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HomeMy WebLinkAbout0092 MISTIC DRIVE - Health 92 MISTIC DRIVE Marstons Mills; A = 079 — 039 1 TOWN OF BARNSTABLE LOCATION SEWAGE# 2bZO-3J'i VI p� ASSESSOR'S MAP&PARCEL INSTALL R'SN & H I O. G;rc: .� -a�Ylori►��• 77y-3S3-7115 SEPTIC TANK CAPACITY �ic i 5+'o vac lOOO a wl�o.. 17•�'+'d���+^3t"��' LEACHING FACILITY.(type) 3 Ct%dkb v►%b•W S (size) SGp if NO.OF BEDROOMSrPrde� OWNER /1A o•r��- $. S 1,s.w /1�tcn c.., �R PERMIT DATE: to COMPLIANCE DATE: Separation Distance Between the: Cr►taMw�mr•� Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N6 Wwttr Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) /O 51e-C VWA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) A6 Feet FURNISHED BY G1P•tS S i 9a M:st�� O.:vc. E.c>+:.5 o W,.n:.� G p O i i A � � � �J 4 f3 xY 35 � s 9e > Io0 71 G 1L ]L 7 Yt LS 8 5] Gi r� t 4 `Y No. Fee /o THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Misp08al 6pstem ConstrUCtion permit Application for a Permit to Construct( ) Repair( ) Upgrade(V)"Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.q2 Mi(001(- J)P1�E Owner's Name,Address,and Tel.No. Miry-y- + ~ CLA Assessor's Map/Parcel LA -1 pftca 36) gi s G myyi5 MW13m; M1LO Installer's Name Address,and Tel No. 66a) Designer's Name,,AAdddress and Tel.No. T .PSC-S, i p W �N S t� I Type of Building: [[]] Dwelling No.of Bedrooms Lot Size 'TU 1 �I sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ��f gpd Design flow provided bho gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. � Description of Soil M S fl�.'6 D Nature of Repairs or Alterations(Answer when applicable) Se 1 C S,dS j� Vl.+ (�MG Date last inspected: n Agreement: (, The undersigned agrees to ensure the construction an maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmenta Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo of Health. - p Si Date Application Approved by Date %t Application Disapproved by Date for the following reasons Permit No. ZDZL -53( Date Issued t(' No./V7,o" 331 _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21pplitatlon for MispoBal *pstrm Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade(V),'Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.a2, M���L �R1VE Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Lit 11 ��C 3� Z +�--1� M AU N A j MILLS Installer's Name,Address and Tel.No. Designer's Name Address and Tel.No. hvt T , po.5s Address,and G '�" �j°Ur7 .1, S D0 11�1�j Type of Building: Dwelling No.of Bedrooms Lot Size , sq.ft. Garbage Grinder( ) Other , Type of Building No.of Persons Showers( ) Cafeteria( ) Y Other Fixtures Design Flow(min.required) gpd Design flow provided � gpd Plan Date Number of sheets 2 Revision Date Title Size of Septic Tank ` Type of S.A.S. AA bj S(t N Description of Soil UND Nature of Repairs or Alterations(Answer when applicable) Cfft ��C,} "� 41,Q C►2 p�E q Date last inspected: / v ( I Agreement: The undersigned agrees to ensure the construction anj maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environments/Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boa d of Health. - Si p Date ��11,2.D , Application Approved by Date i Application Disapproved by Date for the following reasons Permit No,. Date Issued D i 1 ► I J 7.Q i�il2. _ _ 9, ------- ----- --------- ------- ------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of (tompiiante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repairod( ) Upgraded( ) Abandoned( )by 14, //UL% at q;7 yh ,,,'re 9. #49'-Z"s GPI 0 _S has been constructeid in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Nqm- _33 dated ofl 19 7,)?_,-) Installer (%w1 Designer �T C . C'W%'� 1)E S1 C, #bedrooms Approved design flow gpd The issuance of this permit shall of be construed as a guarantee that the system will function esigned. Date J �� Inspector --------------------------------------------------------------------------------------------------------------------------------------- No. oo 31 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MIs oral stem (Construction ermit p � Permission is hereby granted to Construct( ) Repair(�) Upgrade( ) Abandon( ) System located at -1 2 M D-A. VA A--5 I�Q:S A-A i V 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. Date �� I!/VZ-0 Approved by _ ;`- r Town of Barnstable �tNE ta Inspectional Services Public Health Division WctwsrASM a AMM Thomas McKean,Director �'OjEoato�s 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 5081490-6304 Installer& Designer Certification Form Date: Sewage Permit# Zozd- 331 Assessor's Map\Parcel Designer: JAisGa L. cue,. - Installer: 6 Address: 4P Address: .' ( 14YA IR6>< W"o On IO.2�1'��. GF► was issued a permit to install a (date) (installer) septic system at Q2 {Ms rri� 7ikwF based on a design drawn by (address) 1zJA r -1 C. C—(—"S dated <� Pvw►bch (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank: 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' >n 'ace with the to rms of the I1A approval letters (if applicable) ��;PIVA OFlygssq o� JASON cy� a CHRISTOPHER I ELLIS ( aller's Signature) No. 1126. �YISTe S�NI TARIP� signer's Si na. a (Affix Designer's Stamp Here) C)w 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. \\toa\depis\HEALTMSEWER connecQSEPTIMesigner Certification Form Rev&14-13.DOC gal M►sf�� �r.VL D O O �8 2s 3 77 s 96 �t 3 loo 7'1 . S % 71 1 .� Commonwealth of Massachusetts � 6? ( —a �Q <2 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner /umer's Name information is Ma required for every rstons Mills MA 02648 6/16/14 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 way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key move your cursor-do not Robert Paolini use the return r key. Name of Inspector Robert Paolini Septic Service Company Name 17 Playground Lane Company Address Yarmouthport MA 02675 City/Town State Zip Code 508 362-3555 S14454 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and tht the;.;' information reported below is true, accurate and complete as of the time of the irspection..The inspection was performed based on my training and experience in the proper function and maintenance of 61site sewage disposal systems. I am a DEP approved system inspector pursuant to Section;.15.340of Title 5(310 CMR 15.000).The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Ev ation by the Local Approving Authority M- ff 9�d 6/16/14 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. to t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 r. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16114 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: 1 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. I 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Pm fa Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 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 s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 page. CityrTown 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 ❑ 0 Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ 0 Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ 0 Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins•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 "Y 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) Yes No ❑ 0 Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ 0 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. ❑ x❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Z Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ 0 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 rY 92 Mistic Drive Property Address Marc Magnacca Owner owner's Name information is required for every Marstons Mills MA 02648 6/16/14 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 ❑x ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ❑x Were any of the system components pumped out in the previous two weeks? ❑ p Has the system received normal flows in the previous two week period? ❑ Z Have large volumes of water been introduced to the system recently or as part of this inspection? E9 ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ❑x ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑x ❑ Was the site inspected for signs of break out? ❑x ❑ Were all system components, excluding the SAS, located on site? © ❑ 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: ❑ ❑x Existing information. For example, a plan at the Board of Health. ❑ ❑X Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information 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 t5n3.W3 Title 5 Official inspection Forth:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments "Y 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes © No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑O No information in this report.) Laundry system inspected? Yes ❑ No Seasonal use? ❑ Yes 0 No Water meter readings, if available last 2 ears usage d na 9 ( Y 9 (9P ))� Detail: Sump pump? ❑ Yes 0 No Last date of occupancy: NA 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes x❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑D 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): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 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: Were sewage odors detected when arriving at the site? ❑ Yes ❑x No Building Sewer(locate on site plan): Depth below grade: 10, feet Material of construction: ❑ cast iron ©40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10'+ feet Comments(on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the building vents. Septic Tank(locate on site plan): Depth below grade: 9' feet Material of construction: O 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 gl Sludge depth: 5" t5ins•W13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form c Subsurface Sewage Disposal System Form - Not for Voluntary Assessments rY 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 32" Scum thickness 611 4P Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every 2 years.Inlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 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): 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is Marstons Mills MA 02648 6/16/14 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert No Comments note if box is level and distribution to outlets equal, an evidence of solids carryover, any ( q Y �Y evidence of leakage into or out of box, etc.): Box is level.Box has one outlet lateral.No evidence of solids carryover.No evidence of leakage. 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: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑x leaching pits number: 1-6'x6'with 2' stone ❑ 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.): Sandy soil.Water level was 12"below invert at time of inspection with no stain line higher. 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 o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner Owner's Name information is required for every Marstons Mills MA 02648 6/16/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 41 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.): trAns•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Ma nacca Owner Owner's Name information is MA 02648 6/16/14 required for every MarStOnS M'iIIS page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) 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 23' 38e Y evtmnotbarnstable.us/Assessing/HMdisplay.asp?mappar=079039&seq=1 1n 15ns-W13 T09 5 official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 s Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner owner's Name information is required for every Marstons Mills MA 02648 6/16/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑x Check Slope FXZ1 Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of leaching 10' 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: As-Built ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS observation well data.USED:Technical bulletin 92-0001 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Mistic Drive Property Address Marc Magnacca Owner owner's Name information is required for every Marstons Mills MA 02648 6/16/14 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist 0 Inspection Summary: A, B, C, D, or E checked 0 Inspection Summary D (System Failure Criteria Applicable to All Systems) completed 0 System Information—Estimated depth to high groundwater 0 Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17 f TAT TOWN OF BARNSTABLE t� LOCATION /lotme5- SEWAGE # &—A,az) VILLAG 16/ L ASSESSOR'S MAP & LOT INSTALLER'S NAME 6& PHONE NO. fp4 SEPTIC TANK CAPACITY 10el J , 1 LEACHING FACILITY:(type) p;t(8'2;e)_6,41 NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER ut3u 1 BUILDER OR OWNER DATE PERMIT ISSUED:_ DATE COMpLIANCE ISSUED;_ VARIANCE GRANTED: Yes No i { I LoT ��o 23� � 38 3/ ' 1 a 79 � t tR I TOP OF FOUNDATION CONCRETE COVERS CONCRETE COVER II, •.� "CAST IRON 2"MAX. •I . OR SCHEDULE 4� ' PITC. PIPE 4,•SCHEDULE 40 PVC-(ONLY) 12•MAX. CH 1/4 PER. PIPE- MIN. PITCH 1/4"PER.FT. LEACH .I o•e PIT PRECAST INVERT ��" ,,, J . EL,�/.YQ. �INV RT , LEACHING �'• SEPTIC TANK INVERT PIT OR li .Re INVERT EL��•.� , . . DIST. ELSbXS. w 'e' EL.3P.!r�.., �.�.o • •• •. GAL. INVERT BOX �� ti� ;i; EQUIV. � E45—O.A'6,. INVERT w W :;; 3/4RRT0 11/2• �o WASHED i' •;, /0 � � g' ;'' w � :.: S ONE • ••' T 1 ' �8G °'• /,k' DIA. y PROR LE OF c4 WATER J -vx-s .Vo GROUND TABLE SEWAGE DISPOSAL SYSTEM i NO SCALE I I P SQI L LOG WITNESSED BY DATE GhA. //.� ... TIME. eM. TEST HOLE I TEST HOLE 2 �pper G�a�e BOARD .OF HEALTH �S.ELEV. . Y.q ELEV, .. 7. . . Englnee(l0g Cq . . . ENGINEER 7 Fern Aw, lie" DESIGN DATA NUMBER OF BEDROOMS , , TOTAL ESTIMATED FLOW . .� � , , , GALLONS/DAY BOTTOM LEACHING AREA . .i1.3 . , SQ.FT. /PIT SIDE LEACHING AREA . . , l.Sfl SQ,FT./ PIT GARBAGE DISPOSAL . /!✓O. . . .(50% AREA INCREASE) 39KO TOTAL LEACHING AREA , a. 6 3 . , PERCOLATION RATE . .��, , , , , , MIN/INCH t .R ENCOUNTERED LEACHING AREA PER PERCOLATION RATE . SQ,FT. NUMBER OF LEA HING PITS BOARD OF HEALTHR �• 3 ./`� 6•J. //j ��� P t 717TRH :.G.,2.Y.C.b.�(Y1 AGENT OR INSPECTOROF OF ,TJACOB 814 �14 d s. - ,R` • . . . , , . . , . . ., . . . . . � �pG�NAT AMP� L. TOP OF FOUNDATION CONCRETE COVER •.� CONCRETE COVERS 4"CAST IRON 12 MAX. rI OR SCHEDULE 40 I: • . P.V.C. PIPE 4"SCHEDULE 40 PV.C.(ONLY) • 1227"MAX. PITCH 1/4"PER. PIPE- MIN. I �� o•• PITCH 1/4"PER.FT. LEACH PIT i PRECAST t o' INVERT �,. J �INV RT LEACHING •'• SEPTIC TANK INVERT : . e� PIT .OR .•e INVERT EL. �.7 . ,• DIST. ELSbX.S. �_ EQUIV. e; EL.3�4.!r$... GAL. INVERT BOX � ELSOA'C . INVERT rrj WCL w p :�: 3/4"TOI1/2' a114. ,�.: WASHED • � SfT I:I � � s• • ��� 7 ONE 6 PROFI LE OF SEWAGE DISPOSAL No GROUND WATER TABLE �I A L SYSTEM i r NO SCALE SQI L LOG WITNESSED BY : DATE G.l. .. TIME.//.��-��6 . .T_ANt TEST HOLE I vi a5a��" BOARD OF HEALTH TEST HOLE 2 • ELEV. .,'1-/.Y.n . .gypinesCing Co. . . ELEV. S^7. . . . , , 9 . . ENGINEER 7 Fern Aw-: DESIGN DATA . NUMBER OF BEDROOMS • , TOTAL- ESTIMATED FLOW . . a .,GALLONS/DAY BOTTOM LEACHING AREA �� 3 , . SQ.FT. /PIT MOE LEACHING AREA . . , l.Sfl, , SO.FT/PIT GARBAGE DISPOSAL . �. . . ,(50% AREA INCREASE) �1 E� 39KO TOTAL LEACHING. AREA J. 6 3 SQ.FT PERCOLATION RATE . .��. . MIN/INCH t 400. :W, LEACHING AREA PER PERCOLATION RATE .. SO,FT. RgMRtR OF LEA HING PITS . . . • . APPROVED . . . . . . . . . BOARD OF HEALTH . . G. y= DATE; .Y.6)M�. .�S.o. l :5-_) ,3,�G S OC S J` COB w w � 1 cn o t $14 PETITIONER -S T p 1 n ,R r TOP OF FOUNDATION CONCRETE COVERS CONCRETE COVERMAIM— . 4"CAST IRON 2"MAX. OR SCHEDULE 48 ° • P.V.C. PIPE PIPE MIN. 40 PV.C.(ONLY) ITMAX. PITCH 1/4"PER. I PITCH 1/4"PER.FT. LEACH PIT � J o' INVERT �,, _ PRECAST '•e EL 6/.YQ. .,• p, "� LEACHING �'• SEPTIC TANK INV RT INVERT : . I e� PIT OR INVERT ELR.7 . ,, DIST. w ELSba.f. EQUIV. GAL, INVERT BOX >s � INVERT U n. •" ELcs0.116:. ,. W 3/4 TO 1 I/2 s ' /o ELSAX. .. U. 1 .: WASHED S ON DIA. y PROFI LE OF E DISPOSAL No GROUND WATER TABLE SEWAGE p , L SYSTEM NO SCALE P SPI L LOG l WITNESSED BY : DATE ��..rA�... TIME.e/(Ar/(6. . �A yt �O 01 BOARD OF HEALTH TEST HOLE I TEST HOLE 2 f�pper Gra�e ELE.V. .n . . . . ELEV. .�7. ... . , . Engineerlog Co , , , , . ENGINEER 7 Fern Avp E.'Sandwic.h. DESIGN DATA : T. NUMBER OF BEDROOMS .3 TOTAL ESTIMATED FLOW . . 0, , GALLONS/DAY BOTTOM LEACHING AREA //,3 SQ.FT. /PIT 7/ SIDE LEACHING AREA . . . 150 SQ,FT./ PIT GARBAGE DISPOSAL . #0. . . .(50% AREA INCREASE) f 39KC) TOTAL LEACHING AREA , d,. 6 3• SO.FT PERCOLATION RATE MIN/INCH f :WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE SQ.FT. NUMBER OF LEA HING PITS : . . ?s�✓N� . i APPROVED ®F NEALtA ttR �. . 3 ./V DATE, gGF z p3 s 5G r. i A�tN OF,�►q J' p`tM OF E E e S- day o��t► � ��,•w o��► ��� .:. , . . . . . . . . . o .!:AC08 01 81 m 14(. 17 PETITIONER ; �F�/STEREO 04 `��•`STi ` ' TA k ' i TOWN OF BARNSTABLE LOCATION LOC �Z Zf e 1)PttJ� SEWAGE # II , f VILLAGE nit�LS ASSESSOR'S MAP & LOT 79-3 j INSTALLER'S NAME & PHONE NO. eSEPTIC TANK CAPACITY %aaa 61qc LEACHING FACILITY:(type)/��gCog-725- le(:; size) (o GU 6.41 NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER lPwau ti BUILDER OR OWNER DATE PERMIT ISSUED:_�����,� DATE COLIPLIANCE ISSUED: ) 21 VARIANCE GRANTED: Yes No ,�� i 23� B I 38� 4z' 4-0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF -HEALTH /Ar't-4 0 F..4' ............................................... Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal .................. J) ..................................... ................................................................................................. Location-Address or Lot No. Type Building Size Lot_ ........S q. f eet Z Other Distribution box Dosing Percolation Test Res s Performed by.._J*9�lj .. ...... Date ............ The undersigned agrees to install the uforedescribed Individual Sewage Disposal System in accordance with the provisions o6TL I IL LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certffica4th1lowing �� �o�by the board of health. ig ----------' -------' ------- r� � Aonl�utoo Approved B -----�� '��'J['zc��--' / n�° /�ool6�too Disapproved -.--'��-------------_----..---------''-------L-..................... - ........................................................................................................................................................................................................ Date PermitNo...................................................--- Issued....................................................... No.._' ................ Fzz.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE TH ................................................... ------------------------- ........ Appliration for Diapasal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal SyStC� v� .. ......... ...... .. ........ ...Z.. ...................................... .................................................................................................. Location-Address or Lot No. .............. ........ . . ....... ................................................... .................................................................................................. 'w er Address .3,a,. nstal ler Address 4 Type Building Size Lot.. ---------^ _ --------- q S . fee U Dwelling—No. of Bedrooms _______________________________________Expansion Attic/40) Garbage Grinder PL4 Other—Type of Building ... of persons............................ Showers 7— Cafeteria 04 Other fixtwts ...................................................................................................................................................... < Design Flow.................._...._............_.._gallons- 2 W per person per day. Total dail W. 30....................gAllons. Septic Tank—Liquid capacity/#V-.gallons Length.Ki ./...... Width.."/.n.��Diameter---------------- Depth...Y........ ... ........ Disposal Trench—No..................... Width............._..._.. Total Length..................._ Total leaching area....................sq. ft. Seepage Pit No------0.--W-,e t 7! meter....Zlff.... Depth below inlet---�!............ Total leaching area..1.A/,..j3....s ft. Z Other Distribution box Dosing K'5 �/x 0-4 Percolation Test Res ts Performed by....... .... .............................................. Date�X ----- Test Pit No. I----------------minutes ----------------- 't per inch Depth of est Pit---/_��...... Depth to ground water..AZIQ.............. �4 Test Pit No. 2................minutes per inch Depth of Test Pit...............__._. Depth to ground water._.............._._.____ --------------------------------- ------------------------------ -----------------------------­------ -----------*"--------------------............ 0 Description of Soil........................................................................................................................................................................ W 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in r operation until a Certificate of Compliance has be issued by the boarI;Lof health. ned..... ...&W. ............ .................. .......... ...............................Tj........... Date........ Application Approved By.. ....... ........... . ...... P............................. ..... ----------- Application Disapproved for the f owing r 0 ..i........................................................................ ............. ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD/,OF HEALTH ..........................OF....f ........... ...................................... Trrfifiratr of (9putpliatta THIS IS TO CERTIFY, That the id� isposal System constructed (i-�or Repaired *k by �. - -. — - ------------ . ... . .................................................................... 4 W Installer ✓ at .e.......V ------­----------- / ha: been installed in accordanc/With the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit I dated. ..................... ----------------------- THE ISSUANCE OF THIS CERTIFICATE SF 1*iu----�aE%O'NS'TRU'ED AS A- THAT THE SYSTEM WILL FUNCXION SATISCTORY. DATE._..._.. If.. -----;;� FA---------------------------- Inspector....... w.......................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF��H15AL 1. .................................OF .... ...................................... No ... .. .... ........... Disposal h tr inn prrutft Permission ,Jhereby granted................... . ............................... .............................................................................. to Construct or Re Jndi al Sewage Disposal System P�rp at No....,Z_-7---- . ................... ...... ..................................... ................................................................................... Street as shown on the application f r Disposal Works Construction Per Dated_. ju------------------------- ------------ :' .�...... ----rd---o--X%------- . ............................... le—14 DATE................................................................................. FORM 1255 A. M. SULKIN, INC., BOSTON Focus MAP 10' 2 6 TYP. VARIANCE REQUEST: N LOCUS LEACH +ci 310 CMR 15.221 (7) 1. PROPOSED PUMP CHAMBER TO HAVE MORE THAN CHAMBER TYP. 3' OF COVER OVER THE TOP C9 (3' MAXIMUM, 8' PROPOSED, 5' VARIANCE REQUESTED) O DISTRIBUTIONS` !\—VENT LINE TYP. GOB / o PCL. 40 N DISTRIBUTION (PRIVATE BEACH) Box BENCHMARK p TOP OF SURVEY HUB EL. 57.42 M.S.L.± NOT TO SCALE 57 INSPECTION N 16343D. E PORTS TYP. 35a 94 C.B. FOUND S.A.S. DETAIL BROKEN 57.3' x DECK _ 57 PROPOSED o EXISTING DWELLING �n /S.A.S. 57.4' c� T.O.F N.T.O.SD = EL. 54.84' I.P. TH#1 E E LAB - EL. 52.35' LOT 6 FOUND o 0 E TH#2 48,611 S.F.± o v E SLEEVE o 0 E 57 o Cl EXISTING oRc :'Jo SEPTIC TANK PCL. 12 VENT 57.3' .: (TO REMAIN) (TOWN OF BARNSTABLE) o PRESSURE I i 0 \ PROPOSED- o 0 PUMP CHAMBER 57.5' j x c' EXISTING 4" GRAVITY LEACH PIT i (ABANDON) 56 — �i �. 58 - \\ ,/ ,/ , \ DRIVEWAY 56 PCL. 47 -----___--- — 57 266.74, S -79p320 W SEPTIC SYSTEM UPGRADE PLAN CATCH BASIN J.C. ELLIS DESIGN SUBJECT: PCL. 38 92 MISTIC DRIVE �JHOF ' MARSTONS MILLS, MA SON S�c.�GP PREPARED FOR: CHR TO 1fR m SURVEY PLAN REFERENCE: MARK & SHERI MAGNACCA _, PLAN BOOK 203 PAGE 53 f NI THIS PLAN IS DESIGN PURPOSES OR SEPTIC SYSTEM 92 MISTIC DRIVE MARSTONS MILLS, MA 02648 P� �> THIS PLAN IS NOT FOR BOUNDARY IS 4i DETERMINATION. ASSESSOR'S S r1 PROPERTY OWNER AND _ p P.O. BOX 81 MAP 79 PARCEL 39 SCALE: 1"=30' CO qN R1P NTRACTORS TO VERIFY ALL WATER LINES AND GAS NORTH EASTHAM, MA 02651 JASON C. ELLIS, R.S. UTILITIES ON PROPERTY. (508)240-2220 Email: jason@jcellisdesign.com DATE: SEPTEMBER 15, 2020 SHEET 1 OF 2 SECTION DETAIL - COMPONENTS NOT TO SCALE LLtI EL. 58.0't EL. 57.75't EL. 57.2't TOP OF FOUNDATION EXISTING PROPOSED H-20 PROPOSED PROPOSED SEPTIC TANK PUMP CHAMBER DISTRIBUTION BOX SOIL ABSORPTION SYSTEM —i i— _ __ _ (3) 500 GALLON LEACH CHAMBERS �—_I I_TE I=III=III=III=III=III=III=III — =TO ALaRM PANEL=III=III=III= — _ _ _ LI I-1 III-1 -1 IJ —1 I.. _ _ _ COVER = III1 IIII—I 1 —iI I-1 I—I I I—III— I=1 =1 i 1=1 I-1 1COVER -1 I L—I II=1 I=111=1 I L-1 I I=1 11=1 I I=1 C 11=I I-1 1= = -II-1 I-OF GRADE _ a_ COVER GAT CEF/GRADE 2" OF 1/8" TO 1/2- W/IN 6" EL. 54.0' DOUBLE WASHED PEASTONE---+ OF GRADE EL. 49.75'EL- 48.86' EXISTING 1,000 GALLO � L. 53.87 EL. 53.7' 2.O' c= SEPTIC TANK / �• 11�1 INSTALL GAS BAFFLE AT OUTLET EL. 53.5' 30' LONG x 10' WIDE x 2' DEEP INSTALL EFFLUENT FILTER EL. 49.5't IN OUTLET TEE 3/4" TO 1 1/2" DOUBLE WASHED STONE EL. 43.0' PROPOSED 650 GALLON PUMP CHAMBER PROPOSED PUMP CHAMBER: DEEP HOLE DATA USE (1) 650 GALLON PUMP CHAMBER USE LIBERTY PUMP 1/2 HP OR EQUIVALENT PERFORMED BY: JASON C. ELLIS, R.S., S.E. FLOAT SETTINGS: PUMP ON = 14" PUMP OFF = 8" WITNESSED BY: DAVID STANTON, BARNSTABLE BOH ALARM DESIGN CALCULATIONS STORAGE CAPACITY PROVIDED = 452 GALLONS TEST DATE: SEPTEMBER 15, 2020 MINIMUM 4 CYCLES REQUIRED PER DAY FLOW RATE: MAXIMUM VOLUME REQUIRED PER DOSE CYCLE: 82.5 GALLONS DEPTH ELEV. DEPTH ELEV. 3 BEDROOM DWELLING = 330 G/P/D REQUIRED VOLUME PROVIDED PER DOSE CYCLE: 73.26 GALLONS 0.00' 57.15' 0.00' 57.15' (110 G/P/D PER BEDROOM x 3 BEDROOMS) PUMP AND ALARM TO BE WIRED ON SEPARATE CIRCUIT. A A NO GARBAGE GRINDER ALLOWED LOAMY SAND LOAMY SAND EXISTING SEPTIC TANK: NOTES 10YR5/3 10YR5/3 s6.3z 330 G/P/D x 2 = 660 G/P/D REQUIRED 0.66' 56.49' 0.83' USE EXISTING 1000 GALLON SEPTIC TANK 1. PRECAST PUMP CHAMBER TO BE H-20 RATED. ALL OTHER B B PROPOSED SOIL ABSORPTION SYSTEM: COMPONENTS WITH ANY ANTICIPATED VEHICULAR TRAFFIC LOAMY SAND LOAMY SAND 10YR6/4 10YR6/4 PERC RATE = <2 MIN/IN — CLASS I SOIL TO BE H-20 RATED. SIDEWALL = (30 + 10)(2)(2) = 160 S.F. 2. ELEVATION DATUM IS FROM USGS QUAD MAP. 2.0' 55.15' 3.16' 53.99' BOTTOM: (30)(10) = 300 S.F. 3. MUNICIPAL WATER IS AVAILABLE. 0 MEDIUM (160 + 300)(0.74) = 340.4 G/P/D PROVIDED 4. ALL CONSTRUCTION TO CONFORM WITH 110 CMR 15.000 I — MEDIUM — USE: (3) 500 GALLON LEACH CHAMBERS W/ STONE AND ALL OTHER APPLICABLE LOCAL, STATE AND FEDERAL COARSE 10YR7/ASAND CO OYR7SAND CODES AND REGULATIONS. AS SHOWN IN DETAIL. 5. INSTALLER/CONTRACTOR TO REVIEW & VERIFY ALL PERC 0 32" PERC RATE ELEVATIONS AND DETAILS AND REPORT ANY DISCREPANCIES <2 MIN./IN. <2 MIN./IN. TO DESIGNER PRIOR TO CONSTRUCTION OR ASSUME ALL 11.0' 46.15' 11.0' 46.15' RESPONSIBILITY. NO WATER ENCOUNTERED NO WATER ENCOUNTERED 6. INSTALLER/CONTRACTOR IS RESPONSIBLE FOR MAINTAINING SAFE WORK AREA, VERIFING ALL UTILITIES AND NOTIFYING DIG SAFE PRIOR TO CONSTRUCTION. 7. ANY CHANGES TO OR DEVIATIONS FROM THIS PLAN MUST BE APPROVED IN WRITING BY J.C. ELLIS DESIGN CO. AND BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED 3' PER 310 CMR 15.000. 9. ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED SEPTIC SYSTEM UPGRADE PLAN AND REPLACED WITH CLEAN SAND. 10. ALL COMPONENTS TO BE PROVIDED WITH WATERTIGHT J.C. ELLIS DESIGN SUBJECT: ACCESS PORTS WITHIN 6" OF FINISH GRADE. 11. ALL SEPTIC TANKS, DISTRIBUTION BOXES AND PIPING TO 92 MISTIC DRIVE BE INSTALLED WATERTIGHT. 12. NO KNOWN WELLS EXIST WITHIN 100' OF PROPOSED MARSTONS MILLS, MA LEACH AREA. �— 13, THIS IS NOT A CERTIFIED PLOT PLAN AND UNDER NO N OF M CIRCUMSTANCES IS THIS PLAN TO BE USED FOR BUILDINGOR PREPARED FOR: 9 ZONING 14. LLEACH AREAT 0 PURPOSES. SBE PROVIDED WITH AT LEAST ONE MARK & SHERI MAGNACCA ASO ctiv, o CHR T HER -A INSPECTION PORT CONSISTING OF A PERFORATED FOUR INCH 92 MISTIC DRIVE PIPE THE S NATURALLY EOCCURINGLSOIL OR SAND FLY DOWN INTO IiLL BTEOLOW TE SNE OHE STONE. MARSTONS MILLS, MA 02648 THE PIPE SHALL BE CAPPED WITH A SCREW TYPE CAP AND ACESSIBLE WITHIN 3" OF GRADE. ASSESSOR'S �cG�STE 15. PROPOSED SEWER LINE TO BE SLEEVED WITHIN 10' OF P.O. BOX 81 MAP 79 PARCEL 39 S�V17A 16. WHERE IT CROSSES WATER LINE. NORTH EASTHAM, MA 02651 PROVIDE VENT WITH CHARCOAL FILTER ON S.A.S. jJASON Email:IS, R.S. 508)240-2220 ason@ cellisdesig n.com DATE: SEPTEMBER 15, 2020 SHEET 2 OF 2 57 O � � 58 \� 1 57 9 � 1 1 J ; 5T K. SET 1 I � 1 \ 1 \ � PARCEL A 3 I I w \ /v \ 58 > p \ s` 4 3 f (,f \ 3 f O` I I 3 rn C7 \ Se. Xrrl I 9¢ I � 57 r OPIT ' 0 J LOT / 4 81 0 00 cP / I \ STK SET - - - — �yP 2 ' ST K. S ET ----- O i a \ l \ 0 IN \ rN � �91 0�-� 0 INDIAN LAKES ESTATES" \ �o LOT (O MYSTIC DRIVE D� ' / LAN �Mgf ���. ",o MAR5TONS MILLS ) MA55 . o��� PAUL A \ O PL BOOK z O 3/ 5-3 MERiTHEW r . No. LOT 5 SCALE : I = 10 At L4N0 \ ZONE RF 0 20 40 60 \ TOWN WATER s 9/ 13/85 57 ►/� / L a14 �"' ej STK SET