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HomeMy WebLinkAbout0636 RIVER ROAD - Health 636 River Iiad _ Marstons Mills w-•: A= 061 - 156 p 1 i zt 21 2015 23:31 Jim The Inspector Man 5085349919 page 1 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ' 636 River Road Property Address David Zelnik Owner owner's Name information is � required for every Marstons MILLS r MA 02648 10-21-15 page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms tj11tttulnprrr on the computer, ``\` �j t f j 22 ���� jH OFA4. 1i,� i use only the tab 1. Inspector: �r�� key to move your cursor-do not James D.Sears JAM.ES ;m- use the return Name of Inspector :y Y * . *` �� Capewide Enterprises,LLC V-11 Company Name r FTiFt` �� 153 Commercial Street ���'��� 5 INSp�G������\ Company Address Mashpee MA 02649 Cityfrown State Zip Code 508-477-8877 S 1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Falls ❑ Needs Further Evaluation by the Local Approving Authority d� 10-21-15 Aspec2ZrVS=nature 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. 'Lv V� ' t5ins•3/13 Title 5 Otfcial Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 i i Oct 21 2015 23:31 Jim The Inspector Man 5085349919 page 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 P Y ry 636 River Road Property Address David Zelnik Owner Owner's Name informa for every tion is required Marstons MILLS MA 02648 10-21-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cost.) 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 16.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system is a 1500 Gal. Tank D Box and two leach trenches. 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): thins•3113 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Oct 21 2015 23:31 Jim The Inspector Man 5085349919 page 3 Commonwealth of Massachusetts . Title 5 Official Inspection Form b Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owners Name Information is required for every Marstons MILLS MA 02648 10-21-15 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3113 Title 5 official Inspection Forth:Subsurface Sewage Disposal System•Pape 3 of 17 I I Oct 21 2015 23:31 Jim The Inspector Man 5085349919 page 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owner's Name information is required for every Marstons MILLS MA 02648 10-21-15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fall unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth inempWAmi is less than 6" below invert or available volume is less than Y2 day flow Z/9CIIIAPC t5ins•3/13 Title 5 Official Insp ection Form:Subsurface Sewage Disposal Sy@tem-Page 4 d 17 I Oct 21 2015 23:31 Jim The Inspector Man 5085349919 page 5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 636 River Road Property Address David Zelnik Owner Owner's Name Information is required for every Marstons MILLS MA 02648 10-21-15 page. Cityfrown State Zip Code Date of'lnspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the.last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria Indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 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 Net of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 -Title 5 DRclal Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 'I {I I I` J L — I Oct 21 2015 23:31 Jim The Inspector Man 5085349919 page 6 Commonwealth of Massachusetts Title 5 Official Inspection Fo rm lug Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owner's Name information is required for every Marstons MILLS MA 02648 10-21-15 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located•on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or trees, 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 based on 310 CMR 15.203 (for example: 110 gpd x# of bedroorns): 330 t5ins-N13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 6 of 17 Oct 21 2015 23:31 Jim The Inspector Man 5085349919 page 7 Commonwealth of Massachusetts WIDE Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 636 River Road Property Address David Zelnik Owner Owner's Name information is required for every Marstons MILLS MA 02648 10-21-15 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system is a 1500 Gal. Tank D Box and two leach trenches, Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (include laundry system inspection• ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): 2013-47,000Gals 2014-42,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): { Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System Page 7 of 17 I Oct 21 2015 23:31 Jim The Inspector Man 5085349919 page 8 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 636 River Road Property Address David Zelnik Owner Owners Name information is required for every Marstons MILLS MA 02648 10-21-15• page. City/Town 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: 07-10-11-13 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3r19 Title 6 official kispection Form:Subsurface Sewage Disposal System•Page 8 or 17 Oct 21 2015 23:31 Jim The Inspector Man 5085349919 page 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owners Name information is required for every Marstons MILLS MA 02648 10-21-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2013 Permit#2013-379 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 34"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): The pipeing1 is 4" PVC SCH 40. Septic Tank (locate on site plan): Depth below grade: 22' 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: 1500 Gal. Precast H-10 Sludge depth: 2" i5ins•3113 Tdle 5 Officlal Inspection Form:Subsurface Sewage Disposal System Page 9 or 17 Oct 21 2015 23:31 Jim The Inspector Man 5085349919 page 10 Commonwealth of Massachusetts up Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owners Name information is required for every Marstons MILLS MA 02648 10-21-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 1„ Distance from top of scum to top of outlet tee.or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Asbuilt-Tape- Plan Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): Tank at working level. Tank at 22" below grade. In and outlet cover's at 8". In and outlet tee's No sign of leakage or over loding. 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 ISvns•3113 Title 5 Official Inspecion Form:Subsurface Sewage Disposal System•Page 10 of 17 Oct 21 2015 23:32 Jim The Inspector Man 5085349919 page 11 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owner's Name information for is required for every Marstons MILLS MA 02648 10-21-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage. etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): i I Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No j t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 d i f Oct 21 2015 23:32 Jim The Inspector Man 5085349919 page 12 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 636 River Road W - Property Address David Zelnik Owner Owner's Name information is required for every Marstons MILLS MA 02648 10-21-15 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 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 16"x16"-40" below grade wlcover at 1'. Box is clean and solid w/two lines out. No sign of over loading or solid carry over. 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.): t 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: 16ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal Syatam-Page 12 of 17 Oct 21 2015 23:32 Jim The Inspector Man 5085349919 page 13 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owners Name information is required for every Marstons MILLS MA 02648 10-21-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number. ❑ leaching chambers number: ❑ leaching galleries number: ® Teaching trenches number, length: 2 @ 32 ❑ 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.): Leaching is two trenches(32'x 3'w x 2' D)4" Pert. SCH 40' Pipe. CK D Box-camera out lines and ck inspection port. No sign of over loading or solid carry over. No sign of holding water. Vent and inspection port. 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 Indicadon of groundwater inflow ❑ Yes ❑ No J 15ins•3113 Title 5 Official Inspeclon form:Subsurface Sewage Disposal System Page 13 of 17 i 3 i Oct 21 2015 23:32 Jim The Inspector Man 5085349919 page 14 N, Commonwealth of Massachusetts 113 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owner's Name information is required for every MarstonsMILLS MA 02648 10-21-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): 1 151ns.3113 Title 5 Officlal Inspection Form Subsurface Sewage Disposal System-Page 14 of 17 Oct 21 2015 23:32 Jim The Inspector Man 5085349919 page 15 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owners Name information is required for every Marstons MILLS MA 02648 10-21-15 page. Cltylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet, Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately f3-1 f -a - 3;'r Q 3 9' Old 5 f� T 9- y=pop t MEIVT t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage P p Disposal System•Pape 15 of 17 i I i 1 Oct 21 2015 23:32 Jim The Inspector Man 5085349919 page 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owner's Name information is Marstons MILLS MA 02648 10-21-15. required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells 0 N Estimated depth tofhigh ground water: 1 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: 9-19-13 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: T.H.on Design plan 9-19-13 no G.W. at 10'+. Bottom of trench at4' below grade. Bottom of trench at 6'above T.H. Depth. l Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 i I I Oct 21 2015 23:32 Jim The Inspector Man 5085349919 page 17 4 Commonwealth of Massachusetts We 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 636 River Road Property Address David Zelnik Owner Owner's Name information is required for every Marstons MILLS MA 02648 10-21-15 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins 3113 Title 5 Olricial Inspection Forth:Subsurface Sewage Disposal System-Page 17 of 17 FROM :down cape engineering inc FAX NO. :15083629880 Oct. 09 2013 10:18AM P2 -F. -lU L IZ ew u llatu.ry Services 71no uia McKean,,Directer 200 MA 92601 Of.h.ce: MP)-962.4644 Fax: 09-790-630d InsluDer&Deskmer('ArtTkxdi9u Forw Dzl:p-- 0 4 'Smagoplerlmilt 1)egig a pr: Ad drim: AddreRs: was 1,9.qued a permit to inlaJI a, sqtic-systems.at 9l'v4-'r- 4aj 1)mitad c-n a dffip,,a drum by, 0' dated.Z.-A. Z413 (dcsi Pr) -.Jz'T'-Ce-b'-ry Lit tho, septic system.referenced above was limluilk6 5u175'W133.17 according tc the design, w1dolL zaey include rnffim-approved changes s oclL ,).r lsferal.-alocation. of lb.o, di,-uibunon box.curl/or-septr ta.,iik.- 1 tb,&L C-It S67 above- was in.-Ulud wil m4jor (,baagf-s (ix, preatu thdn i0' lffmTal relouzLiori dthr,SAS a aL-y relocatien of-.I.ny-cumpona.n.t of the st;)Llc,system)but in,wxudamm,W'.ffi,S-L*�&.;&Loc,:91 Re.-m.ilati.r.mis. Pwisiou or folln-w- -jj�OF 4fq OANIRA.. OJALA CIVIL No.46502 OIST 'L /DN �rlr �LRR�TTJRN' TO RATUM--g �PL�. MajjC HEAU111 DIV1810M .(-,9RTM.0M OF 'T TNTU., RQTH e0b rULIAllQLLW.U,L rTQ-L fffur 1'�RITUJ T T.FlTq F0PK_.AflD A�,.WTJ CARD AR.E.. PI - fCL TKII, TEM)NI rerlificaton Fma 3.26-04.dor. TOWN OF BARNSTABLE `LOCATION Ri'ver RJR SEWAGE# Z013- 3'79 VILLAGE "fry, r i 1)5 ASSESSOR'S MAP.&PARCEL G 1 - SG INSTALLER'S NAME&PHONE NO. *Z EAg,ctycL4 yeQ 4i71- DGS3 SEPTIC TANK CAPACITY z000 cam,j LEACHING FACILITY:(type) 'I e)+t S (size) Z x 3 x 3 Z NO.OF BEDROOMS 3 OWNER QLVNoor% PERMIT DATE: 9-30.13 COMPLIANCE DATE: JO -Z-13 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 ore: 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 AI -2.6'3 AZ- 32' Bz• 39 A3. 1 LI ' Fran-1 03. Ay- 1 0® 3 3 0 �0 Town of Barnstable P# Department of Regulatory Services u F Public Health Division Date � 0�0 l� 200 Main Street,Hyannis MA 02601 Date Scheduled ` � 0 I /l Time l �h ]Fee Pd. ,soil Suitability Assessmentfor e e s © ' Performed By: / Witnessed LOCATION& GENERAL INFpRMATIO Location Address / � ve�.� Owner's Name r,-koo /�"n r '/ r Address Assessor's Map/Parcel: /�� Engineer's Name �o w t'`- e NEW CONSTRUCTION REPAIR Telephone Land Use: ,, Slopes(96) "10 Surface Stones Distances from: Open Water Body O U" possible Wet Area Z0 CR Drinking Water Well ft Drainage Way ,e - ft Property Line _ & ft Other ft SIMTCH:(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands•In proximity/0S) `-mob �a 90 W`m d A ' KV7 x Parent material(geologic) Depth to l30droekC1 r Depth to Groundwater. Standing Water in Hole: U N Weeping from PI Fncc Estimated Seasonal High Groundwater Method Used: DETERMINATION FOR SEASONAL IIIG' R WATER TABLE Depth Observed standing in obs.hole: _ 0/1� In, Dep[lt to 5oii It�otties: J U/�/� jtt, Depth to weeping from side of obs.hole: / d In, Oroundwater Adjustment F. Index Well# Reading Datc: . Index Well Leval Adj,factor.,,,,.,-,._ Adj.GroundwaterLevei , PERCOLATION TEST bake T u s Observation Hole# Tima at 9" Depth of Perc (O Tlme at G" Start Pre-soak Time @ V i I Time(9"-0) End Pre-soak Rate Mln./Ioch _ L I/ Site Suitability Assessment: Site Passed S1tg Failed: Additional Testing Needed(YIN) Original: Public Health Division I Observation Hole Data To Be Completed on Back--- --- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to begiuniug. Q:\S EPTICPERCFORM.DO C G ' n DEEP•OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, gliuisteripy, %'Gravel) 606 Yoe -z (0 -/ C DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o sis en, %Cave LS I Z� DEEP OBSERVATION HOLE LOG Hole k Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o i tc c t3 c ]DEEP OBSERVATION HOLE LOG Hole.9 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders, Consistency e T+lood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No._'____ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? '�` If not, what is the depth of naturally occurring pervious material? Certification I certify that on o'e" q (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in�10 CNM 15.017. Signatur Datb QAS.EPT'1al`ERCP0RM.D0 C r No. 00 h dT7f Feet 10�� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplitation for ]Disposal *psteiii Construction 3pPi mit Application for a Permit to Construct( ) Repair(vf Upgrade( )_ andon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (Q 3 6o l iPam(_120a[D t ner's Name,Address,and Tel.No. 502-9 2 0-37 � Co I I�a�c�f Assessor's Map/Parcel n►5 con .5 t Q Installer's Nam ,Address,pd Tel.No. §09 Designer's N Address,4Tel.No. .50q-362• y541 13+A �X �17D w n nq n ter n Type of Bu'ding: 2 7` Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) A5 0 gpd Design flow provided �"'1 gpd Plan Date 9120113 Number of sheets Revision Date Title Size of Septic Tank 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 Certificate of Compliance has been issued by this Boar ealth. Si Date q'24'13 Application Approved by Date 113o f 7—.3 Application Disapproved by Date for the following reasons -------------= Permit No. -- ------__-----_____----Date Issued -�{�3o�ZDi3=--,--___.______-____---_---___----- No. 2_0 l � :37 ��t j..., Fee^'�0v°v Entered in computer: Y THE COMMONWEALTH OF MASSACHUSETTS P PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes lk 2pplication for j0i9posal 6pstem Construction j rmit Application for a Permit to Construct( ) ;,Repair(-I Upgrade( )• 1 andon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 65,3 264(D M'! Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ` � o 1 n Installer's Name,Address and Tel.No. �c�, ' '��-T Designer's Name,Address,and Tel.No. --LlI(7c� J�� �X� vi h r Type of Building: �7 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) 1 Other Fixtures Design Flow(min.required) U gpd Design flow provided Ll gpd Plan Date (��!113 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil A Nature of Repairs or Alterations(Answer when applicable) 1 i - Dale last inspected: r Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in j 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-o ealth. S' Phi "?� Dates g "Z 9 15 1. r Application Approved by Date; �l(30 �3 Application Disapproved by Data' for the following reasons i-' Permit No. ;?Of3- 339 Date Issued q l3or Zo!3 Xf r+# THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance ::THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( � Upgraded( ) ' _7 Abando/n_ed( )by I-) at 1113� �►f'�{. �,(_p (] has been constructed in accordance with the ptovisl ns+of Title 5 and Pe for Disposal System Construction Permit No.42-4—3-M dated `t���;!03 Installer (` 4 f' 'j (i Designer ( Vim' ( �;1 ti i—1"� 5 L f) I 1 4 �11 bedrooms Approved design flow �.., pp g 33 it1 gpd 1 The issuance of this permit shall not be.construed f a guarantee that the system will lSon z designed. /`! �/ ) 1 �/ i,+ Date (�/, Inspector /rit -------------------------------------------------------------------------------- ------------------------------------------------------ No. Fee fo(� THRCOMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction permit f Permission,is hereby granted to Co struct( ) Repair( ) Upgrade( ) Abandon 3 ( ) System located at (F �P a 1\1 1 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. s i Provided:Construction must be completed within three years of the date of this permit. Date 9 /3 O Z O 13 Approved by ' l �I LOCATION ��� /t -e A,SEWAGE PERMITa �N0. VILLAGE INSTALLER'S NAME a ADDRESS �a i N 2 (4 Qc( I U i L D E R OR OWNER G, DATE PERMIT ISSUED DA T COMPLIANCE ISSUED h - t ,: 1 3G `�� ��3�`��� // �:],, :%" ,, .,.E rr,. - I r'. ��w V �•f f No................-...... Fas.....�d--- "$HE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF.............................. ...... ApplirFa#iun for Biopuoal Workii Tour rur#iun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..La; Z���..._ y�s c tex?, t---(y _.T�s. � s... Location-Address or Lot No. B�41 .................................... Owner Addr............................................... ess a ®[�c1J. ----------- ------------------------------•------------•-•----•-••------.-----------------•-•-••-•-••••--.. Installer Address U Type of Building Size Lot.Z:I'L....&4 q. feet Dwelling—No. of Bedrooms..........3-------__.__••----------------Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building ._.._....._ No. of persons............................ Showers YP g ----------------- P ( ) — Cafeteria ( ) Other fixtures - W Destgn Flow____� �-3.....:.....................gallons per person per day. Total daily flow......3,5 0---------__-- ............gallons. WSeptic Tank—Liquid capacityt��V..gallons Length................ Width......_......... Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total,leaching area....................sq. ft. Seepage Pit No........ _.-........ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -•---------- ------•-•-••......-- -•--....-••-----•••--•----.....•----._...---------•---•••-•--••----•----•-•-----------•------------••----............--- O Description of Soil..................... v .......................................-................................. W VNature of Repairs or Alterations—Answer when applicable............................................................................................... . ------•--•----•----••-••-----•-••.....•--------••-•-------•--------•-•------•---•.....................••--...-----------•-••-----•-------•--•-•-•••••------•-••-•-•••••----••-----•-----------•-•----••- Agreement: The undersigned agrees to install the aforede ibed Individual Sewage Disposal System in accordance with the provisions of iITI, 5 of the State Sanitary o — The ndersi ned further grees not to place the system in operation until a Certificate of Compliance has ben ss by e b r of hea Signed..",....— :. ApplicationApproved BY........-- •------•�•--•------------------------------•--------------....--------•--•------- .................... ................. Date----------•--- . Date Application Disapproved for the following reasons---------------•-------...._..----------...--------------------------------------•--------------•-----........... --------•-•-------------------------------------------------------------------•------••-••-•--••----•••----....----------•-.-•-----------•-•----•-................................................... Date L Permit No. "' C �/ ---------------- Issued.......................................... �'� No................_y.:..... Fns......... . -X....... • •THE,COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ..........................OF...-.......-............... A pliration for Disposal Works Tonstrnrtiun nmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Lo T" I/JtSTc C3c`? i/ 1 P, e, c I�?�u - ------------ Location-Address or Lot No. L.[!j.*,t&......Cr9.f1.0 uK.................................... ..........--..................................................................................... �, 4 Owner Address •==91--=—'-•----`l �i.a 0?5.................•-----............------......-•-•--............. •-----•-••-----------......................•............---•-•---................................. Installer Address Type of Building Size Lot2.t3 -._..&.'iQt}Sq. feet �. Dwelling—No. of Bedrooms.........3..............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of persons....................... Showers Q, yP g -------------•----------------------------- --.- ----- ( ) -- Cafeteria ( ) QI Other fixtures ._._ WDesign Flow....!Y--Jd_3.....:......................gallons per person per day. Total daily flow._._._ ...........................gallons. WSeptic Tank—Liquid capacity .0_-gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......./........... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................lninutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•-------•-----------------------•----•----••-••-------- .....------••-•--------......----------•......................................................... DDescription of Soil....................--- -- r l''_:./."' ...--•-------•-•------•--••----------•----••---------._..._.. .......................................•:......................_..........1J................---.............._..............._................_........................................................_ W UNature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------•----•------••-----•-•--------------------------••--•--------.......--•-----•---......-------------------------------•--•-------._...------------------------..........-••-...._. Agreement: The undersigned agrees to install the aforede ibed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary o — The ndersl ned further agrees not to place the system in operation until a Certificate of:Compliance'iias lie. n issL by he b of health Signed , .... ----- /. I Date Application Approved By•...... -f ---A•-------------------------------- Date Application Disapproved for the following reasons:-•--------------------------•----•------•--••----------•----------------•-•-------............................. ....................•-------...----......---•-------•----------..........-------•-------.......------....--------------.....--•-•----•-----------------••-----------•-----•-•-------•--•-----•-••---•--- Date Permit No...... .... ... ' ..................... Issued....................................................... Date �1 i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF......... . ......................................................................... Trrtif iratr of Tuntplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (*-I or Repaired ( ) Installer at. ----------•••----•---------------- -- -----•---------------r------0 ..t........................................................................................------ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction .......... dated ___-_ '. ` ................. THE ISSUANCE OFTHIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................:.....:_ /0 - Z-� ' A . . -•-•-....------•------•••---•-•----- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH r, ...........0F.. lf"f,it"111'ee`- ..........................•---............_......................... No....::_�.=.......:.. FEE........................ Disposal Works Taanstrnrtion rrmit Permission is hereby granted...........:X_.A....... f_ Ie_ ...................................... to Construct ('/) or Repair ( ) an Individual Sewage Disposal System at No....----- ` f �csl t/c �"'/ /Y t<-s %e.3' .............••••-......----•-.. -----------•----------•---•--•--•--•-------•---••--•--------•----•--•---•••--..-- Street »� as shown on the application for Disposal Works Construction."Permit No.......... ..... Dato. _ 7" 7 -------------•.----....._.... .. _---- ----... .•--_-- Board of Health DATE. -----------------------••-----......---------••-.............................. FORM 1255 A. M. SULKIN, INC., BOSTON ALL SHALL TEM SYSTEM PROFILE MARKEDS WITHC MAGNETIC TTAPE OR BE NOTES PROVIDE MIN. 20" DIAM. WATERPROOF (NOT TO SCALE) COWDARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROX. NGVD Qr_ ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING \ TOP FOUND. EL. 73.0' FILTER FABRIC OVER STONE MINIMUM .75' OF COVER OVER PRECAST - 2� SLOPE REQUIRED OVER SYSTEM 73.0' 74.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. PRECAST H-10 PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRAD 4. DESIGN LOADING FOR ALL PROPOSED PRECAST RISERS (TYPJ UNITS TO BE AASHO H-M 2 o 71 .0' 4'0SCH40 PVC ,., PIPES LEVEL 1ST 2' 2" DOUBLE-WASHED PEASTON 5. PIPE JOINTS TO BE MADE WATERTIGHT. OR GEOTEXTILE FABRIC , 10�� EXISTING 14" .y 69.6 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE oa WITH TEE SEPTIC TANK** TEE 69.6f*' 310 CMR 15.000 (TITLE V.) �� Locus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 p0o000000000000000000000000000000000o00po�p0o0o0p O0000000000000 p 000000000000 69.0 00000000oS0%OOOOOOo0000000000000000000000�.0000000 0000000000*000 �o a GAS BAFFLE::: (��(�_ •1 0000000000000000000000000000000000020.0 O 000000 00000000000000 66.89' 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND m�' w0keby Rood u. 00000020000000000000000000000000oo00o00 o 000000 000000000000000 69.25' 69.08' NOT TO BE USED FOR LOT LINE STAKING OR ANY 4" PVC SET AT .005'/' SLOPE OTHER PURPOSE. �` ' •` `'` `- "''` ` ' 6" MIN SUMP ON 6" DOUBLE WASHED 3/4" - 1 1/2" STONE 12" MIN. INT. DIM. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 6" CRUSHED STONE OR MECHANICAL 4.89' >20' 9. COMPONENTS NOT TO BE BACKFILLED OR 1. ''°{ershed COMPACTION. (15.221 [21) CONCEALED WITHOUT INSPECTION BY BOARD OF m ( 1 SLOPE) ( 1 SLOPE) HEALTH AND PERMISSION OBTAINED FROM BOARD Pond E1e� OF HEALTH. FOUNDATION- EXIST. SEPTIC TANK 35' D' BOX 5' LEACHING BOTTOM TEST HOLE 2 EL. 62.0' 10. CONTRACTOR SHALL BE RESPONSIBLE FOR FACILITY G-W EXPECTED AT ELEV. 42t CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP VERIFYING THE LOCATION OF ALL UNDERGROUND & *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE WORK. NOT TO SCALE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE d CONDITIONS IF NOT SUITABLE SHALL ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 61 PARCEL 56 SHALL BE REMOVED 5 BENEATH AND AROUND THE VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE PROPOSED LEACHING FACILITY. IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR 12. EXISTING LEACHING FACILITY SHALL BE PUMPED BY HEALTH INSPECTOR AND REMOVED OR PUMPED AND FILLED WITH CLEAN PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED SAND. BY THE BOARD OF HEALTH REVISED DURING A PUBLIC HEARING HELD ON AUG. 4, 2009 3) FAILED SYSTEMS ONLY : SOIL ABSORPTION SYSTEM INSTALLATIONS PROPOSED MORE THAN THREE FEET BELOW SYSTEM DESIGN. GRADE WITH PROPER VENTING (PIPED TO THE ATMOSPHERE) ?3s.0p. AND WITH H-20 LOADING, BUT IN NO CASE SHALL THE SAS BE LOCATED MORE THAN SIX FEET BELOW GRADE. GARBAGE DISPOSER IS NOT ALLOWED TEST HOLE LOGS DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD USE A 330 GPD DESIGN FLOW ENGINEER: ARNE H. OJALA, PE, SE � SEPTIC TANK: 330 GPD (2) = 660 WITNESS: DONNA MIORANDI, RS °°• RE-USE EXISTING SEPTIC TANK ** DATE: SEPTEMBER 19, 2013 LEACHING: PERC. RATE _ < 2 MIN/INCH SIDES: 2[2 (32 + 3) 2 (.74)] = 207 GPD CLASS I SOILS p# 14131 NOTE: EDGE OF WETLAND (CRANBERRY BOTTOM 2[32 x 3 (.74)] = 142 GPD BOG) > 150' FROM REAR OF DWELLING ELEV. ELEV. TOTAL: 472 S.F. 349 GPD 0" 73.0' 0" 72.0' USE (2) 32' LONG x 3' WIDE x 2' DEEP A A - 4. LEACH TRENCHES OF PERF. SCH. 40 PVC PIPE AND STONE LS LS LOT 75 � = 32 60' 10YR 3/2 6„ 10YR 3/2 101,802 Sq. Ft. 6. ;:. y. ' pp��:....:. :;: i ':' '• : EXISTING DWELLING E E8 TOP FNDN. = 73.0' FS FS t 9 g" 10YR 5/1 g" 10YR 5/1 •' "_ ' MA APPROVED DATE BOARD OF HEALTH BRICK WALK B B t;" .-✓,., 4.58 .: 71.0 72.46 LS LS =. �+,' 6 . .1 Cn' ' ry 1C a1 67 ��M AP M�73 1.09 = BENCH MARK - TOP OF BRICK TITLE 5 SITE PLAN s 1� �19 = 73.27 '0,72 93 STEP AT LANDING. ELEV = 73.1 OF 26" 10YR 5/6 70.8' 26" 10YR 5/6 69.8' 8 39 2.22 1 ,3.40 UTILITY POLE I I ,\TH 73. 773.1 4 4 '.o - 636 RIVER ROAD 8 690 ROr"a 30 c c R ,5 ,5 MARSTONS MILLS W 4 91 75.69 10 PERC 10 / o A s PREPARED FOR PROP. VENT WITH CHARCOAL o ' i � •75.1 4 MS MS FILTER AND BUGSCREEN (FINAL ' PLACEMENT BY CONTRACTOR B&B EXCAVATION/ WITH HOMEOWNER CONSULTATION) 437•B�• CAHOON 2.5Y 7/4 2.5Y 7/4 120" 63.0' 120" 62.0' SEPTEMBER 20, 2013 - - j NO GROUNDWATER ENCOUNTERED Hj OF kiq 34 \SH OF Mq ssq ,a Ssq off 508-362-4541 fax 508-362-9880 DANIEL o ANIRLA. G A. �� o� DOJALA ��, downcape.com OJt;LA CIVIL down cape engineering il1c. �0980 No.46502 , > _ 7 goDESs\o °� s� AT G��`` civil engineers Zo-1� �Scale: 1 30 land surveyors 939 Main Street ( Rte 6A) 3-202 0 15 30 45 60 75 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 c - �3 T ` � �•`�: _ �'`_'_G/.:ems �zA f R7 - - 7 y 777W4t# -sow G / 0 f .'�.� /�'.�•,�'^ � �_V•ram ,w..�.1 ...J/'Y'��— r-''./ri „ 7 i 7/'•ate � .i W47`1=,�' -!!;*.4=AC-- X o = /ice G . � v • AP477- , . ,A/ 2 M,//. C 142 4 Z,33/ 9�/:a/�•�� Tm,:y .�-.vim. ,c--,A" QNL9 or — — G G>C-� � �t • R GAL . /,�✓Y. x 7 � . �^/`• _. 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