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Home My WebLink About0236 OLD MILL ROAD - Health 236 Old Mill Road Marstons Mills - A= 046-099 A q Commonwealth of Massachusetts oy&- U ` Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments rtl, s. 236 Old Mill Rd 1,41 Property Address -14 Nazzaro Owner information Owner's Name is;) is required for every page. Marstons Mills ►/ MA 02648 7/16/18 Cityrrown 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. A. General Information 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 Citylrown State Zip Code 508.272.6433 13010 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 Further Evaluation by the Local Approving Authority 7/16/18 Inspecto s Signa Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original 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.doc•rev.6/16 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 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 CityrFown 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: New system installed 9/16/15 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.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , ' 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 Cityrrown 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.doc•re•✓.6/16 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 M , ' 236 Old Mill Rd Property Address Nazzaro Owner iinformation Owner's Name is required for Marstons Mills MA 02648 7/16/18 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cost.) 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 Y2 day flow t5ins.doc•rev.6116 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 M 5 ' 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 Cityrrown 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.doc•re4.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required Marstons Mills MA 02648 7/16/18 or every page.. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 1_ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 236 Old Mill Rd Property Address Nazzaro Owner iinformation Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 Cityrrown 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 ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail Sump pump? ❑ Yes ® No Last date of occupancy: Occupied 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.doc-rev.6/16 Title 5 Official Inspection Forth: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 'a 236 Old MITI Rd Property Address Nazzaro Owner information Owner's Name is required for every page.. Marstons Mills MA 02648 7/16/18 Cityrrown 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: Tank to be pumped post inspection per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M a 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required Marstons Mills MA 02648 7/16/18 or every page.. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 2015 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iror. ®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.): Septic Tank(locate on site plan): 2' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) H-10 tank appears to be structurally sound If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500g Sludge depth: 3" t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M sa` 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 Cityrrown 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 Scum thickness trace-1/2" Distance from top of scum to top of outlet tee or baffle >2" Distance from bottom of scum to bottom of outlet tee or baffle >2" 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.): Pumping suggested every 3 years to prolong the life of the system 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 1 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 Cityrrown 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 15ins.doc•rev.6116 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 �<a 236 Old Mill Rd M Property Address Nazzaro Owner information Owners Name is required for every page. Marstons Mills MA 02648 7/16/18 CityrFown 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 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): H-20 D-Box 2' below grade, cover to 6", very good condition 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:doc-rev.6/16 Tide 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 't 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 5 ❑ 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.): Infiltrators were video inspected and are damp at this time, no indication of past hydraulic failure, bottom approximately 5' below grade 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 r Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc•rev.6/16 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 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is every ired page.for eveery p Marstons Mills MA 02648 7/16/18 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Soils are compact and dry 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.): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 Cityrrown 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 �(�_o r0T A A t5ins.doc•rev.6/16 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 236 Old Mill Rd lv-';`- Property Address Nazzaro Owner information Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: >12 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: 2015 NGW 12' Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: 4'seperation per 2015 compliance ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: TOPO mapping You must describe how you established the high ground water elevation: See above Before filing this Inspection Report, please see Report Completeness Checklist on next page. Mt5ins.doc-rev.6/16 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 236 Old Mill Rd Property Address Nazzaro Owner information Owner's Name is required for every page. Marstons Mills MA 02648 7/16/18 Cityrrown 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 t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BARNSTABLE L ,'CATION SEWAGE# ,Aof �. VILLAGE 01 ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. Z C—J. "7'7 1-`431'!q SEPTIC TANK CAPACITY /'�7W -44t.- LEACHING FACILITY: (type) _I ke/(e_- 4 (size) �{Q.j`JC ilU• ��P•�� NO.OF BEDROOMS OWNER t ,•- II PERMIT DATE: COMPLIANCE DATE: 6 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 .,=,4974 b� 6 j'7 ry&" ab a nn No. d�O Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION — TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Misposal 6pstem Construction 3perrnit Application for a Permit to Construct( ) Repair 0�Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. ,2,-z bil iql I t M, Owner's Name,Address and Tel.No. 6Zq". -10J d�a Assessor's Map/Parcel yG qg r' O l A.•tt4 A i,- ��AdA ��eo 61d A 11V Installer' Name,Address,and Tel.No.60-6 Designer's ame,Address,and Tel.No��"310 011 Type of Building: Dwelling No.of Bedrooms Lot Size r sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3-90 gpd Design flow provided �� gpd Plan Date 111w L,, �/� Number of sheets Revision Date . i Title z�ST _ 3 i l Size of Septic Tank Type of S.A.S.S 1 d o1S�C y/ Description of Soil Nature of Repairs or Alterations(Answer when applicable) U U� , ate last inspected: Agreement: The undersigned agrees to ensure the construction and map of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environm Cod 7ce t to place the system in operation until a Certificate of Compliance has been issued by this Board of He Signed Date Application Approved by Date �( Application Disapproved by Date for the following reasons Permit No. U Date Issued No. 4 / �- =- Fee ! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: E Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplicatlou for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair w Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. .2-a' fy l v f ( Owner's Name Address and Tel No. S U19`yaG �j19�y 1 Assessor'sMap/Parcel YG qy tMRGc Fors rLt;C1S +U� .Sohn l- 37uj ( �'�flv a36 old Al'//dV Installer's•Name,Address,and Tel.No.,ibs "?'"/'239! Designer's lame,Address,and Tel.Non '9" •o• v rt•1G15frs'7S .�/�' S r4Q°a'd•'� � !' f -2G7S Type of Building q -7 � Dwelling No.of Bedrooms �.J 2 a�Lot Size / sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided / gpd Plan Date 'j yX0.5, �Ul5- Number of sheets Revision Date s Title 7,-;41e. S S� 1 )Size of Septic Tank /s(.�4 /p Type of S.A.S. Description of Soil 15 5ik 'f' X.o. Nature of Repairs ��orAlterations(AnswerVhen applicable)k/�®4�n �c�%. ��JJYc ��? �� inhir lwx S (J4.k,`1 ?vSIU, 2r.1r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code-and not to place the system in operation until.a Certificate of Compliance has been issued by this Board of Health Signed Date 7 / .S Application Approved by Date _ —( Application Disapproved by Date for th.-following reasons Permit No.�.C1 �- Date Issued f' ----------------------------------------------------------------------------- -------------------------------------------------- I' 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 D o !/YW 41414 -i C at 6 i %��f as been constructed in accordance with the provisions of Title 5 and the //for-Disposal System Construction Permit No.P015-•2-71-dated —( 15 Installer / Designer��r'� #bedrooms 3 Approved design flow -3 ogpd The issuance of th' pe it hall not be construed as a guarantee that the system wil !7*1 ^designed.Date t7 � � Ins ector , r P 1 --------------------------------------------------------------------------- No. 0" Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 30isposai 6pstem Construction Permit Permission is hereby granted to C/o�nstruct( ) Repair(•� Upgrade( ) Abandon( ) System located at �qh (�� /i ,( j�� / / . -- - 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 co m leted within three years of the date of this permit�/'�~ 2 Date �" � � � Approved by 6 r SEP-23-2015 23:39 From: To:150e7906304 Page:1-'2 FROM :down cape engineering inc FAX NO. :15083629880 Sea. 23 2015 10:51AM P1 Towu of Barustable e Y>t1�K0IRQ - EYt�16!' 1'$0�' e ki8i7, � HAM trine E{e>I lth) Won Office 508-$52-4644 HIa: 503--7904304 �fisd�ll>!er xP� ,' t a-k ' Date: � �� e�a��Pew# ,�ot�, A-ss&fi6ce4 MIPTInu�' 131 111 r d'* Addrtas: d e?e--- AWIM0 1ti'ao., n o !�-'l rJJP Ors. /o /.5 C�rf 0175f'7 /� I,Wu isned a peuni'tTO metal[a _ (date) ( suer) I (addsoaa) I cei�ifi►that tth�septic sy ze1,c=oed above was itiA-WJled mibstar ialT.y acrrnding tu the desiM which u&y'iw.We mimr approved chanV9 q,idl as Iatt'r I xclocetu,n Ofth� d istY`ii;mlion bog�mdloz septic'lwic I t;,,O. 7 ftit tht: sclstie ,-,Y tem:TUfaaeaced abavn ass irmt&UCd.Mt.,TlAiLr c}1auF, preuter tl ICI, .ldlta tl 1:40Catk a Of the SA►ar uuay vc,�ti�al xeJ.bct�(PiClt�of any ccriupo,r �n. nz of the oep'lic oy'8, ire acrurdsix:r.wifl-L Stye 1,ou@I Rrmlln'4r7ni3. P +n t•evi"xcni or c%tiftcd.q 'L'by 2,d&ucT-tnfbllnW. QANIEL-A. Cn OJALA unstalle?5 sipat f%) u CIVIL ci' No.46502� ON L (L7jR-lees 8igafii= T (AfExl]esipnet's uf+—) IR r..YY__ta/0.�:inlodn..rr i"."fir-Alren Pnrm 14fi-flUne down cape engineering, inc. SIEVE SOILS ANALYSIS 236 OLD MILL RD MARSTONS MILLS, MA DATE OF REPORT: 6/11/15 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 236 OLD MILL ROAD, MARSTONS MILLS LOCATION: DCE TEST HOLE SIEVE ANALYSIS Weight Sample(Grams): 155.4 SIZE :WEIGHT RETAINED € % RETAINED % PASSED --------------.............sum.............................---------------------..................................... 1" 0.0€ 0.0%€ 100.0% --------------......................................................>-------------------- 0 ------------------ 3/4" .0 0.0%i 100.0% --------------:......................................................---------------------=------------------ 1/2" 0.0€ 0.0%€ 100.0% --------------:......................................................>-------------------- ------------------ 3/8" .............................................�:0. -------------- ..0%'----------100_0% #4 0.0 0.0%c 100.0% --------------......................................................>--------------------�-i..................................... #10 23.5i 15.1%: 84.9% --------------:......................................................:---------------------:..................................... #20 73.3€ 47.2%E 52.8% --------------......................................................>--------------------b..................................... #40 126.7€ 81.5%€ 18.5% --------------:......................................................:--------------------_..................................... #50 145.1€ 93.4%€ 6.6% --------------I.......................................................-------------------- ..................................... #80 152.6 98.2%€ 1.8% --------------:......................................................:---------------------,..................................... #100 153.3€ 98.6%€ 1.4% --------------I......................................................>---------------------r------------------ #200 154.4i 99.4%i 0.6% PAN: 155.2€ 100.0% 0.0% --►------------------ -+--------------------- ------------------ ------------ ------- SAMPLE: € 155.4i NOTE:TEST ON PASSING#4 ONLY, 8.6% RETAINED ON#4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-1-b (GRAVEL AND SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING #4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% CLOSE #100 0%-20% OK tH OF,ygSs #200 0%-5% OK ° A,DA SAMPLE IS CLOSE TO MEETING TITLE 5 FILL SPECIFICATION o� O NIELNIEL ^' JA >99%SAND " CIVIL No.46502 RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MINJIN. MATERIAL &c/srER�`o NONCOMPACTED �SSIONAL E:t \ SOIL DESCRIPTION: COARSE SAND Town of Barnstable oF1NE r Regulatory Services . yp °s Richard V. Scali, Interim Director BARNSPABM Public Health Division 9`bA1659. a`�� Thomas McKean, Director 200 Main Street,Hyannis,NIA 02601 .Office: 508-862-4644 Fax: 508-790-6304 Homeowner Certification Form for Alternative Systems Property Address: o?36 601tb�a Assessor's Nlap\Parcel: q&Z7 _- Property Owners Name: �n C( In accordance with Massachusetts WEP alternative system approval letters, the following certification information is required by the Owner of record. - The Owner of record must place an "x" in the applicable box next to each line certifying.the information. Yes N\A ❑ ®'I have been provided a copy of the Title 5 I/A technology Approval letters. (15 page Standard Conditions letter and the specific technology letter) ❑ ®I have been provided with the Owner's Manual ❑ I have been provided with the Operation and Maintenance Manual ❑ For Systems installed under aRemedial Use Approval, I agree to fulfill my responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval ❑ For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5) ❑ If the design does not provide for the use of garbage grinders,the restriction is understood and accepted ❑ Whether or not covered by a warranty, I understand the requirement to repair, replace, modify or take any other action as required by the Department or,the LAA,if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303 I 1- .s � 1vG� �' comply agree to com 1 with all terms and conditions above.' Proji&ty Oivners printed name o erty O ers a Date - Note• This form must be submitted along with the septic system disposal works permit application for all I\A systems including new construction, repairs\upgrades; with and without aggregate (stone) and with conventional design criteria or credited design criteria. QASeptic\IA homeowner certification.doc i Tow of Barnstable P# I �� 7' Departzueut of Regulatory.Services Public Health Division Date 200 Main Sircet,Hyannis MA 02601 1 Date Scheduled Tfuie l' Fe,a Pd, 0G/()a 07) Soil Suitability .Asses►Sent for Sewage Disposal Pe formed B) I��ii�l f�� 6e,--1>0 ( Ve - Witnessed By: v J f -le / LOCATION& ENERAL DWORMATION Location Addre"s OZ�Ip / AN z za r Q�Ot l�l I( � Owner's Name. `i � ��- M t" cu — - Address essor's Ma lP L V q /1 Engincer's Name VI JJ � 1;tf 4— NEW CONSTRUCT` ItSPAIR Telephone# vVe d Use:`f \ L—q W-7 Slopes(�) �—/`� // Surface Stoues /"tin JDistance's from: Open Water Body Possible Wet Area 7(Qd ft Drinking Water Wc11 — ft Drainage Way �`�� ft Property Line �/O ft Other ft SIMITCH:.(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands•'a proximity to holes) ZT . Z o — ; IWOJ Parent material(geologic) (a L;a I 0"4-wcr S Depth t4 Badroek _D2(v Depth to Groundwater. Standingwaterin Hole: / /�- Weeping from PitFaaE LIA Estimated Seasonal Hlgh Groundwater g�•�,r�g� r�7� �7 /��7, �t A�I/^y�yp y �7-��y�•��p A'p�'y'�, 3.lJG�E ATIO 1 FOR SL'Clti7�.7,�`IL'A-L�JIAJlG WATER TABLE, ,Method Used: /I/C W t= _ Depth Observed standing in obs.hole: la, Dnptii to s411 mottles: It], Depth to weeping from side of obs,hole: In, Groundwater Adjunment ft. Index)'Vell# heading Date: Index Well]pYal _ Acjj,factor,....,_,._. Adj.Groundwater Leval— RER.COLATI.ON T +'t�T Daie.�,�.,_, Tltrte,_.�. Observation Hl - ole# Tlmv at 9" Depth of Perc. r t/e Time at G" Start Pre-soak Time @ '1'ima(9"-G") End Pro-soak Rate Min./luch Sitc Sultability Assessment: Site Fassed Sitr Fallcd: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back------ --- If pe;l colation test is to be conducted within 100' of wetiaud,you must first notify the Barnstable Conservation Divislon at least one(I)week prior to beginning. Q:ISEPTICIPERCFORM.D OC j DEEP.OBSERVATION ROLE LOG Role# Depth from Soil Horizon Soil Texture Sdil Color Soil•- Othcr Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders, o i ten y %'Graven DEEP OBSERVATION HOU LOG Hole#, 2 Depth from,M .Soll Horizon Soil Texture Soil Color Soil P. _. , Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Grave 0 1 t yo s L 10YR k/k sg�iz� DEEP OBSERVATION ROTE LOG Mole 9 Depth from Soil Horizon Soil Texture Soil Color Soil Other' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Ca i to c G c DEEP OBSERVATION HOLE]LOG Hole# Depth from Soil Hotizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Co si tan 6 9 Flood_Insv.rance- ate MaM. Above 500 year flood boundary No Yes Within 500 year boundary No VYes Within 100 year flood boundary No. Depth 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 systernI fit° S If not,what is the depth of naturally occurring pervious material's Certification I certify that on � 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 training,expertise and experience described in�10 CMR 15.017. signature _-fir --- Datb g:\sEPT1aPERCV0RM.D0C r. TOWN OF BARNSTABLE LliCATION Q w1ele0 SEWAGE # C LAGE f /LDS ASSESSOR'S MAP & LOT a INSTALLER'S NAME & PHONE NO..5�I' Z6017 SEPTIC TANK CAPACITY /GYY c LEACHING FACILITY:(type) I�P17— (size) &10-' 16 �. NO. OF BEDROOMS PRIVATE WELL OR LIC WATER BUILDER OR WN //0.4-'—cS�/l c ' e sZIC.lLcS4A/ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: I,. - VARIANCE GRANTED: Yes No �r P#16 Gdca Old e V//4 No..-l.a.L-..L2 o — � F �Q ps.. .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H E A LT H3arn able Co�SeROvLVp TOWN OF BARNSTAB E "onDepan. ppliratiun fur Diupuua1 urku Toms r Application is hereby made for a Permit to Construct ( ) or Repair (D< an Individual Sewage Disposal System at: ..... ....................... ...........•---......... ................... ._._... --..,.... .....................-- . Location_Address or Lot No. .............. U1� ...... ..�(a...•.... .0... /LC .:.RQ=-------- —5 IG� S'................ Owner a ......... J1 .•-- « N ....... - ......._/ �re ss fL,_'11214..................... Installer Address d Type of Building Size Loj.00d......Sq. feet U Dwelling—No. of Bedrooms................�.� .._..Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building No. of persons............................ Showers YP g ---------•-----•------------ P ( ) — Cafeteria ( ) � Other fixtures ------------------------------------------------------....------------------------------•---•----......--- W Design Flow___________________ .................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid'capacity/l.�`�_gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................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........................ •---•-----------------------------••----•-••--•-•----------•---....------............__...---.---••---- Descri tion of Soil------------Q_--tZ.... ------ f .. U ......... � :�.._.._...-•..................................................... ....•--- W U Nature of Repairs or Alterations—Answer when applicable--------- 4_5 ............/__440.. ................ ........ ---------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com liance s en Adhe oa�d f health.Y P � PSigned ..... ........ ........... --- ------------------ -----�f�-. .e ApplicationApproved By ............. ----------------.......----------------------------------------------------------- a� ..� � � Date Application Disapproved for the following reasons- --------------------------------------------............................................---------------------..................--- ------------ ------------------------ ------------------------------------------------------------------------------------- -- -- -- --------------------------------------------------- .................................... Permit No. ..-- .---.. 1 U.p............................. Issued ....... Dare ----------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Disposal Works Tonstrurtwi i nat Application is hereby made for a Permit to Construct ( ) or Repair (P< an Individual Sewage Disposal System at: •- --- ....---- ...................._--__- Lor �S ......�j Address L� .. /J or lL ZS Owner Ad ress 1167 Installer Address UType of Building Size Lot_�J:.�J ------Sq. feet I—I Dwelling—No. of Bedrooms............... ............`__---_.__.__�..�'` _.__._Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—Type of Building 'No. of persons............................ Showers yP g -------------------••-----•- ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------•--------•-----.--------•-•---------------------•--------------•.............. --•-••----...---............... W Design Flow.................. 5..............gallons per person per day. Total daily flow................ a.................. WSeptic Tank—Liquid-capacity/"___gallons Length---------------- Width................ Diameter................ Depth_•__-_-_.-_--___ x Disposal Trench—No..................... Width.................... Total Length-------------------- Total leaching area...................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet-_-_--__.______--_•_ Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by.......................................................................... Date........................................ a 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 --•----•------------------------------------------••-------------•-----------........._...----............................................................... 0 Description of Soil........... - 60,44f__ •5�-Sa/4 ^'- z� XAt:� W x -------------------------------------------------------------------------------------•------•-----------------------------------•---------------•---------------. ------------- -------------------- U Nature of Repairs or Alterations—Answer when applicable---------�._..D__._._______-� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance'has 'een 'ssued by7the oa d f health - . Signed ........1 --------- I/ ------- - -------- ----------------------- --- 7 .....----- Date Application Approved By -.-_.---.--_ D J �a��k Date Application Disapproved for the following reasons: ................................................ ---------------------------------------------------------------------------------- Q Date PermitNo. ..-- t a C?..................... Issued ------------------------------------............ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE - Cer#tftcatte of Tontylia ace THIS IS TO CERTIFY-That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) Installer at --------------- -----------------------------sz D...- s'1,>/GE has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........` �------I.P.R------ dated ------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. g DATE...................... ,�q� i Inspector ------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q / TOWN OF BARNSTABLE N0....l.>/� FEE�.'..1 .5 � ........................ Dispsal Works Tonotrudion rantit Permission is hereby granted --------•-------------- ---� ----- ---- -- to Construct ( ) or Repair.•:() an Individual Sewage Disposal System at No.........................................� 34 a� ; / ��t - � , .!17/LC� ....................................................---------------••-•-------•. Street � �Q as shown on the application for Disposal Works Construction Permit No- . ---- Dated.......................................... Board of Health DATE..................Z�- r-- --- ...................................... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR ASSUMED (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING �Q- c• o Roc Lone TOP FOUND.-EL. PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Q 5 \ f83.O MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTE f79 5 P� ae�c� \call 01 4. DESIGN LOADING FOR ALL PROPOSED PRECAST e C, o UNITS TO BE AASHO H-M `' P o o PRECAST H-10 NOTE: MIN. WALL THICKNESS 2"RISERS 0 s '1 4"4SCH40 PVC 5. PIPE JOINTS TO BE MADE WATERTIGHT. Locus �9� PIPES LEVEL 1 ST 2' 2" DOUB WASHED PEASTONE 1500 GAL H-10 OR GEO ) LE FABRIC 76 5' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE TEE SEPTIC TANK TEE WITH 310 CMR 15.000 (TITLE 5.) 77.81 7.56 WATERTEST D'BOX 0 GAS BAFFLE r: °e°o°g0000000q FOR LEVELNESS 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 0 76.0 o NOT TO BE USED FOR LOT LINE STAKING OR ANY 4' UQ. LEVEL (ACME OR EQUAL).' 76,21' 76.04' 2' OTHER PURPOSE. Sc p0I r ..,00°o°000°o°o°0000000°o°000000000000000°0°00� 6" MIN. SUMP �o� 0 74.0' �o�00 00 0��°�00000g°o°101s-0R�.°,s�0c°c°° 12" MIN. INT. DIM. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. H-20 3050 INFILTRATCRS 3/4" TO 1 1/2" DOUBLE WASHED STONE 9. COMPONENTS NOT TO BE BACKFILLED OR 6" CRUSHED STONE OR MECHANICAL CONCEALED WITHOUT INSPECTION BY BOARD OF COMPACTION. (15.221 [21) HEALTH AND PERMISSION OBTAINED FROM BOARD OVERALL DIMENSIONS TO OUTSIDE OF STONE: 41.5' X 10.25' OF HEALTH. ( 2.5% SLOPE) ( 5 % SLOPE) ( 1 % SLOPE) 5'0� 10. CONTRACTOR SHALL BE RESPONSIBLE FOR MIN. LEACHING CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP FOUNDATION- 56' SEPTIC TANK 27' D' BOX 4' FACILITY VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE WORK. BOTTOM TH-2 69.0' 11. ANY UNSUITABLE MATERIAL ENCOUNTERED NO GROUNDWATER FOUND ASSESSORS MAP 46 PARCEL 99 SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 12. EXISTING LEACHING FACILITY SHALL BE PUMPED PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM AND REMOVED OR PUMPED AND FILLED WITH CLEAN LEGEND SAND. 99 - EXISTING CONTOUR X 99.1 EXIST. SPOT ELEV. -[99]-- PROPOSED CONTOUR O 198.41 PROPOSED SPOT EL. A\ TH1 BENCH MARK - CORNER OF TEST HOLE CONC. BULKHEAD. ELEV = 82.2 2� SLOPE OF GROUND UTILITY POLEa -- 29 --�7� SYSTEM DESIGN: x 6 8�- - 85 � --_x 88.i FIRE HYDRANT 84 \ NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING - 83 GARBAGE DISPOSER IS NOT ALLOWED i �� 91 - 82 x 82 27 C•0 8 5 \ DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD x 81.7 \ 06 C.2.23C.0. x ?.25 \x 88 4/ o. USE A 330 GPD DESIGN FLOW T HOLE LOGS � 6 � �" 5' REMOVAL OF UNSUITABLE SOIL REQUIRED x .0 82.1` \�� AROUND PERIMETER OF LEACHING FACILITY, SEPTIC TANK: 330 GPD (2) = 660 TES LOT 281 / DOWN TO SUITABLE SOIL LAYER.\ W►TH CLEAN MED. AND, TO MEETREPLACE 19,982f SFUSE A 1500 GAL. SEPTIC TANK `� ENGINEER: DANIEL E. GONSALVES, SE #13587 EXISTING DWELL. 4 CP ��7.65 SPECIFICATIONS OF 310 CMR 15.255(3) WITNESS: DAVID STANTON, RS TOP FNDN. = 82.9 INVERT OUT 04 LEACHING: EL. 80.3' 10' � �--X86.12 DATE: 6/5/15 8r 2. 4 \�- - Ss SIDES: 2(41.5 +10.25) 1.85 (.74) = 141.7 GPD 2 .27 84 - 3.85 BOTTOM 41.5 x 10.25 (.74) 230 GPD PERC. RATE _ < 2 MIN/INCH 7 DECK 85 31 ' - 83 TOTAL: 616 S.F. 456 GPD CLASS I SOILS P# 14706 8� 82.74 82 82 CAUTION EXISTING � ° PI ti� GAS LINE IN THIS AREA USE (5) H-20 3050 INFILTRATORS, ELEV. z ELEV. 82.45 80.6 \ WITH 3' STONE ALL AROUND 0„ 80.0' 0" 80.5' 80,27 0.05 1 3 - -� I So x 01 ° 79 78 TITLE 5 SITE PLAN P �x--�1_00 � FILL FILL 9.76 - 9 \' �9 �a � 78 J ALT. BENCH MARK - TOP OF 00 PAVED DRIVE - j, ° OF BOTTOM STEP. ELEV = 82.75 O ��°' 9 1" - - r' / j73.19 36 40 �- - 71 J 72.22 236 OLD MILL ROAD `� x ?7.7 6 j B B 78.4 �� MARSTONS MILLS, MA 6 5 �� LS LS AK 1OYR 6/6 1OYR 6/6 1'� o 6 76. 7 ,95 / 54 75.5 5810 75.7 i NE 75 � �� PREPARED FOR 76.67 75 3 �� / 1.35 �Fs BORTOLOTTI CONSTRUCTION 7 156 • .1 x 74.9�A O 75. 0 c c ,��°�2 NAZZARO PERC \ � 2.94 x 7 O DATE: JUNE 5, 2015 M/CS M/CS O I� x 1.9 REV: JULY 10, 2015 (DESIGN FLOW) OOP I ('-�\, REV: JULY 23, 2015 (TANK LOCATION) 727 x'70.31 2.5Y 7/4 70. �� -7 -'t3-1 / \ OF M^S ��ZN OF 2.5Y 7/4 H OF MASsgc ��N OF MASS off 508-362-4541 .94 1 I,SH MgSS � DANIEL �G qc fax 508-362-9880 4 O ?� q DANIELA. A �o� DANIEL yes downcape.com 70,81(3 �° IDANIELA. OJALA OJALA A. o OJALA CIVIL `� q No.40980 OJALA0 80 down cape engineering, /nC. 132" 69.0' 126" 69.0' / CIVIL .4s5o2 No.46502 p� °FESS�o�� a o�Y civil engineers °� Fssc'ST NG�`' gNpS o\1 N ES�� A land surveyors NO GROUNDWATER ENCOUNTERED Scale: 1 = 20 69.03 sr ,- ONAL SURVE AL 939 Main Street ( Rte 6A) LICE # 15- 1 0� o 0 20 30 4o So FEET DANIEL A. OJALA, P.E., P.L. . YARMOUTHPORT MA 02675 15-106 BORTOLOTTI_NAZZARO.DWG