HomeMy WebLinkAbout0019 MARQUAND DRIVE - Health 19 MARQUAND, 4 MARSTONS MILLS
A=098-023-001
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TOWN.OF BARNSTABLE t
LOCATION J'�(,c1/ SEWAGE# v�17 4 3
'VILLAGE I" ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. , f Do .
SEPTIC TANK CAPACITY //dd� _/
LEACHING FACILITY:(type) - , l.� iO"� (size)
NO.OF BEDROOMS
OWNER
PERMIT DATE: I COMPLIANCE DATE: q le
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
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TOWN OF BARNSTABLE
LOCATION �,�-q �„� 1)(h,.- . SEWAGE# 2-02LZ —0 Imo`
`. VILLA F,ti;0,,Y ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO mitz I,. &
S'EPTIC-TANK CAPACITY V J,
LEACHING FACILITY. (typed -in ,.15-0 o (size)
NO.OF BEDROOMS
OWNER
PERMIT,DATE: 0%11.�p`? L?- COMPLIANCE DATE: 2
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 Teaching facility) 4 _Feet' '.
FURNISHED BY
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No. f Fee W THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2pplication for disposal *pstem Construrtion Vermit
Application for a Permit to Construct * < Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. t Q MQ,-f4,L Q `bQ1-e_ Owr 's Name,AFldress�and Tel.Igo.fl
Assessor's Map/Parcel Q`8 02-5—co( I i (�I T }
I ller's Name Address,and Tel ( � 7 Ll '� Designer's me Address,and Tel.No.
. �'•�� ��� I s���;��.
Type ol Building:
Dwelling No.of Bedrooms Lot Size 22 Y ow _�Ll— sq.ft. Garbage Grinder( )
Other Type of Building _C+CtM s C No.of ersons Showers( ) Cafeteria( )
Other Fixtures 6Ct 4--, ,pe /c.@/® �✓ V4 l+1
Design Flow(min.r9quir d) gpd Design flow provided 2 3 gpd
Plan Date Number of sheets Revision Date
Title si Nv) f ALL
Size of Septic Tank IS 614� Type of S.A.S. 5-00 6A
Description of Soil 7 y S Q^L Z A P �'-
44 4U.01
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 o the Environmental Code and not to 1 tern in operation until a Certificate of
Compliance has been issued by this Boar f Heal
Si Date` Z b ZZ--
Application Approved by Date
Application Disapproved by IeV Date
for the following reasons
Permit No.?-O`� 02Z2 Date Issued
-------------------------- --------------------
` Entered in compute" r:
THE COMMONWEALTH OF MASSACHUSETTS
P Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
rA 21pplicatlon for Disposat6ps'tem Construction Permit
Application for Permit to Construct(.')Repair( ) Upgrade( ) Abandon( ) Q Complete System ❑Individual,Components
Location Address or Lot No. (` MQ t r+`ed b, Owner's Name,/Address,and Tel.No.
t� f Gr(E? tf /t9gi/ ) Sri
*` Assessor's Map/Parcel 0 eI c Z }- 00(
Installer's Name,Address,and-Tel w iQ. `�t- ' Designer's Name,Address,and Tel.No. _
V 0 f �� � S cw �r, vo�i iC f?{i�a PAf,/1S�!/vAj G 1/Cr.,/ifs
Type of Building: r .
Dwelling No.of Bedrooms Lot Size 2 2 Y,9Ge, 'ly- sq.ft. Garbage Grinder( )
t
Other Type of Building C rr;C< , ,r No.of
Persons/ Showers( ) Cafeteria( )
Other Fixtures 6/0rc f 2 ',u Sc, 44 a-c -,N b,•/ � /�/�cz!„�
Design Flow(min.required) W + gpd Design flow provided lIJ
gpd
Plan Date I/ft A 2 Z . Number of sheets i Revision Date
Title �d- CQ r41A P101p4l
Size of Septic Tank S C-t�+ G� � ` Type of S.A.S. - FCO GA�foh C���sr C�
Description of Soil- _T ff - 5, p o-/t�'�/ i AP C 9.^dy �•«,,,y 12 - Y
tG4
:1 Jr9 t t✓ ` I / �� �t?!/•e r i'tii Skit q�
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 mi
accordance with the provisions of Title 5 o the Environmental Code and not to lace lhessystem in operation until a Certificate of
Compliance has been issued by this Board of Heal
Signed Date Z_
1
Application Approved by �1� %'""{�f �'�'—";� Date
Application Disapproved by V Date
for the following reasons
Permit No.?1)'77 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( - ) Repaired( ) Upgraded( )
Abandoned( )by
at /�J 4 r WA 11 Aoe has been constructed in accordance
v
with the provisions of Title 5 and thefor Disposal System Construction Permit No.;?6Z7 -l 1, dated 117,4 1-7-ol 7-a /
Installer tl Designer ,rrr 7�lo4 jo/4 ,4�,��C
#bedrooms Q Approved design flow gpd
The issuance of this penif7it shall not be construed as a guarantee that the system w�l`fundctioo as desired.
Date ,( 7/ * Inspector
_ ._ . -- _ -------- ---
No ';?A 7 dZ b Fee o
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal bpstem Construction Permit
Permission is hereby grantedto Construct Repair( ) Upgrade( ) Abandon
System located at r. .0 I- .A !
V
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her dutyfto 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 permiip" !
Date `� /, �7,0 77 Approved by
Town of Barnstable
Regulatory Services
Richard V.Scali, Interim Director
NAM`A8�g Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: 5/4/2022 Sewage Permit# 2022-026 Assessor's Map\Parcel 098/023-001
Designer: Sullivan Engineering&Consulting, Inc. Installer• . Gt�6• �s�
711 Main Street/PO Box 659 /
Address: Address: d
Osterville,MA 02655 A-A����
On Ck Greer_was issued a permit to install a
date (installer)
septic system at 19 Marquand Drive,Marstons Mills based on a design drawn by
(address)
Sullivan Engineering&Consulting,Inc. dated 1/11/2022
(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.
erti t at the t eferenced above was cons to mp iance with the terms
I pr 1,1 s(if applicable) OF Ma
9
G
R NO
(Install e ' Signature) U c CIVIL
99
NAL
(Designer's Signature) (Affix Des s Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:\Septic\Designer Certification Form Rev 8-14-13.doc
Town of Barnstable P# /S-3-Z�
oEINE
�p Department of Regulatory Services
: . STABU& : Public Health Division Date �t 7
U
� 039. Y 200 Main Street,Hyannis MA 02601
Date Scheduled % Time l Fee Pd. / �►
v
-.3
4 ' :C�
Soil Suitability Assessment for Sqwqge Disposal
(' CAPerformed By: G er 7 (� Witnessed By: C"�
LOCATION& GENERAL INFORMATION :1;Q _ Kay
Location Address r T Owner's Name V a(r eA 1. J I V ay S
IqUri n e -
� �� Address t32�J .1`�-�r'l�. CQ.(�.0 D�'Q.61�
Llts Attan47�.t 6A 3CSz-7 _.
Assessor's Map/Parcel:bit 033 061 Engineer's Nam&111Jan6'U 1YW n(1J 0 1 .nq iir(
NEW CONSTRUCTION REPAIR Telephone# 69 )LW 33t-I
Land Use d S $� Slopes(%)G—s ghc/ 720 Surface Stones /�oT
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well � ft
Drainage Way ft Property Line >O + ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
) .
098023001 .
#19
y3
e
e
Parent material(geologic) 0 6*4 Gva S Depth to Bedrock `s
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face M�
Estimated Seasonal High Groundwater 2 q 5 &Lr rt d 6ro v^l—� ^`�
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to-weeping from side of ebs.-hole: _ _ in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor�A'dj_Gioundwater Level-- t— _ ,•.
PERCOLATION TEST Date Time �� J
Observation
Hole# 7 Time at 9"
Depth of Perc tO 6 4/2 Time at 6" G'
Start Pre-soak Time @ 0 0 Time(9"-6")
End Pre-soak
RateMin./Inch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be conducted within 1001 of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC
D��VS
DEEP OBSERVATION HOLE LOG Bole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Graven
38-/32" C. i'1,5.74 � Y Icy
'DEEP OBSERVATION HOLE LOG' ``-.,,,-Hole` # L
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.° Gravel
0-12 " 4p Co02 �Y
12-3e {� w oa -!64J
DEEP OBSERVATION HOLE<LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel
0-12 f ok'2 3 y
G'�-�2 A w �acrs�► Sqh 10 �r\
y
DEEP OBSERVATION HOLE LOG x Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.° Gravel
1 2_ w �a9�►y S4 t o bf G/
Flood Insurance Rate May:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No K Yes
Within 100 year flood boundary No )( Yes
Deyth 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? Z4 S
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on 7Z41Z201 Z (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required tra' '
Signature ming
expertise and experience described in 310 CMR 15.017.
e (' , A4,/ P�. F o Date Z/2-Z�9
h
Q:\SEPTIC\PERCFORM.DOC
No. _ Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pplitation for Mispoof 6pstem Construttion VrrmIt
Application for a Permit to Construct(Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. tai Owner's Name,Address,and Tel.No.
-D'Arri' Z: 96Nr-,
Assessor's Map/Parcel 1Q S l� S Q . 325 PAOAk CA O U(. ;30Z
Installer's Name,Address,and Tel.No. esigner's Name,Address,and T No.Ivo
Gov �M . �t�s l �M� � 33'�
Type of Building:
Dwelling No.of Bedrooms Lot Size u.y 1 000 sq.ft. Garbage Grinder(It,-)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided q 33 gpd
Plan Date M.,7 7 ,IJ(7 Number of sheets i Revision Date
Title St� `{�r,,� e' 1_11 3 A Div-fyl►,�
Size of Septic Tank 'Z,piaO Type of S.A.S. 6-506 (Viar J)e. ;h le-10"A IZ 1
Description of Soil Vor Z(e 0-12 L44,a, 54u?f loih,, IaYg-5 �I
L 4yctti try s►Fi�o f e`[C 4 f
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 5jof the E ental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Bo d o ealth. G
Date
� -� ��/7
Application Approved by Date /
Application Disapproved by Date
for the following reasons
Permit No. ? / Date Issued
No. -, Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:—�
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftphcation for 33ispo4 Y*) Construftion 3permit 11
Application for a Permit to Construct(Repair( ) Upgrade.( ) ;Abandon(, ) El Complete System El Individual Components
Location Address or Lot No. Owner's N Address,and Tel.No.
Mays
� � 5 MMkt Q(iD Or. A un �A- 3a3Z
'Assessor's Map/Parcel d� _ (�, �j i" "2
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. w D /�-1�
11lwan End in?((cn u i i a j7n( ( �3�LIf�'
OVI'1 %�`�j ; f��q � VI��P N1 } zGsS
Type of Building:
Dwelling No.of Bedrooms 8 - Lot Size ZZy, 04U sq.ft. Garbage Grinder(11(A4
Other Type of Building No.of Persons Showers( ) Cafeteria( )
lOther Fixtures !;
Design Flow(min.required) gpd: Design flow provided 33 gpd
Plan Date A 7 y(77 Number of sheets Revision Date
Title Sit e erupo5-cA Le,'IVAnnn,A
Size of Septic Tank Z`O 3() Type of S.A.S. 9-506 &A (harw,be,-j ,h 12-lu�n 7Z,�
Description of Soil PjOrr (5.3y(, 0-17 A C4Nc,( SAm% Low
�2-`3(a� i3 t�-tic� Luffy 5��a 10`tC 4(ti
310—I ( LiA�c -7
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�'a provisions of Title 5 of the E ' ental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Bo o iealth. /
S'.gme Date
Application Approved by Date //
Application Disapproved by Date
for the following reasons t
Permit No. c`3 C/) / 7 Date Issued
---------------=-----------------------------------------------------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired( ) Upgraded( )
Abandoned( )by
at has been constructed in accordance J
with the pr•visions ifs` 1e 5 and the for Disposal System Construction Permit No.� //7 "1,3 dated S/�//� 7
Installer � Designer
#bedrooms (j Approved design flow B gpd
The issuance of this ermi shall of be construed as a guarantee that the system
ste will functo �`'de i e .
P
d
` y � ygn
Date �d Inspector
i
---------------------------- ------------ ------------------------- -------------------------------------------------
No. PD 3 Fee 1ST
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Veposal *pstrm Construction i3erm t
Permission is hereby granted to Construct Repair( ) Upgrade( ) Abandon( )
System located at
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. a mpleted within three years of the date of t s permit. ---
Date 1� Approve by
3.
Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director
sn�rtsraaLe,
Public Health Division
i639• �
pj A
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: Sewage Permit# a01 IL-0 Assessor's Map\Parcel � _N� 06
Designer: Installer: e
Address: �U 1Y Address: 9
DA(f I I mfle6s Nils
On was issued a permit to install a
(date) s(installer)
septic system at 9 � (, based on a design drawn by
(address)
&4JtJ(ffJN1A_,' dated � J ('tu� 31-7111
(d signer) y11
-
_ [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 in co ance with the terms
of the IAA approval letters(if applicable) �I"OF M4
SS
t P
G
CXIL
(Installer's Signature)
esigner's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:\Septic\Designer Certification Form Rev 8-14-13.doc
Commonwealth of Massachusetts 090
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
z
19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name ~
information is MA 02648 9/22/2016
required for every Marstons Mills
page. City/Town State Zip Code Date of Inspection ,
fy.
Inspection results must be submitted on this form. Inspection forms may not be altered in any CID
way. Please see completeness checklist at the end of the form.
Important:When A. General Information ('
filling out forms J 44 /J
on the computer,
use only the tab 1. Inspector:
key to move your
cursor-do not James Ford
use the return Name of Inspector
key.
µ U".1
Ford Septic Services, LLC
Company Name
P.O. Box 49
Company Address
r Osterville MA 02655
City/Town State Zip Code
508-862-9400 S12482
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection.The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5 (310 CMR 15.000). The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Furth Evaluation by the Local Approving Authority
9/28/16
Inspe�stem
r's Signatur Date
The inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days,of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time. This inspection does not address how the system will perform in the future under
the same or different conditions of use.
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is required for every . Marstons Mills MA 02648 9/22/2016
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
B) System Conditionally Passes:
❑ One or more system components as described in the "Conditional Pass" section need to be
replaced or repaired.The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
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):
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17
Commonwealth of Massachusetts
H Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
„a 19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is required for every Marstons Mills MA 02648 9/22/2016
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes (cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will
pass inspection if(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):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
w, 19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is required for every Marstons Mills MA 02648 9/22/2016
page.e. City/Town State Zip Code Date of Inspection
B. Certification cont.
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ 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.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than 1/2 day flow
l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
r 19 Marquand Drive.
Property Address
Philip Danby
Owner Owner's Name
information is required for every Marstons Mills MA 02648 9/22/2016
.
page. CityrT'own State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® 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.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area— IWPA) or a mapped Zone II of a public water supply well
If you have answered "yes" to any question in Section E the system is considered a significant threat,
or answered"yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
9 p Y Y
19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is required for every Marstons(Mills MA 02648 9/22/2016
page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no" as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® .Were any of the system components pumped out in the previous two weeks?
❑ ® Has the system received normal flows in the previous two week period?
❑ ® , Have large volumes of water been introduced to the system recently or as part of
this inspection?
❑ ® Were as built plans of the system obtained and examined? (If they were not
available note as MIA)
® ❑ 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.
®1 ❑ 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)]
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 5 Number of bedrooms (actual): 5
DESIGN flow based on 310 CMR 15.203 for example: 110 d x#of bedrooms):
550
( p 9p )
(Sins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
u u Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is required for every Marstons Mills MA 02648 9/22/2016
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 0
Does residence have a garbage grinder? ® Yes ❑ No
Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, if available (last 2 years usage (gpd)):
Detait:
unavailable
Sump pump? ❑ Yes ® No
Last date of occupancy: unknown
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
°�N a 19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is required for every Marstons(Mills MA 02648 9/22/2016
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: unknown
Was system pumped as part of the inspection? ® Yes ❑ No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping: maintenance
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) and 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):
l5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is required for every Marstons Mills MA 02648 9/22/2016
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
system installed - 1985
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: feet
Material of construction:
❑ cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Septic Tank (locate on site plan):
Depth below grade: 9
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: 2000 gal. H-20
Sludge depth: 15
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
r
Commonwealth of Massachusetts
_ Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
' 19 Marquand Drive
a
Property Address
Philip Danby
Owner Owner's Name
information is Marstons Mills MA 02648 9/22/2016
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle 12
2
Scum thickness
Distance from top of scum to top of outlet tee or baffle
6
Distance from bottom of scum to bottom of outlet tee or baffle
10
measure
How were dimensions determined?
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
There were cement tee's present.The tank is deep under a cement patio. The covers are now right
under the blue stone top. The tank was loaded with sludge and was pumped, but recommend
pumping every year.
Grease Trap (locate on site plan):
Depth below grade: n/a
feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
., 19 Marquand Drive
Property Address
Philip Darnby
Owner Owner's Name
information is required for every Marstons Mills MA 02648 9/22/2016
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
N/a
Dimensions:
Capacity: gallons
Design Flow:
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
i
Commonwealth of Massachusetts
= IIn Inspection
Title 5 Official spect o Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
19 Marquand Drive
Property Address
Philip Darby
Owner Owner's Name
information is required for every Marstons Mills MA 02648 9/22/2016
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert even
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
The D-box is deep and under the cement patio and was not opened. A camera was used to inspect.
Pump Chamber(locate on site plan):
Pumps in working 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.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
15ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
G�A •�''v 19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is MA 02648 9/22/2016
required for every Marstons Mills
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
'
® leaching pits number: 2- 1000 gal. w/2stone
❑ leaching chambers number:
❑ 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.):
The pits were dry and there was no sign of failure. A camera was used to inspect.
Cesspools (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 ❑ No
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is Marstons Mills MA 02648 9/22/2016
required for every
page. City/Town State Zip Code Date of Inspection
De System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
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.):
N/a
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is Marstons Mills MA 02648 9/22/2016
required for every
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
�y '
I
y Ce.M�
r
3 A
q (o
a l a6 "7
ao f
y �{ 3`9`1 30
15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is required for every Marstons Mills MA 02648 9/22/2016
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high groundwater: 54+/
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: Date
❑ Observed site(abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health -explain:
Topo and water contours map.
❑ Checked with local excavators, installers -(attach documentation)
❑ Accessed USGS database -explain:
You must describe how you established the high ground water elevation:
site is 54' above water in back yard
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
` , e
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
w, a 19 Marquand Drive
Property Address
Philip Danby
Owner Owner's Name
information is required for every Marstons Mills MA 02648 9/22/2016
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed
® System Information— Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
I�
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
o-n -0 01 T171f
TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
NAME AA4"i
ADDRESS q n t DA - VILLAGE m ?M
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
OR CHEMICAL
R,c f T� zon t w �T
(Give same information for any additional tanks on reverse side of card)
i
DATE OF PURCHASE OF EACH: 1. 7 `5 2. 3. 4.
DATE OF FIRE DEPARTMENT PERMIT: �af
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS
A "' ROVED
Ctrwtable , -vation Eommia8100
fined Dato
Z
No.��.�..." cif... `� T � Fss....�—�_..0o.......
THE COMMONWEALTH OF MASSACHUSETTS�
BOAR® OF HEALTH
..................... ....................OF.........................----..........--------------------....
Appliration for 14sposal Works Lontrnrtion thrmit
Application is hereby made for a Permit to Construct- (\(<) or Repair ( ) an Individual Sewage Disposal
System at:
........1-� __ms .. ;.. � Q............................
cation-Address -•--•-._ ....-- o Lot No.• •---•• :•• ..........
ner ress
a `'�— .. .�_.... r, _ .d ✓' ..... -•- •••--- s .�r..... �. ........................................
Installer A dress
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion. Attic ( ) Garbage Grinder (Y-�S
'4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures --------------- -------------------•--•-_.....
W Design Flow._ .............gallons per person per day. Total daily flow.. .Z,. .__
g -�.................. g P P P Y• Y -- �----------------------------brallons.
WSeptic Tank—Liquid capacit3&041en�gallons Length................ Width................ Diameter__-_-____-__-.__ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--_-----------_---- Diameter.................... Depth below inlet.................... Total leaching areaAU7_......sq. ft.
Z Other Distribution box Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
(T Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ---•--------------------------•--------•------•------------..._....---------....••-•----•----•-.........--------.......--------.........---.........-•--=--
0 Description of Soil........................................................................................................................................................................
x
U ----•--------------•----------...-••--•--•------------•-----•----•------------------.....-•-•-•---------•-•----•---------------•-----------•-----------------•-••---•------...-•--•-•------••-----••-••.
w
--------------•-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•_....
U Nature of Repairs or Alterations—Answer when applicable._..............................................................................................
--------------------------------------------------.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITS 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Ce tificate of Compliance has been issued by the board of health.
/6
Ngned ,�....9�►_<1 ........-•-------_•-------•-------------------- �
Pate
Application Approved BY - -�.....
Date
Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------_
--------•-•---------••-------------------------------------------•------------------.._...-•---•-----------••-•--•-•---••------••---•-•-----•---------------------•------•------•-••------------------•-
Permit No........9.—q. •-.-�. ...................... Issued.........
ate '--------au...---
p
°)
No................_....... FEs............................_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...................... ....................OF........................................
........
ApplirFa#ion for Disposal Works Tonotrurtion Vantit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
1. ..l?24. . . -A ��►�•................................ ........
- Location-Addresso
...� ll.� _.......qt ...................
Owner � ..ss
-...1� .............................. t'�
Installer Address
Q Type of Building Size Lot............................Sq. feet
U Dwelling No. of Bedrooms-_.. .-..................................Expansion Attic Garbage Grinder
Other—Type T e of Building No. of persons............................ Showers )
� YP g ----------•----------------- P ( )--- Cafeteria---------------
Design
Other. fixtures ..........................................................----------------------------- •--••••.
W Flow_. ...............................gallons per person per day. Total daily flow...�Z,�....._.__.................gallons.
WSeptic Tank—Liquid capacity—.gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.............`. sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area_.�f.`.---__sq. ft.
Z Other Distribution box (ZI-f Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 -••--•--•-•--•••••••••••---•••-••••••••-•-•-••••-•--•-•----••••----••------•---•---------------••--............-•---------•--•-._....-•--•........----•......
Descriptionof Soil........................................................................................................................................................................
W
UNature of Repairs or Alterations—Answer when applicable................................................................................................
. -•--•----------------------------------------------•-----------------------------------------------•--•-••.........._
Agreement:
The undersigned agrees to install the a"oredescribed Individual Sewage Disposal System in accordance with
the provisions of TITIE 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.
-- r"5igne d ------------------------------ --- •�
.-�� �F w�r,, ��•� �. .............................
--------------•-_•-- ........................................
'' /<_; •jam,
Application Approved By........................................ .....
Date
Application Disapproved for the following reasons:--------•-------------------•-••----.........................................................................
--------•-----... ......---•--.
Date
Permit No.-- - _... -- --------------------_ Issued...#-
0--fut---q-1CgL-------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
TrrfifirFa#r of Tontplianrr
TFIIS IS TO.:C�TIFY, That the Individual Sewa e Disposal System constructed ( ) or Repaired ( )
by--. ..-------------•.- - .. tz�.',19-1tY.----------------------•-------------.......---------•--------------.
-� 1-- =m - �e_F—____ -- •O-�
Installer
at... . .....• .............•-----------------------------.....------------------------•-----------------------
has been installed i accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......................................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUED AS A GUARANTEE THAT THE
SYSTEM WILL FUN TIO SATISFACTORY.
DATE.................... .. . ............................... Inspector---•------- ----- ----.......................................................
THE COMMONWEALTH OF MASSA SETTS
BOARD OF HEALTH
...........................................OF.....................................................................................
No......................... FEE........................
Roposal Works,C�onotr ion rani#
Permission is hereby granted......1.� ,-....: .. ......... -------
D-.0-N.Ok/ .....................
to Construct ( ) or;Repair ( ) an Individual Sewage Disposal System
at No........ ......'C\r� - t��"� �u...............^Y_�---------------�a
Street !_`, d J
as shown on the application
for Disposal Works Construion PTnit No..................... Dated..........................................
DATE
f b) Board of Health
........................................................
FORM 1255 A. M. SULKIN, INC., BOSTON
LOT NO. : I J ADDRESS : /;�� �/� �J�}�!J)
�
�
OWNERS NAME: f' L
SEWAGE PERMIT N0. :$q- S IVEW.: 1,-' REPAIR
DATE ISSUED: /U-31-�' DATE INSTALLED:
INSTALLERS NAME : t JD6" 0L119)\J
INSTALLATION OF: loco 6,iC 7�^v — d- food po s
WATER TABLE : FINAL INSPECTION BY:
DRAWING GF INSTALLATION ON REVERSE SIDE :
i
_ R
�cj
V G
LOCATION SWAGE PERMIT NO.
UA
VILLAGE
/?IA2 M 1 LA S
INSTALLER'S NAME i ADDRESS
lL �vaENC.A 8IVd�-4N' r.
e U 1 l D E OR OWN ER
D
AIA
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
F7-J•
8-r B'-A P 8'-Y tY-Y 33
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A•-Z s•_yV b �5
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BACK STAIR HALLJ„ I
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„ 'e oTNER s9'-s• e,-e,�"��a=^ r•'"i FlUWE FQt FVNRE '
.-.•"'^!t Js•-o•.er-s'Doan `_______
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MAIN FLOOR PLAN C ,«ILA"-OVrn',�� _
ScnL6 V,•.I•o' clVF O Mil GAlm"IA AND
COFFERED(:21LIN6 INFORMATION.
PLAN NOTES:
"fi r 1 I colromoNB FwoR o rm,�.vl.mhlvNO.
taro we
A6
AREA SUMMARY
i / r ,:BOITIT voYPl AfSA9 ARC 9MADED. NNN PLODR: 1100 9P.
/ Bb• •e'a'o• Sb' ab ab• ,'-,y;• ■IImICATm rolNr�Ao elwaR.eD er ry Brvos,u.No. ro �Loae. Belo v. 1114
���((( IOC A yH11®rvINDOw IN CADN nMITACLC RaoM.TNC
I]'c• ]]b• 1'-BW' ro NB i'�DILCT RD�DM91 GLD30T0.INALLB.9TOFL.6E OR AL f9R&®AASA. T113 Bl.
° MLItt BPA(29 AND 91MLAR BARA.eC AFSA:
� 9�EC�AaroRADDITIONAL NDT5. fnV9.CD ARW
roR�vr,oNArroALARrvBramR-e0. GI"100T6
I 4
i
I II
1
i
Parcel Area
\ To Ph ra mitie
2�4;000±SF - 5.1 ±A C +_
36. v Ftir ASSESSORS REF.: 3r r 1
r`r Map 098, Parcel 023001 x
61
13 54xi - �}• OX� A� ZONE:
-Y E.
RF
Area (min.) 87,120 (RPOD)
l (m n)Fronta e i 150' 1 Q '
/ F
.......y Septic ystem / € ( 't Width �min)
(appr ) Setbacks: a
4 .t 'asp BOF�/ _ -4 f Fron t 30'
i Car T _ Side 15'
TO B A� ELb 1 k
! Rear 15' *` '
0 E
N �.
DESIGN DATA ; ,.
o Lawn Lawn SEPTIC NOTES Iti
. .
r' Q
< .. :..., s h Q <v s,. Single Family
N a F. ._, •xJ 54x h �. . ..cs. ., 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours
7 Bedroom 110 GPD Proposed LOCATION MAP:
Any Ex Project @ P Prior to Excavation For This the Contractor Shall Make
Future -
i - - - d tact Scale. 1 - O t
F Q Q 1 Bedroom @ 110 GPD the Re uired Notifications to Di Safe 1 888 344 7233 an con 200
o Garbage Grinder Sullivan Engineering&Consulting Inc. (508-428-3344).
� <^yF h O Total Daily Flow=880 GPD 2. The Contractor is Required to Secure Appropriate Permits From Town
1 q
"+�, tt Use a 2000 Gal Sep Agencies For Construction Defined b
% r 55 �: tic Tank g y This Plan. OVERLAY DISTRICT.
,
G o _ ..w
, x 1 ,- f �Qp�"` E 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall AP - Aquifer Protection Overlay District
LEACHING AREA Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to Note: The northeast corner (off this.plan) is in
the GP - Groundwater Protection Overlay District
= Assure Watertightness. In General Water Lines Shall be Constructed in
�+f r ice_ ti r-�grn I TAR 1,190 F Required g 880 GPD/0 74(L ) 5
G c t�/' J ' i ' - _ - _ d
41
w w`^ Sidewall 2(12' 10"+72')2' 339 SF Coordination With COMM Water,and Shall be in Accordance
' r sui=ss.o' .,
F Bottom Area= 12'-10"x 72 =923 SF
1 Laws
e LPG i ( ) with 248 CMR 1.00-7.00&310 CMR 15.00 FLOOD ZONE:
Total Provided- 1,262 SF 4.A'Minimum of 9"of Cover is Required for All Components. Zones AE(EL12) & X
�• a: . `
S s ga 4� i' S.All Structures Buried Three Feet or More or Subject FEMA MoP#
`_ f to Vehicular Traffic to be H-20 Loading.It is the Engineer's 25001 CO544J
1 a ,� r' f � N I LEACHING CHAMBER DESIGN g g
i 1 3 ' ` , � {5 ' F ; Recommendation that H-20 Always be Used. July 16, 2014
t I a {f p t y W j'f .Mtp .�° r.w \ .\ %r'j All Pipes to be Schedule 40. Use
, < : - 6.Install Watertight Risers and Covers to Within 6 of Finished Grade
Dwelling t. � �9 ounta,ri�{ "?{ > r,�,.< �, .. ,,'ice J
, F�'. �,'X \„ r� r 8-500 Gal.Leaching Chambers in a Over Septic Tank Inlet and Outlet D-Box and Two Leaching Chamber.
\ / 12 l0 x 72 Double Washed Stone Field as Showwn.
All covers are to be maximum 18 for concrete or 24 Cast Iron.
1 j 7. Septic System to be Installed in Accordance With 310 CMR 15.00&
Fauna � �" /� 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable
Roof Overhang
,.. �Acc w_ " ,i Board of Health Regulations.
Coo, ,.� �s 8.All Piping to be Sch.40 PVC.
P I b
t
Lawn
_ TR
9.D Box- Shall Have a Minimum Inside Dimension of 12",and a Minimum
�
f .`\.�° a ' ;' p� �•r Sump of 6"•
t _ ;7y+
I Ate ;
� PERC TEST: 1 S 326 10.The Separation Distance Between the Septic Tank Inlets and
.: f ism � � ,�t � •� , j a ,
r`t dYr p Gp� PERFORMED BY:CHARLES ROWLAND,PE- SULLIVAN ENGINEERING Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend
\ h 55 : /' ,/ Q, SOIL EVALUATOR NO.13586 a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 19"
\ ,: .. / i ,
1 w WITNESSED BY:DONALD DESMARAIS,R.S.-TOWN OF BAMSTA13LE
o Below the Flow Line,and Shall be Equipped With a Gas Baffle.
1 APRILI8,2017
Lowe
tfQa " NSF 3 SITE PASSED
\ ;
Z i \. Z1 e\ t �\.. ,' od .. ^ TBM E1=58.1 NAVD 88 _
`�` ` l x + � i5 `` �°" / to of CB DH Fnd
�. 8.3' ,Ce/DH TEST HOLE- I EL.55.0 TEST HOLE 2 EL.55.2 ,
p \ \ 1\ \ \ f x= / Fnd
\ � i< 3j 9 Ap Li�YER iQYR 3/4.....::.:. ..Ap LAYER i0YR.3/4.
U ce
.
o YELLOWISH BR DARK YELLOWISH BROWN.
\ \ \ \ \ c/ C' \ x: ` :.,' 1 AR..SANDY LOAM. O " SANDY LOAM
D BROWN
\ \�. \ \ 12 54.0 12 54.2
_ Bvv LAYER 10YR 6/8 .Bw.LAYER 10YR 6/8
O p �. \ \ \ f �
\�` \S f BROWNISITYELLOW BROWNISITYELIOW
�\ \\ ~\ ��/j/ \ i 38" LOA1 SAND 51.8 36" .... L.OA1vlY SAND......... 52.2
\ C LAYER 2.5Y 7/4 C LAYER 2.5Y 7/4
\\\
N pLawn \ \ \ 7
\ \ PAL X
ter;
E YELLOW PALE YELLOW
\ \ \ \ ..... �� �� \ \ ( t \\ MED.SAND MED.SAND
�. -- '
\ i 1
'60"
�\ PERC TEST 2
............. ( �� TIME 9"-6"4 MIN.
-
_ +
\ \ \ PERC RATE<2 MIN/IN(LTAR=0.'74) W.. E _
3 Max.'
-,_..-. �.�.� ;;- �1�.-:...,, „- , m
IsGrade
..:
-- \ \ 9" Min Compacted Fill
.���. Filter ter
..\ t 132" 44.0 72" 492
a; i
--�abrrc
1And/Or
\ _ »
• '\� ---- �'.:� .:< � � awn �
I
\ - \� \
2
St
`� 1/8 1/2 f
• . '� , - :-- - --�.. �\ \ ea one
• \ rram, \ \ \. `\� \ \ \ \ 3' P
.. T ber TEST HOLE - 3 EL.55.6 TEST HOLE -4 EL.55.8 - 3/4» - 1 1/2"
H 20
\ A LAYER.iQYR3/4........... A LAYER.iQYR3/4... .. ... LEACHING Double Washed
\ \.. \ \ \ \ \ \ \ o DARKYE.Lia0Wis�Bliowiti :::: vARxYEiti0.'WIS�BRoi tti CHAMBER Stone
\ -__ c1 \ \ \ \ \ \ _ c,
� SANDY LOAM. :......... SANDY LOAM..
\ \\ ,,
S ne
,� 12" 54.6 12" 54.8
a .....
\ Bw LAYER 10YR 6/8 Bw.LAYER 1 OYR 6/8 � 4' 1.p'=--.�
BROWNISH XELI OW BROWNISH.YELLOW
\� 0 32„ 52.9 30" 53.3 1
LOAMY
SAND ...... LOAIvtX SAND { 2' 10'.
�.0? \ \�� \ \ \ \ Q C LAYER 2.5Y 7/4 C LAYER 2.5Y 7/4
10 CHAMBER
PALE YELLOW PALE YELLOW
ti \
- � "o MED.SAND GROSS SECTION OF HAMB R
MED.SAND
71D,
�`- \ :` ` ,\ \\�. 42"
2 PERC TEST :52.3
\, \ ` \ \ \ , \ \ \ (L 25 GAL GONE IN 15 MIN. NOT TO SCALE
/ \ �\ \\ \ \ \ \ Gj PERC RATE<2 MINAN(LTAR=0:74)
\ \ 40
'\ \ Existing Wood
Gazebo (SE3-16681
\ O \\ \ 132111 144.6 72111 49.8
\ \
4" PVC Vent With Carbon Filter -
\ Final Location to be Determined at
0 0 \ Time of Installation so as to Inconspicuous as Possible e as
\
00
�O,>�a\ \\ �. \\ See Note 6 (typ.)
\ \` \ F.G. EL 55.00* - *Final Foundation Grading To Be F.G. EL. 5 0
\ Coordinated With Landscape Plan
\ Flow Equilizers
' ~ • ~ �\ \~ \\ Install .75
er To l As Required
-3EL. 52
Confirm Prior EL. 52.50 2000 Gallon
~` a
To Any Work Septic Tank EL 52.25 Top EL. 52.00
~ - y X H-20 Required 51.62 H-20
(See Note 5) D-Box
EL. 5_15
'`~.., ~' •,� •;.:..- � � \ _
\ �• \ ZH-20
Legend: 1 �,. m o 51.00 Leaching
" \ - 7 To Be Installed On /� v Chamber
Light Post , y 41 \ \\ w T stable Compacted ase _ Bot. 49.00
\ O o
o Bedding,»T"s
~\ o Flood Zone Lines
Hydrant 50 \ Inspection Port, Jf Encoun.t ered Rerrlave & Repiaee
;\ As Shown On FEMA Map
[� Hose Bib i & Baffels. Atl f}nsurtd6le Sorts WrtNiit
` \ a• \ f25001C0544J as Per Title 5 The Outer Perrmeter:of The System LO
O CB/DH ~ _ _.__ _ \\ \ Effective July 16, 2014 �I Z}lOFi1+� t
Utility Pole S \
EL. 44.0
nn Utility Hand Hole / No Groundwater
Fd _ z.. Per Test Hole 1 4
p t
OHW- Overhead Wires ge ` ,
25- - Elevation Contour �f DEVELOPED PROFILE OF SYSTEM
ats
Underground Utility.Line Groundwater
EL 5 �
S 9 h 9'I Per T.O.B. Maps
S NOT TO SCALE p I
s ^'
o Cedar Tree Q '~
l�i/� Existing Wood iiL't
r Pier &Ramp
(SE3-1606)
• Deciduous Tree REVISION: Adjust Septic Location 105107118
NOTES:
PREPARED FOR: PREPARED BY.• TITLE: Sire Plan
+ Coniferous Tree 1.) The structures shown were located on
Ca' .. eSury P-ronosed Im, ,' rovernents
on (or the ground by conventional survey methods
07/DEC/16.between) 23/NOV/16 and Darrell a� Mays Fi_C7' Ilg�', r U_
Sullivan ConsultinDD lne
HollyTree br 23 West Bay Rd; Suite G At Q)
(5M428.93"•PO. •7ParuwRDad,0xWA11%MA02655 Osterville MA 02655
2.) The property line information shown ,
II n.com•www,wt n:oom :aaclsw wand NrrrMnai _
hereon was compiled from available record (508) 420-3994 / cop 3rv.com i ry /� r�
information. www.capesurvcom 19 Marouand Driv.
3. The elevations shown are based on the
20 0 10 20 40 80 ( Mass.) Draft: JOD Field: WHK ASK • �rn�� �"'V Osterville)North American Vertical Datum (NAVD 88). LQ
Review: p.: May .9 2017 SCALE: n_ U)
Com WHK RRL DATE:
Project: 36035 Project # C406 .y . 2-
'i
I
- - - _ --
_ ___.__._..._ __.-__ ____ __. _. ._ _ _
I
t
ASSESSORS REF.:
1
DESIGN DATA Map 098, Parcel 023001 ".
Finished Garage a y
-1 Bathroom/0 Bedrooms . y b
0
0
No Garbage Grinder ZONE:
(�� Use a 1500 Gal Septic Tank `
RF
s.,
e C Area (min.) 87,120 (RPOD)
��7 LEACHING AREA Frontage (min) 150'
y Sidewall=2(12'-10"+16'-6")T=117 SF Width (min) -
" " = Setbacks:
� Bottom Area=(12-10 x 16 6 ) 211 SF 4 Y
da Total Provided=328 SF(242.7 GPD) Front 30' 0'9 `
F Side 15'
\ N/ Mays LEACHING CHAMBER DESIGN i.
Rear 15'
Darrell
� J' All Pipes to be Schedule 40. Use
1-500 Gal.Leaching Chambers in a
/ fir• r IT-10"x 16'6"Double Washed Stone Field as Shown. " •
q 9lia - LOCATION MAP:O
/ OVERLAY DISTRICT:
PERC TEST: 15,326 AP - Aquifer Protection Overlay District
PERFORMED BY:CHARLESROWLAND,PE- SULLIVAN ENGINEERING SEPTIC NOTES Note: The northeast corner (off this plan) is in
/' \ �: / SOIL EVALUATOR NO.13586 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours the GP - Groundwater Protection Overlay District
WITNESSED BY:DONALD DESMARAIS R.S.-TOWN OF BARNSTABLE
Sew '-'- •., � Prior to Any Excavation For This Project the Contractor Shall Make
APRILI8 2017
I� \•�� / ,.:\ / ?�,� � the Required Notifications to Dig Safe(1-888-344-7233)and contact FLOOD ZONE:
SITE PASSED Sullivan Engineering&Consulting Inc.(508-428-3344).
2.The Contractor is Required to Secure Appropriate Permits From Town Zones AE(EL 12) & X
Agencies For Construction Defined by This Plan. FEMA Ma
yy"M TEST HOLE- 1 EL.ss.o TEST HOLE -2 EL.55.2 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall 25001 CO544J
+• / / �
56 r°�q3 Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to
2 EXISTING l �l t._ Ap LAYER 10YR3/4.......... •.Ap LAYER 10YR3/4......_..
GARAGE TO BE* `\ DARK YELLOWISH BROWN..... DARKYELLOVISH BROWN.-. ertightries . General,Water Lines Shall be Constructed in
Assure Wat s In Gen
/ ...... ............. ............. .. Coordination With COMM Water,and Shall be in Accordance Jul 16, 2014
RENOVATED WITH `\ 12„..............SANDYLOAM..... 54.0 12" .............SANDY`LOAM 54.2 With 248 y
/ / 2 Bw LAYER.iOYR 6L8 3 10 CMR 15.00.
Bw LAYER 10YR 6/8 1.00-
BATHROOM / / �• .. ..... ... ........ ........ 4.A Minim�u of 9"of Cove&is Required for All Components.
\ b BROWNISH YELLOW. ..BRQWhIISITYELLQW . . ...
\ TENNIS O .._.....-.................. 5.All Structures Buried Three Feet or More or Subject
..............
„ ...... .. .... ............... .. 52.2
COURT �^ '�� C LAYER 2.5Y 7/4 C LAYER 2.5Y 7/4 to Vehicular Traffic to be H-20 Loading.It is the Engineer's
2 3 LOAMY SAND 51.8 36 LOAMX'SANA
PROPOSED / �' PALE YELLOW PAL YELLOW Recommendation that H-20 Always be Used
SEPTIC r -- MED.SAND MED.;SAND 6.Install Watertight Risers and Covers to Within 6"of Finished Grade
SEE DETAIL VIEW/ PERC TEST 50.2 Over Septic Tank Inlet and Outlet,D-Box,and Two Leaching Chamber.
° TIME 9"-t6"4 MIN. All covers are to be maximum 18"for concrete or 24"Cast Iron.
/ / < PERC RATE<2 MIN/IN(LTAR=0.74) 7.Septic System to be Installed in Accordance With 310 CMR 15.00&
248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable
/ / w Board of Health Regulations.
132" 144.0 72"1 149.2 8.All Piping to be Sch.40 PVC.
` 88. 40, 361E N
` 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum
172.24'
� Sump of 6".
TEST HOLE-3 EL.55.6 TEST HOLE -4 EL.55.8 10.The Separation Distance Between the Septic Tank Inlets and
r! �� Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend
....,.....Ap LAYERIOY..3t4 ..:.:.:.:.. ...... ...-.. . 10YR 3/4.... ... 19"
DARK YELLOWISH BROWN DARK.YELLOWISH BROWN . the Flow Below the Flow Outlet Tees Shall Extend
a Minimum of 10"B Line Ou nd
\ / 1 " SANDY LOAM..... SANDY LOAM. ...
Below Line,and Shall be Equipped With a Gas Baffle.
..............
12 54.6 12' ............. .. 54.8
LAYERAQYR 618 Bw LAYER 10YR 678
...BRQWNLSITYELLOW ...BROA2IISITYELLOW
\ ............. ..... .... ... .... .
\ / \ 32�� LOAMX SAhID............. 52.9 0" ............. LOAMY SAND 53.3
\` / / �\ �� C LAYER 2.5Y 7/4 C LAYER 2.5Y 7/4
/ PALE YELLOW PALE YELLOW
\
MED.SAND MED.:SAND
\ PERC TEST 52.3
/ \\ 25 GAL GONE IN 15 MIN.
PERC RATE<2 MIINAN(LTAR=0.74)
\
/ a
132"1 44.6 72„ 49.8
Parcel Area
To Phragmities
224 000±SF 5.14±AG l Q- o UNWITNESSED Finish Grade
/ TEST HOLE-5 EL.56.7 EXISTING a „ Max:
�, w
/ \ A LAYER101"R3/4 3 Min Compacted Fill
GARAGE TO BE .......P.................. p Filter
DARK YELLOWISHBROWN .. Fabric
RENOVATED WITH
O 12" ...SANDY LOAM. 55.7 And/Or
/ \?
BATHROOM ,_ .:.Bw.LAYER.l0YR.6/8
2 i/8„ _ 112"
/ .... BRQWNISITYELLOW Pea Stone
f 48 LOAMY SAND............ 52.7 3 H-20 314„ - 1 112"
C LAYER 23Y 7/4
PALE YELLOW LEACHING Double Washed
UM.SAND CHAMBER Stone
10' MIN i 4' - 10
10' MIN
CROSS SECTION OF CHAMBER
TENNIS 1I NO GROUNDWATER ENCOUNTERED 44.7
t / - 12.8 COURT
/ TING l O O NOT TO SCALE
SEPTIC r �o f�
F o , PRO
If.... ' / TM 2 , boo D-BOX PRO
• I na C v` PROPOSED SAS 1500 GALLON
1-500,GALLON SEPTIC TANK
CHAMBER
WTIH 4 OF STONE
a h . ,
i \ S .\ See Note 6 t
F.F. I. 56. F.G. EL. 56-56.5 (1P) F.G. EL. 57f
.
ITI
Flow Equilizers
EL. 55.4 As Required
�..• t �_ } , qA��F��� �- � \ Installer To
EL. 1500 Gallon
To Any Work Top EL. 54.75
G' ✓� Con firm Prior
\� Septic' Tank EL 54.25
OC H-20 Required H_20 EL. 53.94
f.''/ `.\\ (See Note, 5) D Box
H-20
I
Leaching
To Be Installed On Chamber
Detail Plan View �`� {a e ompacted Bose _ Bot. EL. 49.00
„ „
\ \ ale = 10 Bedding, T s.
t / I Inspection Port, 1f:ErrcoiYifetetl::F2ertiave:&.:f2e laee:::
\ \ \ "• spec o o t, ,.,......... . . P....
J & Baffels AtF:Ui�su%ti01e .Sails':]tVialiiil.'5':1zf
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as Per Title 5 fhe::0ufer:Perimeter.;of:.:jhe::,Sysfem:. v�
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\ 2�, DEVELOPED PROFILE OF SYSTEM ND T. yG� EL. 5
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NOT TO SCALE 2ss Per T.O.B. Maps
\ \�\� Overall Plan View
Scale 1" = 40'
SsroNAl '
NOTES: PREPARED FOR: PREPARED BY.' TI TLE: Site Plan
1.) The structures shown were located on
\ \ engineering & r Proposed Garage Sepitic Plan
the ground by conventionol survey methodsii CapeSUl V
on (or between) 231NOV116 and Sull Consulting Ins
` �\\ ' \\ \\ '� •z� 03 JAN 22. Darrell J MayS g' 23 west Bay Rd Suite c �
" \\ (508)428-3344•seciOsullivanen gin.corn Oster ue MA 02655 At
2.) The property line information shown PO Box 659 •711 Main Street (Soa) ago-3ssw w.coP S 99com Marquand
hereon was compiled from available record Osterville MIA 02655 9 Drl Veinformation. www.suflivaneengin.com
10-Detail Plan 0 5 10 20 40 Barnstable Marstons Mills Mass. LQ
3.) The elevations shown are based on the
Draft: JOD Field: WHK ASK
North :American .Vertical Datum (NAND '88). 40-Overall Plan p 20 40 80 160
Comp.: WHK RRL DATE: SCALE:
• ,,, ' o �, � -$s.. Review:
January 11, 2022 As Noted `o
Project: 400054 Protect # C406 y
Marstons Mills River
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