Loading...
HomeMy WebLinkAbout1251 OST.-W.BARN. RD - Health 51 Marstons Mills A = 125 035 I� TOWN OF BARNSTABLE ! LOCATION zerl G'sr�.•..iJly &/_ 1 `ems `/ Ab SEWAGE #,Z501 f=1?® tt VILLAGE ,��,�r,�� ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. /.�yi�+/e�i� � R/J�rid�r/ �'• � SEPTIC TANK CAPACITY /.G 00 G4 G LEACHING FACIL=: (type) raw (sG- C/,yw&4e., (size) /o 7o 'V NO. OF BEDROOMS BUILDER OR� ��.���e� PERMI TDATE:� . �Ie'y- COMPLLA NCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility r� Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by /�a�w CaO� G•r�>�,�wti4 �1'f1T/ �cQp tf� 50' s9 � LJ I 1 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r • l02 / D S�✓Mlle '-� �,��s�ad 1e �� properly Address 2i / er re�ISe0 ow aN Hers Na infomtation is required for every �y�� ------ state Zip Code Oste of Ins ctIon page. 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. knportaft`Men A. General Information S I O q Z fUmg out forma on the conputer, use only the tab 1. Inspector. f ' key to move your cursor-do not Ct►� use the return IV of Inspects �.. . �— /Vv rc-) ODgmny Name Conpar y Address 0d- �oZ • aty/Town State Zip Code 109 ago-�79d �o�� - - Telephone Number License Number `y=o "'' l t I 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 16.340 of Title 6(310 Passes ❑ Conditionally Passes ❑ Pails R 16.000). The system: ❑ Needs Further Evaluation by the Local Approving Authority Inspecto signature ® 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 gad 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. ction and under the conditions of use '*"This report only describes conditions at the time of on does not address how the stem will perform in the future under that time.This Inspection the same or different conditions of use. Title 5OMdd InspW0Qn Part SUW08W$eWNe D16paeal Stamm•Pepe 1 of 17 tSine•W3 Y V Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disp6sai System Form -Not for Voluntary Assessments /ot SL pj ✓Vl��� — f,/ �ArNs>4 /Qo� Properly Address /2✓k¢,,is h ON ner ow Hers Name �/J / Qainforrratim Is requiredforevery /4V�y/Town State Zip Cade E*a of tion B. Certification (cunt.) Inspection.Summary: Check A,B,C,D or E 1 always complete all of Section D A) System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are Indicated below. Comments: B) System Condidonaily Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass. Check the box for"yes "no'or"not determined"(Y,N, ND) for the following statements. K"not determined,'please ex ain. The septic tank is meter and over 20 years old"or the septic tank(whether metal or not)is structurally unsound, exhibits su antial infiltration or exfiltration or tank failure is imminent. System will pass Inspection if the existir tank is replaced with a complying septic tank as approved by the Board of Health. "A metal septic tank vo pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): Title 60Mcid irapselm Form Subpowa sevaegeaepow S1s1em•Page 2011? mro-ana f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form .Not for Voluntary Assessments /off Sl D s�rv�lle. — C✓ ,�rr�s�.L�. �� Address -- �2r4-e,ISe0 Ow nor Ow iWs Nam$ Information is GirS�nf l� 69d 6 �ui edforevery e. �lTown State Zip Code bwe of mpeetbn �•.. B. certification (cost.) Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) system Conditionally Passes(coat.): ❑ 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 ❑ NO(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ NO(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe($). The system will pass inspection if(with approval of the Board of Health): ❑ , broken pipe(s)are replaced ❑ Y ❑ N ❑ NO(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO(Explain below): Q Further Evaluation is Required by tho 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 mannerwhich 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 Troe501td4 ftpecftnFam SubWW9 SewepeoM"W SVem•Peg*30f 17 i9rs•W 3 I commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage)Disposal System Form -Not for Voluntary Assss7essmentt/slug 6011, Property Address /e✓"IS Z VI owner QNRes Name At �14 (� informa is tlon C•✓S 7�»�1 -- uuiredforevery 50—ownState Zip Code tote of n page. B. Certification (cord.) 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 ual to le bacteria indicates iedethatn o ottherthe rffailurre criteria are triggered. A and copynitrate ofthe analysis must to or less then 5 ppm, pro be attached to this form. 3. Other. o) System Failure Criteria Applicable to All Systems: You MUg indicate "Yes" or"No"to each of the following for hill 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 Uquid depth in cesspool Is less than 6°below invert or available volume is less than'A day flow TkeBOttldellroPwtlanFartr¢Subo%oaw6awape0jWw Slow Pap 4of17 GM 9N3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Vol unttary Assessments$ / I l�S f 4''-lam/& —W ee1,7,r4o b�C �d Ptoperty Address Ter`rc 1.re o owner oN s ����1 //1/f �� �/� Da�f G 9? J.- trfomntlon is i s required for every State Zip Code Date of mpeofen t�9e Cltyfrown B. Certification (corn) 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. ❑ L� 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. ❑ ( ny 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 coilform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provide d has that no other failure criteria are of custody must be attached to th9s form.] spy of the analysis a ❑ ❑/ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000g pd. ❑ The system Ni15. I have determined that one or more of the above failure criteria exist as described in 310 CM 16.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 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 sensitive area tinterim Wt�d Protection❑ AreaylWPA)or located � II of public water supply 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. Mo S M18l In spun F omt SuWaoe Se O DiNMd sp bm-Pape S of 17 *M•3n 3 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments LL� sj o S ,�v, t -- w led Property Address ,e✓h—e lsP✓! ner rer's NanNanf 0016 Q i fnfonretbn Is lnf ^I / ,I �T required for every atyrrow n Date of Inspection pop, C. Checklist Check if the following have been done. You must indicate yes'or*non as to each of the following: Yes ❑ mping information was provided by the owner, occupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? ❑ s 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 laid (f any of the failure criteria related to Part C is at Issue approximation of distance is unacceptable)(310 CMR 15.302(5)1 .D. System Information Residential Flow Conditions: N Number of bedrooms (actual); Number of bedrooms (design): DESIGN flow based on 310 CMR 15.203(for.example: 110 gpd x#of bedrooms): Tile S M 91 iapmunForm subariew sevege0iepaw system•PSP 8of 17 em.-3H3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal Sy`wm Form -Not for Voluntary Assessments / / / Ad Tj Property Address e✓4-e,Ise✓I Ow nor o+vner's name �l1 / 0d 6 y8 (�' y j dui edforevery Rown ����~f Ste"� Zip Code Date h�spectbn Pop. �y D. System Information Description: laoo c T-� Soo Go►�ltivt C�GW f w ���- '? o04 Number of current residents: ❑ Yes Dr'No Does residence have a garbage grinder? Is laundry on a separate sewage system?(Include laundry system Inspection ❑ Yes No/ Information In this report•) ❑ Yes G� No Laundry system inspected? ❑ Yes Seasonal use? Water meter readings, if available(last 2 years usage(gpd)): Detail: ❑ Yes 9-�ko Sump pump? Last date of occupancy: Date CommerciaUlndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM R 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Yes No Grease trap present? ❑ ❑ Yes No Industrial waste holding tank present? ❑ ❑ Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Tile$Wdd trope0lIM F ems Subou1=8 S"%9 DID Sys•Pepe 70f 77 t9i s•3M3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessment /a�S OS�ervi!le-- G,/ f z leci tr Adders Te,-/r-e,is-e-7 CW rW ON nets Name 1 /� �/� U� 6 'VA�'' Information b Gy,�S'- o 4 5 Date of MspecWn ��edforev" crown state � Zip Code ®. system Information (coat.) lase of occu t date pancy/use: Date Other(describe below): General Information Pumping Records:' P�".�- p. (.✓Inn/' Source of information: Was system pumped as part of the inspection? ❑ Yes No If yes, volume pumped: ganons How was quantity pumped determined? Reason for pumping: Type Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ overflow cesspool ❑ Privy ❑ Shared system (yes or no) (If ycs, attach previous inspection records, If any) ❑ Innovative/Altemative 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 UA system by system operator under contract El Tight tank. Attach a copy of the DEP approval. ❑ other(describe): YfUaboMdditpMftnFarmSubsONOSevrega NP°Wspgm'PBee"rr dft•9na Commonwealth of Massachusetts 19 Title 5 official Inspection Form Subsurface Sewage Disposal System Forth -Not for Voluntary Assessments lob sl OS�e✓vt l!c --C✓ 7le- Property Address nor Ow innffornutbn is ner's Name //f (O/8//3 T r aired for every n eQ Oate of� z code pa9 e. Cttyrrown State fp D. System Information (cont.) Approximate age of all components, date installed of known) and source of information: 7Tti 4 © o2i5rg -iL _ /fiet'V S/l-S c>)L90r Were sewage odors detected when arriving at the site? ❑ Yes 0 N Building Sewer(locate on site plan): Depth below grade: teat Material of construction: ❑ cast iron 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of Joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Mat of construction: concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) N tank is metal, list age: years is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: tors 3M3 Tile 50McidimpectlanFarm$UWAaasgvageDlapcWSyMM-Page 9ort7 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage gimpoml eyatern Fonn -Not for Voluntary Assessments S�ervi Property Address Te✓' e- IS e,,lCw ,y� Inffo�on Is s rtarne G��S�� �/�� /"'�f D-) requhW for every t yRovvn State Zjp�'" pate of hapeoWn D. System Information (cunt.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle f, Distance from bottom of scum to bottom of outlet tee or baffle /0/e How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural Integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): VL✓'� 1 dl d!o 1�-2�i�� a� � Q� � del r ✓I A/o 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 we of last pumping: Date t9m 3M3 Title 50rtldal b*spwkn F arm Subwime SOV49 DWpoaar Slalom•Page 10 d 1T Commonwealth of Massachusetts Title 5 Official Inspection Form �g Subsurface gY Sewage Di sal stem Form-Not for Voluntary Assessments Property Address /asl Os4evve /Ile, — W 1,,4 s�,CL 7e✓4—r:lje4 ON ner AM WS Name 4o A4 0- -`q'v 6 infonn"n Is a✓5 ✓rf S required for every CrtylTow n State Zip Code Date Inspeotlon pop, D. System Information (cord.) 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 des+ 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 � nae60WdIMPWgMFWMSU�Ne$nVeDr�symm-Pap11d17 3 s t i I Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I O S 4,-l//i!'e ^ (,/ Q b Property Address Te✓4,-c lsP-0 /7� // ON ner oar Hers Name Gt✓S T� / " 1// / 'i7' 0') 6 y� Cv S LS Infomsition b wJ requiredforevery (�yR'awn state zip Code D. System Information (font.) Distribution Box of{resent must be opened) (locate on site plav� Depth of liquid level above outlet invert Comments (note if box1s lei and of bdistribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or A/D S o!I As A/O k-C Pump Chamber pocate on site plan): ❑ Yes ❑ No" Pumps in working order ❑ Yes 0 No" Alarms in working order. Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) pocate on site plan, excavation not required): If SAS not located, explain why: r i fi J Title SOMO l iropwdW F OrM SubWW9 SOVAUODIVO$l SrdeM•Paps 12 d 17 Ors•3M3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal Syebem Form -Not for Voluntary Assessments R j;Ry Address T.eK4,.f,Isev7 QN rW Zvv rdeeNerre infol heft Is par-requhAfaevay Cilyrrown State Zip code bat®ofinspectim D. System Information (cunt.) 30,E 10 ,c type: ( 0 �s'9 /lvh CLJ��► ��5��0-�, ❑ leaching pits number: ---" ❑ leaching chambers number. ❑ leaching galleries number. ❑ leaching trenches number, length: — ❑ leaching fields number, dimensions: ❑ overflow cesspool number. ❑ innovative/altemat!W system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Coo 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 TM960f6dd ftPw6wFamt Submurtxe SP44404SP08d symm•PW 13 d 17 dit•3h 3 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal system Form -Not for Voluntary Assessments /�.,�' QS�-e✓v�/lam -'1/✓ � � �•► 61..E �� aoperty Address �f rrit�on is 0�►r�er's(Jame lairs4ovis AN A/WQ o Smquiredforevery R�� a Zip p� Date of bspact n page. 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 sal, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): T10950MdN t mp9ctcnFWM Subsurface 8w*44Dfepoeaf System'sap$wt d n do-3N3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Dlepesal i;ystem Form -Not for Voluntary Assaacmants /off .Sl O 5 4e V111e 7 A/ /Ja✓15-4�4 lgd Property Address Te✓!�,✓IS-e h 41 innfforrration is ner ON Hers Name rs I N1 �I Ov) �f�' G �� required for every Y state zip Zip Cafe Date of Inspection page. CRyiTown D. System Information (com) 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 wwhere p is water supply enters the building. Check one of the boxes below. p' hand-sketch in the area below O drawing attached separately A-c iV,, t> /T , 1 41 - 2o dl � /y Ad - 70 /Y) A3- Ons 3M 3 Title 50Mcid inspecom F emR Subagace SeMepe olspoW System•Pape 15 d 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address Id- S-1 0 S 41/V,Ile — l 2� "'� I'ev /_cp o CW ner om ner's rrequir oreveryhformoition of✓S ^f 111 /� pry, City/Town State Zip Code We of Inspeetbn D. System Information (coa) Sine Exam ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water. feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design 0an-reviewed: Die ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked local Board of Health-explain: Xci 0.( ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe blow you established the righ� undiwater elevation: A14 1A 4/ caw Before filing this Inspection Report, please see Report Completeness Checklist on next page. 8113 Tile 50f0oid ftpwkn Form Suft0ace Snage0lap"SyMm-Pap 118 d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Volwft/ry As mantaPal" / ��H,fT�►6� Address Owner Tel-ly-elSe o Mommdon is one mquMforwe y �Wv, , ' Pop own zip OWS Nte of hspsdlon E. Report Completeness Checklist Cy'7lnsp:: Summary: A, B, C, D, or E chocked L� Summa D,_,/' Summary (System Failure Criteria Applicable to All Systems)completed E! item b*mw ion—Estimated depth to high groundwater ❑./Sketch of Sewage Disposal System either drawn on page 16 or attached In separate file mps•ar13 Tmesc ftw ImpewknFam Sub-face GftwDftp l Spom-Fape 17 d 17 r No. fi�a Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for �N.5ponl *pztem Con5tructiou Perron Application for a Permit to Construct( ' )Repair( )Upgrade(/)Abandon( ) ❑Complete System U individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's N ,Address,and Tel.No. Designer's Name,Address and Tel.No. �r� i CoIK�T DUX Type of Building: Dwelling No.of Bedrooms Lot Size M sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures keole Design Flow _53Z9 gallons per day. Calculated daily flow YL�/o gallons. Plan Date Number of sheets f Revision Date 3��" cJ Title C 6IlZ Q11 0 /Z,S Size of Septic Tank IM9 y " f Type of S.A.S. QPI/ Description of Soil f Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: r 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 Certifi- cate of Compliance has been issued b his oar o Health Signed Date L S Application Approved by �o Date Application Disapproved for the following reas Permit No. "'� Date Issued 1---- — — ---------- ---------- a No. 66 Fee I� r ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: •.. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS `~ 2pprication for Migjdgal 6pgtem Con!5truction Permit Application for a Permit to Construct( ' )Repair( )Upgrade bandon( ' j ❑Complete System ff individual Components Location Address or Lot No. f Owner'vName,Address and Tel.No. 1,75 A sess 's Ma /Parcel i Installer's Name,Address,ano Tel.No. Designer's Name,Address and Tel.No._ ysrys ry ram' k -� 36 z Type of Building: Dwelling No.of Bedrooms .3 Lot Size Za��� sq.ft. Garbage Grinder( � Other Type of Building &3 Lp4la No.of Persons- 1 Showers( ) Cafeteria( ) Other Fixtures kn*e Aa lww 1 1 DesignFlow //�X 3 - -330 gallons per day. Calculated daily flow 3XD gallons. g P Y Y Plan Date / ,5/ Z Number of sheets A Revision Date. Title - Size of Septic Tank �q �X�S /�� Type,of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issueTdb his •oacd o Health. r� a � Signed ��% ! � Date Application Approved b t/1 o � f fA�f Date PP PP Y Application Disapproved for the following reas• s/_ F Permit No. Date Issued U1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Se wa Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )byOl ✓G� � ��� .✓1 at /L .�_1 5 (�f i 10 /%lleS,1_Z�fhlj j` i? ha constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. '� dated Installer 1 r Designer r`� The issuance+of this petxfiit shall not be construed as a guarantee that the system ill function as designed.. Date ! Inspector 1 /_—�/ow, ?t ! No. -----------=-------------Fee /' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 30igool *pgtem Cow5truction Erlttit Permission is hereby granted to Construct( )Repair )Upgrade Abandon ) O System located at / z�/ r�✓ �� UOI�Cv 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: Construct'o ust I e corn ted within three years of the date of thisQ�i . / �. Date:_.. Approved by r JUN-23-2005 06 :54 AM DOWN CAPE ENGINEERING 508 362 9880 P. 01 Town of Barnstable Regulatory Services Thomas F. Geiler, Director •�twuverABUL Public Health Division 16 P " Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form ou Date: Sewage Permit# 7-BOv /0' Assessor's Map\Parcel Designer: w ow e " ` A&r► Installer: -- Address: Address: �� "� , J / Qdb On 11/ "L96195 was issued a permit to install a (date) (installer) septic system at I C- W. Q based on a design drawn by (address) dated ( es er) _ I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. ZH Or MAS. ARNE W Instal s Signature) OJALA ( 6 CIVIL N No. 30792 0018 T e��Q\��w� FSS/o ��G (Designer's Signature) (Affix s Stamp Here) PI.EA§E RgJJ= TO BA ST BL P ALIC HF4ALTIJ DIVIS ON,_ CERTIFIGATIr QF COMPLIANCE W11,L NOT BE ISSUE A NTl BOTH THIS FORM-AND AEBUIL RFC41V b8`f-VMS DA NSTABLgPU LIC WEALTH )1VI ION THANK xvu. C1: FIealth/SepticJDesigner Certification Form 3-26-04.doc C � IRS-039 LOCATION SEWAGE PERMIT NO. VILLAGE Mft S`D&N t nku.S I N S T A LLER'S NAME 6 ADDRESS I U I L 0 E R OR OWNER c L�CAS l► r ��-c 1�.�5 W7 k k3 OA T E . PERMIT ISSUED 6 ® ATE COMPLIANCE ISSUER a it koT t4 No..A.3. 3S� —.j 5 Fss...�E................. THE COMMONWEALTH OF MASSACHUSETTS OTL �2 BOAR® OF HEALTH ..........................................OF......................................................................................... Appliration for Diipusal Workii T. ustrartion rami# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System&a ,.J1 ........ ................................................ tio ddress or Lot No. ....--------••--/�t� ,�.../ ------------------ 4.����.....sr....... ..0...�..t �.>ll. ..�f.� wner Ad r ss a ...........1Q.��.l� .... sf �t'_�......•---•........ ................... A �. fz_.... � ------- Installer Address d Type of Building Size Lot__cr� /_l --------S , � Dwelling—No. of Bedrooms.__...•........3........................Expansion Attic ( ) Garbage Grind '4 Other—T e of Buildin No. of ersons............................ Showers — Cafeteri a YP g P ( ) Otherfixtures ------------------------- -------------•---------------•--•-•-•--•.......--•-------------•---•---•----•••••-•••-••-----.............._..._...._•---•- W Design Flow............................................gallons per person per day. Total daily flow................ ._1.52...............gallons WSeptic Tank—Liquid*capacity./004Vgallons Length................ Width................ Diameter................ Depth-�ID.70cle.44 x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_________ ________ Diameter.....�. .. Depth below inlet.................... Total leaching area..91A....sq. ft. Z Other Distribution box ( ) Dosing tank '-' Percolation Test Results Performed by...._.... �ll4�'�. /! t�d !�!il_ .......... Date...... ,aa Test Pit No. 1. ._d2-___minutes per inch Depth of Test Pit___ r......�epth to ground water---__-_-_ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---________---------_--. R+ ... ---••--/-••----------•---••--••--••-•-•--••••--••.-----...---••---•••-•-•---•------•----•-_....--•......•••--•--•....................... ......•....-- O Description of Soil_..'.-. ...... �14y----- U _1rdlc�. a__�r1�,al-----------------•--•- - -------------------------------------=--------------- W ----••••----•----------•--------••-•-• -•---•-----•----•-••-----------------•--••--••-----•--•---------•---•------------......-------•------•---------•••-----•----------•-••------•----••-•-----•-••--- UNature of Repairs or Alterations—Answer when applicable................................................................................................ ---------------------------------------------------•--------------------------------...-•-------------------•-------------------------------------------------------------------------------•--•-..---•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITi lE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n is ued by th oard f health. ned-• --•-•... . . .............•-••-•--•-•-.•.--• -�5/�-...C..�.�.- � Application Approved B 1 i Date � Application Disapproved f o he1611owing reasons:...........................................................................................Date -•--•----•-•-•.......-••------....-••----•----......•--•-••.....-------•------•.............••••---------•-••-••----•............----•- -•-••----•---------------•••--•----••-•--•-----•--•••---....._._ Date PermitNo......................................................... Issued....................................................... PM Fmic ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................... ...........OF..................... Apphration for 11hiposal Work.5 Tonstrurtion Vamit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System pa K: --------------- Z.41X ... /a... .................................................................................................. t - ddress or Lot No. .............. .. _,. .... .................................... .................... ........ S A /,Pw.e, z_ d ................. ..... "�`1�................ .................... ,A ?Zs . ..................... Installer Address Type of Building Size Lot...'A 6, S ................. Dwelling—No. of Bedrooms................ ........................Expansion Attic Garbage Grind i Other—_Tyj5e­_;f' Building ............................ No. of persons............................ Showers Cafeteri*, ) a Other fixtures Design Flow............................................gallons per person per day. Total daily flow..................3-3 6 ............. -------------- gallons 1:4 Septic Tank—Liquid capacity./&)aagallons Length................ Width__......_.___... Diameter....._....___... Depth_5.t4� Disposal Trench—No..................... Width_...._.............. Total Length___................. Total leaching area....................sq. ft. Seepage Pit No........../-------- Diameter.._... Depth below inlet.................... Total leaching area..12.6�....sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed b3 .......... Date....._.Z' z.......... Test Pit No. L4L�:....minutes per inch Depth of Test Pit... a. ...... Depth to ground water...._._.. '_ . Test Pit No. 2................minutes per inch Depth of Test Pit__..........__..._.. Depth to ground water...................._... P4 ............................................................ 0 ;;....... ---------------1--------------- Description of Soil--- .......2. ..... ..... ............................................................... ..................... ....................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ..............I........................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has�bi s s ed by theboardof health. eded. . ... V V., .. �---4C ............................ ....................... Application Approved By......... ------- ........................................................................ ...... Date Application Disapproved for he 11owingreasons:.............................................................................................................. r 1h1i ......................................................................................................................................................................................................... Date PermitNo......................................................... . Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Tatifiratr of Tomptiatta T 1 0 CERTIFY, That the Individu'al Sewage Disposal System constructed ( --)-18r Repaired by........ .....................I.......... ........ ....... ........ -------------------------------------------------------------------------------------- T IS .10 Ins er - -----in; at.... ............... ...... SanitaryCohas been installed in accordance wfili the provisions of TITLE 5 of The State Cd s.d ribe in the application for Disposal Works Construction Permit No..ff__�12!1 .................. dated-... .................. THE ISSUANC�E OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A 2UARANTEE THAT THE SYSTEM W!1,kC FACTION SATISFACTORY. DATE... .. zi......................# Inspector............ ..................................................................... ----­--*'*"*----­---------­-----1­1 //7� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No... 100 ............................................OF......................__........................................................... FEE...tp........... 1_11T— Permission is hereby granted--.—..-- .. . ..........I...................................................................................................... to Constru or Repair V ) a di S e Dispos yst at No -A--- ------u".4. ........... '3'3 ----- 01/1 r, ................................................. Street as shown on the application for Disposal Works Construction Permit No.................. d.......................................... ......................................... .... ....................................................... B d of Health DATE....................................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERSL 0 C), 1 R t J to /8 loss G� q8' gcj,l 10� L0T Z 20, �T x o� �Esr Lcn 7 { r1 � n a� to o ! aj OF BERN ruis CIO � � M �u•1Eu-1sat� I ; � � Guy roI C bo i 28874 i o .SUIZVE' ly' �� N•,I �C7 Tf-5^^ �E�,1Or l Z ,. 6,4 12 E LEGEND :..t� �>�L^Olsr EXISTING SPOT ELEVATION _ OxO 3���,cHOFM� CERTIFIED PLOT ' PLAN EXISTING ON?OUR 0 = �� 0T Z FINISHED SPOT ELEVATION E.9 MA 9,5 7�,,�,> FINISHED CONTOUR 0 RSE 10951 IN APPROVED , BOARD OF HEALTH &' P4; ) .` S10NA� DATE AGENT SCALE: / gO DATE 4 �L- 1�rLD RED GE ENGINEERING CO. 'NOCLIENT o-S 1 CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JJOB NO. F3� BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONIN LA 3 ENGINEER URVEYOR DR.BYI A._ OF BARNSTABL I �l,ASS.—'_M 712 MAIN STREET CH. BY,. J•�'�' � HYANNIS, MASS. �S 5 _ _`ter- ,_.�' `--.__�_ . SHEET_. OF 60E LUG., LAND SURVEYOR /1107E /F E/T -Ar THE SEPTI C 7-,4,,V I< O R 20 FT. MIN �Er4CH/NG �/T ARE MORE 7-11A.,AV /2"BE40JN- :1RAOe=, A 24'D/AMETER G'0/VCR.ETL� 00fiER /N. /D tT. IH . SHALL F B GHT R X R _ e � CONCRCTP 4.PVC P/PZ �yE,4 Ky CA ST /RO/Y CO i/ER Sf/�4-L Z- 3E 41 S El0 CLC V. !o S MIN. P/TCN COVERS �8'pE,q FT. r• C•ONC.eE•TE 2J. MAN. CO VER GRAOE GLEAN .SANG � IJ/D LEVEL �'t - :i;Y:•t_i � ._. - � ,�. / LJQ / 2"LAYER CAST _ o . o ` s M. e= IRON MPE l 0 o D GAL. • • • • • • . • • ) > • MIN.P/Te:N D/ST. WASHED S72�NE Peer i r. SLEPT/C TANfC B oX e s • • • • • o • .• t _ • ° ' • • D�PTt/ • • • ► • v o WA5RAFP STONE PRECA3 T SEE.oAGE 8a x 2.5 4-70 6�� s• �.• • e e • o • • o ►•v P/T D M R A L/I V. s ►• • • • • • • s • o 0 I NNBR7r 4ffL EVAT/ONS l8 x 7 At �► G�: D/AM. INVERT. AT B!//LDlN6 9 8.5 PT. PiT cAPo+c►r( G 548 /D T FT PIAIy C SEE TABULATION INLET 3EPT/C Ti4/VK OUTLET SEPTIC?ANK GROUND y1 8TER 7i4BLE INLET DISTIL/9dIT/ON BOX 97 9 FT SECl/O/V OF' . OaTLETD/3-rwa IT/ON,mcx ` ,-7 P /NLET LEACHING F'/T 91•01 Fr. SEWAGE 015O00 SAL SYSTEM TABULATION LEACH/IVCw F'/? t�IMENS/ON A 3 �T DES/6/V CR/TER/A DIMENSION C�FT. MIN ' NUMBER OF BEDROOMS N N SOIL LOG GAR5AGZ DISPOSAL.!/NIT SOIL TEST TOTAL E.?TIMATED FL.OrV 3 3 y 92A1-.1DAY SOIL TEST A/ SOIL TL�S7-#,Z MUMMA" OF AAWAC//IM4 P/T-S •f"ELE I-EL✓ y �'" EK GATE AF SOIL TEST 7/ f S/OELEACHIM6PERPIT S Sta f'T. _ 13•� '^ R �JONE� c. RESULTS jtIITNESSED dY M 9oTTo/w 4z1CN/NG PER P/T � ". An � °^ PERCOLA770" RATO#I Liss M/N�//NCX TOTAL LEACHINCr S s° c FERCO4A"rlON RATE/k 2 �N Ml iV. INCH AREA 2.(o t' •S'Q. f•T_ 2. v RESER{�ELE.i4CH//y6 AREA Z� PT. Z 7 SAN P Y CrAvrFG- SAOFMks -7 /O ' -- Usi_ • 'rti'.J+�•?RNS7. IZ,,7_ • tM OF 23� D--d s� sirvYr� G 6% / �. A N 570n/. S /V'/ Le-, S ` a o "tp�fORSE i -+ No.10951 p M v i+J v n y 9pFGIs����a��� s o ELOREDGEENGIN ER/A/G CO,INC. F �O �frS/tST F7.0 712 MAIN ST. , VYANN7s. MFisS. rypSTS NAL NO GROUNt7 yrATLsR ENC04 VTEREO (> GROCINO Lvs�TER AT ELE1� — JOB NO: 83 0 �� SHEETS- OF �- rArr -D , _ IVQ c t�s II$ t+� t r _ ki- EL 4 t tI _ .. CD f p6 s c b u- p -54 + S co op-<-,N I _ NEB OF RCIL � s -1Ey�sti s-s-►�� TO 1�5 WO'I c�5T NA) t��.tV �Zs� rNl T2�)(Jvq sT W--s Mo 't! 60 Ir N AA CT2(6 fNRL PLAA OF ffo(aScl__ I�25 1 CAST" cj ,gWI . QZ� _fLaoz Pu I 1 00 2�G FUEL c�rJ�,rrsrn� IrJ C-I �gvTrC$4, sti�Av S �J�F9oG8�►sl LL F{�i11 S I vZ X(C) 0u1P a.ts l only 2 & k-u ��S1STI�G -� 5w+\ lb -F ��5�sT1/•1U o[ C-© aC 3 fl�s�Slrtc, Rcvw, /J Z- 1 = IFN b G LAsS 79 �zf'sksT)wn tmu- o IVY M o� 51ke� �-- AS' N14L"S 477p0wF f Y �'6"j..er 11�(,�� - ,2,�!e.( (j C.oGCED ia-T STbruu.•' r ,ol4+V IJ�L L IUItdC� (LWM OF-t t ,g £f5tST1 5 /q - i uQ SCALE: } _ ' I APPROVED�T: DRAWN BT DATE: - REVSED 9 OST w 3 AN f.D I DRA W ING N V MBER PROP. GAR SLAB AT EL. 66.5' SYSTEM- PROFILE ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) .r , TEST HOLE LOGS PROVIDE INSPECTION PORT WITHaf ACCESS COVER (WATERTIGHT) TO "6 OF FINISH GRADE LISA LYONS, IRSMINIMUM .75' OF COVER OVER PRECAST ENGINEER: / WITHIN 6"OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 65.0' WITNESS: DAVID STANTON. IRS (TH 1 ONLY PROP. PIPE' ?.EL 63.5't RACE LINE FROM GARAGE P ) ELEV. 63.8' RUN PIPE 2" DOUBLE WASHED PONE DATE: 1/28/05 I_ N eAni ( ROP. / FOR FIRST DEL ExIsrlNc 1000 / 3'.MAX. PERC. RATE _ < 2 MIN/INCH GALLON SEPTIC 62.4't• 62.4' TANK (H- 10 ) GAF 1.7' CLASS I SOILS P// RE-USE BAFFLE 61.87' �� og p p p p Q p p p C P 61.6 p CDp p ED p CD p C3 µ LOCUS GPr.oEvouN �PROVIDE MIN. 2R PIPE PITCH FROM 6"CRUSHED STONE OR MECHANICAL So p C3 CD CD ED p p p p 1 GARAGE BATH ro Exlsr. sEPnc rANX Q.. ELEV. ] ELEV. COMPACTION. (15.221 [21) - 2• pppp p p p p CI 0•• DEPTH OF FLOW 4' o ;59.6' _ 65.3' 0" 64.9' TEE SIZES: (1=2 7 SLOPE) ( X SLOPE) - '3/4" TO 1 1/2" DOUBLE WASHED STONE nO BRIDGE LS LS INLET DEPTH = 10" OUTLET DEPTH 14" 5" 1OYR 3/4 7" 1OYR 3/4 B B LOCATION MAP NTS FOUNDATION- 19' SEPTIC TANK 43' D' BOX 12' LEACHING LS "THE INSTALLER SHALL VERIFY THE 18" FACILITY LS 1OYR 5/6 ASSESSORS MAP 125 PARCEL 35 5 LOCATIONS OF ALL UTILITIES AND ALL 10YR 5/6 BUILDING SEWER OUTLETS AND ELEVATIONS 16" 63.9' G1 PRIOR TO INSTALLING ANY PORTION OF LMS SEPTIC SYSTEM 556' 2.5Y 6/4 NOTE: PROP. GARAGE 54.6' PERC C 78" 58.4' TO HAVE BATHROOM. .I 42" LMS SILT LOAM UNSUIT. RUN PLUMBING TO EXISTING SEPTIC TANK PROVIDE 40 MIL LINER 78" MOTTLES 58.8' 2.5Y 7/3 AT MIN. 2% PITCH SURROUNDING AND 5' OFF SAS_ PERCHED WATER 96" 56.9' X 65.36 ISJ•6B' - TOP AT ELEV. 59.6', BOTTOM AT C3 �c STOCK. FENCE ELEV. 55.6' ,I 2.5Y 6/4 6 � 4_ _ 120" 55_3' 123 LMS 54.6' x�F6s.4, � � _ z3,�- n+1� 6613 NOTES: . RET. WA _ - SEPTIC DESIGN: NOT ALLOWED ASSUMED .5.84 P I (GARBAGE DISPOSER IS 1. DATUM IS _ SHED 64.90 +64.39 �� 04 DESIGN FLOW: _3 BEDROOMS ( 110 GPD) = .330 GPD EXISTING yN. 65.26 +63.02 6 46 /9DDy 2. MUNICIPAL WATER IS ' � +69.28 - + 64 APPROX.DRIVEWAYSNOW LOCATION ' USE A 30 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. PROVIDE 40MILAPPROX. n• 64.95 14 330 GPD (2 ) = 660 4. DESIGN"LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 1,5' OF 40 MIL +6 7 \ ) w SEPTIC TANK: LINER, T OFF SAS, WALKWAY WALKOUT I ly USE A GALLON SEPTIC TANK R COMPLETELY 5'0 �6s. ' 1000 5. PIPE JOINTS TO BE MADE WATERTIGHT. SURROUNDING SAS. [T� ---- (RE-USE EXISTING) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. TOP AT ELEV. 59.6', ) ' 'mil LEACHING: BOTTOM AT ELEV. ! / �' ENVIRONMENTAL CODE TITLE V. 55.6'. OVERLAP EXISTING 2(30 + 9.83) 2 (.74) = 117.9 + LP / � � SIDES: 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT ENDS BY 5' 65 496 DWELLING TO BE USED FOR ANY OTHER PURPOSE. EXIST. r_ TOP FNDN= / BOTTOM: 30 x 9:83 (.74) = 218.2 \•3 T"Z (RE-U� 67.5' / ! �, 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. JoECK TOTAL: 454 S F 336.1 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 4.so 64.27 t 64 I USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 4 64.35 + 472 L ` - o AT SIDES f EQUAL) WITH 2.25' STONE AT ENDS AND 2.5' FROM BOARD OF HEALTH. 1 HOOP TREED AREA I \ 0. W 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) .EXIST. LEACH PIT HSE. Cv } TWIN 10" OAKS G�C�_ �W (SAVE) IT - - c� LEGEND +64.29 I TITLE 5 SITE PLAN 64J0 64.64 APPROX. DRIVEWAY LOCATION W 100.0 PROPOSED SPOT ELEVATION OF SHED 125,,1 OST. - W. BARNSTABLE RD. BENCHMARK - TOP OF CONC. 1000- - _ _ _� I x EXISTING SPOT ELEVATION IN THE TO�NN OF: BOUND ELEVATION = 64.7 I j1 s9 100 PROPOSED CONTOUR LOT 2 J (MAR'STONS MILLS) BARNSTABLE 20,111t SO. FT. Gj 100- EXISTING CONTOUR O PREPARED FOR: NEIL TERKELSEN ' 5'REMOVAL OF UNSUITABLE SOIL REQUIRED t ' AROUND PERIMETER OF LEACHING FACILITY, I } DOWN TO SUITABLE SOIL LAYER. REPLACE ' WITH CLEAN MED. SAND. ENGINEER TO 20 0 20 40 60 INSPECT AND CERTIFY REMOVAL ' I "` BOARD OF HEALTH - - - -- "� APPROVED DATE MA SCALE: 1" = 20' DATE: JANUARY 31, 2005 off 51311-3hR-4541 Im 508 3&2-9980 t I M OF AIDS„ clown cc e engineering. Inc. �o'� ARNE CZG� 2�w�t' OF4fq •? U H. o ARNE H c CIVIL ENGINEERS OJALA o� OJALA N: No.2634 CIVIL N LAND SURVEYORS qo �.� No.30792 / ( FE c L Z,00 04-350 939 Pain st. .ynrrlouth, rin 02675 YEv F�G/STE'G ARNE JALA, P.E., DATE r. - w t _-..� LL LL, LL _ SCALE: �� !.( APPROVED BY: DRAWN BY DATE: j REVISED y � DRAWI NUMBER I� i ----------------- iF SCALE: ti _ f APPROVED.BY: DRAWN BY DATE: �� G REVISED. Ll ,jj ds L rt JZ 1 DRAWING NUMBER y u ' Y.. - �ti e - • C4 41 e � Y y IELI ...................... ------------- ------- d APPk5VEQ:@Y; SCALE: DRAWN BY DATE: REVISED Ly f 1 5 J OS T fit) 3H41 2Z) DRAWING NUMBER. I SCALE: _ I APPROVED.BY: DRAWN BY DATE: J'� (f'� REVISED DRAWING NUMBER i ; {� �Z TO �S e d � a y Y SCALE: _ APPROVED BY: DRAWN BY DATE: 0, �. V REVISED ' 0 L OLD DRAWING NUMBER 7�j o �J , a �naJU C\4(-L ,5 i f � i APPROVED BY: SCALE: I - DRAWN BY DATE: REVISED DRAWING NUMBER 1 I - ' --- !� �� __ �. ---- ago �l f WiW PLO40 I N w -.. �. .. FRO P&5f 00cj I i" - - -- ---- ¢ ---- - i , I LA SCALE: APPROVED.BY: ;DRAWN BY �t DATE: 1 O REVISED y I rn�g DRAWING NUMBER�T rs n c v .� US SCALE: t I n APPROVEEDD}.BY: Y� DRAWN BY DATE: l.u � " REVISED : l Pr DRAWING NUMBER a f I i I I ►� it i I t, €I H i {3 9) i APPROVED BY: �r SCALE: d DRAWN BY \� DATE: S /}� REVISED r J\ DRAWING NUMBER vA t c� rAd. ,./ F d }' :1),5-6r> LjoA-D LOA- SCALE: ' ft D;RAN BY DATE: 0 O RSED ,(/V Ry-.S DRAWING NUMBER 'R t LLB. . J PROP. GAR SLAB AT EL, 66.5' SYSTEM PROFILE TEST HOLE LOGS i ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6' OF FINISH GRADE ENGINEER: LISA LYONS, RS MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 65.0' WITNESS: DAVID STANTON, RS (TH 1 ONLY) RACE LANE I a 2" DOUBLE WASHED PEA%TONE\ DATE: 1/28/05 14 PROP. PIPE s. EL 63.5't ELEV. 63.8' RUN PIPE LEVEL /� FROM GARAGE (PROP.) FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN INCH BATH EXISTING 1.QQQ_ LLON SEPTIC 62.4't* rp 62.4 CLASS I SOILS P# A �� fTA:NK (H-1 Q ) GAS61.7' 0 0 O 0 0 71S CAP7. DEYOUN gh RE-USE BAFFLE 61.87' L_� � 0 61.6' 0 0 0 a a o ED §?�� c7 PROVIDE MIN. 2% PIPE PITCH FROM � 0 CD = = ED = 0 = 0" Q E65' 0" � ELEV.64 9' GARAGE BATH TO EXIST. SEPTIC TANK 6 CRUSHED STONE OR MECHANICAL 80 2' 0 = a 0 a = = Q = 0 59.6' COMPACTION. (15.221 [2]) ,�, A ST BRIDGE DEPTH of FLOW = 4' ( 1.2 X SLOPE) ( 1 X SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE LS LS TEE SIZES: INLET DEPTH 10" 5" 10YR 3/4 7" 10YR 3/4 f E 14" g OUTLET DEPTH = B FLOCATION MAP NTS LS FOUNDATION 21' SEPTIC TANK 43' D' BOX 12' LEACHING LS 1OYR 5/6 ASSESSORS MAP 125 PARCEL 35 FACILITY 50 18" *THE INSTALLER SHALL VERIFY THE 10YR 5/6 Cl LOCATIONS OF ALL UTILITIES AND ALL 16" 63,9' BUILDING SEWER OUTLETS AND ELEVATIONS LMS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM ss's' 2.5Y 6/4 PERC 78" 58.4' k 54.6' C NOTE: PROP. GARAGE 42r ��2 uNsulT. TO HAVE BATHROOM. LMS SILT LOAM�' j f RUN PLUMBING TO EXISTING SEPTIC TANK PROVIDE 40 MIL LINER 78" MorrLEs 58.8' 2.5Y 7/3 PERCHED WATER 96" 56.9' AT MIN. 2% PITCH SURROUNDING AND 5' OFF SAS. p x X1_X SrpcK. �N --__ 51•68,X 65.3E � TOP AT ELEV. 59.6', BOTTOM AT 2.5Y 6/4 C3 ELEV. 55.6' LMS . 1 120" 55.3' 123„ 54.6' 4 SHED TO BE REMOVED X 4° NOTES: 65.41 � � 66.13 I TH1 + NOT ALLOWED ASSUMED ;., PROP. GARAGE I SEPTIC DESIGN: (GARBAGE DISPOSER IIS ) 1. DA UM IS SLAB AT EL 66.5'+65.84 � ( „� LX;3 T IivG -}64.39 �" I DESIGN FLOW: -1 BEDROOMS � 110 GPD) = 330 GE U 2'. MJh ":PAL WAT�f, !S 65.2E D 64.90 + 64 66.46 Q 3.02 REr. wA \ APPROX. DRIVEWAY LOCATION USE A 330 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. +6s.28 �s (SNOW) 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 cV 64.95 +6 7 � SEPTIC TANK: 330 GPD ( 2 ) = 660 PROVIDE APPROX. CI +65.77 w 5. PIPE JOINTS TO BE MADE WATERTIGHT. 115' OF 40 MIL .14 USE A 1000 GALLON SEPTIC TANK RE-USE EXISTING OFF SAS 5.o WALK AY WALKOUT '� ( ) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. LINER, 5 +65. COMPLETELY l r I LEACHING: - ENVIRONMENTAL CODE TITLE V. SURROUNDING SAS. / - TOP AT ELEV. 59.6', / SIDES: 2(30 + 9.83) 2 (.74) 117.9 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT BOTTOM AT ELEV. 1 EXISTING CO TO BE USED FOR ANY OTHER PURPOSE. 55.6'. OVERLAP + 6 LP DWELLING / 30 x 9.83 (.74) = 218.2 ENDS BY 5' 4.96 EXIST ST r BOTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. I rH2 (RE-USE) 1 TOP DN ' / TOTAL: 454 S.F. 336.1 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT •3 AECK/ ' INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR i 1 I FROM BOARD OF HEALTH. a.50 64.27 q, 64 o EQUAL) WITH 2.25 STONE AT ENDS AND 2.5 AT SIDES 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXIST. LEACH PIT 64.35 + 4J2 L CI,D.,` "1 HOOP TREED AREA N HSE. �yy�_ / " �W I ND I TM(SAVE) OAKS s �- LEGEND TITLE-5 SITE PLAN +64.29 ' w 100.0 PROPOSED SPOT ELEVATION OF 64.70 64.64 I APPROX. DRIVEWAY LOCATION ►� 1251 O S T• Y Y . B A R N S TA B L E R D . SHED - 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: BENCHMARK - TOP OF CONC. PROPOSED CONTOUR I BOUND ELEVATION = 64.7 Z1.5 � LOT 2 J w ( MAR STO N S MILLS BARN STABLE 9 20,111t SQ. FT. I 100 EXISTING CONTOUR PREPARED FOR: NEIL TERKELSEN t Q) E 5' REMOVAL OF UNSUITABLE SOIL REQUIRED I i' AROUND PERIMETER OF LEACHING FACILITY. 20 0 20 40 60 R DOWN TO SUITABLE SOIL LAYER. REPLACE WITH CLEAN MED. SAND. ENGINEER TO BOARD OF HEALTH I INSPECT AND CERTIFY REMOVAL I (REMOVED SOIL TO REMAIN ON-SITE) APPROVED DATE MA SCALE: 1 " = 20' DATE: JANUARY 31 , 2005 REV. 3/16/05 off 508-362-4541 fax 508 362-9880 �ZH OF down cape engineering, inc, (VilARNE H. ARiNE OJALA CIVIL ENGINEERS CIVIL OJALA LAND SURVEYORS No. 30792 �No s e � �� 939 main st. yarmouth, ma 02'675 ° (I 04-350 P.L.S. DATE i