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0027 OLDE HOMESTEAD DRIVE - Health
27 Olde Homestead Road Marstons Mills A— 044— 024 �j � 1 a Commonwealth of Massachusetts Title 5 Official Inspection (Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I O f 27 Olde Homestead Drive Property Address Lhea&Allen Wannamaker Owner Owner's Name / information is Marstons Mills ✓ Ma. D2648 June 13, 2015 .required for every page. City/Town State Zip Code bate 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 A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Thomas Roux use the return Name of Inspector key. " -V Company Name 89 Mayflower Lane Company Address East Wareham Ma. 02538 City/Town State Zip Code 774-678-9066 S14531 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 inspectorpursuant to Section 15:340 of Title 5(310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails, ❑ Needs Further Evaluation by the Local Approving Authority 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 DER 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•3113 Title 5 Official Ins ection Form!Subsurface p Se^a9e Disposal System•Page 1 of 17. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648 June 13, 2015 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no''or"not determined" (Y,N, ND)for the following statements; If"not determined,"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648 June 13, 2015 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 (cunt.): ❑ 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): El 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 El Cesspool or privy is Within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.3/13. Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information,'s required for every Marstons Mills Ma. 02648 June 13, 2015 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) I 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 systern component due to overloaded or clogged SAS or cesspool El E 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 El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %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 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648 June 13, 2015 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No 0 0 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.] ❑ 0 The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. 0 0 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 0 ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone 11 of a public water supply well 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 f Commonwealth of Massachusetts " Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Mrinamaker Owner Owner's Name information is Marstons Mills Ma. 02648 June 13 2015 required for every , 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 E ❑ 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): 3 Number of bedrooms (actual): 3 DESIGN flow.eased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): +330 gpd t5ins•3/.13 Tide 5 Official Inspection Form: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 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648, June 13 2015 page. City/Town State Zip Code Date,of Inspection D., System Information Description: Number of current residents: 3 Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspectiory ❑ Yes ® No information in this report.) Laundry system inspected? Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: The garbage grinder is present, but not connected. Sump pump? ❑ Yes E' No Last date of occupancy: currentDate Commercial/industrial flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow seats/ ersons/s .ft. etc. 9 , 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 Farm:Subsurface Sewage Disposal System 4 Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Foam Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648 June 13, 2015 page. 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: 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 El 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•3/1c: Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of V I - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648 June 13 2015 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: 7 years. As-built dated 2/28/08. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.25' 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.): Septic Tank (locate on site plan)- Depth below grade: 1'25 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 8'L x 5.2'W x 5.3'H Sludge depth: 1" t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 9N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name informations Marstons Mills Ma. 02648 June 13 2015 required for every > page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 33" Scum thickness Distance from top of scum to top of outlet tee or baffle 6„ Distance from bottom of scum to bottom of outlet tee or baffle 14" 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.): The septic tank does not need to be pumped out at this time. 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 Tile 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Cilde Homestead Drive Property Address Lhea&Allen Wannamaker Owner Owner's Name information is Marstons Mills Ma. 02648 June 13, 2015 required for every page. 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 0 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-3l13 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 ,..' 27 Olde Homestead Drive Property Address Lhea&Allen Wartnamaker Owner Owner's Name information i e required for every Marstons Mills Ma. 02648 June 13 201-5 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-Box was free of solids and in 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: The septic tank and d-box are functioning correctly; Therefore,the SAS is also functioning corrcetly. t5ins•3/13 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 >..° 27 Olde Homestead Drive�zl Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills. Ma. 02648 ,tune 13 2015- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ teaching pits number: ® leaching chambers number: 3 ❑ 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.): No evidence of hydraulic failure. Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648 June 13 2015 page. City/Town 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.): 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•3111 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 iw Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648 June 13 2015 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 t5ins•3/1: Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 TOWN.OF BARNSTABLE v I LOCATION 4wil, SEWAGE# O(�'7 VILLAGE /V• /V,/�p ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. 1�/e.�i�.� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) aaaL&, ,V ; (size)/O. NO.OF BEDROOMSI, 3 OWNER Z �,, PERMIT DATE: ��:Zp4 Q� COMPLIANCE DATE: 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 L CCale G�iis�r f Lrrjy/� pp' zj' fib• " •''��.7s� 40 'J• _ s r Commonwealth of Massachusetts Title 5 Official Inspection, Form Subsurface Sewage Disposal System form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address I Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648 June 13 2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: Check Slope ® Surface water Check cellar ® Shallow wells estimated depth to high ground water: 50'+/- 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: as-built plan dated, 2/28/08. Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health - explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database- explain: You must describe how you established the high ground water elevation: Groundwater elevation is listed on the as-built sketch. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3f13 Title 5 Official Inspection Form:Subsurface Sewage Disposal Systern-Page 16 of 17 Commonwealth of Massachusetts Titie 5 Official Inspection Form $ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Drive Property Address Lhea &Allen Wannamaker Owner Owner's Name information is required for every Marstons Mills Ma. 02648 June 13 2015 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 No. .2(fog 7 Fee ®61 / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZppItrattou for �N! ar *pgtem Congtructfon Perm Application for a Permit to Construct Repair Repair upgrade( ) Abandon( ) ❑.Complete System Individual Components ns Location Address or Lot No.01 / o`1j� �/ ''�� X Owner's Name,Address,and Tel.No.�� f /11-/"I,//f to 0,s &.,4.1--e K441 Assessor's Map/Parcel Z . 774-,: �t.-7 1\�h9 v Installer's Name,Address,and Tel.No. oY,��/�i �p'*� Designer's Name,Address and Tel.No. 2)9v l ys—_rydj/� �) 179 G Type of Building: q Dwelling No.of Bedrooms Lot Size g/ sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) .��d gpd Design flow provided 74�7 gpd Plan Date a?-/a` 6 7 Number of sheets / Revision Date Title /�f/� S` S.�f lr+� G/ 47,:2,I cke !)K /?/L/01 Size of Septic Tank e1X1 j 1jh s /, Off 4+ Got Type of S.A.S. 3 — s7,e. k.d Description of Soil �-r-t ?/A rj Nature of Repairs or Alterations(Answer when applicable) &P-4 •-- S,f f_*"'L �w- Al Al 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 Boar f Health. / Signed Date Application Approved-by Date ZJ,7 o Application Disapproved by: Date IF for the following reasons Permit No. oco> Date Issued ——— ——————————————————————————————— ----—————-- J V Fee No. <= CJ �/ ti�A V �\ /O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: -PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for -Mi!5pO.5at 6p5tem Construction Pertu Application for a Permit to Construct O Repair�/Upgrade O Abandon O El Complete System Individual Components Location Address or Lot No.441)7 01 de '/ 'v-d Yjt- Owner's Name,Address;and Tel.No.7_017) �/ ASO" Al /SJ✓ ,, i Assessor'sMap/Parcel z �-7 ��Zi 77G G�C� Installer's Name,Address,and Tel.No. i3�r !// !�// jr '•+��• Designer's Name,Address and Tel.No. s dr N� Y9� G Type of Building: G Dwelling No.of Bedrooms Lot Size /_7 /Q 1 sq.ft. Garbage Grinder ( � Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3,30gpd Design flow provided 74/0 gpd Plan Date o7'/il !7 Y Number of sheets j Revision Date Title � 1 S- i• jr J �, 6l -/ (r_/•t K 01011// -1 Size of Septic Tank 4nel dto r /, G G o G•c! Type of S.A.S. Description of Soil SI-e n Nature of Repairs or Alterations(Answer when applicable) y'fQ4�— S,f���� �•�— /Gh I i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f Health. /zs�10 Signed Date z- Application Approved by Date �7 R �o f� Application Disapproved by: Date J for the following reasons ' v Permit No. Date Issued ——=——--—.—.—.——_" ———————---------------- --------- THE COMMONWEALTH OF MASSACHUSETTS ' BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired /UpgradedP ( ( ) Abandoned( )by / rl u 7 rd f`tom at a• / L CYrJ7� u/ it W 11 has,been constructed in accordance with the provisions of//Title 5 and the for Disposal System Construction Permit No. dated Installer /JjJv 7`�l�cr�i�. �G9/17. !��G�-- Designer j 1> #bedrooms �3 Approved deer flow 3 y4 gpd The issuance of this pe it s all not be construed as a guarantee that the system w► function as designed. O Date Inspector ` r ---=_—_----_ ------------------ ---- =1 No. A 67 Fee i THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS i wi$ ool *p$tem Con.9truction Permit Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at `"7 r and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided.: Construction must be completed within three years of the date of t •s- ernut. Date 2 2 AI,9 Approved byr f �M. f FROM :down cape engineering inc FAX NO. :15083629860 Mar. 10 2008 01:34PM P1 od'- a2z "Town of Barnstable, Regulatory Services Thomas P'. Geiler,Director CS Public Healtb Divi<siOD Thomas McKean.Director �00 Main Street,Hyannis,MA 02603 Office: 509462 4644 Fax: 3US-790-630�4 nstalier d Desi�er'Certifi=Iibn Form Date: 3-/ -O Y Sewage Permit.' 0-U09' — U67 Assessor`s Maplgarcei `ZY Deci�ex': 0 t,►1�.. e i/jGGrJ IastaUer: r a G o+�. Address: Address: On $'4'� � '���` !���� wa.S issued a permit 10 install a septicstem at 07 Old eft based on a design dra-Wm by �addsess) i -,ter-e 0 ,u. G�- _ dated C Si er I certin' thzt the septic sys= referen=d above was installed subs'tantial]V according to the design; which ma)' include n3 xnor approved changes such as lateral relocation of the disL-ibution box andior septic tank.. l� I cerdfy that the septic system referenced above -was installed �xith major ch=ges (i.e. Bate;than 101 lateral relocation of,Yhe SAS o; any vertical relocation of any component of the septic system)but in accordance NA ith State & Local Regulations. Plan revision or certified ass-built by desiper to follow. of j'j/'. ARNE H 04 OJALA "-1 /;IriSIall ;` Signature} � CIVIL � No. 3tl792 — O� SSG 15 T�e'C'\t� (1�c5i�nerS Si�naiLu2} (• affix Ues2� er'S SCaTr2.g Here} PL1rASE RETUM TO BARNSTABU 1'U IC HEALTH.. WNISTON. CERTIFICATE OF COMPp lAN E WTLL NOT m ISSUED. UNTIL 0 TH T131S FOPM ANTS AS-BUILT ARD AR REC IUD BY THE ARN TABLE PL.BLT HEALTH pIN'IS1ON. THARK YOU. n•��at,t,lSemicJT�esiCner Ccnifieatibtt Form 3.26-04_6oc SENDER •MPLETE THIS SECTION COMPLETE • ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si ure item 4 if Restricted Delivery is desired. /'_X__❑Agent ■ Print your name and address on the reverse Addressee so that we can return the card to your,,,. g ecelv€d ! " I * 1 F�` ;1 L t J :w b(Printed ame C.� e Of eery ■ Attach this card to the back of the mWI01ece, { or on the front if space permits. C " - 1. Article Addressed to: l?" L ^ ! Is dleliyery.address different from item 1? O es 1 I °- + IVY6,e4J delivery address below: ❑No �e,(\C��J ;i 10,4 1k(. C OM M S j\N:A\%j 1 O Z V a %OInsuredMall pe d Mail ❑Express Mail ered A Return Receipt for Merchandise ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7005 116� aoao 0191 �386 (Transfer from service labeQ PS Form 3811,February 2004 Domestic Retum Receipt 102595-02-M-1540 UNITED STATES.,P=AL.S1R�(10E �;y:$?t JG ✓,)4 w�.` r�? ��M.':h. Y J �4�1'�C�<I�Y�V�d�T.....w�.�� I 7,.�,� �.>n"i`G' f E S- t • Sender. Please print your name, address, and ZIP+4 in this box,, I I Q Town of Barnstable M•p;e Health Division 200 Main Street I Hyannis,MA 02601 i I I I I I I yppTHE T � Town of Barnstable Barnstable �ti 1 AMMMicaCity �. Regulatory Services Department y BARN BLE, MASS. Public Health Division 9�pA s 6 T 9 0� a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 — Thomas F.Geiler,Director FAX:, 508-790-6304 Thomas A.McKean,CHO January 30 2008 Dennis Pendolari 27 Olde Homestead Marstons Mills, MA 02648 �` o b ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 27 Olde Homestead Road, Marstons Mills was inspected on December 24, 2007, by Robert Paolini, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system FAILED under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: Stain lines above distribution box and over inverts in leaching pit. New leaching needs to be installed. You are ordered to repair or replace the septic system within Two (2) Years from the date of this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF T E BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health CERTIFIED MAIL# 7005 1160 0000 01-91 0386 n:\SEPTIC\Letters Septic Inspection Failures\27 Olde Homestead.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 27 Olde Homestead Rd. �- Property Address en ► c��s C Owner Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important:When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move you- Robert Paolini cursor-do not .use the return Name of Inspector ` key. Capewide Enterprises,LLC CID Company Name P.O.Box 763 Company Address Centerville Ma. 02632 City/Town State Zip Code (508)428-4028 S 14454 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 in:`pection. The inspection was performed based on my training and experience in the proper function and maintenanGp of on site sewage disposal systems. I am a DEP approved system inspector pursuant tolSectioi.05.340 of Title 5 (310 CMR 15.000). The system: r ❑ Passes �yt t❑ Conditionally Passes ® Fa+1�s ❑ Needs Further Evaluation by the Local Approving Authority c.n 12/24/2007 Insp or'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. 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 27 Olde Homestead Rd. Property Address James Walden Owner Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Observed stain lines in Distribution box and Leaching Pit over inverts.New leaching needs to be installed. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 27 olde homestead rd.•12107 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 27 Olde Homestead Rd. Property Address . James Walden Owner Owner's Name information its required for Marstons Mills Ma. - 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): T❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: 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 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. 27 olde homestead rd.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Olde Homestead Rd. Property Address r James Walden Owner Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 everyipage. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board-of Health(cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool.is less than 6" below invert or available volume is less than 1/2 day flow ❑ ® 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 groundwater elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Olde Homestead Rd. Property Address James Walden Ow-ier Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): .Yes No ❑ ® 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. 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Olde Homestead Rd. Property Address James Walden Owner Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as 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)] 27 olde homesleed rd.•12/07 _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Olde Homestead Rd. Property Address f James Walden Owner Owner's Name information is requirad for Marstons Mills Ma. 02648 12/24/2007 every.page. CitylTown State Zip Code Date of Inspection 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 Number of current residents: unknown Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No. Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usa e d 2005:100,000 g ( y g (gpd)): 2006:131,000 Sump pump? ❑ Yes. ® No Last date of occupancy: unknown Date Commercial/Industrial Flow Conditions: , Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 27 Olde Homestead Rd. Property Address James Walden Owner Owner's Name information,is required for Marstons Mills Ma. 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records, Source of information: Was system pumped as part of the inspection? ❑ Yes.® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: Y ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 1986 Were sewage odors detected when arriving at the site? ❑ Yes ® No 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 27 Olde Homestead Rd. Property Address James Walden Owned Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection i D. System Information (cont.) Building Sewer(locate on site plan): 2' Depth below grade: 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 house vents. Septic Tank (locate on site.plan): 18 Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No ------------------------------------------------------------------------------------------------------------------=------- Dimensions: 1000 gallon 311 Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 26" Scum thickness 0 ' 811 Distance from top of scum to top'of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? measured 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Olde Homestead Rd. Property Address James Walden Owner Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 every 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.): Pump tank every 2 years.Inlet and outlet tees are in place.No evidence of Ieakage.Tank appears to be structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): r Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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): 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 L Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments . wM 27 Olde Homestead Rd. Property Address James Walden Owner Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cont.) 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 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, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box is Ievel.Box has one outlet lateral.Evidence of solids carryover.Stain line in distribution box indicate leaching pit'has been in hydraulic failure. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 27 olde homestead rd.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Olde Homestead Rd. Property Address James Walden Owner Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection D. System Information cont. Y (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1-600 gallon ❑ 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.Shows signs of hydraulic failure.observed stain line over inlet lateral in leaching pit.Pit has been full. 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 27 Olde Homestead Rd. Property Address James Walden Owner Owner's Name information is required for Marstons Mills Ma. 02648 12/24/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 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.): r 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map IF Abutters Map Size zoom Out 'iJ J J JIn 7T K. W14 fir? =-Saa R' f Y J 3 w„ A t , �D 20 Feet. Set Scale 1" = 20 ( Aerial Photos f•nn—inhf 900F_9007 T—Ain of Rn—Onhin MA All rinhfe—cane http:/!www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=044024&ma... 12/27/2007 Commonwealth of Massachusetts W . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 27 Olde Homestead Rd. Property Address t James Walden Owner. Owner's Name information is Marstons Mills Ma. 02648 12/24/2007 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of LP 40' 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 Card ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how 9 you established the high round water elevation: Y 9 USED:Gaherty& Miller model 12/16/94 ground water elevations.USED:Observation Well Data.USED:Technical Bulletin 92-000-01 plate#2 annual ranges of ground water elevations. 27 olde homestead rd.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 tNE Town of Barnstable �p 1p� Regulatory..Services , STABLE Thomas F. Geiler,Director `b � Public Health .Division iOrEn��°i Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office, 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts,Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the"Disposal Work Construction Permit". If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. TOWN OF BARNSTABLE LOCATION ;2`7 DLc% C -.L SEWAGE# Alb VILLAGE In- ASSESSOR'S MAP&PARCEL 51y�y INSTALLERS NAME&PHONE NO. I,��, SEPTIC TANK CAPACITY r LEACHING FACILITY:(type) (size)Ia. NO.OF BEDROOMS OWNER �7�,, PERMIT DATE: �7apoQ' COMPLIANCE DATE: 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 J)_ �slTi� r �=�� yin� ;,.f� ',. �.� ; ��� � r © � �� (�AAS�SfFS ,_ SAP NO. ' jPARCEL L 0 C A ION SEWAGE PERMIT NO. VILLAGE Vl � INSTA LLER'S NAME j ADDRESS s to tAAa r4 473 H 5 wA 5 Ij S U I l D E R OR OWNER C.e DATE PERMIT ISSUED --� I � , �� ; DAT E COMPLIANCE ISSUED �� �� 7-1 Y Z3 �zs Fizz 3 a� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..........................................OF.....PTKW .b Le, Appliration for 11ispuml urkg Tongtrnrtion ramit Application is hereby made for a Permit to Construct ( ✓) or Repair ( ) an Individual Sewage Disposal System at ...� 7 ..._.._c .� ..- .►... .p.....-C------- -------------------------------------------------------------------------------------------------- � :1.�. ... lei% L`lio -Ad es`s or rA Lev, vl l� t xo- ..................... ...... ...... P%�.... W . � � ��n Address --------------------- ---------------�=--- .................................. ----....._.....--------....--•---------------------....._....----------------.....-------......--- Installer Address �7 Type of Building r� Size Lot... i--t_.1_t�t......Sq. feet .a Dwelling—No. of Bedrooms__.____._'!' _..Expansion Attic (N') Garbage Grinder (PO) Other—Type of Building o® No. of persons............................ Showers (1) — Cafeteria (90) Otherfixtures --------------- ----------------------•---------------------------------•--------------------------------••-------------------•----------------•---- W Design Flow............ .......................gallons per person per day. Total daily flow..............:1' ................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No------�.V._.______. Width.Z ..... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter......1-_.--....... Depth below inlet__.++?...._._. Total leaching area __..__sq. ft. Z Other Distribution box (V/) Dosing tank ) / '-' Percolation Test Results Performed byWk.4�A.PWA�._..-4_.. ................ Date.._ ....................... 14 2 1 lest Pit No. 1................minutes per inch Depth of Test Pit......I'Z__......_ Depth to ground .. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --••--- -----------•----•--------------•-----,....-------.......-----......---•--•-------------....•------ ................................. O Description of Soil....................�''�_ ® �_!l$ OLl. " �1� _ 2. l� P v --•-----•--•••----•--•-•--------•----------------- ............................................ L��t�ll4l�_�NGINEER M W ��T/ LAT19N.AND C... 1FY--tN-- +TING•--------------- ......... ............. . ................to _..................... . ..... _ _ ______ U Nature of Repairs or Alterations—Answer when applicabir-HE-.SYI.TEM_WAS.INS'�0-�-�� ---- --- -------------•-------••-----•--•----------•-----------•-----------------••........................._.Arf✓OAPA1SCE TO PEM: --•----------•-------.--.-..-----.----•--•---- ----- Agreement: The undersigned agre s install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLI the State Sanitary Code—The undersigned further agrees not to place the system in operatio unt a`Certificate Compliance has been sued by the board health. Signed----- 67 / PPlicatio Approved By.. . ... .....:........ 4a.71 �.-=--->.... Date Application Disapproved for the following reasons:-------•------•-••----•-------••---••----•------------••------•--•--•----------------------••--•-----•-•_------ .._------•-------------------------------••----...---------•-------------------------....._._......----•--------------•••----•-----•------........---------------------...-------------------•-------- � - Permit No.... �..`_._ -! Date-----...•---------------- Issued.....----------...........----•--•-------. ------ Date - - A 4-�' /S Z_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..... I , .......................................... .. . .. .�`. �...............................-•-- Appliration for Disposal Works Tonstrurtinn rtrutit Application is hereby made for a Permit to Construct ( /�or Repair ( ) an Individual Sewage Disposal System at: a,n��s eQ-�1 o atio Ad s or Lot No. # ( �., � .�, �. '-�-............................ ................ ---- . ---- - Own D .Address Installer Address Q Type of Building Size Lot.... �.�_.! .....Sq. feet U Dwelling—No. of Bedrooms_____________--.jj_..._._........._ _Expansion Attic (,,.Jo) Garbage Grinder (NL)) pa,, Other—Type of Building ..(,J_o d.�l..__..... No. of persons.............•.............. Showers (Z) — Cafeteria (gyp) Q' Other fpxtpres .--•.....----•-...... W Design Flow............ .......................gallons per person per day. Total daily flow............. �� ................gallons. WSeptic Tank—Liquid'capa --------gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width..._. ------ Total Length................._.- Total leaching area....................sq. ft. Seepage Pit No._._..1_--.------_. Diameter._..._)2.__..... Depth below inlet._.+���...... Total leaching areaZ.4�......sq. ft. Z Other Distribution box (�) Dosing tank ) CU r tJ (- C S� G //8 to a Percolation Test Result Performed by---- -------- - ----- - -- ---- ------'-----•---------------- Date--- � l....._............_.... a Test Pit No. I................minutes per inch Depth of Test Pit......J:�......... Depth to ground water....... ........... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •-•--•--•-••-•--------- ---•-••-•---•-•••----------------•---•----............-•-•-•-•---------•---•••----------•------• ...--- O Description of Soil-----•-•-••-----•- �� �` U..P1�z�-� f 2 �. R.1.4�J"i__SA.If�. ........I•-----------------••---•-•••••-•-••••••••••--••----------••-•-•-•-•--••••-••••--••...--•••----•••-•••---------•-•-••••------•--•-----•-•••-•---------------•••--...........-•---•......•_..... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agr s o install the aforedescribed Individual Sewage Disposal System in accordance with the provisi is of iITL i� the State Sanitary Code— The undersigned further agrees not to place the system in operatio un a`Certificat Compliance has been i sued by the board health. j 1 Signed..... . ...r1�c.—tI -`�-��..... .................. •.... pplicati Approved By... `.....u .• .�.! .. (J t ED Application Disapproved for the following reasons----------------------------••----•--•---------------•-----------------------.....-----..._................----- .....................•-----•-•----•••-------••-••----------•-•-•--•-•••---•••....--------....--------•-•-.......•-------•---------------.....--••....-••-••---•-------•-•--•••----............_..•------- Permit No... �7_�..' ��' Date ------•---•-----•..................... Issued-..................................................... - .. Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OAF HEALTH .............. ...........OF............�jw-LY`...................................................... Tntifirate of Toutpliatta THIS IS TO CERTIFY, T at the Individual Sewage Disposal System constructed V�or Repaired ( ) by..... -.....a 1-.i --...... ...--.. -- ----------------------------------------------------------------------------------------------•- l t( . Installer at.............................................. ---_---------- n' _`:_.: ....................................................... has been installed in accordance with the provisions of T 5 Qff The State Sanitary Code as described in the application for Disposal Works Construction Permit No•.�-----(.o7.-�........ dated- 0.....---•................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............... ........................................... Inspector....T'�.-- .............................................................. THE COMMONWEALTH OF MASSACHUSETTS T / BOARD OF HEALTH N0.6�? ..........�.�.....�..L`� `............O F..........G S :7 s. ........................................................ — ov 2 !'-7 6 FEES..._--•--........ Disposal Worts Tons �rtuan rrutit Permission is hereby granted........1....:s...._.._.___ �..C .._.. .._.. to Construct 44 or Repair- ( ) an Individual Sewage Distp\osal System Street (,l as shown on the application for Disposal Works Construction Permit _...........�.. Date'd'7/..�4AZ............ Boar of Health DATE.----- .... `{ ` ..................... FORM FORM 125 OBB WARREN, INC., PUBLISHERS �; : SITE PLAN SHE£r I,OF 2 SCALE: l z j ti .26 171�4�7f� \ , b,7 i 1, ^ _ IV l U tug 1� h7' a 1 Q 9Z �14, o_ r? 90 g2, --` ---=---` - A�vU�JD -- I I N Of ` WILLIAA! YbARtNIrK �;�/. '� ClS(Ee<�' .REGISTERED LAND SURVEYOR FOR r�Y�J' D pJ U L D I tiJ L� L�'►�Zloo►-D I-�aM��i�"�D o�I�� ZONE R M A•1Z 5'rofJ'i M l L L S I M AI PLAN .REF: oUT or- MAP 9'3 DATE JL)L.`( l o/ tg.$(v BENCH MARK DATUM)g 2g? NA�, 1_ D z%TLLA WM. M. WARW/CK 8 ASSOC., INC. DOMESTIC WATER SOURCE 8OX 80/ - NORTH''FALMOUTH FLOOD ZONE. E0LJ - NA-I-A-L7=D �G MASS. 02556 - (6/7) 563-2638 v LEACHING BASIN SECTION NOT TO SCALE shcc,I 2 07-1 2 24""C./.MH COVER y'y EARTH FILL BRICK AND MORTAR COURSES AS REOD• TO BRING " _ COVER TO GRADE 411 LE 1B FLOW LINE l/"TO l WASHED PEASTONE FREE Of.IRONS, B �1" PIPE FINES AND DUST /N PLACE OPENING WITH 4%g 14'" TO 1/2*WASHED CRUSHED STONE FREE OF :I 3• '• OUTER DIAMETER IRONS, FINES AND DUST IN PLACE AND 1314" INS/DE 0/AMETEK 1. CONCRETE TO BE 4000 PSI 28.DAYS L�AG+I• plT 2. REINFORCED WITH 6"x6° NO. 6 GA. W.W.M. 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS 1 1 6" �! o". 4, NUMBER OF PIT 4 0 � ---� 1 3 —� S REQUI RED.OIl1 j?� MIN 1 IZ NOTE: EXCAVATE TO ELEVATION EFFECTIVE DIAMETER (NO _ �R T TO EXCEED 3 TIMES EFFEcr/vE DEPTH) LOWER AS REQUIRED TO REMOVE ALL WATER TABLE LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN TYPICAL PROFIL E GRAVEL TO DESIGNED GRADE. /B"STD. Lr. WGT. C.I.MH COVER �3•y •. %3 0 3.0 .o 4" .PIPE 4"B/T.FIBER PIPE C.I T/GNT JOINT OUTLET LEVEL DWELLING FLOW LINE TO FIRST JOINT r�- - /4w / O OO 1 10 O0 1 �ry0 ,vci. TEE g°17 90� t 1iiaooloc ii 11 � To. PRECAST CONC. °JO.(o D/Sr. BOX TO BE �f0 Op I 0 0 O O O 1 1 i , (�GAL.SEPTIC TANK. INSTALLED ON LEVEL 1 1 100 00 0 1 11 1 11 100 00 I,1 1 STABLE BASE g j: _ ••. 111 100 00 i 1 1.1 ysEPT/C TANK To BE 1 1 1 0 0 0 00 1 11 1 , INSTALLED ON LEVEL, 1 11 100)0 0 1 If STABLE BASE. 1 1 1 10 0 0 0 1 1 1 1 II100 001111 LEACHING BASIN 1 1 1 Q O O O 1 1 BASE TO BE LEVEL i i 0.1 0 O O 1 1 , YGI� SOIL AND PERC. DATA PERC. RATE Z MIN. /IN. 0„ TEST PIT NO. 1 0 TEST PIT NO. 2 TEST BY : �1tLy�� } >vLD 31 r�� hrJgho�l. WITNESSED. BY 7O84 Ma IL(✓A►j M r4DIVM TEST PIT GR. EL. - SII�JD DATE; 9 $� I2� �i . 2Z.o 00 *rc70 jPWor•T*Z DESIGN DATA GENERAL NO TES BEDROOMS NO HEAVY. EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL 00 SEPTIC TANK, DIST, BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL!30GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK GAL, ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, SIDEWALL AREA Z'y GAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY I , 1977. ..LEACH-ING--REQUIRED 0o0 SQ.FT. .... ANY__CHANGES TO__J.H_IS.+P_LAN._.MU-ST...BE APP__R.O-ED._BY THE _BOARD ACTUAL LEACHING AREA OF HEALTH. SQ:FT, AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES I/41 / FT. UNLESS INDICATED OTHERWISE. JH OF Ajgsgc ' SEWAGE DISPOSAL SYSTEM o� MARTIN 'G (✓ F'� i �7 I P ti �V I L_1 4 y E, FOR' MORAN H Ii0'rZCD OLL71'G NON�CG 'E'iA�l7 G�I�/!✓ .9 l23417�Q �o FBI EQ �:�`�� 5�o I.J 5 M ►V L.5 �. M J U L m 1��40 SCALE AS INDICATED DATE i • WM. M. WARWICK 8 ASSOC., INC. BOX 801 - NORTH fAL MOUTH MASS. 02556 - t 6171 5 63-26.38 PROFESSIONAL EN61NEER t Wm. M. Warwick & Assoc. REGISTERED LAND SURVEYORS 213 OLD MAIN RD.•BOX 801 NORTH FALMOUTH,MASSACHUSETTS 02556 (617)563.2638 November 20 , 1986 Barnstable Board of Health Barnstable ,P1a . Attn : Tom McKean, Health Agent Dear Tom, As a result of a field inspection by this office on October 10 , 1986 , we found the leaching pit on lot 26 Olde Homestead Lane , Marstons Mills is located as ' shown on the site plan dated July 10 , 1986 . Wm.M.Warwick ,P . L. S . I� SYSTEM PROFILE �, H ETICCFTAPPE lt� NOTES TOP FNDN. AT EL 90.9' COMPARABLE MEANS FOR FUTURE LOCATION. ACCESS covERs TO WITHIN s" OF FIN. GRADE ( 1. DATUM IS APPROXIMATE NGVD ACCESS COVER (WATERTIGHT) TO PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE Jp•0' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING 27G SLOPE REQUIRED OVER SYSTEM 90.0 RUN PIPE LEVEL 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. a \*EXis-nNG FOR FIRST 2 0 6" DOUBLE WASHED PEASTONE 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS .TO **EXISTING 1000 + / OR GEOTEXifI FABRIC BE AASHO H- 10 $1 87.45 f 87.0 e eo GALLON SEPTIC TANK GAS ' �� 86.05' .5. PIPE JOINTS TO BE MADE WATERTIGHT. oFe6es BAFFLE 86.22 W2. ,poo86.0' 3' AT SIDES 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH ' V CRUSHED STONE OR MECHANIGILDEPTH OF FLOW � 4 2' �25' AT END MASS. ENVIRONMENTAL CODE T1TLE V.TEE SIZES: COMPACTION. (15.221 [21) $4.0' INLET DEPTH 1 p" 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO `- = BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. OUTLET DEPTH 14" m 3/4" TO 1 1/2" DOUBLE WASHED STONE Pauy's `Q a'ao I (5.3 x SLOPES (-!-7G SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Pond FOUNDATION SEPTIC TANK 23' D' BOX T LEACHING 5' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND LOWS MAP PERMISSION OBTAINED FROM_ BOARD .OF HEALTH. SCALE: 1" = 2,000't j *THE INSTALLER SHALL VERIFY THE **THE INSTALLER -SHALL CONFIRM MIN. .10. CONTRACTOR- SHALL BE RESPONSIBLE FOR ,CALLING LOCATIONS OF ALL UTILITIES AND ALL SEPTIC TANK SIZE AT 1000 GALLONS AND DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ASSESSORS- MAP 44 PARCEL 24 { BUILDING SEWER OUTLETS AND ELEVATIONS ITS SUITABILITY FOR RE-USE BOTTOM TH-1 EL. 79.0 OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO PRIOR TO INSTALLING ANY PORTION OF COMMENCEMENT OF WORK. LOCUS IS -WITHIN WP OVERLAY DISTRICT SEPTIC SYSTEM 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL- BE - REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. LEGEND SYSTEM DESIGN: 100.0 PROPOSED SPOT ELEVATION -LT GARBAGE DISPOSER IS NOT ALLOWED DESIGN FLOW: 3 BEDROCMAS O 11 0- GPD = 330 GPD +100.00 EXISTING SPOT `ELEdATION ,�82 USE A 330 GPD DESIGN FLOW 10 PROPOSED CONTOUR 83 1 -_ c;EPT Tgt�K__ ��n zGon__C�� = %An EXISTING CONTOUR M�S w�:=-- Y. .... . . ,_� , -- 100 NQ w�- g4 PAVED \ **RE-USE EXISTING 1000 GAL. SEPTIC TANK �Q� ��x ,-s5 t�8 f O ��' �._�C� 11 851 LEACHING: TEST HOLE LOGS 1 SIDES: 2 (29.3 + 10.3) 2 (.74) = 117 GPD 86y ENGINEER, DAVID FLAHERTY, R.S. SE2755-: 87 BOTTOM 29.3 x 10.3 ( 74) = 223 GPD WITNESS: DONNA MIORANDI, R.S. / 89 \ \ TOTAL: 459 S.F. 340 GPD DATE: FEBRUARY 1, 2008 IRRIGATION /// 21 A` TH- ° gyp, �' � USE (3) STANDARD "3050" INFILTRATORS PERC. RATE < 2 MIN/INCH IN FRONT YARD / �` : WITH 4 STONE AT-ENDS AND 3 AT SIDES CLASS I SOILS P# 12092 !/ ilio "r ,.•' �. GARAGE MA ELEV. APPROVED _ DATE BOARD OF HEALTH 2 •� 0" 89.0 89.3' p" A A - RFS G EXISTING zo DWELLING `i LS LS RISERS \G GAS TOP FNDN - 90.9' 0 7" 10YR 3/3 8" 10YR 3/3 '`�' METER TITLE. 5 SITE PLAN CAUTION! GAS B B SERVICE IN AREA OF ELEC OF. LS L$ PROPOSED SAS. 90 METER DECK 27 OLDS HOMESTEAD DR. . tOYR 5/6 " 10YR 5/6 , 20" 87•3 21 87.5 (MARSTONS MILLS BARNSTABLE, MA BENCHMARK PREPARED FOR COR BR. LANDING c c ELEV. = 91.r � BORTOLOTTI CONSTJ PERC '26• LOT 26 17,189 SFt TOM MATTON MCS MCS DATE: FEBRUARY 12, 2008 2.5Y 5/4 2.5Y 5/4 5% GRAVEL. . 5% GRAVEL ��,T��F�Ass�c ���oF�s9� f� 5�06 3�6i-9s�eo1 �o DANIEL yc �° DANIELA. ��u A. OJAi�'� OJALA CIVIL down cape en in ee�in in c. nl�.�OsaO No.�soz ' P 9 9� 120" 79.0' 120" 79.3' �' � r ' ��N ss� `�r r veR `�w CIVIL ENGINEERS NO GROUNDWATER ENCOUNTERED Scals:l - 20 LAND SURVEYORS A_ 939 Main Street - YARMOU THPOR T MASS. 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E.,- P.L.S. DCE #08-022 - 08-022 BORTOLOTTI-MATTON.DWG (DDF)