Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0050 SAMOSET ROAD - Health
50 SAMOSET J?O►NA> _ i I TOWN OE BARNSTABLE Y/ _'ATIONw►o S�T�iU'( SEWAGE .LAGE l�5 ASSESSOR'S MAP & LOT/�/ 1T49T*EE-E-R'S NAME&PHONE NO. rtr,c(L a6aV\ru_\` SEPTIC TANK CAPACITY 1600 LEACHING FACILITY: (type)IPl (size) 1000 NO. OF BEDROOMS BUILDER OR<� ��Q-1 //__ PERMITDATE: C DATE: ®(J 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 st,a� 31 s� L,O CATION SEW A G E PERMIT MO. 150 5 AP114 VILLAGE r/ INSTA �Lflltls NAM i ADDRESS B U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED (Al O TOWN /OAF BA-/RNSTABLE LOCATION sQ l:DS 7- /°CDI40T SEWAGE# V LLAGE`yJ"l-r041 S #1i/1S ASSESSOR'S MAP&PARCEL /J INSTALLER'S NAME&PHONE SEPTIC TANK CAPACITY /000 LEACHING FACILITY:(type) 'i-go 4f X**1& r (size) $jZ/3 NO.OF BEDROOMS 3 OWNER PERMIT DATE: z5=/$ COMPLIANCE DATE: 7-,27 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� �c E�� A 1.T D- No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpfltafion for Mispo8al 6pBtem Construction 3pPrmit Application for a Permit to Construct(/-r Repair(1�<ngr def( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No,sO 54IM9 1014 O�'ner's�e,Addre s and el.No. Assessor's Map/Parcel/Q/-/ �1 l4 � v�FD"�' ����i�'!� I taller' I�an�eA ress,andTel.NosO$—rj/Q0^973g : y���e,Add��s�i��el.Nof'DF- Ze- `j !�, LS�9 SS Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date 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 Bo ea Signed Date oe Application Approved by Date Application Disapproved by Date for the following reasons Permit No. r `: -. a 3o Date Issued �:_ No. l� tom" (�-s Fee ��, ,rr THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t.Wo PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSXCHUSETTS Yes i - lfYiLatiDl for i8 ,Dtl„n8, opstpm Construction permit Application for a Permit to Construct(G)' Repair Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. O S�/?>O S/:r"/,1©!a . _ $ Owner's Name,Address and Tel.No. Assessor's Ma /Parcel ? Installer's Name,Address,and Tel.No Jr U0—4/Q0^q7 Designer's Name,Address,and Tel.No.�D� Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date 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) ?_.✓STD/� 1�CJ�'G//hI� TG' ����� 1 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 beenissued by this Board-olf eal Signed Date Application Approved by Date N � s Application Disapproved by Date for the following reasons Permit No. Date Issued `7 C05 11!7r , THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( Z—)— Repaired O_. Upgraded( ) Abandoned( )by 4_5�e_47.1//Ar_-a,ery 'i- 5" at.sQ 5,r���,� sf_T- G E�7r%/Sl'lit� !�i has been constructed in accordance - with the provisions ��S'�- of Title 5 and the for Disposal System Construction Permit No.A 930dated Installer,1)5 ew/ Q{ 13 //'(J$� Designer #bedrooms Approved design flow gpd The issuance of this perrryt shall n p t be construed as a guarantee that the system will function�designed.Date 09 a Inspector . No. f ( — P 30 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS bisposal 6pStem Construction Permit Permission is hereby granted to Construct( ) Repair(.�) Upgrade( e—)— Abandon( ) System located atppd i r and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be compikeddiwithin three years of the date of this permit. Date �Cl ! 2s Approved by 0 7 27/2'019 12:44PM 17744139468 MEYER. AHD SOHS PAGE 01/01 Town of Barnstable Regulatory Services RiehArd V. Scali,Interim Director RAR=AWX. 19AM 'Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, 02601 Office: 508-862-4644 Fex: 509-790-6304 Installer& DeSigner Certification Form Date- Sewage Permit# �) Assessor's Map\Parcel Designer! r P/1 Installer: Address: Address: A-Ory v�I tA4 VV'A was issued a permit to install a 5 0 ak Ail (date) (installer) I t_,P�m septic system at ) �___ based on a desip drawn by (address) I �e ___ __ _ ___ _ ____(dgmgn datedr��_�1 ____ at 4eeptic ;e=farenced above was instalkxil substantially according to signer) ly the desip, whicH may include xr2nor approved changes such as lateral relocation of the distribution box and/or septic tank.' Strip out (if required) was inspected and the soils were found satisfactory. I certify hang that the septic system rcfcrcnrod above was installed widi major changes (i,e greater ftin 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. Strip out(iffidquired) was Wspected and the soils were found satisfactory. I certify that the system referenced above was construct e with th. -Iervis of the RA approval letters(if applicable) DA Nd sta S I kl_�tl 14 estper ss e) (Affix De4igne amp Flere) PLEASE RETURN TO STAA�LE EURLI If-EALIRDWISION. CERTIFICATE OF COMWLIANCE W111 NOT BET5EUED UNTIL BOTH THIS FORM ANA AS- 3—Ut T CARD ARE RECEMD BY HEALTH DINTSION. THANK YOU, Q;Sp,ptic'Designev Ceffification Fcrm Rev 9-14-13.doc i Town of Bk.-nstable. P# -73 ( °p Department of Regulatory Services • ' Public Health Division mate 6 tee$ 200 Main Street.Hyannis MA 02601 -Y . Date Scheduled Time • ' Fee Pd. � ;t-.• . Soil Suitabili Assessment for Se e Disposal Performed By: 1 Y�� '� ���y Witnessed By, Z-� i LOCATION &GENERAL INFORMATION location Address'�b S 4N.Mue e--F 9() Ownees Name fA. VA l 61 S t • '"'.1 I Address Assessor's Map/Nrcel: Ib Engineer's Name 04 NEW CONSTRUCTION REPAIR Telephone# A Land Use L��i 1�FiN 1 / Slopes(%), 'b " SurfaeeStones Dl�ly Distances from: Open Water Body ' ft Possible Wee Area}��fr ;.Drinking Water Well ft � btainageWayl60 ft ?rope-rtyl.ine _ft Other ft SKETCH:(Street name,dimensions of lo4 exact locations of test holes&perc tests,locate wetlands in proximity to holes) i Parent material(gedlogic u K' v_ "_'h� I Depth to Bedrock Depth to Groundwater. Standing Water in Hole: I l iN i Weeping from Pit Pan Estimated Seasonal high Groundwater Dt TION FOR SEASONAL HIGIi WATER TALE Method Used: Depth (14erved standing;in obs.hole: in. Depth 10 s011 mottles: ln• Depth toiweeping from side of obs.holez ! in. Otioundwnter AdJuettnent 1� Index Well# = Reading Date index Well level _..,. A�•{aCtOM,,,_ Add.OlDundt4rttet level,,,m PERCOLATION TEST! . Date T11W Observation ' I 'time at 9" A ..�_.._ Hole# i Depth of Pere Time at 6" l�z ( Time(901•6") Start Pre-soak Time.@ ; 1 o tS End Pre-soak Rate Minllnch L , Site Suitability Ass& sment: Site Passed Site Failed,' Additional Testing Needed(Y/N) Original:.Public 14 alth Division Observation Hole Data To Be Completed on Back-- ***If percolafii0n test is to be conducted within 100' of wetland,you must first notify the prior to beginning. Barnstable Noservation Division at least one(I) week DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,stones,Boulders. onsistenc g'o Gravel 37 -7Z1> 2-s%v, ?rs DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gra el .6146 --T DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, o Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C is( n ra Flood 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 p v'ous material exist,in all areas observed throughout the for the soil absorption s stem. area proposed Y P P � If not,what is the depth of naturally occurring p rvious material? Certification I certify that on I b (date)I have passed the soil evaluator examination approved by the Department nviro ental Protection and that the above analysis was performed by me consistent with the required ain g,expertise an experience described in 3:10 CMR 15.017. p Signature Date D Q:ISEPTICIPERCFORM.DOC ' COMMONWEALTH OF MASSACHUSETTS W EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION A O� y TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 50 Samoset Road Marstons Mills MA 02648 Owner's Name: Daniel Santos Owner's Address: PO Box 200 �� Cummaquid MA 02637 Date of Inspection: February 21,2006 Job#06-57 Name of Inspector: PATRICK M. O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 CERTIFICATION STATEMENT 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 i approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: `O F f fq _X_ Passes Conditionally Passes ��- PA ICK Needs Further Evaluation by the Local Approving Authority e _ Fails�� i 'C N L Inspector's Signature: — P g n / Date: 2/21/06 i IFS/I SPEG����`. The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health ors; DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow,of 10,000Z, gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional offce of thE� DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and=:lh`e approvingrp authority. Notes and Comments: Leaching pit has never been more than half full.Recommend pumping•tank in nex- ' 12—18 months. ****This report only describes conditions at the time of inspection and under the conditions of ise at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 50 Samoset Road, Marstons Mills Owner: Daniel Santos Date of Inspection: February 21,2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _XX_ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits.substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to.a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 50 Samoset Road,Marstons Mills Owner: Daniel Santos Date of Inspection: February 21,2006 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. I. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone I 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 50 Samoset Road, Marstons Mills Owner: Daniel Santos Date of Inspection: February 21,2006 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No —X— Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool —X— Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool —X— Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool —X— Liquid depth in cesspool is less than 6"below invert or available volume is less than_day flow —X— Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. —X— Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X_ Any portion of a cesspool or privy is within a Zone I of a public well. _X Any portion of a cesspool or privy is within 50 feet of a private water supply well. —X— 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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 forma _No_(Yes/No)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• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 50 Samoset Road,Marstons Mills Owner: Daniel Santos Date of Inspection: February 21,2006 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No _X_ Pumping information was provided by the owner,occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks? _X_ Has the system received normal flows in the previous two week period ? _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected.for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? _X_ _ Were all system components,excluding the SAS, located on site? _X_ _ 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 ? _X_ _ 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: Yes no _X_ _ Existing information. For example,a plan at the Board of Health. X_ _ 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(3)(b)] Page 6 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 50 Samoset Road, Marstons Mills Owner: Daniel Santos Date of Inspection: February 2.1,2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330 Number of current residents: 0 Does residence have a garbage grinder(yes or no):No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required) Laundry system inspected(yes or no): Seasonal use:(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Two years total: 151,000gal.=206 gpd. Sump pump(yes or no): No Last date of occupancy: January 2006 COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system (yes or no):_ Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records: None Source of information: Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _X_Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Compliance date: 10/17/84 Were sewage odors detected when arriving at the site(yes or no): No Page 7 of I I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 Samoset Road, Marstons Mills Owner: Daniel Santos Date of Inspection: February 21,2006 BUILDING SEWER: XX (locate on site plan) Depth below grade: 2' Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage, etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: 1' Material of construction:_X_concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions:8.5'long x 5.2'wide—1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: 3" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Liguid level at bottom of outlet invert,no evidence of leaks.Tees are intact and clear. GREASE TRAP: No (locate on site plan) Depth below grade: 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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 Samoset Road,Marstons Mills Owner: Daniel Santos Date of Inspection: February 21,2006 TIGHT or HOLDING TANK: No (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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: XX (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.): No solids or high stains,liquid level at bottom of single outlet pipe. PUMP CHAMBER: No (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): r Page 9 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 Samoset Road,Marstons Mills Owner: Daniel Santos Date of Inspection: February 21,2006 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type _X_leaching pits,number: One 6x6 pit. _leaching chambers, number: _leaching galleries,number: _leaching trenches,number, length: _leaching fields,number,dimensions: overflow cesspool,number: _innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): High stain lines in leaching pit indicate pit has never been more than half full CESSPOOLS: No (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 or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,etc.): PRIVY: No (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.): I Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 Samoset Road, Marstons Mills Owner: Daniel Santos Date of Inspection: February 21,2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. Front :50 ................. I Slirlpr 24 1 27 36 1 57 I� Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 Samoset Road,Marstons Mills Owner: Daniel Santos Date of Inspection: February 21,2006 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water: More than 20 feet Please indicate(check)all methods used to determine the high ground water elevation: _Obtained from system design plans on record- If checked,date of design plan reviewed: _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) _X_Accessed USGS database-explain: USGS topo map and town GIS You must describe how you established the high ground water elevation: Town groundwater contour map shows water below el.45 and topo map shows property above el.80. r D"c Igo t0tVL6Cd-' N,e 'K-eh� YOU WISH TO OPEN A BUSINESS? k 10 bILq�(f� For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do,by M.G,L-it does,ngt giveyY4Rpermission to operate,): , wines ,Certificates are a vgilable;at,the Town,Clerk's Office,V FL,367. Main Street, Hyannis,MA 02601 (Town Hall) DATE: ' I Fill in please: APPLICANT'S YOUR NAME: I V n N I I L \J BUSINESS OUR HOME ADDRESS:,6 O '58AA D 5CT RD -3 �r©NS Al ) t Ls = Mt� E)z�" yg TELEPHONE # Home Telephone_Number NAME OF NEW BUSINES I N l 5 CL 1 S�2v C TYPE OFIUSINESS. C L IS THIS A HOME OCCUPATION? AYES NO Have you bean given.approval from he building'division? YES NO ADDRESS OF BUSINES$ 10 l,A10 C R MAP/PARCEL NUMBER D When starting a new business.there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended.to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. -_(Corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual,has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has beery4hformed of the ermit requirements that pertain to this type of liu5iri�s . thoriz d S nature* COMMENTS: 4--fk� S 21,4C/ 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) } This individual has been informed of the licensing requirements that pertain to this type of business. Authorized.Signatur'e,** COMMENTS: 1 Date: (9 / /6 /b b s '. TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON—SITE INVENTORY NAME OF BUSINESS: I V r"`N ' s C L. Cr�N I�j St (ZU) C C BUSINESS LOCATION: O S L-1 O SCT-1- IZ INVENTORY MAILING ADDRESS: MM TOTAL AMOUNT- TELEPHONE NUMBER: D1 H (S L4 CONTACT PERSON: y N f5) L- y� EMERGENCY CONTACT TELEPHONE NUMBER:Y1 Ll ? 365 q 9 3 MSDS ON SITE? TYPE OF BUSINESS: C I_e 4) lam ) N C) SC PN) C e INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31 , of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Lofi Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): o� �Itcf Laundry soil & stain removers 5� (includin each) S�-- Spot removers & cleaning fluids (dry cleaners) e Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/C RY COPY-BUSINESS TROY WILLIAMS L - � SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive South Dennis, MA 02660 CEO p� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS w DEPARTMENT OF ENVIRONMENTAL PROTECTIO ONE WINTER STREET, BOSTON MA 021013 (617) 292-5500 71 , o�4'RUDY COXE l`rF Secretary / ARGEO PAUL CELLUCCI DAVID"B!STRUHS Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM )- l` ,�,Commissioner PART A CERTIFICATION Property address: 50 So,-,o s e+ R.A.d .-r- Name of Owner Ms• 1.vw,C. dt Ms. 14c1r-6% Wi4L1GnC/ /V1 ar s+v 1�'s M;fI S Address of Owner: S U S w"7 ,s c + d. Date of fnsPecLon. 7/1 t 0 p Nl a r S fo N 's M'.11 s /Vl a . 0 2 b y 8 Name of Inspector:(Please Print) Troy Willis / 1 em a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: Troy Nlilllams .le Inspections Maing Address: 19 Hummol'Driva. So. Dannia MA 02660 Telephone Number: (508) 385-1300 CERTIFICATION STATEMENT I.certify that 1 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails n / Inspector's Signatree: � (�/,� �-s-- Date: 7 /l 1/00 The System Inspector shall submit a copy of this Inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition of system,piping or components. This inspection represents the conditions of the system on the Date of Inspection noted above. revised 9/2/98 Parr I nr„ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 50 Samoset Road,Marstons Mills,MA Owner: Dace of Ins Irma Dager&i;Helen Wieland July 11, 2000 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to.be repl ed or repaired. The system,upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes,no,or not determined(Y, N,or ND). Describe basis of determination in all instances If "not determined", explain why not. The septic tank is metal,unless the owner or operator has provided the sys m inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twen (20) years prior to the date of the inspection;or the septic tank, whether or not metal, is cracked,structurally unsoun shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing ptic tank is replaced with a.complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level served in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution b . The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replace obstruction is removed distribution box is le tled or replaced The system required pumping mo than four times a year due to broken or obstructed pipe(s). The system will pass Inspection if(with approval of a Board of Health): broken p' e(s)are replaced obstr ion is removed revised. 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 50 Samoset Road,MarstonS Mills,MA Property addres:: Irma Dager&Helen Wieland OWE' July 11 2000 Date of Inspection: 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 ystem is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH O CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND AFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALT AND PUBLIC C WATER SUPPLIER,IF ANY)DETERMINE S THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and s ' absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water suppl . The system has a septic tank d soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tan and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic k and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply w , unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from poll ion from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Met d used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 Page 3ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(contirxied) 50 Samoset Road,Marstons Mills,MA Irma Dager&Helen Wieland Property Address: July 11,2000 Owner: Date of Inspection: D. SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: 1 have determined that one or more of the following failure conditions exist as described i 10 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determi what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due'to an overlo ad or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or s face waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet inve due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert available volume is less than 112 day flow. Required pumping more than 4 times in the last ear NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption Syst , cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy i within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or vy is within a Zone 1 of a public well. Any portion of a cesspoo or privy is within 50 feet of a private water supply well. _ = Any portion of a ce pool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water uality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacte' , volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: The following criteria apply to large systems in addition to the criteria abov The system serves a facility with a design flow of 10,000 gpd or Brea r(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the lowing conditions exist: Yes No the system is within 400 feet of a surface drin ' g water supply the system is within 200 feet of a tributar to a surface drinking water supply the system is located in a nitrogen s sitive area(Interim Wellhead Protection Area=IWPA)or a mapped Zone It of a public water supply well) The owner or operator of any such system shall pgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further informati revised 9/2/98 Page 4ofII i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST 50 Samoset RoaJ,Marston Mills,MA O�Y A`>dr`SS' Irma Dager&Helen Wieland Date of Inspection: July 11,2000 Check if the following have been done:.You must indicate either "Yes" or "No" as to each of the following: Yes No ✓/ _ Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped-for-at least two weeks and-the system has beemreceivMgTwrmal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this / inspection. As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does no:receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. I// _ The septic tank manhole&w"uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: /7/o.„ y„S�cc�o H _ Existing information.For example, Plan at B.O.H. _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable! 115.302(3)(b)] Y/- _ The facility owner(and occupants,if different from owner) were provided with information on the proper maintanance of Subsurface Disposal Systems. I revised 9/2/98 Page 5ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 50 Samoset Road,Marstons Mills,MA Owner. Irma Da er&Helen Wieland Date of hupection: g July 11, 2000 RESIDENTIAL: FLOW CONDITIONS Design flow: 1/0 g.p.d./bedroom. Number of bedrooms(design): 3 Number of bedrooms(actual):Q2 Total DESIGN flow-_3 3 0 Number of current residents: Garbage grinder(yes or no): AID Laundry(separate system) (yes or no):No; If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use(yes or no): [_C-S Water meter readings,if available(last two year's usage(gpd): 2!J = 3�,Doo yq // .` s �g � -3 000 y w Sump Pump(yes or no): Last date of occupancy: QC< V-C'(, COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: qpd ( Based on 15.203) Basis of design flow Grease trap present: (yes or no)_ Industrial Waste Holding Tank present:(yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)— Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: A/o oL f 134.- f 6+ b l T✓ I t /�/v �, - System pumped as part of inspection: (yes or no) NU If yes, volume pumped: gallons 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed 6f known)and source of information: O //7 S y Sewage odors detected when arriving at the site:(yes or no) X revised 9/2/98 Poge6ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 Samoset Road,Marston Mjlls,MA Owner: Irma Dager&Helen Wieland Date of Inspection: July 11, 2000 BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction: cast iron �/40 PVC other(explain) 81u�, / era ka ato(:. Distance from private water supply well or suction line A11,1 Diameter I„" Comments: (condition of joints, venting, evidence of leakage,etc.) Flu ', . .t I , H t < C-h J- -Igc.i r. C_lL u✓ w f -%l,I SEPTIC TANK:_,,/ (locate on site plan) Depth below grade: Material of construction:Zoncrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age— Is.age confirmed by Certificate of Compliance_(Yes/No) Dimensions:_ 5 �X q 'JC ' /y 0.0 c C. /to Sludge depth: !1 Distance from top of sludge to bottom of outlet tee or baffle: OZ 90 Scum thickness:? „ l ar`e, -fz vt 0"s. Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: /V" How dimensions were determined: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structuraHritegrity, evidence of leakage,etc.) C6n .a +5- o�jt A , a A h K ti . . l C,f GREASE TRAP: (locate on site plan) Depth below grade:_ Materiel of construction:_concrete_metal_Fiberglass _Polyethylene_other(e ain) 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: Comments: (recommendation for pumping, condition of inlet and outlet s or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) revised 9/2/98 Page 7ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 Samoset Road,Marstons Mills,MA Owrwr: Irma Dager&Helen Wieland Date of Inspection: July 11, 2000 TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass_Polyethylene_other( plain)) Dimensions: -- - - Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order:Yes No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float swit es,etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.)_0-B o)C W, PUMP CHAMBER:_ (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurte/es, ) revised 9/2/98 Page 8ofII i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(confinuad) Property Address: 50 Samoset Road,Marston Mills,MA Owner: Date of 4upection: Inna Dager&Helen Wieland July 11, 2000 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan, if possible; excavation not required, location may be approximated by non-intrusive methods) If not located, explain: Type: _ 6 r r leaching pits, number: x 6 L leaching chambers, number:_ leaching galleries,number:_ leaching trenches,number,length: leaching fields, number, dimensions: overflow cesspool,number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vege ion, etc.) Ju wc. 5 3 A wnA 0. -L V / i-1 c -A L L w_h CESSPOOLS:site N, e .-�wG`�., , -n (locatee 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 (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level 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, c dition of vegetation, etc.) revised 9/2/98 Page 9ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:Owner: 50 Samoset Road,Marstons Mills,MA Dane of Inspection: Irma Dager&Helen Wieland i July 11, 2000 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) OE�K z� 3y 35/00o T��y4�io�k 6 revised 9/2/98 Page 10ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(coati am4 Property Address: 50 Samoset Road,Marston Mills,MA Owner: Irma Dager&Helen Wieland Date of Inspection: July 11, 2000 NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope V Surface water Check Cellar Shallow wells Estimated Depth to Groundwaterdoi Feet Please indicate all the methods used to determine High Groundwater Elevation: VObtained from Design Plans on record Observed Site 1Abutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) Oro), 4 l701.e- rcc-aa-J<«l ,L-.J C. f u tr c, S 3 N, s. fi �• /U C±_c.- + '5.'v/o�. wAtt✓ �le- VC1 470h /) C ✓ / ✓� '� rwa � .}�.r � U � IA. hccQ /��',.t` / Z /o O Q.I 5� �F< rl S 1�,1.t / � �1✓fig�" 0 I L le-✓K revised 9/2/98 Page 11 of 11 `1......... YES.... .............. THE COMMONWEALTH OF MASSACHUSETTS /01 I t� BOARD OF HEALTH 2 ovm Barnstable ........... ...............................OF.......................................................................................... Appliratiun fur Mipuual Workii Tumitrur#inn Vamit ' Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: ?of Y54 Samoset Rd. , Marstons Mills....f`.' .. .. - ........... ................-•---............... .. -• ...... ....--...... ......._ Capricorn ReMtny trlZst 765 Falmouth R(%ldt,N°lsyannis ......................_.......................................................................... ..........--•-------.....-------•.......-•-•-.....................----........•-----........------ w Steve Lebel Owner Address Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ra??Ch.............. No. of persons............................ Showers (2 ) Cafeteria ( ) Q' Other fixtures -------------------------------- .... Design Flow........55...............................gallons per person er day. Tot 1 daily flow........�Qo............................ Ions. � Septic Tank—Liquid capacity1000..gallons Length 1............ Width�....�...__ Diameter................ Depth5 ........ w Disposal Trench—No..................... Widt __..........._..._.. Total Length..... Total leaching area... _._ sq. ft. Seepage Pit No....:................ Diameter.................... Depth below inlet._...._.............._. Total leaching area_..__....._.._...sq. ft. Other Distribution box ( ) Dosin annkk z Idredde Engineering 11-25-81 Percolation Test Results Performed by----- - ..•.............•----------- Date........................................ Test Pit No. 1.2!.0...__.minutes per inch Depth of Test Pit..12�____..___. Depth to ground wateTlone encounter- r - es 44 Test Pit No. §[L.A........-minutes per inch Depth of Test Pit.4/ ............ Depth to ground water_N�'�.............. 9 -------------------------------------------------------------------------------••-••....---•._...---.......................................................... 0 Description of Soil.......... .'....-..2_1__.__._.loam & _top§o! l ..................................................... �4 2.'...-: 10 ' Medium yellow sand --------------------------------------- ------- ----------_..... v �0' - ]2' med. white sand traces of ravel no wader at 12' w ------------------------------------------------------------------- ---------------------------------•--------�-----------------------------�•-------------r------------------................ VNature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------------------------••-•-•--•--..................._............_.....----•---•.......----------------...........--------------•--------------------------••-••---•---•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL% 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance b n i Zi by he board Oealth. gned-----..... ------. .. . . .........Pre s ......- Application Approved By--------- .......--L4t!`..:`.. .......--•----•----•--•---•.......................... ....lU� s ....... ate Application Disapproved f o the ollowing reasons:-------•----•------------------••-•---------------•-•---------•------------•-•-•-------------•-•-----......... -------------------------•-•••-•----•-------•----------.....-•---•-------•----......-•••••........-----•.-----•--•-----------------•---------------------------.....--------------•-----..........--•--- Date PermitNo......................................................... Issued......................................................... Date FRs...............:. ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tovrn Barnstable ....... ..-- .................. Appliration for Bioposal Vorkv Tomitxnrtion ramit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal Systgino�:#54� Samose-t: Rd. � Ylarstons Mills , J,IA •- a .---•---•...........................•-----••--•-----.......---...••-•-•........................ - ------------ Capricorn R °t3►�d� ust 765 Falmouth RaaTd NO-Hyannis •-•-•----._............... ............ --•........................................... t e ve L e b 21 Owner Address W Installer Address Q Type of Building 3 Size Lot............................Sq. feet U Dwelling—No. of Bedroo .._..Expansion Attic ( ) Garbage Grinder ( ) aTieh-------------------------------••-•-------.. PL4 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOthnfixtures ._...... _ Desi n Flow............................... 3��----...-----.........-----....----..._ ggallons per pers day. Tot I ,flow.......................................... g Jons WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth...__......... x Disposal Trenchr-•No. .................... Wid .................. Total Length------6.,.......... Total leaching area....Z6 .......sq. ft. Seepage Pit No--------------------- Diameter.............•...... Depth below inlet................... Total leaching area..................sq. ft. Z Other Distribution box ( ) DosinE14(dde Engineering 11-25-$1 Percolation Test RespltFo Performed by......................................... * Date........................................ one encounte - Test Pit No. -JA..........mmutes per Inch Depth of Test Pi 3 ............ Depth to ground Ovate /A.............. ea 44 Test Pit No. 2../..............minutes per inch Depth of Test Pi ..._............__.. Depth to ground water........................ 9 0-1.... 2...------...l w--& tops"oi1-----------------•--••----•--------------------------------------------------------------- xDescription of Soil..........--t...._...�fl........TVte•d1UM---S/Lrr"OW" S d----------------------•--------•-----------------•----------------------.----- w -•-•••••••-•.............•--••......--1-Q-" _--12-.------nre-d-:-..whi"t-e----sand/tra:0-es...o:'_._graVeT/ri6---water_-at 12 -----------------------------------------------------------------------------------------•---------------------------------------------------------•-----------.....--•------------•••--•------•...... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ••--• --•-••••-----•••-••--------••-•-•--•--•-•-•-••......................••-•-------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance h been issued by the board of Health. "S ned Pres.S. �1228 .-•---- Application Approved By.......... •-- f'''` .. ..................................................... � ................. ate Application Disapproved for he Rowing reasons:-------•-----------------------------•----------------....-•--•--•--------------•---.._.._...----•-..........._ --.....-•-•----------•-----------•----------••-------------------------------------------------------•---•••._.....-----•------•....------•--•-----•-••--••---------•-••..••••----••-•---•------••--•••- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ............................OF..............................................I...................................... Trr#if iratr of fl�ont�li�tnrr THIS IS TO CERT1%tW6th6 juc idual Sewage Disposal System constructed ) or Repaired ( ) by--------------•--•.------•----•---------......----............•---._................•-•-•......_..........--••-•-•--•------•.:.._..••••..........................__..........--•----•-••----••--- Lot ,r 54, Samoset 1,d. , InstalM-arstons Mills , I.-A at...................................•-------•-.._..•----•------•-•----•-••-•-••----------•---•--•-•-----•••--•------•---•---•---------••-•--•-•-••-•--._.._.... has been installed in accordance with the provisions of TITS E jpf he1State Sanitary Code iced in the application for Disposal Works Construction Permit No....11_�._`. 1./._.__...... dated_.... _-.. �_________________ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................. ? Inspector. ........................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T o tvn Barnstable 22,,.r" .........................................OF..................................................................................... �(' No.... ,1.... FEE........................ �to�roo�tl ere e ulnotrn.rtuan rrtttit Permissionis hereby granted.............................................................................................................................................. to Cons#r ( ) 'or Repair ( ) an Individual Sew D'- osal S t at No...............' Sa.moset Rd. , rol-eons PiT r ..............................--.............................................................................................................. ------ ..._........ Street �� ��/�.� as shown on the application for Disposal Works Construction Permit No.................� ted................ ........................ O L B rd of Health DATE.................................... ..................... FORM 1255 A. M. SULKIN, INC., BOSTON �(-g 7- 5 o 6 ¢. /y - Nf z o LO - r 7 / S G EJ�'� rST /UUlJ GAG. jz 4Fx15T/n/cq TvP0rtRARNy 0 2a 5 S4� j?Cr-R o D u C�r� FlroM Pt AN 6' /0 h FlW AIDA-r/0/n/ A N YE L E f"/ P/S 65 -0--r N Ln ��A of M,4,p A ORSE G d p No-10951�O 0. AIL Zone` mil= 30 T SZ LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION 0x0 l?p- _ EXISTING CONTOUR ---- 0 -- - ` 7K`^' ROBERT GAT^ S� 5� �f D SE7- ij FINISHED SPOT ELEVATION BRliC.—, FINISHED CONTOUR 0 ELcaEL)' IN BOARD OF HEALTH APPROVED DATE AGENT SCALES 3 0DATES LOREDGE ENGINEERING CO. IN CLIENT �Rr�cc� I CERTIFY THAT THE ,PROPOSED EGISTERE REGISTERED JOB NO. S3 7 s-( BUILDING SHOWN ON THIS PLAN CIVIL LAND ,� /. CONFORMS TO THE ZONING LADS ENGINEER SURVEYOR DR.BY� OF BARNSTABLE , MASS. 712 MAIN STREET CH. BY, NYANN I S, MASS. SHEET OF �` DATE REG. LAND SURVEYOR r.7 240 FT. MIN. NOTE : /F E/TNER TA/E SEPT/C TANk OR GE,4CA`11VG P/T .4/tE MORE THAN /2"BEL0K/tr /O P'7: M/A/. 6;RA OE j A ?4'O/A W ETER CONCR.erT.E CD PA. q"PVC P/PC SWALL QE BROU(SyT TO 4,0?ADE.CA/V Esj,'TRA CONCRCTB i /L/E,4 V Y CA S T /,V 0/�/ C O{/ER SHA L I— S-- C/S EO M/N. P/TCH C6 • 6S'•5 COPIERS IF/N DRIVZ=WAY /B f'LCR 27 M/N. CONGRE"TE A , _ / c�J<.�oE Cv ✓ER CLEAN SANG L/QU/D LEYEL d~ ' /RON ST • - Z LAYER U OAL.M/N.P/TCN v ' o o • • • r r •A P� � WA F SH/IeF"D. 5-SI7B7" NE• • SEPT/C rA VE a ., O a p • H • • • • • 1 • : v • o r •EFFECT%✓E ` • 314 • ° ► • • DEP7'i/ ' • • ' • o • WASN.ED STONE 40 ' a+ p• r • . • ' p PRECAST SEEPA, GE �-,A 7-/ 8 Y • • • • r p •&in/Ni?RT ELEVAT/oNS 1 /T 0 • • • r a o GP/T OR EQL//V a o •o /NY,ERT AT 4U/LD/N6 9 7.v Fr � O 6 F7" PIA M. / LET S /C TA/VK 6 b.8 T / d /rT O/AM. C(SEE T�aeuL.aT/oN� N EPT G G B F r ai OUTLET EPT/C TA T S NK F . //VLET D/STR/®!/T/ON BOX G 6 FT. SEC-7- GROu VD LITER TABLE O UTLET D/STR/B[!T/ON BOX 6 G z /HEFT LEACH/NG P/T ..6 6,0Fr, .SELVAGE ,O/SPOSA L SYSTEM LEAC/-H//VCs P/T 7ABULAT/ON DES/GN CR/TER/A SCALE : %t" _ /= v" DIMEN-SION A 6 SF'T. ►lENS/ON $ FT. NL/MQER OF 9EOR00/MS 3 D/MENS/ON C. g FT �N' GAR6AGED/SPOSAL (JIy/T �/u.�� SO/L LOG TOTAL 3-30 GA4.1,DAY SO/L TEST Al $O/L 725S7,02 SD/L TEST NUMBER OF L.d-ACNING P/7Z5 l f.,�Ey 69.0 �,. A- PATE OF SOIL TEST S/DE LEACH/NG PER P/T 8 RESULTS k//TNESSED BY R.9E•c.)� c 013/ BOTTOM LC,4CN/NG PER P/T Lv^ �,�. cam. PERCOL/1T/O1v RATE/IE/ LES s /y/N�//NCH TOTAL LEACH/NG AREA z 6 SQ. f'T. 6' s PEhCOLAT/ON RATE RE5B•RVE[.E4CN//VG AREASQ. FT. z O OF LdT SW. S'AMO S E7" zD. ROBERT G G�AvEG BRUCE ��'.� .F A 1(a ELDREDG MORSE gw A p No.10951�p EL DREDGE ENG/N6ER/JyG CO,/NG. 0s'o 6\ S ® NOGR�OLIJ NSD� 7/2 MAIN ST.1 NyANJv/9, MASS. YYATEA ENCOUNTFREO : iGDTEC14/EN ,NAL I� G/RO UND WATER AT ELE1! .106 /VO. �3 z•S" SHEET Z OF � r•- -T �-O 7- SS � s 0 -6 " SB ,sz ,. � I . 0 o. /00 6AL. /v /=xlsT/n/G rvPOrRAPNy D 2o' S 5 Sw jZC y pR U D u C.Er� rArD, P./AN / ¢O. '¢ DA7'c—c> nEC,8r.1�7� �y /O/ /h FU NDA-r/oH n/f / W a c�ts- > � ja / Ll - �AA (,b a N N —6 H of M�sss c1 ° An n ORSE y p No.10951 Q �1 0 F��lDNAL Y 3v /is./ 25-\ Ltd T S� a . LEGEND '"�F= CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO. ,�t� EXISTING CONTOUR --- 0 -- - ROBERT FINISHED SPOT ELEVATION �' �� `.> 4l� .: BE���c ti,-.: �'1�f /2STOAIS MILLS FINISHED CONTOUR 0 � E�DRE� ' =' �. IN APPROVED BOARD OF HEALTH DATE AGENT r SCALEt , - 3 DATE 1 /'0/ 3 LOREDGE ENGINEERING CO. IN CLIENT FR`�r�cn I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO. 83 ?s BUILDING SHOWN ON THIS PLAN CIVIL LAND A r4 �. CONFORMS TO THE ZONING LAWS ENGINE ,$URVEYOR9, DR.BY OF BARNS_TABLE , MASS. R.3,C- 712 MAIN STREET CH. BY, �0/2�/g 73 � ' f,�-- H Y A N N I S, MASS. z —�-—`— ---�---- —' SHEET L OF DATE REG. . LAND SURVEYOR 20 FT. M//V. N07E /F E'YTiYER THE SEPT/C TANK OR 3 LB.4CN//YG P/T ARE MORE TNA,,V /2"SEL`OJ4 /O PT. M IA/ 6;RA DE,, A P4"A01A M E T.ER CO PZ:0 _ 4~PVC P/Pt SWALL BE BROUG,yT TO GRADE.6AN E-ITRAw N , COCRC'TE M/N. O/TCN J&/E.4VY CA ST /RO/V COVE/? SHALL DE USED a••_ �/ • 6 9 5 COVERS �9 PFR IF/N .DRI vle JPVA y A _ G AOE CO 1iER CLEAN .SA/VO 4"CAST I 2 LAYER • IRON P/PE i / ('p U •0 0 o v Q� G1F /I8"-3IB" d% MIN.P/TGN GAL. , a • • • . • • • • ► ' e •4� >T SEPTIC TANK D/ST, o • • • • • • • • r • • , d + WA St/PD S777NE -:. BOX v P o • • � • • • • • � .•a ` r a r ' •EfFECT7VE ' • . � 3�4 - � �2•, • ° • • DEPTH • • ' ' • o WA5RAFP STONE 4-7o e e v r • • • • • • • r J o o , -79 PIT Ci9�� c� •s d+a a 1 •• •• • • • •• ♦ r e otp o E . PRECAST SEFPA• GE T y ja o P/T OR EQU/V !NieR'T *LENAT/OYS G O •o /NYERT AT DL//LDl/VG 9'7.o FT. 6 -r D/AM. INLET SEPT/C TANK 6 G-8 FT• / b FT. DIAM. C SEE 7-WVL4T10N> OUTLET SEPTIC TANK 66.6 Fr /INLET 4o/5TR/,9!/T/ON BOX 6 6 •`- FT SEC7-/ON OF. GROUND NIAITfR TABLE O UTLETD/STRIBI/T/ON BOX G 7- x7 INLET LEACH/NG /�/TFT. SEWAGE O/S/oOSA L SYSTEM TABlJLAT/ON LEACHING PIT DESJGIV CM/TEMIA SCALE : % " _ /= o" D/MENs/ON A 6 SFT. D1Nj-/VS/ON $ FT. N[/MQER OF BEDROOMS 3 D/MENS/ON C ¢ F77 M N. GAReAGEO/SPOSAL UNIT /✓Uwe SOIL LOG TOTAL EST//rJA7'ED FLOH/ 33 0 GAL.�DAY SO/L TEST 0/ SO/L 7.EST#2 SD/L TEST MUMBEje OF 40ACNlMG /D/7� I f-•FLEy 6 8.0 �..A- PATE OF SOIL TEST S/OE Lr'ACH/NG PER P/T 8 RESULTS J•v/TNESSEG BY �8���'`� c vr,3/ BOTTOM LFiACN/NG PEIt P/T Z b $Q, pT. L.v/� M a PER COX AWOW DATE 11E/ LESS /rI//V�/NCH ` TOTAL LEACH//YG i4REA SQ. FT. 6' s vgs o i t_ FWNCOLi4T/O/V RATE.*2 ,QESERIiE LEACHING AREA SQ. F T. 2,U :- 1�� very .►%��i� >>� SH OF A . �p s�>✓o LD T Sa!d ROBERT ��`. C7 VEG W"- BRUCE ��'` F o� a tip rn i � , •' ELUREDG � o v�� � at r MORSE y 4e, p No.10951�O EL DREDGE ENGINEER/!VG CO,/NG. ?a �c FG/STEM `�` c� S(�p 7I2 MAIN ST.� NYANN/9, MASS. SitS��� �FONAL E��O\� ® NO GROUND YVi4 TL&/r ENCO U/VTLrREo CL/ENT: M/i C O DATE: I a/l.l S'3 GM0 UVD Lv.4 TER AT ELEY/ .JOB /VO. �3 zs SHEET OF 2 LEGEND MARSTONS MILLS PROPOSED CONTOUR ® PROPOSED SPOT GRADE RACE LN. EXIST. 1,000G -- 98 -- EXISTING CONTOUR LOCUS • SEPTIC TANK + 96.52 EXISTING SPOT- GRADE, 50 SAMOSET RD. S@UBAL 66.0 W— EXISTING WATER SERVICE O 66.0 68.0 70.0 H MBLIN / 72.o � TEST PIT � N87'19'49"E POND P • TP-1 TP-2 \ 226 0 LOCUS ono / 1 1 �0 1 / / N PATIO LOCUS MAP oMo vi / II \I NEO WOOD • LOCUS INFORMATION DECK TITLE REF: 20947/119 PARCEL ID: MAP 101 PAR. 115 EXISTING O FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE DWELLING TOP OF FNDN co SEPTIC SYSTEM I EL = 70.0 REPAIR PLAN EL = 74.50 N / / LOT 54 LOCATED AT: z / / / I -I i AREA=26,171f S.F. 50 SAMOSET ROAD / I I � I � �1 I MARSTONS MILLS, MA PREPARED FOR JOEDES MARTINS JULY 24, 2018 66.0 / / / / I z- 64.0 OF 60.0 / / ) , 1, N DA RE `n EVER 60.o i 129 57 / / O I �� No 1 "' 62.0 64.0 66.0 I I F'o �0 '�� �° MEYER & SONS, INC. 68.0 I I �� P.O. BOX 981 s , , 72.0 EAST SANDWICH, MA. 02537 i ! 0S PH: (508)360-3311 70.0 " ��` FAX: (774)413-9468 ,p S662526 meyerandsonstitle50gmail.com 0pry� SHEET 1 OF 2 J 1894 ELEV. TOP NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS DROP FND. BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE (Existing) FINISHED GRADE (67.5-69.0) = 70.0 F.G.EL: 70.0-69.0 F.G.EL: 69.4 F.G. EL:- 69.0 VENT MAINTAIN 2% MIN SLOPE OVER LEACHING AREA 2" C�-3/8"-,.DOUBLE WASHED " _ F.G.EL f 68.0 STONE OR FILTER FABRIC 3/4 1-1/2 �' :Y DOUBLE WASHED STONE A s" " 4" SCH 40 PVC 10"I rr Q ®®®® '- TEE'S ARE TO BE 14 6 0 S= 1% (MIN.) ®®®®®®®®®®® :v 4" SCH 40 PVC INV.66.0 2' E F. DEPTH ®®®®®®®®®®EM INV.66.70 :1 INV. 65.80 4' 2 X 8.5' 4'3 GAS PROPOSED DB- EXISTING OUTt ET BAFFLE EFFECTIVE LENGTH = 25' . •.•« •. . .•. • •• . . DISTRIBUTION BOX L. INV. 66.95 mt Am (1-120) INV. ELEV.= 63.70 EXISTING 1,000 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ���`� OF ' ss9 BREAKOUT OUTLET TEE AS MANUFACTURED BY �`� cy NOTES: TUF-TITE, ZABEL, OR EQUAL DARE ELEV.= 64.70 M. TOP CONC. ELEV.= 64.70 1) CONTRACTOR SHALL VERIFY ALL EXISTING j M -� PIPE INVERTS PRIOR TO CONSTRUCTION ` 140 "' INV. ELEV.= 63.70 E3 ®® 2) D-BOX SHALL BE SET LEVEL AND TRUE TO \� ®®®®®®E3 GRADE ON A MECHANICALLY COMPACTED SIX �E�IST ®®®®B®® • INCH CRUSHED STONE BASE, AS SPECIFIED INNITAR�a� BOTTOM EL.= 61 .70 ®®®®®®® 310 CMR 15.221(2) `� 3.75' 5 FT. 3.75' 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK rd WITH 1500 GALLON SEPTIC TANK IF FAILED, SEPARATION 5.20 FT. EFFECTIVE WIDTH = 12.5' DAMAGED OR UNDERSIZED. 4) INSTALL INLET & OUTLET TEES W/ SEPTIC SYSTEM PROFILE SOIL ABSORPTION SYSTEM SECTION) GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL: 56.50 5) PLACE SANITARY TEE IN D-Box (500 GALLON H2O LEACH CHAMBER) GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOGS P#: 15736 DESIGN CRITERIA BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: DULY 18, 2018 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: DESIGN PERCOLATION RATE: <2 MIN/IN - 310 CMR 15.405 (1) (B): WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. 1) A 1.30 Fr. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING TO BE 4.30 FT (MAX) BELOW GRADE VS REWD 3 FT. (H2O/VENT PROMDED) Elev. TP-1 Depth Elev. TP-2 -Depth GARBAGE GRINDER: NO (not designed for garbage grinder) 2) A 4 FT. VARIANCE FROM 310CMR15.211 TO ALLOW LEACHING 68.50 0" 69.0 0" SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXIST. 1,000 GAL. SEPTIC TANK TO BE 16 FT (MAX) FROM DWELLING VS REWD 20 FT. A LOAMY SAND A LOAMY SAND 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 10YR 4/1 I' IOYR 4/1 " LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 68.08 5" 68.50 6 DESIGN ENGINEER. B LOAMY SAND B LOAMY SAND 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 10YR 5/6 10YR 5/6 " USE TWO (2) 500 GALLON H2O PRECAST LEACH CHAMBERS W/ 4'� FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 65.42 37" 66.00 36 STONE ON ENDS & 3.75 STONE ON SIDES: 25 L x 12.5 W x 2 D ENGINEER BEFORE CONSTRUCTION CONTINUES. C C MEDIUM 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. MEDIUM SAND PERC TEST SAND BOTTOM AREA: 25 x 12.5= 312.5 SF r 6. THE CO INTRA ENGINEER OWNEERRTTO NOTIFY THE FL�OCAIiOa�OF OF 2.5Y 6/4 A a- 64•5 2.5Y 6/4 SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 62.50 72" 62.93 73" TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. C2 S.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED MED-COARSE C2MED-COARSE DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd " TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. SAND SAND 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 2.5Y 7/3 2.5Y 7/3 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 56.50 144" 57.0 144" CONSTRUCTION PROPOSED SEPTIC SYSTEM UPGRADE P LA N 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. PERC RATE <2 MIN/IN. (*Cl* HORIZON) 50 SAMOSET ROAD, MARSTONS MILLS, MA 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION NO GROUNDWATER OBSERVED Prepared for: Joedes Martins 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY Design and Site Plan by: SCALE DRAWN DATE 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS,INC. N.T.S. DMM_ 07/24/18 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX 981 REV DATE 15. ALL PIPING TO BE 4" SCH 40 0 1/8%FT (UNLESS SPECIFIED) requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October. 1999. EASTSANDVVICH,MA02537 CHECKED SHEET N0. 50"2z922 DMM 2 of 2 f. PI I*BLS_ �__i i e k roh a /'0/2a/� — f , ry t a , f � ° A All . �1 L L. G✓1a G _, 1Z _. �' �o 2�.�r /✓�G.Ni�/!c Fii�_.g. _ _--------- f l - f