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HomeMy WebLinkAbout0155 SANTUIT-NEWTOWN ROAD - Health SS 5b�sti o � , �I ��2.S1aI�S I'YIIILS � l tug 21 1410:28p p.1 Commonwealth of Massachusetts Title 5 official. Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 156 Santuit-Newtown Road Property Address Eric Shepherd Owner owner's Name information is required for every Marstons Mills MA 02648 8-21-14 page_ CitylTown 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 "��UtkunnNpr� on the computer, �����' tH of Mq vy,� use only the tab .�� -PIP �1. 1. Inspector: I I •.9c key to move your 2;' y'r cursor-do not ' ��i DAMES ••N use the return James D.Sears ;m c key. Name of Inspector :y CapewideEnterprises LLC Company Name 153 Commercial Street pi��O,F 5';N'SP�G,``���� Company Address Mashpee - _._...:.. --- MA _02649 _ Cityrrown State Zip Code 508-477-8877 S 1623 Telephone Number License Number B. Certification 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 8-21-14 _ FI pector'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. M5 •3113 TW 5 oRcial s n Form:Subsurface Sewage Disposal System•Page 1 or 17 Aug 21 1410:28p p.2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 156 Santuit- Newtown Road quo, -i; Property Address Eric Shepherd Owner Owner's Name iequr edfo 'is Marstons Mills MA 02648 8-21-14 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cunt.) 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 is a 1000 Gal Tank,D Box and Pit 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_3N3 - Title 5 Official hispection Form:Subsurface Sewage Disposal System•Page 2 of 17 Aug 21 1410:28p p.3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments yy� 156 Santuit-Newtown Road Property Address Eric Shepherd Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-14 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 pumpslalarms are repaired_ B) System Conditionally Passes(cunt.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ 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): L] The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurfew Sewage Disposal System•Page 3 0117 Aug 21 1410:29p pA Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 156 Santuit- Newtown Road Property Address Eric Shepherd Owner Owners Name information is required for every Marstons Mills MA 02648 8-21-14 page. Cityfrawn 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 passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in a is less than 6" below invert or available volume is less than '/s day flow A0— t5ins•3113 Title 5 Official Inspection Form:Subsurtace Sewage Disposal System•Page 4 or 17 Aug 21 14 10:29p p.5 Commonwealth of Massachusetts Title 5 Official Inspection Form i= Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Santuit-Newtown Road Property Address Eric Shepherd Owner Owner's Name information is every Marstons Mills required for eve MA 02648 8-21-14 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 accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins 3113 Title 5 Official inspection Form:Subnrface Sewage Disposal Syslem•Page 5 of a Aug 21 1410:29p p.6 Commonwealth of Massachusetts Title 5 Official Inspection Form a� o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 156 Santuit- Newtown Road Property Address Eric Shepherd Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-14 page. Cityfrown 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): .3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-3,113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 a!17 Aug 21 1410:30p p,7 Commonwealth of Massachusetts _ . ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 156 Santuit-Newtown Road Property Address Eric Shepherd Owner Owner's Name information required for every Marstons Mills MA 02648 8-21-14 , page. Citylrown State Zip Code Date of Inspection D. System Information Description: The system is a 1000 Gal.Tank D.Box and pit. Number of current residents: 2 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 2012-9,000Gal's g ( y g (gp ))' 2013-7,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: PresentDate CommerciaUlndustrial Flow Conditions: Type of Establishment Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seatslpersonslsq.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: tS ns-V13 Title 5 Oftida:Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Aug 21 1410:30p p.8 Commonwealth of Massachusetts Title 5 Official Inspection Form Fv Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Santuit-Newtown Road Property Address Eric Shepherd Owner Owners Name information is Marstons Mills MA 02648 8-21-14 required For every page. Cityaown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Ming•3013 rills,5 Oficial Inspection Form:Subsurface Sewage Disposal Syslem•Page 8 of 17 Aug 21 14 10:30p p.9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Santuit- Newtown Road Property Address Eric Shepherd Owner Owners Name information is required for every Marstons Mills MA 02648 8-21-14 page. Cityrrown State Zlp Code Dale of Inspection D. System Information (cont.) Approximate age of all components,date installed (if known) and source of information: Tank NA/D Box and Line box to pit 2004 Permit#2004-352. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 20" 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.): Pi ein is 4" PVC SCN 40. Septic Tank(locate on site plan): Depth below grade: 18" feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Gal.Precast N-10 1e Sludge depth: 15ins•3/13 rtle 5 ORciel ln"crtan Foml:Subsurface sewage Disposal System,Page 9 of 17 Aug 21 1410:31 p p.10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Santuit- Newtown Road Property Address Eric Shepherd Owner Owners Name information is required for every Marstons Mills MA 02648 8-21-14 page. City[Town State Zip Code Date of Inspection D. System Information (cunt.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 0" Distance from top of scum to top of outlet tee or baffle 12" Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asbuilt-Tape Sludge Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level.Tank and cover's at 18" below grade. Inlet tee outlet baffle. No sign of leakage or over loading. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3H 3 Title 5 Of ictal inspeclon Form:Subsurface Sewage Disposal System-Page 13 of 17 Aug 21 1410:31 p p.11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 156 Santuit- Newtown Road Property Address Eric Shepherd Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-14 page. City/Tovm state Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: -— Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow. gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Ons-3113 Tile 5 Qflldal Inspealon Form!Subsurface Sewage Disposal System Page 11 of 17 Aug 21 1410:31 p p.12 Commonwealth of Massachusetts _ Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Santuit-Newtown Road Property Address Eric Shepherd Owner Owner's Name reInform quired is Marstons Mills MA 02648 8-21-14 required for every " page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 10 112"x 20"-25"below grade. Box is clean and solid w/one line out. No sign of over loading or solid carry over. Pump Chamber(locate on site plan): Pumps in working order. ❑ Yes ❑ No* Alarms in working order. ❑ Yes ❑ No* Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): •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: t5ns•3113 True 5 Official Inspedion Form:SubcWace Sewage Disposal System•Page 12 of 17 i Aug 21 14 10:32p p.13 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 156 Santuit- Newtown Road _ Property Address Eric Shepherd owner Owner's Name required fo is Marstons Mills MA 02648 8-21-14 required for every page_ City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ 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.): Leaching is a 600 Gal. precast pit Pit at 38" below grade w/cover at 11". Pit is wet bottom. Wall's clean and dry. No sign of over loading or solid carry over. 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 t5hs•3113 Title 5 Dtticial Ins eciion Form:Subsurface Sewage p g Disposal System•Page 13 of 17 Aug 21 1410:32p p.14 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 156 Santuit- Newtown Road Property Address Eric Shepherd Owner Ownees Name information is required for every Marstons Mills MA. 02648 8-21-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(rnote condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Paoe 14 of 17 Aug 21 1410:32p p.15 Commonwealth of Massachusetts T . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments. M 156 Santuit-Newtown Road Property Address Eric Shepherd Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately A AFAR a EeK -�= u 5--3= 31 L3 15ins•3113 This 5 Official Inspection Form.Subsurface Sewage Disposes System-Page 15 of 17 Aug 21 1410:33p p.16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 156 Santuit- Newtown Road Property Address Eric Shepherd Owner Owners Name information is required for every Marstons Mills MA 02648 8-21-14 page. Ctty'r n State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Av Estimated depth to high ground water: 12+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: abutting property 12'+to no g.w. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•3113 TWO 5 Offldal Inspection Form Subsurface Sewa a Dis posal sposal System•page 16 of'17 i Aug 21 1410:33p p.17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 156 Santuit- Newtown Road Property Address Eric Shepherd Owner Owner's Name information is required for every Marston Mills MA 02648 8-21-14 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 Information—Estimated depth to high groundwater !� Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 15iiis•3/13 Title 5 Olfciet Inspedion Form:Subsurface Sewage Disposal System•Pape 17 of 17 f• ' TOWN OF BARNSTABLE LrC.ATION SEWAGE # 100 7 — S$8 VILLAGE 4'1'0,156ohS l ,11 ASSESSOR'S MAP & LOT 0 3/— 005 INSTALLER'S NAME&PHONE NO. 5-09-4'20-773 9- c/asr* '9' &,V,5 SEPTIC TANK CAPACITY /5'D19 LEACHING FACILITY: (type) 2-300 601,, a^wA0/"5' (size) NO. OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: /2-26=dZ 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��x• i �.• �.tt� Nr'v/fow�► o/ �'� Dorf s �: J ® �' /a® No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes pprication for �hgpogal *potem: Cottgtructiou Permit Application for a Permit to Construct( ) Repair(4)—Upgrade(L) Abandon( ) El complete System ❑Individual Components Location Address or Lot No. e`d T4ct/t7 Owner's Name,Address;and Tel.No. ��asrr is <7/ 6,jLr eriH e [op c z Assessor's Map/Parcel Q 31_0D:3 60 S? �£-2 Bas 7ys2 Installer's Name,Add Less,and Tel.No. Designer's Designer's Name,Address and Tel.No.set" ✓oscph lI� 1 �5 / pi�y� ork5 / </�t/'SIOyJ r / Type of Building: Dwelling No.of Bedrooms j 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) l� — ,Y400 Del r9r/y1' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sig Date Application Approved by Date `4 ' C?�_ Application Disapproved by: Date for the following reasons Permit No. �L J [ '� Date Issued o� .. -.t. -,. ,.......,,�,,,,,J„�.t�„��..`r"�"''�y,,........ .i..r-'} sue. �Y,��-:M. •f�.rR,js7,n �rh. r/'�r "�'k1�.^.�.-.�......^+",, f_ �`, •_,�„ Fee 106 CHUSETT ET _ Entered in computer: THE COMMONWEALTH OF MASSAS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es r 21ppYication for �Oigpogal *pgterrY Con5truction' Permit Application for a Permit to Construct O Repair(44 -Upgrade(4) Abandon O ❑.Complete System ❑Individual Components { Location Address or Lot No. 15T Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Q! �. Q p3 -•00 ` p8-2Ba-271SZ Installer's Name,Add"�ess,and Tel.No.s Designer's Name,Address and Tel.No.SOf-41, i Jos c�lr l.�c (S�rr.�vSr 'iM,c f ri,Wf o�^k_ i c �av�sroas // ds / ' Type of Building: _ f Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers' � yp g ( ) Cafeteria( ), Other Fixtures i Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title f I Size of Septic Tank Type of S.A.S. E Description of Soil Nature of Repairs or Alterations(Answer when applicable) _ �' Xf2 -_5PU G < Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in iaccordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Com ace s Y li n has been issued b this Board of Health. Sig Date Application Approved by( Date l -( p i i Application Disapproved by: Date for the following reasons t i Permit No. , )C> / Date Issued t —————————————————————————————— —— .'" . THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (O,.-) Upgraded (,:Z ),-.,., ' t Abandoned( )bya S r-A9 at / �eir ;�rl �i/,�ui�°DGL/r�1 �lf�r srr�o�� lil/has been constructed in accordance with the provisions of Title 5/and the for Disposal System Construction Permit No. 1v?" 5 b t dated I Ins Designer �la� r/,al,Y Ge,47,e 'l #bedrooms Approved design flow I �� gpd ` The issuance of this permit shall'of be onstrued as a guarantee that the system fu ction as designed. Date ~!{ `� Inspector /� / k ----------Q ---------------------/ --------- No. Q� -SO� Fee �C/© ` - - THE COMMONWEALTH OF MASSACHUSETTS-- PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS lwigpoml Qbpgtem Con.5truction Permit Permission is hereby granted to Construct ( ) Repair (� Upgrade ( 4-)—Abandon ( ) System located at /5-3- .5,v.111w r --A&Uvra cvvf real and as described in the above Application for Disposal System Construction Permit.The.applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions-_-, Provided: Construction must be c mpleted within three years of the date of this+ e Date /a �la 61� '7 Approved�b 01/06/2008 19:26 5084775313 ENGINEERING WORKS PAGE 01 Town ©f� Rmpktory Sw.*es 1UMm F.Guar,DlrUWr P cno*&Dhislon " . '�`�omn;Ms�eao,lDer�ctor `. Fax: 508-790-W r1 {- ,��/ M A was issued a pom*to imam a vow l�'. ..Soy��+.�-�+,�r—rt��v�►F-ec a�� (addre bond on a day, ,dtmn by �- - !. system refetmced above was installedsublftoagy :box and/ar c r approved chats such as W rob""." " t Lam.:Ott'tie septic $ re mced abov was im�ooation. the SAS or any vwdw m�� WI&State. Local& lte .�!a '�but in .Salations. by designer to follow. PETER T. MCENTE£ CIVIC, y ,A No.36100 O UAL. (Affix DCBi$flet 9 St .I ) ' TIES MM AM A&Mat'am-Kid MA �'� C�Sc.OHo+e Fe�m 3�Erdd.do� . .�t'� �JFy�{ tt't=,�:t'¢ c:i.:!.���1 e'_.I� `.�._•C.1 1 ff 7 i` �,�u..-t ���4!,�`,ryps',tr.Y v .. - _,..�,.., »aT•.. rk.'•t'.u'4 '#dic4 . v K i•�LF f� tic", - •LM�I♦ir'f�fy F. :q'.43. 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( ,. tt rp ; '✓§ �"# �p} i'"�C..Wi t,dJ ♦1' ...f,4'c#f.l' J/ 1♦ '�1*fY � ^4 wa V i �� � �r�Z r..:n' �N�,,...,••a-+� ... -}�'��,+f.-..: �tf �,�r`..�wa a ,r�,�Y+:,w... .:....:..:y.(. �`� .'�,JfJ5 :�FS�.�--,�«+<:.�.� y 1 +.}z:as�'�•l�:�i 5s�P s�g��;n+ts,.�?;;;FFF�� M+Er,x r`a`S,.PP n £v e+ `a-x "J• �+ ..+4 Zp � re a'�'#t �� �s r+L'�1 h, r'P� �'�x.� 'S-µ�..�rt^e �,A ar���.c� �. w ...d...tia.:r..,..ar x�k,a.✓'.,� tip'$' gyp. P Eat, .,. . 1..7. :,-tr ..a.,�"'kr 3 3 ♦ r'y` r ist ", � ( ��+ „ra,., ct;r.�,•.�'1 ..�'• COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature Item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X �—❑Addressee so that we can return the card to you. B. eceiyed b _(Pri ed N C. D e of elivery ■ Attach this card to the back of the mailpiece, �� or on the front if space permits. D. Is delivery addrAs different from Rem 1? ❑ es I 1. Article Addressed to: If YES,enter delivery address below: No + ►. 5�-o c. M,\t t, 1'n117 VL I`t�, 3. Service Type 13 Certified Mail ❑Express Mail j ❑Registered fist Return Receipt for Merchandise' ❑Insured Mail ❑C.O.D. 4. Restricted Delivery (Extra Fee) ❑Yes 2. Article Number `y �' Xx(Transfer from service labeq 1 � t t j7 0 0 7 �,71, 0 q.5.-«5$2`0 7 4 9 6 ,_ t ' PS Form 3811,February.2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATE OSTgSERVIC First-Class Mail USPS9e&Fees Paid Q Permit No.G-10 • SeRd'er: Please pri {:93jour name, address, and ZIP+4 in this box • N� O" 4 Town of Barnstable a' Health Division 200 Main Street i ` Hyannis,MA.02601 9 11 i 1 1 t 1 t 3 1 1 t I i,liE?i?-Eiit?iE??it?:EE?Eil?iEEi'i?EE}�??3?31?41I3 ?'si....iEE?E I tI THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR i QUALITY ORIGINALS) m A FL DATA . oFSHE row Town of Barnstable Barnstable y ;,°UAFLVSTAE3LEO� Regulatory Services Department QedcaCfty �'•9 b1ASS. 039. �0 Public Health Division �'ArE0 MAC a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO January 2, 2008 Catherine Lopez tr 155 Santuit-Newtown Road Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 155 Santuit-Newtown Road, Marstons Mills MA was inspected on October 17, 2007 by David B.Mason, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system FAILED under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. You are ordered to repair.or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. STHE OARD OF HEALTH7007 0710 0005 5820 7496 Kean, R.S., CHO Agent of the Board of Health /. Q:\SEPTIC\Letters Septic Inspection Failures\155 Santuit-Newtown Road.doc 7007 0 710 0005 5820 7496 7007 0710 0005 5820 7496 r—� COMMONWEALTH OF MASSACHUSETTS Z F EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION s�. David B.Mason,R.S,Certified Title V Inspector,508-833-2177 1V� TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 155 Santuit-Newtown Road,Marstons Mills,MA Owner's Name:Lopez, C a- �'• Owner's Address: Same Date of Inspection: October 17,2007 031 ® S Name of Inspector: (please print)David B.Mason Company Name:—N.A. Mailing Address:4 Glacier Path East Sandwich,MA 02537 Telephone Number: 508-833-2177 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 DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority _X ils ���, Q Inspector's Signa Date: 044&1' 1 / �Z l�'r"1 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. Notes and Comments: System as inspected appears to have not been pumped for maintenance purposes which has resulted in overflow of material from the tank into the leach field. Tank should be pumped as a matter of maintenance. The information as identified represents only the condition of the system on October 17,2007 at 1:00 PM. Covers of components must be brought to within 6 inches of grade. I ****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. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 155 Santuit-Newtown Road,Marston Mills,MA Owner:Lopez Date of Inspection: October 17,2007 Inspection Summary: Check A C D or p ry ,B, 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: Parking area should be defined to prevent parking on septic tank and pump chamber. 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. _N_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: _N_ 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: _N_ 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: OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS Titles S TnQnPt-tinn Fnrm A/11/1000 2 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 155 Santuit-Newtown Road,Marstons Mills,MA Owner:Lopez Date of Inspection: October 17,2007 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 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: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles S TncnPrtinn Rnrm Ail'VIOM 3 Page 4 of 11 PART A CERTIFICATION(continued) Property Address: 155 Santuit-Newtown Road,Marston Mills,MA Owner:Lopez Date of Inspection: October 17,2007 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _Y _ 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 _NA_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool NA_ 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 1 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 form.] _YES_(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. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B Title S Tncnartinn Fnc. A/1 5/7000 4 Page 5 of 11 CHECKLIST Property Address: 155 Santuit-Newtown Road,Marstons Mills,MA Owner:Lopez Date of Inspection: October 17,2007 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?(INCLUDING THE SAS) _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)] OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles G TnenPrtinn Pnrm A/11;00A0 5 Page 6 of 11 PART C SYSTEM INFORMATION Property Address: 155 Santuit-Newtown Road,Marstons Mills,MA Owner: Lopez Date of Inspection: October 17,2007 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:_4 Does residence have a garbage grinder(yes or no):NO(Not Allowed) Is laundry on a separate sewage system(yes or no):NO [if yes separate inspection required] Laundry system inspected(yes or no):NA Seasonal use: (yes or no):NO Water meter readings,if available(last 2 years usage(gpd)):2005;92,000gpd 2006;79,000 gpd 2007;70,000gpd Sump pump(yes or no):NO Last date of occupancy: Current COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,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 Source of information: Mashpee Board of Health 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:Maintenance pumping conducted after inspection 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): With pump chamber Approximate age of all components,date installed(if known)and source of information: approx. 10 years Were sewage odors detected when arriving at the site(yes or no):NO OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Tit➢A S TnQnPnfinn T:nrm 6i1'qi100n 6 Page 7 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 155 Santuit-Newtown Road,Marstons Mills,MA Owner:Lopez Date of Inspection: October 17,2007 BUILDING SEWER(locate on site plan) Depth below grade: Approx.30 Inches Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line:_NA Comments(on condition of joints,venting,evidence of leakage,etc.): Appears in good condition. SEPTIC TANK:N.A.(locate on site plan) Depth below grade: 26 Inches 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: Typical 1500 gal. Sludge depth:4 inches Distance from top of sludge to bottom of outlet tee or baffle: 28inches Scum thickness: variable 0 inches to 6 inches Distance from top of scum to top of outlet tee or baffle: 0 inches Distance from bottom of scum to bottom of outlet tee or baffle:Not applicable no scum at outlet tee How were dimensions determined:actual measurements Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.)inlet tee is PVC.Outlet tee is PVC and appears in good condition. No evidence of leakage. Structure of tank appears adequate.Effluent level with outlet tee. Maintenance pumping is required. GREASE TRAP: N.A. 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.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles S TrnenPrtinn Fnrm All S11000 7 Page 8 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 155 Santuit-Newtown Road,Marstons Mills,MA Owner:Lopez Date of Inspection: October 17,2007 TIGHT or HOLDING TANK: N.A._(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: YES_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Level with outlet invert Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): Plans indicate that a dbox exists. As built is incorrect and dbox could not be located. 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 appurtenances,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles S incnartinn Rnrm AM 1;0000 8 Page 9 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 155 Santuit-Newtown Road,Marstons Mills,MA Owner:Lopez Date of Inspection: October 17,2007 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: 1 Pit;6 foot depth leach pit with approx.2 feet stone. leaching chambers,number:_3_ _leaching galleries,number: _2 leaching trenches,number,length: 2 trenches approx.34 feet long _leaching fields,number,dimensions_ overflow cesspool,number: innovative/alternative system Type/name of technology. Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): leaching is 48 inches below grade. Removal and inspection of vent at the end of the trench indicates standing effluent and overflow of solids. System failed based on this observation. CESSPOOLS:_NA (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:_N.A._(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.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles G TncnPrtinn Fnrm Ail';i')nnn 9 Page 10 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 155 Santuit-Newtown Road,Marstons Mills,MA Owner:Lopez Date of Inspection: October 17,2007 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. w [A ] [B] O El 20 13 Titles S TnCnAnfinn Rnrm 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 155 Santuit-Newtown Road,Marstons Mills,MA Owner:Lopez Date of Inspection: October 17,2007 SITE EXAM Slope Surface water Check cellar (crawl space) Shallow wells Estimated depth to ground water_30 feet Please indicate(check)all methods used to determine the high ground water elevation: _X_Obtained from system design plans on record-If checked, date of design plan reviewed: _X_Observed site(abutting property/observation hole within 150 feet of SAS) _X_Checked with local Board of Health-explain: Recent Test Holes, Existing engineer records with BOH _X_Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Utilized existing site design information on file with the Board of Health. Additionally, existing site and abutting site topography does not indicate ground water to be within 4 feet of bottom of leaching facility. Test holes in the area on file do not indicate ground water within 300 feet of grade. Titles G TncnPrtinn Fnrm Ail VInnn 11 Barnstable Assessing Search Results Page 1 of 2 Ur o 2007 1NtM3Td' [. aae. aProperty AssessmentLookup Home: Departments:Assessors Division: Property Assessment Search Results New Search ErNew Interactive Maps >> Owner: 2007 Assessed Values: LOPEZ, CATHERINE 155 SANTUIT-NEWTOWN ROAD Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 142,000 $ 142,000 031 /003/008 Extra Features: $0 $0 Outbuildings: $0 $0 Mailing Address Land Value: $ 152,000 $ 152,000 LOPEZ, CATHERINE Totals $294,000 $294,000 155'SANTUIT-NEWTOWN RD MARSTONS MILLS, MA.02648 2007 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $35.75 Fire District Rates Town Barnstable-All Classes $2.10 $6.32 C.O.M.M. -All Classes $1.03 Commei C.O.M.M. FD Tax(Residential) $302.82 Cotuit FD-All Classes $1.34 $5.57 Hyannis-Residential $1.54 Persona Town Tax(Residential) $ 1,191.78 Hyannis-Commercial $2.37 $5.57 Hyannis-Personal $2.37 Other R; Residential Exemption P1:k W Barnstable-Residential $2.02 Commur W Barnstable-Commercial $1.69 W Barnstable-Personal $1.69 Total: $ 1,530.35 Construction Details Building Property Ske#chPro endperty Sketch & ASI Leg Building value $ 142,000 Interior Floors Carpet Style Ranch Interior Walls Drywall Model Residential Heat Fuel Gas Grade Average Grade Heat Type Hot Air Stories 1 Story AC Type None http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?mappar=0... 10/19/2007 Barnstable Assessing Search Results Page 2 of 2 A r Exterior Walls Wood Shi-igle Bedrooms 3 Bedrooms Roof Structure Gable/Hip, Bathrooms 1 Full WWI .I a Ti Roof Cover Asph/F GIs/Cmp living area 1120 rt1 Replacement Cost Cost $147952 Year Built 1997 Depreciation 4 Total Rooms 5 Rooms Land philY CODE 1010 Lot Size(Acres) 1.06 Appraised Value $ 152,000 AsBuilt Card N/A Assessed Value $ 152,000 -� -Miew Interactive Maps > Sales History: Owner: Sale Date Book/Page: Sale Price: LOPEZ, CATHERINE Jun 27 1997 12:OOAM 10823/114 $50,000 HABITAT FOR HUMANITY OF CAPE COD Jan 17 1997 12:OOAM 10574/233 $ 1 BARNSTABLE HOUSING AUTHOR'Y Nov 15 1995 12:OOAM 9923/276 $30,000 PRINCI, MICHAEL J Aug 15 1984 12:OOAM 4233/319 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) Second Story Living Area CAN Canopy FUS (Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?mappar=0... 10/19/2007 TOWN OF BARNSTABLE LOC'ATION : j r- � `i R®' SEWAGE # l 0 VILLAGE �� iC.L�S�J ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. U:,AOT� q.-20— � SEPTIC TANK CAPACITY LEACHING FAClLrrY: (type) oZ 1 I'tt�/� S (size) f � NO.OF BEDROOMS BUILDER OR OWNER PERMTT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 o y1 No. 77 - �9 Fee 1 U g i7` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppitcation for �Mi!gpogar *pztem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location155 A ads or of No. n 11, 2ge� l res�s 1 `el. o. ` �-f�' 3„" 1. Assess 's Map/Parce ` 3-�, , d2Co?''S Ilse eer�'s Name, and Tel.No. � i5[�g DesigneF's N�eQ�ddres j TQeL i'lio.?� o� �, f• �_ �C, 7a � � S� M A ---}c. z5 •zo9g Type of Building: Dwelling No.of Bedrooms�_ Lot Size ,ZZ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow v� 460121� gallons. Plan Date 'Z 1.7 197 Number of she Revis'on Date Title t 5 ©5 Size of Septic tank t 5 Type of S.A.S. �r rr Descripti n of Soil Z IS61 0—Q e �r O- O O Q86C VESIGNING ENGINEER MUST SUPERVISE Nature of Repairs or Alterations(Answer when applicable) —INSTALLATION AND CERMFV IN WRITING THE SYSTEM WAS INSTALLED IN. STRICT Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore describe - ite sewage disposal system in accordance with the provisions of Title 5 of the Env' m Code an t to p c e peration until a Certifi- cate of Compliance has been issu d b th Board V ) 2 - SignedI-A Date Application Approved by Date__3�•- 47 Application Disapproved for the lowing easons Permit No.T7 — 10 Date Issued TOWN OF BARNSTABLE LOCATION � Tuf� /Vbc�1( 1 ©' SEWAGE# - l0 .'VILLAGETh '"- .�---n— ASSESSOR'S MAP &LOT 34 INSTALLER'S NAME&PHONE NO. .,/7�� SEPTIC TANK CAPACITY 1��a I:EACHING FACII.ITY: (type) 7 �f15 (size) OF BEDROOMS /1l�Lt � BCJII.DER OR OWNER / i�vjTgR l PERMITDATE: �- �a' � " / COMPLIANCE DATE: _7 ` Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by l't . f N)o9'L7 'ifh �/ y =SSCH®LIELD BROTHERS ENGINEERING • SURVEYING PLANNING Schofield Brothers of New England, Inc. 161 Cranberry Highway P.O.Box 101 Orleans,MA 02653-0101 508/255-2098 or508/398-3311 FAX 508/240-1215 "� o June 6, 1997 b Town of Barnstable 01-hcFpllA�l 1799) Health Department 367 Main Street Hyannis, MA 0260 Z � Re: Santuit-Newtown Road, Barnstable, MA Map 31, Parcel 3-8 To the Department: On Thursday, June 5, 1997,this office inspected the recently constructed septic system at the referenced site. The S.A.S. has been installed deeper than proposed. With this exception�we hereby certify that the septic system has been constructed in substantial compliance with the approved plans. Thank you for your cooperation with the project. Please call should you have questions. Very truly yours, Schofield Brothers of New England, Inc. Jeffrey S. Colby JSC:mkr }_ _ -7 ' No. -F t � --- Fee r. - ... 44 :;THE COMMONWEALTH OF.MASSACHUSETTS Entered in computer: U Yes PUBLIC HEALTH DIVISION TOWN�OF BARNSTABLES MASSACHUSETTS Zipprication for �Bigozal *pztem Couttruction Perm Application for a Permit to Construct( / )Repair( )Upgrade( )-Abandon( ) Complete System ❑Individual Components Locati n Address or of No. T t 4 r Owner's Name,Address and Tel.No. L - --� vC11 � �• , �� l 1:.: J.�.) i. Assessor's ap/Pasce c, + staller's N e,Address,and Tel:_No. ' Designer's Name,Ad ress-and Tel. o. �� � �aa- �� ''�-,��, K.(, E. rye or I CZ rev cry Type of Building: Dwelling No.of Bedrooms Lot Size� 4e sq.ft. :'.-'Garbage Grinder'"( ) Other Type of Building r No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow - gallons per day. Calculated daily flow 4<� gallons. Plan,'Date 2 17 � �' f � �� Number of shots. � _Revision Date t _ Title Size of Septic aan(k _ Z. �� Type of S.A.S. Description Of Soil ✓ 1 �I^!! ? I�) lj ) j;1 { 1 �( 1, ' t > ,; I _ t Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore describe - ite sewage disposal system in accordance with the provisions�of TLtle 5 of the E�i� lamental Code an n tto c t e operation until Certifi- cate of Compliance has been issued by the Board-o altl(. *.. Signed �` ;',`/I��. 1 'PP I Date Z I t Application Approved by Date;3^ 7 Application Disapproved for the VIlowinpreasons Permit No. — O i Date Issued - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( ) Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permif No. " Q dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date & r 1 Inspector No. J Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS loi!6pozaf *pgtem Construction Permit Permission is hereby granted to Construct(Repair( )Upgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within ihree years of the date of this/permit. Date: Approved by Sw , O 1 I ,` • . SANTUIT--NEWTOWN ROAD .�._ 1O9 b,6 �p0 \ .- --- _ 4 i R=683,05, Lm 109.51' r ` -_.246.92' i - ff x I O�,2 - y x 107.9 //, ,g !�/ • DRIVONA# APN 031 -003-0800 10.65�/ 46,226t5P O / 108.9 x 107.1 a0 BENCHMARK: CORNER of BULKHEAD / a6 ELEVATION - 100.00 x 108.9 L0 (A55UMED DATUM) I... l 0 EXISTING TANK I TOP OF TANK EL.-107.53 „c� r-a----T— T�' —STRIPOUT PROP:. ' A ►N SEE NOTE 11 & NOTE BELOW ' ems- Ii M ... .------- _ •- I`:;: . .: .O ,.•,'•I�� NOTE: IF FEASABLE (DEPTH TO SUITABLE INV, OUT EL.=106.20t ►••• ' _�J SOILS DOES NOT EXCEED 5'), S.A.S. 1EXISTING LEACH TRENCHES TP 2 TP-1 �-25 MAY BE DROPPED. S.A.S. SHALL BE 70 BE ABANDONED VENTED AND H-20 CHAMBERS USED. __ •1 N x 107 . '" 38q•.5� x 109.4 x 108.7 GENERAL NOTES: 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. MgSX BOARD OF HEALTH AND THE DESIGN ENGINEER. 7. WATER SUPPLY PROVIDED BY TOWN WATER. rya 2' ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS PETER T. J� OF' THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE'r. 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. McENTEE LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: g, ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED o CIVIL 1) 310 CMR 15.405(1)(b) CONTENTS OF LOCAL UPGRADE APPROVAL: TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. N LOCUS No. 35109 ��� `� A 2' variance to maximum cover requirement of 3', for 5' of' 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY SIF. o maximum cover. S.A.S shall have H-20 units and be vented. THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 3. THE SEWAGE DISPOSAL S'I(STEM SHALL NOT BE BACKFILLED PRIOR CONSTRUCTION. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS ' jI (O� DESIGN ENGINEER. IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). o g FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN THE BOARD OF HEALTH SHALL BE NOTIFIED OF ANY AREAS REQUIRING 's ENGINEER BEFORE CONSTRUCTION CONTINUES. STRIPOUT. AREAS STRIPPED OUT SHALL NOT BE BACKFILLED WITHOUT Br Aso Meigs Rd a gchoo, LEGEND D Stye 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. THE CONSENT OF THE BOARD OF HEALTH. 3 99 PROPOSED CONTOUR PROPOSED SEPTIC SYSTEM UPGRADE PLAN 99 PROPOSED SPOT GRADE -._/ram--.--EXISTING CONTOUR 155 SANTU IT--N EWTOWN R D, MARSTO N S MILLS, MA �j'd 3o x 109.4 EXISTING SPOT GRADE Prepared for: Catherine Lopez, 155 Sontuit-Newtown Rd., Marstons Mills, MA 02648 a�µ R� s _W EXISTING WATER SERVICE �' Engineering by: SCALE DRAWN JOB. NO. Wood c —G EXISTING GAS SERVICE qq Engineering Works 1"=30' P.T.M. 244-07 HOUSE LOCATION TAKEN FROM "PLOT PLAN - LOT11, SANTUIT-NEWTOWN ROAD, BARNSTABLE, MA" 12 West Crossfield Road, Forestdole, MA 02644 DATE TEST PIT CHECKED SHEET NO. BY EAGLE SURVEYING & ENGINEERING, INC., 441 ROUTE 130, SANDWICH, MA, DATED MAY 7, 1997 LOCUS MAP N.T.S. ® (508) 477-5313 12/7/07 P.T.M. 1 of 2 4 E sx t ? i NOTE: TO PREVENT BREAKOUT, THE PROPOSED T.O.F F.G. EL: 108.5t FINISH GRADE SHALL NOT BE < EL:105.5 FOR A DISTANCE OF 15' AROUND THE (EXISTING) EXISTING } /- F.G. EL: 108.7t PERIMETER OF THE S.A,S. F.G. EL: 108.9t(EXISTING) �" MAINTAIN 2% MIN SLOPE OVER S.A.S. 4 SCH 40 PVC PERFORATED PIPE WITH SCREW CAP SET TO WITHIN 3" OF FINISH INSTALL RISERS OVER INLET & OUTLET INSTALL RISER OVER D-BOX TO 2-500 GALLON LEACHING QHAMBERS GRADE TO SERVE AS INSPECTION PORT. TO WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE IN SERIES WITH STONE ALL SIDES INSTALL RISER OVER CHAMBER L =16' L=5' SHOWN ON PLAN AND SET COVER WITHIN 6" OF FINISH GRADE rD 4" SCH 40 PVC 4" SCH 40 PVC 2" LAYER OF 1/8" TO 1/2" t0 EXISTING 14" (� S= 1% (MIN.) 719=V.=10 = 1% (MIN.) ®ea�631 DOUBLE WASHED STONE 1500 GALLON ® ®�® (OR APPROVED FILTER FABRIC) SEPTIC TANK INV.=105.97 IN5.80 2' EFF. DEPTH ®��®®®� �'•, (SEE NOTE 12 -SHEET 1) DOUBLE 1 A EXISTING ABAFFLE NV.=106.20t D-BOX 4' WIDTH 4' DOUBLE WASHED EFFECTIVE WIDTH = 13.2' STONE NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING INV. ELEV.=105.00 PIPE INVERTS PRIOR TO CONSTRUCTION. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED TOP CONC. ELEV.=105.8 -BREAKOUT ELEV.=105.5 STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). INV. ELEV.=105.00 ®®ems® 3) INSTALL INLET & OUTLET TEES AS NEEDED. ®®'1911ors®mm 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM ELEV.=103.00 AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 4° 2 x 8.5' = 17.0' 4' 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 25.0' SEPTIC SYSTEM PROFILE T.P. EXCAVATION OR G.W. NO G.W. ENCOUNTERED LEACHING SYSTEM SECTION N.T.S. BOTTOM OF TP EL: 96.0 (3) 5" DIA.OUTLETS tS5„ 0 „ 1 12" SOIL LOG DESIGN CRITERIA 6„ r' 6" DATE: FEBRUARY 13, 1997 NUMBER OF BEDROOMS: 3 BEDROOMS T 2° SOIL EVALUATOR: JEFFREY COLBY SOIL TYPE: CLASS I H-10 LOADING WITNESS: ,TERRY DENNY-HEALTH AGENT DESIGN PERCOLATION RATE: 2 MIN./IN. D-BOX Elev. TP- 'I Depth Elev. TP-2 Depth DAILY FLOW: 330 G.P.D. N.cI �� DESIGN FLOW: 330 G.P.D ,r 108.5 0"' 108.5 0" / No. 155!�,�/ n/A O/A GARBAGE GRINDER: NO ///j LOAMY SAND LOAMY SAND I STY LEACHING AREA REQUIRED: (330) = 445.9 S.F. ///,, 1CYR 4/2 10YR 4/2 // + 'i� j 107.7 10' 107.7 10' .74 ®®®® O ®®®® TO.f. I I0.95-',/ B B j' % "/' " '� EXISTING SEPTIC TANK: 1500 GALLON CAPACITY ®®®®®®®®®®® 33" //%/!/� //,� �. m LOAMY SAND LOAMY SAND a ®®®®E3®®®®®® c a ®�31®®®®®®®®® i if 10YR 5/8 10YR �/8 r 106.5 C1 24" 106.5 C1 24" USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 102" SO' 8.3,�ow MED. SAND MED. SAND SIDEWALL AREA: 2(13.2' + 25.0') X 2 = 152.8 S.F. S� w 10YR 4/6 10YR 4/6 2' ---- 103.4 61" 103.4 611, BOTTOM AREA: 13.2' x 25.0' = 330.0 S.F. 4' KNOCKOUT I IN C2 C2 TOTAL AREA: 482.8 S.F. PROP. S.A.S. I� SILT LOAM SILT LOAM 20° oin. covEa )33 I J 10YR 6/2 10YR 6/2 DESIGN FLOW PROVIDED: 0.74(482.8) = 357.3 G.P.D. 4" KNOCKOUT 0�4" KNOCKOUT 62" I-_25' 102,6 C3 71' 102.6 71,. 4" KNocKour I ECOARSE SAND PERC COARSE SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN 10YR 6/6 10YR 6/6 96.4 145" 96.0 150" 155 SANTUIT-NEWTOWN RD, MARSTONS MILLS, MA 500 GALLON CAPACITY, H-10 LOADING PERC RATE <2 MIN/IN. ("C3" HORIZON) Prepared for: Catherine Lopez, 155 Sontuit-Newtown Rd., Marstons Mills, MA 02648 (H-20 IF BURRIED DEEPER THAN 3 FEET) Engineering Y� NO GROUNDWATER OBSERVED En ineerin b SCALE ' DRAWN JOB. NO. CHAMBERS Engineering Works NTS P.T.M. 244-07 NAI S.A.S. LAYOUT ' 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 12/7/07 P.T.M. 2 of 2 �� 7 WN M_ r Z LO A X �SCALA AV 6`7 -Z '2� 0 Ft 71 k,, z t 770�� 'M, A fP 0 ek L W07E�5', MA 2 A144 'rj 7LE OA MASS ISMIM V A4,,�> W4, 4 HA 1.4. 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C> I (�OU" r p 'by "it: or Job Number anjt'�, tAt: 2 /13/97 evtown' t 9(b 'N ld,� d t " _X RVAT10h SSERVATIOU pt -14OLE kYATff.Q 4WE 1>6 s�E $a C-obr of Mdft . , - ;- I, ii 14 4�4"004$, 0 Jc AA Y 7c j1z r_vR Ad r9y 0 ci avy,.: an an N14-he 0 i 4 : '�1, D$POSAC i LOB 2 organ c 108-2 iZ6 �r -4 �$ .-, -'A 4 WcD eourloN W/ d I TR on�5 10" "MIYR, 5 6, 4� 24 R N A 4RA 60 A�V, 10,�YA 6111,.� Ill -C S It loAit *,Vk �7 6/2 one­ 'R,�7Z p IDAMe 6A 7, �4? art wo E4Z VA 74 T 0 W5 Ak4rA .7,c;,s r qbz. rprA4 &PC 4t A &A Pk_ V14> 01 '74 6.4 7777, RTr -LINE f 'th Grpund��e�r e�j V� 4 1 A1_. ng,0 ef e i.E vArloiv tard,nd er ft rmt sea _d Dep to L 4 'i5A �MAKIA.Y� Ai4 GA 44 0 P-,f 0'r,e" r ACTLIA Hrz�e4Lm_1c:, )CC4 *rkA_t 4&J. ',VVa UA40e;e 4 D.5 _D A'Iziv A- nr A t4o' 4 ECTION, E A CH TRE HCH, rrPICAL,,NO 0W�HEP oe.4A Gov F TEMI 777777�� fN _11b­ mill, 77777 It a +t M�, WA So' a AFFLF -1) �TP *A W01V ac >7 4 -CF Wy 5�') A C,