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HomeMy WebLinkAbout0106 ROUND POND ROAD - Health 106 RouLnPond Road Marstons t 125 073�f4- - \ I TOWN OF BARNSTABLE C v LOCATION �d G Ayv'd �Q`a SEWAGE # oZDfly� 3 i+ VILLAGE Mq e-.S ton 5 A4,'11S ASSESSOR'S MAP & LOT <? 5-_ 7 INSTALLER'S NAME&PHONE NO. C• A9 j,'o SEPTIC TANK CAPACITY LEACHING FACILITY: (type) o6--nievs (size) 3 3,�X/3.2X•Z NO.OF BEDROOMS y BUILDER OR OWNER 4� r 7f` B✓� Vf k�4-"� DF.RMITDATE: 7_0_ 0`1 COMPLIANCE DATE: (b) Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by f 1 �ar •� �e✓se � p► f3 /►oDjc c.rnerS T..k ry n p .�••k o�r��t , 3q •� • Ap x0 to 01 car l 35 67.6" /s'oo y T N k F iv THE COMMONWEALTH OF MASSACHUSETTS FEE r / BOARD OF HEALTH OF APPLICATION FOR/DISPOSAL SYSTEM CONSTRUCTION PERMIT / Application for a Permit to Construct (✓ ) Repair ( ) Upgrade ( ) Abandon ( ) - []/Complete System ❑Individual Components nLocation Owner's Name V Map/Parcel# Address Lot# c,T"elephhone If Installer's Name y Design 's Name Address Address LI-21 Telephone# Telephone# Type of Building: Lot Size I•w�Q('i1P,o Sq-'feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures i Design Flow min.required) 5 gpd Calculated design flow gpd Design flow provided tk3 gpd Plan: ate Number of sheets Revision Date Title U41 I.l Zxit,L Ud- j, MM "Lk4, &,�14 t 1 Description of Soil(s) D`-b �a�u.�, le°-3lo"S� c�+,l o Gl -I 3ls"� �(�`(�p� �� to"- 1L(4"��-S6-fw 0,5 - J` Soil Evaluator Form No. Name of Soil Evaluator PT S> AAA4An: Date of Evaluation a�-6-q DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE S and further ,,7s to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed 92Y FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 T'v S. ..'Wn • :+ �.. .�.n,TM'C.. ..,...i-:tw.sr� �.•. y,f r+. THE COMMONW AL�TH F MASSACHUSETTS ; FEE p B rf A ' O H E A APPLICATION FO /DISPOSAL SYSTEM CONSTRUCTION PERMIT ; } application for a Permit to Construct (✓ ) Repair ( ) Upgrade ( )'Abandon ( ) - Complete System ❑Individual Components o lJ v QVX� I '�sr'' - "Location t Owner's Name ? {, Map/Parcel# -Address Lot# :.Telephone# a& ` Installer's Name Desi n 's Name Address _ ti Addres` I Telephone# - 1Telephone# i f Type of Building: - Lot Size I.(o Q Sq. Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building i No.of persons SHowers ( ), Cafeteria ( ) « Other fixtures Design Flow(min.required) gpd Calculated design flow gpd De gn flew provided` gpd ' rs, 'Plan: Pate V ot�-04 Number of sheets Revision Date- ;� ' Title= uA �c AA4-A. 04M "4al- A,(c .� &-1i1 &A4• Description of Soil(s) 0'-b (j A•n :; 3l."- kv, Sea", ---144"k d 5a-IILJ O,Sh`L ' Soil Evaluator Form No. Name of Soil Evaluator -Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERALIONS" The undersigned��rrgrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further 6grees t to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. _ <�.. Signed �/ .fir Da 1s-. s `Q`Y , FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 r N ' No. TH COP M NWEALTH OF MASSACHUSETTS FEE V c.�►'� BOARD OF HEALTH 4 CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) rUkomplete System ` The undersigned here y certify that the Sewage Disposal System;Constructed( Repaired( ),Upgraded( ),Abandoned( ) by: << t 1 / has been installed in accordance with the provisions of 310 C R 5.00 (Title 5) and the approved design plans/as-built T plans relating to application No. ated 1, Approved Design Flow (gpd) Installer Designer: Inspector SIN. Q Date ' The issuance of this certificate shall not be construed as a gu ntee that the system will function as designed. F. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. 3 THE COMMONWEALTH OF MASSACHUSETTS : FEE lJ :�a4dl&(BOARD OF H EIN�T'H � 1 DISPOSAL SYSTEM CONSTRUCTION PERMIT l Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSS WARREN'm PUBLISHERS-BOSTON i VC, ui SOA IV 2"X p" 2-C 9 14 6aan _ i t i I I j � f t �yo 1 I 1 K�-7c�-Lti---2�_�v�-�� aAl 71 , �c S�a-11 /J t Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,M 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's.Name information is required for every Marstons Mills MA 02648 6/21/2014 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered`in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono 070 use the return Name of Inspector key. DiBuono Sewer and Drain Company Name 8 John's Path Company Address South Yarmouth MA 02664 city/rown State Zip Code 508-354-9587 S113522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 6-21-2014 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system contains a 1500 Gallon Concrete septic tank. A Concrete distribution Box that is in good working condition with no signs of Leakage, Decay or carry over. And 3 500 Gallon leaching chambers that are dry at time of inspection. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. CityrTown State. Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from.a private water supply well". Method used to determine distance: ** This system Lasses if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 4M 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accorcance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,M 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. CitylTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms). 463 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system contains a 1500 Gallon Concrete septic tank. A Concrete distribution Box that is in good working condition with no signs of Leakage, Decay or carry over. And 3 500 Gallon leaching chambers that are dry at time of inspection. Number of cur ent residents: 1 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 Seasonal use? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage d 2013 175,000 g ( y g (gp ))" 2012157,000 Detail: Total GPD over two years 461. House has a large irrigation system Sump pump? ❑ Yes ® No Last date of occupancy: Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design-low(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Currently occupied Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® 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 'nspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: System is Approximately 10 years old Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 18"s 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.): No signs of Decay or leaking. All Pvc Tee's are in place. Scum level Is minimal Septic Tank(locate on site plan): Depth below grade: 1ft feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1500 gallon If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Sludge depth: 2"s t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 Round pond rd Property Address Mark Hickman, Executor Owner Owners Name information is required for every Marstons Mills MA 02648 6/21/2014 page. CitylTown 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 26"s Scum thickness 2"s Distance from top of scum to top of outlet tee or baffle 5"s Distance from bottom of scum to bottom of outlet tee or baffle 18"s How were dimensions determined? Tape measure, Sludge Stick Comments(on;pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): No signs of Decay or leaking. All Pvc Tee's are in place. Scum level Is minimal Grease Trap(Iccate on site plan): Depth below grade: feet Material of cons?ruction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments G M , 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. CityrFown 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.): No signs of Decay or leaking. All Pvc Tee's are in place. Scum level Is minimal Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 106 Round pond rd Property Address Mark Hickman, Executor Owner Owners Name information is required for every Marstons Mills MA 02648 6/21/2014 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 No decay levels are normal 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.): No signs of carry over or decay Level is normal 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.): No pump chamber * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 3 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.) No signs of carry over, Ponding, Or standing water Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 106 Round pond rd Property Address Mark Hickman, Executor Owner Owners Name information is required for every Marstons Mills MA 02648 6/21/2014 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.): No signs of hydrualic failure or ponding Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. Cityfrown 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 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depti to high ground water: 144+ inches feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If c-iecked, date of design plan reviewed: 6/24/2004 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: No ground water encountered at 144"s per civil engineer Richard James Deatrand Site plan dated June 24 2004 ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: No ground wate-encountered at 144"s per civil engineer Richard James Deatrand Site plan dated June 24 2004 Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 106 Round pond rd Property Address Mark Hickman, Executor Owner Owner's Name information is required for every Marstons Mills MA 02648 6/21/2014 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Info-mation—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE � LOCATION d G JQ ov-d /�'' JQ SEWAGE # YII,LAGE /Y!g r 3 to S / %I�S ASSESSOR'S MAP & LOT-La r" 7 INSTALLER'S NAME&PHONE NO. G, Rg f�a SEPTIC TANK CAPACITY /S+fllo • LEACHING FACILITY: (ty�e) 3-50D� �/u"z6e�S (size) 3 NO.OF BEDROOMS Y BUILDER OR OWNER 4� �7` . t4��rile'frS /�,`c 1CaA�.�► FERMI'TDATE: 7"/3' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within,200 feet of leaching facility) Feet Edge of Wetland and Leaching'Facility(If any wetlands exist ,within 300 feet of leaching facility) Feet Furnished by 44 Af&-re r r A XW c.rner4 _ A � ly 0 p ,i� ' �i '0°x' 3�G ► ' 'own of Barnstable � ►`,�o Regulatory Services Thomas F: Geiler,--Director RARMABIZ Public Health Division Thomas McKean;McKean;Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date:. Sewage Permit# Assessor's Map\Parcel 125/073 Designer: Cape & Islands Engineering Installer: J C Aalto Construction Address: 800 Falmouth Road, Suite 301C Address: P 0 Box 339 Mashpee, MA 02649 Marstons Mills, MA 02648-0339 On was issued a permit to install a (date) (installer) septic system at 106 Round Pond Road based on a design drawn by (address) Cape & Islands Engineering dated 6/24/04 (designer) X 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. } � OF M<,s : (Installers ignature) H1CHARD G� Jf IAES � ESE i RAND y L 29894 A �= (Designer's Signature) (AffiV p Here) PLEASE RETURN TO BARNSTABLE PUBLIC.• HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH .THIS FORM AND AS-BUILT..CARD ARE.... RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION...THANK YOU. n•Naal1hf%-n6r./r)PcivnPr!'Prfifiralinn Fnrm rinr I AsBuilt Page 1 of 1 TOWN OF BARNSTABLE C LOCATION �t�G Rvzl^d A.1d SEWAGE# WOO VILLAGE /H4 P'3 fon S Ail; 11 ASSESSOR'S MAP 8:LOT /a?�' 1 INSTALLER'S NAME&PHONE NO. G• A SEPTIC TANK CAPACITY /Srfl LEACHING FACILrrY: (type) NO.OF BEDROOMS y BUILDER OR OWNER R 7� ✓ i�S I7� c,/f w� +'� PERMrrDATE: 7_/3- Oq COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by MA f A � hovfe e.rws r s A 13 T^k •«!to d' qlerl 3 Y - p � G v� s L�'»xr 1 3�'� 67•j' �s"oog T•. k . e http://issgl2/intranet/propdata/prebuilt.aspx?mappar=125073&seq=1 6/17/2014 �'l Ol ::. •�e —__ 1-�d CQ ('.rTpp•,: _— a:1f N: VI W W C\2 �zc- 0 t. ❑ ❑ _ ET 1 I LL XLE MY4 — p h' FONf FL�VA110N - 13ATH#I� WH _ I� I Q� .grrlc r �Iocnd .�JI�6r/ pJ ry -� `Z W I / oL me cy.. �yvfasua I .., r o�a�ep� 3 2 M I LIN Q Jo v ... t ' �L.r' I i�� .❑I. 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Ff 5M MVA110N rOP�R.A1E � O O m� 5c&L SECOND N ae : CU°FLOLY._ 1/ A11 1 . 11.01 I tOP OF RAZEPAt'I ® ® ; 61912004 � JOP NO. Fozs FLOcz HICKMAN 17WG, NO, : P,ICAW 5112� MVA110N Xj TYPICAL P00F CON5VUCTTON 1.2.10 RAFTERS a 16"-. 12 TYPICAL POOP �CONST. _ �<our.Rlnc6vrtNr 5.aa�aLr ROOF 9maas 54.,9.a FELT PMFR CONST�, POOP 5.9"(R-50)BArr.IENS.lNION®FLATLELINC6 ``, r� 6.8"(R-56fVOA IxN5.IN`AAAilONa9.GFEVCELNC6 Zq 12 `, 7.2a12R®CE.9 HIM" >tl Qi(o I— IZ 8.`�Mo`./JN N 2.5 NF$I(A^E ClP`iA(ALL RPFIERS v�O IOI 10� 2abfVal:ERS` AT11C AT11C �qs z q co 5T0�Aa - fOPOFRAIH a �EW"'r GYP'eb.o , 1."lRPPPJ46.U%r,-- fw.CON(.PUPA,lumm W I1.7/8"IRU55.Y)ISfS @ 16".. rOP OF PLAT 9 2"iJl MEL a3lb"a<. 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NO, cONc.foonNu FOUNPAPONPLAN e"LONL.WAI //\\\\\ IB{y b d IS 4" L ,L • i; SYSTEM PROFILE NOT TO SCALE TOP OF FOUNDATION FINISH GRADE FINISH GRADE OVER EL. 79.0 EL. 78.3 SEPTIC TANK 78.2 FINISH GRADE OVER FINISH GRADE DISTRIBUTION BOX 78.2 OVER TRENCHES 78.0 RISERS TO 6" OF FINISH GRAD i _ PRECAST CONCRETE. - ••, r ;, ;,� ,..� 500 GALLON DRYWELLS �=1-.- 3" MIN. e, H-10 REINFORCED LOADING ,� ::o MIN.SLOPE 1% RISERS TO 6" 6" :' MIN.SLOPE 1%, OF FINISH GRADE - OUTLET PIPE(S) LEVEL TRENCH LENGTH = 33'-6" o MIN o FOR 2'( MIN.1% SLOPE DRYWELL LENGTH = 8'-6" -a y�_- BEYOND r 0 o 13„MIN. 14' � i_ 75.64 O MIN �o� o PVC OR CAST IRON TEE •°_ 75.39 Z6" UMP h.fo o �. .•n� ,.b I -i `74 GAS BAFFLE 16 , o r 75.00 'b ,b'° � '" 74.50 ; �?TP', : ,rya -Ts,;, o.r r ., a'o'�,• � :.;. d 1500 GALLON .r n•a A• DISTRIBUTION BOX 3/4"-�-•I/2°DOUBLE w 3/4"- 1-1/2"DOUBLE •o r, WASHED CRUSHED , o A .4 MINIMUM INSIDE DIMENSION 12 WASHED CRUSHED 4 PRECAST CONCRETE „ s-roNE <y o, ;i' OUTLET INVERTS 2 BELOW INLET INVERT STONE BSMT.FLR. �=;� 6 H-10 REINFORCED a "'1 MINIMUM CONCRETE WALL THICKNESS 2" 20' ELEV. 71.5 INSTALL ON COMPACTED LEVEL BASE Or Q " oi, �i1, i0 �.,°r• r •, ,�, 4 All � SEPTIC TANK �; 4Rriw a cRourrDwATER INSTALL ON COMPACTED LEVEL BASEml .,,,,•.°�` ® -�— _ '�. TRENCH SECTION T. f/J - • : NOTIE: EXCAVATE TO =C= STRATUM IN ORDER TO a- REMIOVE ALL =A= & =B= IMPERVIOUS MATERIAL o u WITHIN 5' OF THE SAS. REPLACE WITH CLEAN, 9 MIN. _ - 3" OF 1/8" 1/2" ,. • II II a. r:��.• d .�. �; CLAN' FREE SAND 4 DIAM. 36 MAX. DOUBLE WASHED a PEASTONE ` r I.,. ,••• n Qnn rfY ? �i:.'y OHO. ,0" ', '1 3/4" - 1-1/2" DOUBLE • MI. 4811 5'-211 811 WASHED CRUSHED YbA) r o .• ' a C,i •. ,.i �.,, o STONE TRENCH T 131-211 NUMBER OF TRENCHES 1 NUMBER OF DRYWELLS 3 -- .. OBSERVATION PIT HOUSE NO.106 LOT 5 . GENERAL NOTES. S P-1072 LG8 ACRE 1. ELEVATIONS SHOWN ARE BASED ON ASSUMED 2 i 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON jPERCOLATION RATE: < 2 MINAN OR SCHEDULE 40 PVC. 'WITNESSED BY: DAVID STANTON 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING BARNSTABLE BOARD OF HEALTH MUST BE NOTIFIED WHEN CONSTRUCTION IS ',DATE: MAY 27,2004 COMPLETE PRIOR TO BACKFILLING. 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED BY CAPE & ISLANDS ENGINEERING AND THE BOARD All # 2 OF HEALTH. m.l' TEST HOLE#1 10 iI TEST HOLE#2 �S� # 5.'MATERIALS AND INSTALLATION SHALL BE IN AW LOAM ` 0 ` �� AW LOAM �` COMPLIANCE WITH THE STATE SANITARY CODE 10 YR 2/2 10 YR 2/2 � 1 /, � , [TITLE V]AND LOCAL APPLICABLE RULES AND 650 rr REGULATIONS. =6= SANDY LOAM 6 Poo �\ '�� =6=SANDY LOAM . �� , 6. NORTH ARROW IS FROM RECORD PLANS AND IS 10YR 5/4 10YR 5/4 DESIGN DATA -' z6 D C, , za i °NOT INTENIDED FOR SOLAR ENERGY PURPOSES. U611 .00, k = 7. WATER SUPPLY: MUNICIPAL WATER SYSTEM. 3611 S 8. FLOOD ZONE NON-HAZARD C1= MEDIUM SAND ' 42 ?� PERC HOLE 54" 10YR 7/4 C1=MEDIUM SAND 10YR 7/4 NUMBER OF BEDROOMS 4 -- z 4 PROP GARBAGE DISPOSAL NO I 600, D ,gb r4� 906" DAILY FLOW 440 GPD. 8 of1r SEPTIC TANK REQUIRED 1500 GAL. =C2= MEDIUM SAND SEPTIC TANK PROVIDED 1500 GAL. =C2=MEDIUM SAND 8o0r r4 ti� �1 % STONE o LEACHING REQUIRED 440 GPD. CONC.BD• '�---'' 00- ,tic�'� A�O� 510YR 7/4 5/o STONE ° 10YR 7/4 ti � D� 95. �', 55 SOIL ABSORPTION SYSTEM CALCULATIONS: NO GROUNDWATER 1499" �, NO GROUNDWATER CBASIN S 79°20's61.E e ' 120„ SIDEWALL AREA = 186 SF: 60 186 SF. X .74 G/SF. = 137 GPD. BOTTOM AREA = 441 SF. 441 SF. X 0.74 G/SF. = 326 GPD. L1 Il LEACHING PROVIDED = 463 PD. 1 a,l,°59,n^60611 G W ur I �Qt jAT �\ ,, �6 ,� SII� , \ POND - 1 AD , ' LEGEND 8 ,_-1 52 PROPOSED CONTOUR SINGLE FAMILY RESIDENCE --- 52--- EXISTING CIONITOUR PROPOSED SEWAGE DISPOSAL SYSTEM PLOT PLAN OBSERVATIION PIT ���P�tN of MgsS4, PREPARED FOR SCALE: 1" = 30' w o RICHARD s ❑ JAMES DISTRIBUTIION BERTRANt3 ' Box MART O N T.H I CKMAN �, P 29894 HOUSE NO.106 [LOT 51 ROUND POND ROAD 0 0 o SEPTIC ( TANK MARSTONS MILLS,MASS. 30 0 30 60 90 SOIL ABSORPTION SYSTEM 4s ° PLAN NO. 062404 SCALE: AS NOTED x RESERVE RESERVE A\REA of R4 FILE NO. 417BA DATE: JUNE 24,2004 4714 SEPTIC FILE NO. 74 PCS FILE: rndpndrd 22.26 PIPE INVERTT ELEVATION DAVIT CHARLES z z SANI ea a5I N CAPE & ISLANDS ENGINEERING O �p ,A� 125 73 5 106 5 5 5 �Fss f��srE� � 800 FALMOUTH ROAD, SUITE 3011C > MASHPEE,MA 02649 (508) 477-7272 MAP SEC PCCL LOT HSE �a -__--- ..—..•tee-.«.T-_...,.,...._,. ,. __.�._ .--... i, '.. i • i ', Ili I I ', I '. F SYSTEM PROFILE NOT TO SCALE I, i TOP OF FOUNDATION FINISH GRADE FINISH GRADE OVER EL. 79.0 EL. 78.3 SEPTIC TANK 78.2 FINISH GRADE OVER FINISH GRADE o DISTRIBUTION BOX 78.2 OVER TRENCHES 78.0 •• \RISERS TO 61i '- 1 OF FINISH GRAD PRECAST CONCRETE r 500 GALLON DRYWELLS ..0 .� 3 MIN. ' H-10REINFORCED L ADIN_ bLOADING 0 o13" RISERS TO 6 - 1 n I MIN.SLOPE 1/0 TRENCH LENGTH - 33-6 rl o E 6 - M.IN.SLOPE 1/a OF FINISH GRADiE � OUTLET PIPE(S) LEVEL ° BEYOND) o _ 1 MIN FOR 2 MIN.1 /o SLOPE DRYWELL LENGTH - 8-6 i 13"MIN. 14" v �- = 75.64 :1'0.0:1 :1 q.;o it �;oa ♦�:'. ;1'�;0 76.00 - o 4' - - r - r o�f o' PVC OR CAST IRON TEE :�` 75.39 FS UMP °'� *,fit? �, 1 `4 0 1 1.' o f�� 1 1 :1_ ` 7,4 •c . O 0 r✓:1 1 , GAS BAFFL .1 0 Q;� :;b b�••` ?L, , ��'; �•;o ' ,1� �d ,, --- 16_ _ •1 1 : ',1 10.1 1 loa ,.i •.1 lo.l o. 3/4" 1-1/2" DOUBLE W DISTRIBUTION BOX r, ` o 3/4 1 1/2 DOUBL _ GALLON- 1500 G a , A' WASHED CR CRUSHED S US 4 4 < PRECAST CONCRETE 2 '� OUTLET INVERTS 2"MINIMUM BELOWDIMENSION ET INVERT STONE WASHED CRUSHED STONE H-10 REINFORCED ,� -T MINIMUM CONCRETE WALL THICKNESS 2 BSMT.FLR. 'o--o-,�' 6 _ 20 1 - o INSTALL ON COMPACTED LEVEL BASE ELEV. 71.5 `r!ro' 0 I1 ;01',11 '0,c,'°,1 \ ,� O o 1.• 1 1 •i e• O p 1 SEPTIC TANK LQ,.X o GRourrDwATER INSTALL ON COMPACTED LEVEL BASE TRENCH SECTION art _scl NOTE: EXCAVATE TO =C= STRATUM IN ORDER TO REMOVE ALL =AA= & =B=''IMPERVIOUS MATERIAL 'WITHIN 5 OF THE SAS. REPLACE WITH CLEAN, 11 ,1 11• a� v : , 9 MIN. 3 OF 1/8 - 1/2 T CLAY-FREE SAND o ° 411 DIAM. 36" MAX. DOUBLE WASHED PEASTONE ,r r.a rry ac ' - 4 a ar t�J•C °° a � O BOL c "ro d•. ,�..,, 6•I• - '0 ,a.r,'QI r ,�'� (\�\_\� fir►' oo// ♦v V n^ -� - -•" o ,.�_r. . or. or',,•. Ir o'o'• 3/4 - 1-1/2 DOUBLE • r y'iy`` r o. 11 5'-2" 11 WASHED CRUSHED • STONE o; TRENCH WIDTH �6 o M� .. o • NUMBER OF TRENCHES 1 Q NUMBER OF DRYWELLS, 3' l o .♦ I , 1DiYPDttiPW.1-MI--Y--+l¢'NY L-fir YW ,�yM„sW 1N�uWIY•O�..OSI , .. , w OBSERVATION PIT ti HOUSE NO.106 , LOT 5 GENERAL NOTES: 1.68 ACRES 1. ELEVATIONS SHOWN ARE BASED ON ASSUMED. P-10722 2.ALL PIPES IN THE SYSTEM MUST BE CAST IRON PERCOLATION RATE: < 2 MINAN OR SCHEDULE 40 PVC. WITNESSED BY: DAVID STANTON 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING BARNSTABLE BOARD OF HEALTH MUST BE NOTIFIED WHEN CONSTRUCTION IS DATE: MAY 27,2004 COMPLETE PRIOR TO BACKFILLING. 4.ANY CHANGES IN THIS PLAN MUST BE APPROVED �- BY CAPE & ISLANDS ENGINEERING AND THE BOARD #2 OF HEALTH. orl HOLE#1 r TEST HOLE#2 �E ALB I N TEST 0 S 5. MATERIALS AND INSTALLATION SHALL E AW LOAM AW LOAM �R # 'R 2/2 10 YR 2/2 11 / COMPLIANCE WITH 01 CAL APPLICABLE RULES AND 10 REGULATIONS. =B= SAINDY LOAM 6 =6=SANDY LOAM 6. NORTH ARROW IS FROM RECORD PLANS AND IS 1oYR 5/4 DESIGN DATA ' ii D •�� Qoo 11 i NOT INTENDED FOR SOLAR ENERGY PURPOSES. 10YR 5/4 ���' F�k % za 7. WATER SUPPLY: MUNICIPAL WATER SYSTEM. 36 36° ' $ 8. FLOOD ZONE NON-HAZARD =C1- MEDIUM SAND -'' C PERC HOLE - - =C1= MEDIUM SAND 42 z1 5411 1oYR 7/4 1oYR 7/4 NUMBER OF BEDROOMS 4 pR0 GARBAGE DISPOSAL NO I 2d PIj a_ q 96° DAILY FLOW 440 GPD. 4B PAD 1 00 84r1 USF SEPTIC TANK REQUIRED 1500 GAL. =C2= MEDIUM SAND SEPTIC TANK PROVIDED 1500 GAL. s) C .0 18 p� 1 �ti'� ,. 5/o =C2= MEDIUM SAND o __ 4 10 R�4E 5% STONE LEACHING REQUIRED 440 GPD. / 10YR 7/4 NC BD• ti� o SOIL ABSORPTION SYSTEM CALCULATIONS: 95 9 11 NO GROUNDWATER S o �' ��� �, 144 1201r NO GROUNDWATER -BASIN 79 20'5611 E �o AREA = 60, S 6 SF. XL74 G/SF. 18 37 GPD. 76-------- / BOTTOM AREA = 441 SF. 441 SF. X 0.74 G/SF. = 326 GPD. v�/ 1 6 - P PROVIDED 463 D. 7 LEACHING 0 G 1 C G ROjj�T "1VD POND I•7I1 R - OAD LEGEND �8' _-' 52 PROPOSED =NTOUR SINGLE FAMILY RESIDENCE --- 52--- EXISTING COINTOUR OF 4(4SS PROPOSED SEWAGE DISPOSAL SYSTEM OBSERVATIOIN PIT N PLOT PLAN RICHAao PREPARED FOR SCALE. 1 - 30 _ DAMES �.❑ DISTRIBUTIOPN BOX 13ERTRAND n • MARION T.HICKMAN 29894 HOUSE NO.106 [LOT 51 ROUND POND ROAD o 0 o SEPTIC TANK r Q A 9FGISYEP��.{� , 3 rtv �`'��� „� MARSTONS MILLS,MASS. 30 0 30 40 90 SOIL ABSORPTION SYSTEM o PLAN NO. 062404 SCALE: AS NOTED I � DATE: N E 24 2004 FILE N 417BA JU RESERVE 0 0 ,RESERVE ARIEA, N �1N of �4s s SEPTIC FILE NO. 74 PCS FILE: rndpndrd 22.26 PIPE INVERT (ELEVATION DAVID G� CHARLES SANICKI N 0 0 28085 CAPE & ISLANDS ENGINEERING 125 73 5 106 5 �Fc,srE��° � 800 FALMOUTH ROAD, SUITE 301C MAP SEC PCL LOT HSE s ` MASHPEE,MA 02649 (508) 477-7272 dP. .d4 i ----- _._ --... ____.___-....,_,..r._.....�..e_.,..-,._ ._.e__. ,.-- I, I