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HomeMy WebLinkAbout0069 J.B. DRIVE - Health Marstons Mills ' A.. 101 - 039 f 11 I f BIKE Town of Barnstable Inspectional Services Department r e` MASS. � ' Public Health Division 039. 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 7831 July 30, 2020 GLEASON, JUDSON D & MARTHA E 69 J B DRIVE MARSTONS MILLS, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 69 J.B. Drive, Marstons Mills,MA was inspected on 07/07/2020 by James D. Sears certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH r'• ... Tho Dean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\69 J.B.Drive Marstons Mills.doc Town of Barnstable { BA LE, MASS ,p •639• ��� Inspectional Services Department rfa Mn'� Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more thar_. 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage _nto the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well ❑ A portion of the cesspool is located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) aching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc r , c Commonwealth of Massachusetts Title 5 Official Inspection Form b Subsurface Sewage Disposal System Form Not for Voluntary Assessments 69 J B Drive _ Property Address Martha Gleason _ Owner Owner's Name information is Marstons Mills t� MA 02646 7-7-20 required for every ---.- — page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any spe p Y way. Please see completeness checklist at the end of the form. `pttttuu�lugni�,���i Important:When A. Inspector Information filling out forms O`er;'• O '� on the computer, ?g: . JAMES ym use only the tab James D.Sears _ _7SE key to move your Name of Inspector U: R Co cursor-do not Robert B.Our Co. INC. _ __ $�'•.o o use the return Company Name _ _ '� �! '' TIF• 1 �`�� key. p y �hryF S IN S PEG���``�• 363 Whites Path ___ r� Company Address South Yarmouth MA 02664 City/Town State Zip Code 508-477-8877 S1623 _ Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails ___/ - - 7-7-20 -- - spector'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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 f c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 69 J B Drive u— Property Address Martha Gleason Owner Owner's Name information is Marstons Mills MA 02646 7-7-20 required for every ._.. _. -- page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: Failed_Leaching.The system is a 1000 Gal.Tank D Box and Pit. 2) 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)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. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 ICI I Commonwealth of Massachusetts Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . � 69 J B Drive u Property Address Martha Gleason Owner Owner's Name information is Marstons Mills MA 02646 7-7-20 required for every — -- page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 69 J B Drive u Property Address Martha Gleason _ Owner Owner's Name information is MA 02646 7-7-20 required for every Marstons Mills _- - - page. City/Town State Zip Code Date of Inspection G. Inspection Summary (cont.) ❑ 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 b. 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ® El clogged 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 69 J B Drive Property Address Martha Gleason Owner Owner's Name information is _Marstons Mills MA 02646 7-7-20 required for every — State Zip Code Date of Inspection page. City/Town C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in awspag is less than 6" below invert or available volume is less than day flow P.,7— 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. El ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. cess pool ool or privy is less than 100 feet but greater than 50 feet ❑ ® Any portion of a p p Y a from a private water supply well with no acceptable water quality analysis.y [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 2000 gpd- 10,000 gpd. ® El 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. 5) 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 CA. 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 El ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone 11 of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•page 5 of 18 i c , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 J B Drive Property Address Martha Gleason Owner Owner's Name information is Marstons Mills MA 02646 7-7-20 required for every -- -- page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: 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? El ® 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)] i l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form .I� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .............. !% 69 J B Drive _- u Property Address Martha Gleason Owner Owner's Name information is Marstons Mills MA 02646 7-7-20 required for every ----------- ----- -- page. City/Town State Zip Code Date of Inspection D. System Information 1. 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 Description: 1000 Gal. Tank D Box and Pit. 5 Number of current residents: ---- Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to:Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No 2018-63,OOGaI's Water meter readings, if available(last 2 years usage (gpd)): 2019-89,000Gal's Detail: Sump pump? ❑ Yes ® No Present _ Last date of occupancy: Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:subsurface sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 J B Drive Property Address _Martha Gleason Owner Owner's Name information is Marstons Mills MA 02646 7-7-20 required for every - - —=----- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/industrial Flow Conditions: Type of Establishment: ---- Design flow(based on 310 CMR 15.203): Gallons per day(gp ) Basis of design flow (seats/persons/sq.ft., etc.): --- Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: — --------- ---- 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 below): 3. Pumping Records: 11-1-19 Source of information: - Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: --u - t5insp.doc•rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page a of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .......... !% 69 J B Drive u— Property Address Martha Gleason _ Owner Owner's Name information is required for every Marstons Mills _ MA 02646 7-7-20 page.e. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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 d maintenance contract(to be obtained from system owner) an a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: . 1979 Permit # 79 -772. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 40" 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.): Pipeing is 4" PVC. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments . % 69 J B Drive Property Address Martha Gleason Owner Owner's Name information is Marstons Mills MA 02646 7-7-20 required for every _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): ' Depth below grade: 30" 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: 1000 Gal.�--Precast H-10 - — 2" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 28" - Scum thickness -- -- Distance from top of scum to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle 17 AsbuHow were dimensions determined? Slusge lusget-Tape Judge _ 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 at working level. Tank and outlet cover at 30' Below Grade w/inlet cover at 6". In and outlet tee's. No sign of leakage. t5insp.doc•rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 L Commonwealth of Massachusetts - Title 5 Official Inspection Form f' l� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 69 J B Drive - Property Address _Martha Gleason _ — Owner Owner's Name information is MA 02646 7-7-20 required for every Marstons Mills _ --- page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete El 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.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page t t of 18 Commonwealth of Massachusetts . Title 5 Official Inspection ion Form Subsurface Sewage Disposal System Form m -Not for Voluntary Assessments .............. !_% 69 J B Drive u Property Address Martha Gleason _ Owner Owner's Name information is Marstons Mills MA 02646 7-7-20 _ required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Over 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.): D Box is 3' below grade. Located on site. ---- - t5in8p.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 I Commonwealth of Massachusetts �. Title 5 Official Inspection Form c Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 J B Drive Property Address — ---- — Martha Gleason Owner Owner's Name information is required for every Marstons Mills _ _ MA_ 02646 7-7-20 _ page. Citylrown State Zip Code Date of Inspection D. System Information (cost.) 10. Pump Chamber(locate on site plan): Pumps in workiing order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1 � ❑ leaching chambers number: ----— ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 L r Commonwealth of Massachusetts Title 5 Official Inspection Form �� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments I ., � 69 J B Drive _ Property Address Martha Gleason Owner Owner's Name information is required for every Marstons Mills _MA 02646 7-7-20 page. City/Town State Zip Code T Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is a 1000 Gal. precast pit w/1' stone. Pit full up to pipe. Pit at 3' below grade w/cover at 1'. Need to replace leaching. _ 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): i 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 ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 J B Drive Property Address --- -- Martha Gleason Owner Owner's Name -- ----- -- information is required for eve ryMarstons Mills MA -- 02646 _ _7-7-20 page. City/Town State Zip Code Date of Inspection ___ D. System Information (cost.) 13. 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.): l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Flo Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 69 J B Drive Property Address Martha Gleason Owner Owner's Name information is required for every Marstons Mills MA 02646 7-7-20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately t5insp.doc•rev.7/26/2018 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 M LLs �RoN r � o a o U R 09--3 = ��' d . Commonwealth of Massachusetts Title 5 Official Inspection Form h Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 69 J B Drive - Property Address Martha Gleason Owner Owner's Name information is Marstons Mills MA 02646 7-7-20 required for every -- - - -^- page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells 12' Estimated depth toop ground water: feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 11-2-79 ---- 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: T.H. on Design plan 11-2-79 12' no G.K. Bottom of pit at 9' below grade. Bottom of Pit at 3' above T.H. Depth. — Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 'ritle 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 a " Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage p y Disposal System Form -Not for Voluntary Assessments !% 69 J B Drive u— - Property Address Martha Gleason Owner Owner's Name information is Marstons Mills MA 02646 7-7-20 required for every -.— — ---- -- — — page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t �o0rn prr 3� No Gw t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of L TOWN OF BARNSTABLE LOCATION (pq A.E. D fA VC SEWAGE# 2VZ0 Z(09 V.LLAGE��StMJs mtu-S ASSESSOR'S MAP&PARCEL 01-f 39 INSTALLER'S NAME&PHONE NO. 4WCT a• QUe G- LOAM - 86-11 SEPTIC TANK CAPACITY (OW o . LEACHING FACILITY:(type) (size) Q-63 X Z5' NO.OF BEDROOMS 3 OWNER -+ d PERMIT DATE: 01 ZB 12D COMPLIANCE DATE: R 1 z 0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 11•6- 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 A-( ]A 3- 1 ' i1'8 3"2 = 18.3 A-3 = 39.3 , �--�J :�z•c� R-S= 38 -S-354 3 • r �� nn� '' n(.y No. �'--�/ crq Fee � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RpPlitation for Disposal �&pstrm Construction Permit Application for a Permit to Construct( ) Repair X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (pq �], p Q(ua M fj Owner's Name,Address,and Tel.No. ` Sv D 50N � �f2TE6o4 CT C.�i14 S O l�J Assessor's Map/Parcel Q( ' Q S (`c- Installer's Name,Address,and Tel.No. 59�18 —C 0 Z -291-7 Designer's Name,Address,and Tel.No.5108-).1 j —O 3 Z'1 Rv*`k.T g 00 c- e o S c E k) a-19(4&)Q .RAJ C . Type of Building: Dwelling No.of Bedrooms 3 Lot Size ;Z ,�31 �--sq.ft. Garbage Grinder( ) Other Type of Building 4L No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided Li gpd Plan Date g—)L( — ;Ld ; O Number of sheets ( Revision Date Title �69 j6 k D Qk Q E & S 0-1 1 LL S Size of Septic Tank ( ,6 OCR edL, A.&JS Type of S.A.S.fZl $pp CT,4,L tLQ4CA(NE Gc Description of Soil M C C c)AJ?S 6 �-AiU�Iu 1 C! cl C-440CL 879 FC40 Nature of Repairs or Alterations Answer when applicable) 6 1• Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f He Signed Date 8—,;L4—>O;�Q Application Approved by r Date a® Application Disapproved by Date for the following reasons Permit No. �� Date Issued No. .Q V .� t r g' 1 ' '* Fee » THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLation-for Disposal.6pstettt Construction Permit Application for a Permit to Construct( ) Repair A Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. W19 i +0 P.i Owner's Name,Address,and Tel.No. Assessor's Map/Parcel `Q { 619 ,7.?_�a a , K_L,(-� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.$'a�-�.2� r(��'� Type of Building: " #� Dwelling No.of Bedrooms Lot Size e_ sq.ft. Garbage Grinder( ) Other Type of Building 1 [S i bf--yjT t A4.- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 03 c gpd. Design flow provided �`�7 gpd Plan Date �°�7,( � ;0;6(.l .Number of sheets � Revision Date Title �69 J+ N . OakoG 6400.-c &A I Size of Septic Tank I ,0 a Gr44J.,^tJ-S TYpe of S.A.S. ��,� � qre-L. f_(QAc-(4wC- C0.4 (EAS + Description of Soil �` ty�� ��ii�S .5k—j h [j IZ*7a C�4C C Nature of Repairs or Alterations(Answer when applicable) (j S CC i &'-i " L 'rtom to E'-y) t)—irA n �1'� �"),1�� e#4 4 14 l fir, C t 4 t-y—S 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 Certificate of Compliance has been issued by this Board of Heaithi` Signed t ~ �t Date ' �-"1- '[JQ Application Approved by MA . G ,,�(,,� ,. Date if Application Disapproved by Date for the following reasons Permit No. ;Lo;?�� _C)L&9 Date Issued �.t _,_ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance t- THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by G?( ' " O UA C() at (09 37.17, 1)zLi w z has been constructed in accordance with the provisions of Title 5 and the for DisposaSystem Construction Permit No)-dpQ-, -L dated InstallerEjQ0j- A Designer #bedrooms Approved design flow _ (� gpd The issuance of this permit shall not be construed as a guarantee that the system will fu�Jtioon as designed. Date Inspector �.J No. �J Fee ` THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Disposal 6pstent Construction Vermit Permission is hereby granted to Construct( ) Repair A Upgrade( ) Abandon( ) System located at 9 Q E f\A NJ Y, and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. _ '`,�,C a Date' pZ 7} /, Approved by Town of Barnstable �t►�'0`�I. Regulatory Services . . �� Richard V. Scali, Interim Director r. 9�A Public Health Division M lFo►��° Thomas McKean,Director' 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 9-1-20 Sewage Permit# Z 07-0 Assessor's Map\Parcel 101/39 Designer: SG Er��jt�n�eri(l5+ '_✓�c Installer: Robert B. Our Co., Inc. (RBO) Address: ZBS l Cron�oerry Oiak wn y Address: 363 Whites Path South Yarmouth,MA i;as4 warz-�navvl 0 62-538 On 0 ?S 2-0 RBO was issued a permit to install a (date) (installer) septic system at_ 69 J.B. Drive based on a design drawn by (address) -:T c t q i �l } Tn C dated 8-21-20 (designer) X 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. Strip out (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. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i iance with the terms of the I\A approval letters (if applicable) ^'�-Sq�y r JOHN L. G� HILL AL (Installer's * n C 1 IL .4 .o (D ner's Signature (Affix De t p Here) PL SE RETURN TO ARNSTABLE PUBLIC HEALTH D..., SION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. j THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc ......... . J f . w ..... ..... ... �z . .. . .... ..... . . . . . . .. . . . . .... . .... ... . ... ........ r .. .. .. . ... .. ..... . ... x3-3 «I s . . . . . . . . . . ou .. . ... . ........ ... ..... . . . . . . . . . .. . . . . r _ ... .. .... ....... .•Gyp f 2-4 (u _ . . . . ..... ..... _.... .. ..._............._.. .............................._._. ...,.......... . .. ...... ..... ...._... ....... ..... .. ... ... _....._..._ . . ...... . ... ..... . .. . .. f o � .. . . .... . . . .. . ... . . . . .. . ... . . .... . ........... .... . .... . .. ..... . .. .. . .. ... . . .... . . pl 1� SMOKE DETECTORS SE flEWED� �'� �A,PtiS"ARiE Bl)L�'"au uEPT __...D'., 7 � "t�'V'tT!-"RES ARE REOUIRED FOR pr-pMe'7rh'� E! f i ( ---- cl i yz IMPORTANT - UPGRADE RE? UIRED STA"_ °UiL :!:G nr:c REC!:RES THE U �aRACING OF VMEN ONE PACRE"IEEF'ING Al"E:-S ARE ADDED OR CREATED. / NC`F: A SEr'ARATE "ERIIJIT IS RE U'REC FOR THE Aaq-CARBOW(a93PivXivE,L °}:1S t;d'r'�CtA'it7Pv Cr'Sk OKc Gv-EC RS—THE --L ECTR!C ER!u"t.. �,,,.. ki MUST BE ItiSTA=i Q PER rS R'C+T�AI,arY TH S 'EO'..1 REMt7NT mAtsSACHUSFTTS Bag"No,CrXt f r d4kt � ou �' � � �/ _r- ` � At �.� ' J Y � ' �y �� , �� ���� p -p✓ -db. i CEO . .Fr� 00 ti En K - G 2-x(6 s'X f o r so f �1 QQ LO CATION S E-W A C E PERMIT NO. VILLAGE / r 1 Olt i d c" INSTALLER NA E �i ADDRESS e ' loo q euILDER Olk OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ��i � � cJS4�-- ` v�el a ti v No07f7 7,5 I � .----•-----•----- ; THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................................... Appliratiou for Uhipo,15allgorkg Tomotrurtiou ramit t. Application is hereby made. for a Permit to Construct ( ) or` Repair ( ) an .Individual.Sewage Disposal System at: yvilt`a '' 'a ......... Location-Address or Lot No. ' t Owner Address W _ Installer Address � e of B� ��""� as .� Q Type Building Size Lot_... Sq. feet Dwelling No. of Bedrooms.._. .Expansion Attic ( ) ' Garbage Grinder ( ) Pk ! ' Other—Type of Building .....� ? ......... No. of persons.........`=_______________ Showers ( ,,�) — Cafeteria ( ) QOther fixtures ....................................................................................................•-•---••-•••--•••-••••----•-------•--------•-••- W Design Flow..... ?�?�. ...........................gallons per person per day. Total daily,flow---- s..............................gallons. fir' Septic Tank—Liquid capacity.. QW-gallons Length................ Width................. Diameter---------------- Depth................ Disposal Trench—No. .................... Width....... ........ Total Length.................... Total leaching area..:__...____...___sq. ft. Seepage Pit No--------------------- Diameter......,5�___.___. Depth below inlet_....__6..._._.. Total leaching area...::'.__��__...sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by------- ;ai a= t L l KJ•i i --.......... ------------ Date................................... .-1 Test Pit No. 1.....4n?.,__minutes per inch Depth of Test Pit......12......... Depth to ground water_('_ :..___.. (� Test Pit No. 2__.4..:12....minutes per inch Depth of Test Pit__-_.-_!?.:...... Depth to ground water._x-J_>y_4t. a - O Description of Soil ,t s �, )1 a c: 1 11.f 1-i �. s V141 '�l` �*-) ��n113 11 � t1 r�( ]c >1.)' W U Nature of Repairs_or Alterations—Answer when applicable__-... :....,/ -. __-___-----. _________________---__. -- -------- -••---------------------------------•------•-------------------•----------------------•---------• r Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTTLE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sidd.. •••-• ... •.......--••----•-•-------•....•------•------•-••......--••••-•---- Date Application Approved BY f' !` d Es�jA------ F Application Disapproved for the following reasons:................................................................................. •......_..Date-------------- .....................................................-------------------•----.........------------.....-••--••---------•-----•-•--------•--•---•••---•---•-••--•-•--•--••-----------------•--•----•---- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD 0,9 HEALTH _ ..........r,OF...... T!L ................... r. Trrfffiratr of TompliFattrr T IS.TO RT Y, That the,Individual Sewage Disposal System constructed (+�or Repaired ( ) , by...... . . ... ... `�....ins.,aller at....... ^ --•-•- r ••-•- has been installed in accordan e with the provisions of z' r of The State Sanitary Code as described in the application for Disposal Works Constructi'•n Permit i o� .._._..`11 ,7__ .__.__...__. dated---. ,r :.!t._., /� THE ISSUANCE OF THIS CERTIF ATE SFIA L NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL. FUNCTION SATISFACTORY. DATE............... ... ...................... ............. _ -- .............. Inspector... THE COMMONWEALTH OF MASSACHUSETTS -7 - BQARD HEALTH N(�7� ! ..... .........OF..... Q!!. ..!............................................... ... ................... FEE-....................... . �i��ro��a ork� o� Juan rani# Permissiog. i by granted...... .....--••-•, ••. -----------------------------• ---•--...-------•-------------•------......................--- to Cons ) or Re r ndividual Se a e ,I System at No. Q = - �1 ..._... -l.._. ------y Street as shown on the application for Disposal Works Construction Permit o �___ ..... Dated_1���.3�1 ..<...7 ._ .. , . - � 41, oard A Health DATE--- ...................7.--------------------------------------••--- FORM 1255 HOBBS & WARREN..INC.. PUBLISHERS ~ -THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH W ................OF.........PZ G �-(.E +.................................... Appliratiun for Biipuua1 Workfi Tunitrnrtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -A �� Loca ion-Address .... _...•.. Lot No. Owner Address ------ ----------•----------•------ Installer Address [/ U Type of Building Size Lot....�.�9.-�cr-(--.Sq. feet Dwelling—No. of Bedrooms.......................... ._________Expansion Attic ( ) Garbage Grinder ( ) 1A1 �..____.._. No. of persons......... ................ Showers (� — Cafeteria ( )Other—Type of Building ...... ._.- p � ' a' Other fixtures ...................................................... W Design Flow..... .............................gallons per person per day. Total daily flow...... ..__gallons. WSeptic Tank—Liquid'capacity__ 9l9gallons Length---------------- Width................ Diameter---------------- Depth____-__-.___---- x Disposal Trench—No. .................... Width.......(0......... Total Length.................... Total leaching area.........._.........sq. ft. Seepage-Pit No----------_--------- Diameter......8.......... Depth below inlet...._..6.1....... Total leaching area...Z01......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........(3>t&......(_,bJO K!"1......................... Date........................................ Test Pit No. 1-----��2._._minutes per inch Depth of Test Pit......�1....._.. Depth to ground water..0JA ....... Test Pit No. 2...42—minutes per inch Depth of Test Pit------- ...... Depth to ground water.A.JQ14. --•----•---•----------------• .................................••-•-•--------•---••---•-•--• ............ O Description of Soil.--•-VDIF..-Z-� = l�C? ._...-5�1$ ?I j `' C�1 ' ' !Nt��?ila _ Sexy -•----------� 4� ltiE�� a 1' -- -'---- - --- 7 U Nature of Repairs or Alterations—Answer wh applicable._________----- .__.__... _. ---------------- Agreement: The undersigned agrees to install'the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TILEy g g p y 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sid_- --- -------------------- e Date o Application Approved By... 7-- F - e�f Date Application Disapproved for the following reasons----------------•-------•--------------------------------------•-------------•-----•-• ----•-----•-............. -----------------------------------------------------------------•-------.......----------------------....--------------------------------------------------------------------------------------..._..... f � � i ^7�� Date Permit No. Issued g-_•--•.V-----------�• (_7------•---•--- Date i 7/28/2020 ShowAsbuilt(1700X2800) I O CAT lL 5(f- PERMIT N0. 7-?�� VILLAGE L3Cat. INSTALLER NA E ADDRESS foe�q LAG BUILDER Ok OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED C Iv use el https://itsqldb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=101039&sq=1 1/1 NOVember T '1977 't. ^Mr.. Earl.Haines ' tP; -0 ..Box,409 - East:Dennis, Massachusetts, 4 ,} Dear:Mr..':.Haines. A, You, are granted-,a conditional variance !t'o install a',sewage , Teaching. facili y. 00"'feet from a well - nr• lieu of the required 7.50, feet on Lot 20, HambI Is Hollow; Marstoris `Mills; } ..The.'_variance }is contingent on the site passing percolation tests in the area sewage will;be, installed. 'An%engipeering plan,meeting all` 'ath'er Town of° Barnstable'.Health"regulations aid regulations contained in Title -5,,', of `the-State Env"iron- r , . .r ` - mental -Code,, 'must,,be approved;pr'for to;'any- construction. This variance'.-expires. December-, ,�1678'. Very u y o p, Robe L. .Childs, 'Chairman £� 1� ;. r J rift.' .. � - • _.$` r •, - �, _',_�. Ann Ja' ,Eshbaugh ,' ',sties,:''- ` ' s �7 -. r •� . s ;v. Mande stam, .M#..D:. £' BOARD OF HEALTH ,' r�t�'M1 "1i/M�,#t#i11. ,. Yq .r r?' 4}y • � , •� `, .... F a -.. � a tl `'•.�_,ri f t 11{,. ' � O, Ky .+ *~ • _ A L. -� •h-S ..'f•Y S•% r� -3 's.'r^ 4 } t �;- 'z f, + „'+ r y.. ice,C..�' t .r�k:. +!' � �:. t- ,•.,�� � ,•° •F> { � !r S +; ,� t . . w +I `1 t4 y - .. , r G t � , .'.4 y n � vk .•;f } + r: � .� ` t A y ,' -r ^ , r.y.. - .: '•y a �,�•S -• E'ovembev 1. . 1977 Mr.'..Ear X' Haines p O .,'Box..409``. , , t $ =East Dennis 'Massachusetts t . h4 Dear, Mr. Haines '{ You ,are granted a cond ional ' variance';`to install a' well 100 . feet from-a- sewage leaching pit,in• lieu of the required 150. feet on Lot 20 Hamblin's Hollow; .1�sarstons Mills . ' The variance is contingent- ©n, the site-£passing. percolation .•:. ti tests in -the•area sewage wilt. be'installed An engineering •` 1an meeting all other Town, of . Barnstable Health reguiations ' {' and reguXations contained -i,n Title V. of, -the `st'ate,•Environ - mental Code,'-must be .approved prior to."any,,constructi4n* '` " This variance.,-will expire., in December:;.+1978Q z , erY t y Yo $ X • - t Robe L. Chil' s � Chairman 3 �'. .. Ann Sane Es ugh, . r a A. W. Mandeldtam M. 3` , % BOARD OF HEALTHr JMK/mni 3 AP 7 J .VOL _s ♦Qaue _ _-._ __ ___ _ _ _ .-�•.a.•,� -_ - _ _ __ _ _._��o Of ��c�.�. -� ��-+� sic � a�•�,�-�.+� . f'.t-�'` �Z��.. .-,,.r ,s ,. is �'�';ID N oil .6�"—X44-Zy A—ea a-4- AIK � V III iiiiiiiiiiiiiiijill ,�-� • � �,ti -__ � __ �-� --�z,. t WS /+ ` �--- -t i 1 4 + �r• _ t t o zap,`- f- _ r - �- rt ! t + . + + t L� T, /1 QO + � H IN 77 t AT - 67 ' , f ` { t " ��3� . I - r --�-� � �-- -t t { }- t � � t t � � i ► � t t + lk Ji 1 ' 1 11 f i sws€ L ®,r 2 L®T - 6 t 1 I M � � � 4 T 1' _'� -/ i f f+ • 1 r 1 t .. {. 1 ; _H -..,.f ! , Ilk, r } + + It • , I I rl 1 I I ' � I , I t! 1 I i I I 1 I I r 1 , i 11 f I I � .f .t.-_ r�� .L _ - + i - + } { r �- I" -�- -f-- l } .t� _ � �. ' . L}.f 1 - Y t• -. _ " ' - I i I I � I 'I i f , I � � i • I I t.._ I � I it 1 1 FINISH GRADE OVER D-BOX= G4.9'f _ � � GENERAL p NOTES -y^- T.O.F. EL.= 66.1 t FINISH GRADE OVER CHAMBERS- 64.9 - 64.2 „ G E ERAL !�O i E ' PROVIDE EXTENSION RISER SLOPE @ 2%MIN. OVER SYSTEM ✓ 3/4 TO 1-112 _DOUBLE WASHED REMOVABLE WATER TIGHT COVER OVER STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS AND CONSTRUCTION ' WITH COVER OVER INLET& RISER TO WITHIN 6"OF FINISHED GRADE 4 SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS , OUTLET TO WITHIN 6"OF F.G. METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE 5 DIA. OUTLET(S) MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) 2"OF 1/8"TO 1/2"DOUBLE WASHED CODE AND ANY APPLICABLE LOCAL RULES. ' @ FND. EL.= ,65 0'# F.G. OVER TANK EL. =64.9"t „ STONE OIR GEOTEXTILE FILTER FABRIC - __ I - 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE _ ' PLACE RISERS ON TOP OF SAS- 61.90 DESIGN ENGINEER. PROPOSED 4 g„MIN. 9"MIN. ALL CHAMBERS TO E.�t �CNG �'" , 3. 4 SCHEDULE 40 PVC PIPE.WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL __ �.m,.-�, �,�f -� - - ..__ SCH.40 PVC 36 MAX. 60.90 36"MAX. - ✓ WITHIIN 6"OF F.G. .-I %rV_ER rlr _. r _.. L r�ll BREAKOUT EL= 61.40 SYSTEM UNLESS OTHERWISE NOTED. � SEWER PIPE AS SHOVPiM ON PLAN� �� 3"DROP MAX 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 116 3 2 DROP MIN 3„ L=1fi MIN.MLOPE@,% PROVIDE WATERTIGHT ELEVATION=61.40'FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 13" -JOINTS(TYP.) o �_ 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 4 PVC IN FROM'- SEPTIC TANK 4"PVC OUT TO 0 C� C� 0 0 °° O 0 oTHE LINER 1S NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE I LEACHING FACILITY o00 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. SPECIFIED DROP BETWEEN ., " oo00C� ooINLET AND OUTLET CONTRACTOR CONTRACTOR SH 6 .2T 12 2' o o° o0 6, THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48" VERIFY CONDITION OF TLET TEE MIN. 61.1 O 0 0 0 0 00l 0 L� c�a 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES ✓ GAS BAFFLE 6 CRUSHED STONE °° o a oQ FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY oo 00 o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY - COMPACTED BASE 4.0, , 4.0, � AND DESIGN ENGINEER. 5 8.5' (TYP) 4.0' 1,.�_ 4.0' OUTLET DISTRIBUTION BOX 4.83 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 65.00' TYP.) TO BE INSTALLED ON A LEVEL STABLE 25.0' ( ESTABLISHED ON A NAIL SET IN 12"TREE AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET 58,90, GROUND WATER ELEV.= < 52.70 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. 12.83' 5'MIN. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK 2 - 500 GALLON CLAMBERS CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES" - CROSS SECTION VIEW TYPICAL CHAMBER PROFILETO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY EXISTII 1 [ I c EI Ei' TIt I PRIUI TOE I°�Y L'Oi 1 & SEPTIC PROFILE ISM` O DETAIL H- OCHAMBER .. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING A REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM ... �° ° +► •a'�, * APPROPRIATE AUTHORITY. PERC NO. TPT-20-163 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED io ( ,. .F\ •� INSPECTOR. David W. Stanton(BOH) UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT,DRIVES,OR EVALUATOR: Michael Pimentel, EIT, CSE TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. Oct. 27,,1999 C.S.E. APPROVAL DATE. / 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. ' AT August 14,2020 ./ , ,.._. (TABLE , AM SUBSOIL AND UNSUITABLE - TEST PIT# 14. WHERE REQUIRED CONTRACTOR SHALL REMOVE ALL LOAM, U . ES BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY: t : MATERIAL IN AREA .. 43 MAP 101 _ REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN.COARSE SAND FREE.FROM CLAY, MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). LOT 38 ��'�?Z�� �"L „�. ,,~ "... � FINES OR OTHER UNSUITABLE _ < .70 MAP 101 ;� f .. ... ELEV WATER 52 .....-. �' _ , ; �: <� . --��' •, _ ....� - 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN LOT 39 t ,. _ < / �y�ry .I! PERC RATE 2 min./inch L, SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. 22 237f S.F. V I V - ., 30 -48 16. PROPOSED PROJECT 1S LOCATED WITHIN: DEPTH OF PERC w a/ f r-- fs rr .._ ASSESSOR'S MAP 101 LOT 39 a - .w TEXTURAL CLASS: 1 OWNER OF RECORD: JUDSON D.GLEASON o� tz1►2 N MARTHA E. GLEASON LOCUS 0" 64.20 ADDRESS: 69 J.B.`DRIVE ✓ i # f( E „ Fill ' , '`�- I 1 .�'""" � �f ► 0 0 _ .. � C , 6 63.70 MARSTONS`MILLS. MA 02648 g, } _ _. \ti y / ; ` g Loamy Sand FEMA FLOOD ZONE X / ! ©o 10Yr 516 COMMUNITY PANEL# 25001 CO542J / r .s , f' ► : . „ , A! 17. DEED REFERENCE: BOOK 27771 PAGE 288 o � s, , r 30 ,. 61.70 / // S / - _.--- �, f• f; f' jP erc _ 18. PLAN REFERENCE. PLAN BOOK 280, PAGE 75 / r /�2. ] ,1 , N y E I I 48 50.20 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. \ \ / C-1 EXISTING I `` \, ` \ �; ZONE 4 / O / _ 1 < `�. co \ 3 BEDROOM � �``� \ �` `' �, Iff `f f . .+ INFORMATION IS NLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY / I C ,' ! J l Ir 20. PROPERTY LINE O / •a /\ \ / l� !` DWELLING � a7 ��' - / -6 I z� ,' I` It' - FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY �`� / \ lop FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. c, !I ,. , .- Med.to Coarse Sand - / ( �,. j �,.; 2.5Y 616 21. A 4 PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A TREE (TYIy \ 1 / t f 0 - . I f 1 �` (5°/a gravel) DEPTH OF THE BOTTOM OF THE SAS AND EXTENDTO WITHIN 3 OF FINISH GRADE. A / / > f`1 ! ' `� I \ REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. \ ) o I �` f t I t 4a \ �� OO t;I, TOF=66.1 ± r �,•IQ I � �� ( 22. OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL �, / i LOCUS PLAN REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. o Ir, �/ PLACE RISER ocv / �� I f f f � > \ SCALE: 1"= 1000' CHAMBER 1� 138 52.70' -PROPOSED HC 2 j \ / 9, \ 6Q, o // j ,' No Mottling, Standing_ or Weeping_Observed O� � '�`�. � / I � .. DISTRIBUTION / / I c c� I o _ P AT PROPOSED J BOX / I;XITItG 9,10 .y\ co ! DESIGNDATA TEST LEGEND /(rs�o 720 INSPECT N PORT Qs �1 h� - -- - �r C ,L!#Ci 1 C j l PERC NO. TPT-20-163 61x9 - -- ( TANK TO BE USED �� 1 � NUMBER OF BEDROOMS(EXISTING) 3 vi tanton BOH 50x0' EXISTING SPOT GRADE INSPECTOR. Da d W S IPA1 ?E 'O;1 NUMBER OF BEDROOMS(DESIGN) 3 EVALUATOR: Michael Pimentel, EIT,CSE -- 50 --- EXISTING CONTOUR I 110 YJ DRO M AUDA BE O DESIGN FLOW G 1 1 \ / C.S.E.APPROVAL DATE. Oct.27, 999 � ) �TP 50 PROPOSED CONTOUR 2) �QP / / j TOTAL DESIGN FLOW 330 GAUDAY DATE: August 14,2020 a / 50 PROPOSED SPOT GRADE h. TP 1 O : . : O ( DESIGN FLOW x 200 /o - 660 GALIDAY TEST PIT#. 2 \ J N O h \ 64x2 o _- O „ .. LEACHING `\ EXISTING LI= C I . ..- . � - 64.89EXISTING GAS LINE ' P- : GAS'`: / � E EXISTING 1 000 GALLON SEPTIC TANK ELEV TO PIT TO ICE PUMPED, o � _ FILLED C E c.� -_ ELEV WATER E � C EXISTING UNDERGROUND UTILITIES O \ SAND D 1 s , t- LC / J/ 1 ci \ 1 ,,. �✓ � PERC RATE_ ,J J J _ W W EXISTING WATER LINE \ INSTALL 2 500 GAL. CHAMBERS W/ AGGREGATE .,o \ \ / / , DEPTH OF PERC= 3) / ,3- PROPOSED-rWo 2 I . <v SlDEWALL CAPACITY TEST PIT LOCATION ... { ) Benchmark �� 4 TEXTURAL CLASS. 1 ® 500-GALLON H-20 f ,� 1 \ _ t4 \ Nail Set m 12 Tree S� {LENGTH + WIDTH) {2 SIDES) (2 HIGH) (0.74 GPD/S.F.) - GAUDAY � '° \ LEACHING CHAMBERS / / 7 0 , �'Lj0 Elev. =65.00' � ♦ �. � (25.0 + 12.83)(2) (2 ) (0.74 GPDJ S.F.) =112.0 GAUDAY EXISTING 1,000 GALLON SEPTIC TANK A rox. MSL � 4�. L9y L� \ of r PP // J� 0„ 64.80' PROPOSED 4 SOLID SCHEDULE 40 PVC PIPE BOTTOM CAPACITY Fill J \ / x = 6 64.30' / / O (LENGTH x WIDTH) (0.74 GPD/S.F.) GAUDAY \ / PROPOSED DISTRIBUTION BOX ``• 6 C* / G o (25.0 x 12.83) (0.74 GPD/S.F.) 237.4 GAUDAY Loam Sand B y O PROPOSED 500 GALLON H-20 LEACHING CHAMBER TOTALS: 30 62.30' 64' /� .�IG � ,. TOTAL NUMBER OF CHAMBERS 2 REV. DATE BY APP D. DESCRIPTION „ � E/ C/ ,•'' TOTAL LEACHING AREA 472.2 SQ.FT. �^► .., e/?fC -Y-- /� - " ,,, TOTAL LEACHING CAPACITY 349.4 GAL./DAY PROPOSED SEPTIC SYSTEM UPGRADE €fr/ 1 NOTES: i PREPARED FOR: Med. to Coarse sand ROBERT B. OUR CO., INC. 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF \\ C 2.5Y 6/6 EACH SEPTIC SYSTEM COMPONENT. \ (5%gravel) \ LOCATED AT 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF L=38.21 THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST - .- \ R-23. 2 4 69 J.B. DR IVE PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL \ MARSTONS MILLS, MA 02648 BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. \ SWING-TIES 53.30 138" SCALE: 1 INCH = 10 FT. DATE: AUGUST 21, 2020 3.) ENTIRE PROPERTY IS LOCATED WITHIN A MASS DEP ZONE 11,WELLHEAD I 0 s 10 20 40 FEET PROTECTION OVERLAY DISTRICT AND THE ESTUARINE WATERSHEDS. DESCRIPTION HCA HC-2 No Mottling, Standing or Weeping Observed ,�rt'A OF, s� 1 26J' 37.5' °? .lo cti PREPARED BY: 4.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A CORNER OF STONEO HN� JC ENGINEERING INC. INSTALLER HALL VERIFY SWING TIE RESERVED FOR BOARD OF HEALTH USE N � CHURCHILI R. m � COURTESY FOR THE INSTALLER. INST S , ° Clvl "' 4 . 2 .6 L -, MEASUREMENTS IN THE FIELD PRIOR TO INSTALLING THE SYSTEM. CORNER OF STONE(2) 0 9 5 .41007rn 2854 CRANBERRY ,HIGHWAY CONTRACTOR SHALL NOTIFY ENGINEER IF MEASUREMENTS APPEAR TO BE ❑ J� CORNER OF STONE(3) 50.9 38.4' o EAST WAREHAM, NIA 02538 INCORRECT. SITE PLAN. Gig Ft� SCALE: 1"= 10' CORNER OF STONE(4) 39.2 47.2 I 508.273.0377 Drawn By: MCP Designed By:MCP Checked By:JLC JOB No:5266 - - Lr 21 a EK 1 S7" V-)E LC- /G . 7 - MIP 1 w� L0T`7-U A. 21 L3 U � 6 v plop. i o TNw /awn GAGµ 60 z -7 +ft r 44 o� G-.n ,"7 L 0 t ►l�nJ DIdT'/ - ITN LW Q.t.1►-)G SI U(!S. 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