.LS..J. � 2(12 r. 26) X 2 = 152 S.F. SiDEWALL AREA ,_Ir DATE: �; : --�__.. (12 X 26) = 312 S.F. BOTTOM AREA THIS PLAN IS,NOT BASED ON AN INSTRUMENT SURVEY AND ST•=PrIE,t � 464 S.F. TOTAL PROVIDED THE OFFSETS S'ROULD'NOT BE USED TO DETERMINE LOT LINES. PERCOLATION RATE 1"IN 2'OR LESS 8/14/98 SCALE: 1 = .40' a t("I'SOry SOIL.CLASS 1 , , �0. C T PLAN BAXTER & NYE INC. eoY�Rs LOCATED TO d�ITFIIN #P-9209 � � LOT 7 FLUME AVENUE 6" OF F.G. ; MARSTONS MILLS F.F. ELEV. 58.0 — PIT #1 ELEV. = 53.0 PIT #2ELEV. = 53.0' F.G=56°= / O HUMUS 0 HUMUS J �•�=5V* -2" -2' ,--___-_ ` AUG. 17, .1998 ` REV. JULY 14, 1999 F.c=5o' LOAMY SAND A LOAMY SAND LEVEL �. _ " O Mph $\� A 1500 ca! y"DULaE a61..nAMY SAND R 31-A8„Y SAND LEACHING CHAMBERS J•7 •` !`� H r /� t ERRING RUN AT INDIAN LAKES >N� s T 54.0 53.8 sac TANX 1uv.a tDULe a PER - 53.6 !NV. =53.4 yBox �C - f- -4' PERK TEST -4' K TEST r .. •!NV =53.2 My m53.0 - - 3.�i � �`•'° r_� = SUBDIVISION #762 70.�' -• �`�--6" STONE BASE ��" 't ASSESSORS MAP 61, PARCEL 10 MIN. Cl COARSE Ci COARSE BOTTOM ELEV. EL =51.0 , SAND SAND "? a i.,1 BAXTER .& NYE INC. 1 oYRa/a 1 oYR.s/a. =r LAND SURVEYORS, CIVIL ENGINEERS -5-10" :-5'-to" 1 / I�-�� . OSTERVILLE,MASS. C2 COARSE SAND C2 COARSE SAND t 10YR.7/6 10YR.7/6pmm NO SCALE A-10' NO WATER -10' NO WATER ELEV. 43.0' ELEV. = 43.0' BAYSIDE BUILDING CO. INC. . #97012TYP f JJ 3 73TAL:04ITS 1 STA.RTER:I.END. i INTERMEDIATES 1. THIS PARCEL IS NOT LOCATED IN THE FLOOD PLAIN: .. 33os. TM 3=33CE 1 ✓ ~4i�� 2_ THERE ARE NO WETLANDS LOCATED WITHIN 100' OF THIS LOCUS. 3.D 7.a 5.25 6.25'3o .50 3. REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFILL 1_1•s' ASHED STCNE �/� WITH CLEAN GRANULAR MATERIAL FILL TO BE. GRADED AS FOLLOWS: NOT MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 90% RETAINED r t N8 '37'25"W ON No. 50 SIEVE, OF FRACTION PASSING No. 4, 10% OR LESS TO PASS No. -' OR LESS TO PASS No. 200 SIEVE, SOIL TO BE APPROVED a f---MOO'- 180.01' °' -�100 SIEVE AND 5% . . � � � � - �•," BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE. ' �� 4. LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 HOURS F LO 01P PRIOR TO ANY EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE No SCALE iica THE REQUIRED NOTIFICATION TO DIG SAFE (1-888-344-7233) AND APPROPRIATE (� ^� PROi✓. �RGPOScD WATER DISTRICT TO DETERMINE UTILITY LOCATIONS_ I GAN. ,RV VEWA Y'1ko CLsmaimmDEIN - CE - 12 MIN. . COMPACTED FILL. � � �� SINGLE FAMILY— 3 BEDROOMS 38"MAX I - a¢ ;° 2 ,� 2 NO GARBAGE GRINDER 2" i . - a. PEASTONt �.� i'S 0Co ' a ' ir 3/4" TO 1 1/2 " ® ` DAILY FLOW = 11Q X 3 = 330 G.P.D. 335 z.: .._, i a.. •' ooua� ! . ® 48' t � SEPTIC TANK 330 X 200% — 680 '� : i '. WASHED STONE " "`_ --_- qft a ! \ USE 1500 GAL. SEPTIC TANK _ ! N8144' N r FZMMM MOB O NO SCALE ,9 92 1 . 1 87.00' t _ � ALL PIPES, TO BE SCHEDULE 40 PVC PERFORATED —_.._... ,,, WITH CAPPED ENDS . ' —f�g7.00' o USE 1 4" DISTRIBUTION LINE IN 3 RECHARGER UNITS I CERTIFY THAT THE PROPOSED FOUNDATIONLor f EA IN A 12' GE X 26' WASHED STONE TRENCH AS SHOb�lI�1 COMPLIES WITH THE TOWN OF BARNSTABLE SIDELINE 'a ` LEACHING AREA REQUIRED AND SETBACK REQUIREMENTS AND IS NOT LOCATED i } 330 G.P.fl:/:74 = 44sj S.F. WITHIN THE FLBOD�PLAIN; AAA ,1 _ — S.F. ATE -I�—�. �— �` - - 2{12 26) X 2 — 152 SF SIDEWALL AREA R.L.S. � ;N 0� (12 X 26) 312 S.F. $OTfOM AREA � ? ��artiw� THIS PLAN IS-,NOT BASED ON AN INSTRUMENT SURVEY AND �� STEPr 484 S.F. TOTAL PROVIDED THE OFFSETS S'HOU-L-D'NOT BE USED TO DETERMINE LOT LINES. 3 ALLfV ; PERCOLATION RATE 1"IN 2'OR LESS 8/14/98 SCALE: 1 40 SOIL CLASS 1 r \ >o� 30216 ,'$ rlo. GEM PIDT PLAN BAXTER & NYE INC. \�� cT4`� Cr�iAgY� COVERS LOCATED TO WITHIN #P-9209. r` LOT 7 FLUME AVENUE. s' Of F.G. , :-. ,-• MARSTONS MILLS F.F. ELEV/ 58.0 PIT #1 ELEV. = 53.0' PIT #2ELEV. 53.0' s.G=56'� v.G-56'# O HUMUS 02HUMU5 G=5o' A LOAMY SAND A LOAMY SAND '� � AUG.. 17, 1998 REV. JULY 14, 1999 srd: = 1saoGA�_ LEVEL :1 ��A 54.0 INV. z 4'DJAET_R ; 0 .c B 3 LOAMY SAND 8 3 LOAMY SAND ��TA1x LEACHING CHAMBERS '�-' ` HERRING RUN AT INDIAN ,LAKES 53.?3 PoY._ _ CIST. � -CrlErSt LE 40 P.Y.0 / :` t. 53:o 24V. =0 .4 Box a -- ��._ - -4' PERK TEST -4' PERK'TEST wv =53.2 herd:=53.01 - 4 i j„"i`l'b �;f SUBDIVISION .#762 10.00• �; �:::�•�-�6" STONE BASE -. �'- ;✓'�.Y�� '� ASSESSORS MAP 61, PARCEL 10 MIN. ` Cl COARSE Cl COARSE BOTTOM ELEV. L =51.0 SAND SAND �,' _ �" BAXTER & NYE INC. 3 �xaa 10YR.6/4 10YR.6/4 =✓Y= o ! ' LAN SURVEYORS CIVIL ENGINEERS OSTE D C2 COARSE SAND C2 COARSE SAND I S R LLE;MASS ii COARSE /6 10YR.7/6 . �ggay �J al� NO SCALE `-10' NO WATER -'-10' NO WATER a ELEV. 43.0' ELEV. = 43.0' . BAYSIDE BUILDING CO. INC. #97012TYP