Loading...
HomeMy WebLinkAbout0264 SANTUIT-NEWTOWN ROAD - Health :INTUIT-NEWTOWN RD Marstons Mills . . A = 030 - 036 i Commonwealth of Massachusetts Title 5 Official Inspectio Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 264 Santuit-Newtown Rd. r Property Address Zonfrelli Owner's Name I' Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection Inspection result&must be submitted on this form. Inspection forms may not be altered in any way. A. General lnformation �� 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 City/Town State Zip Code 508.272.6433 Telephone Number B. Certification I certify that I have personally inspected-the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340:of Title 5(310 CMR 15.00011-The,system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 'A - 10/1/15 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. � VS 264 Santuit-Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Pumping suggested every 3 yrs to prolong the life of the system 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: n/a ❑ 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 264 Santuit-Newtown Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 264 Santuit-Newtown Rd. Property Address Zonfrelli owner's Name Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: n/a ❑ 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: n/a 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. 264 Santuit-Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 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: n/a D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow ❑ ® 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. 264 Santuit-Newtown Rd-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments , 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 CityrFown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® 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. 264 Santuit-Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or 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)] 264 Santuit-Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M s ' 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Citylrown State Zip Code Date of Inspection 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 Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date Commercial/industrial Flow Conditions: Type of Establishment: n/a Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): n/a 264 Santuit-Newtown Rd-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Pumped 2 yrs ago per owner 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): Approximate age of all components, date installed (if known)and source of information: Original septic tank from 1985 new d-box and leach chambers 2013 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No 264 Santuit-Newtown Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments a' 264 Santuit-Newtown Rd. Property Address Zonfrelli Owners Name Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10'feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 18"feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) Outlet cover raised If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 1000g Sludge depth: 4" Distance from top of sludge to bottom of outlet tee or baffle >12' Scum thickness trace-1/2" >2,. Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle >2" How were dimensions determined? Measured 264 Santuit-Newtown Rd-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 I ' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Cityrrown 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.): Pumping suggested every 3 yrs to prolong the life of the system Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): n/a 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 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): n/a 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): n/a 264 Santuit-Newtown Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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.): n/a *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 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.): No adverse conditions, cover raised Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 264 Santuit-Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ 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.): Chambers were video inspected and are damp at this time 264 Santuit-Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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 Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): n/a 264 Santuit-Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 264 Santui--Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Citylrown State Zip Code Date of Inspection d. System Information (cont.) 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. V l� 264 Santuit-Newtown fed•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 264 Santuit-Newtown Rd. Property Address Zonfrelli Owner's Name Marstons Mills MA 02648 10/1/15 Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells 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: per elevation of home 264 Santuit-Newtown Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 TOWN OF BARNSTABLE LOCATION�� IeW SEWAGE # VILLAGE ,¢/e j?(J f /// � ASSESSOR'S MAP & LOT de6,30 0361 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /V00 igiQeS LEACHING FACILITY:(type) g::�GC�r�i,.- �� (size) /DOO 6 s4& NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER _ P BUILDER OR OWNER1�� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No uS� ��� PT t,. TOWN OF BARNSTABLE LOCATION SWAGE# Zp/,� 6 "VILLAGE ASSESSOR'S MAP.&PARCEL&313—%3(0 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY !y®® LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER P(M15 Q- PERMIT DATE: kw I COMPLIANCE DATE:f> Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility Of 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 i ' P2 o ALI 5'6` ® d t j v �Zo - No. �f t Fee :7 —�' THE COMMONWEALTH F MASSACHUSETTS Entered in computer; Yes_�/ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS appfltation for bisp08al *pstrm Construction Vrrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. .2(05/ f ffHVtC—)Ve4jkX4,44� Owner's Name,Address,and Te1�Np. Assessor's Map/Parcel 3D 310 LIOR,S' f ,ZA n' Fq _ (t Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 5 S'QS oZ Type of Bu' g: Dwelling No.of Bedrooms 2- Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures - Design Flow(min.required) Z Z gpd Design flow provided 353 gpd Plan Date Number of sheets Revision Date Title / Size of Septic Tank AVQ Type of S.A.S. t,,�60 6;*4 Description of Soil Nature of Repairs or Alterations(Answer when applicable) //?S'�iP-�r/ l o f —/3a�C Af4t S 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 b this Board of Healt "� ed Date — Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued ---------------- —_—---- 4�------------- - - - - - :— No' .owl a 3 (/ - �,t�- --- 'r5 Fee 100 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes - 01pplication for Disposal 6pBtem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components f Location Address or Lot No. 16 S/ir/-c/ -)Vc v'{xz eO Owner's Name,Address,and Tel.No. y Assessor's Map/Parcel 3D 3 ID UDR+S 4 z O vl�fZ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. R0J CE R y6 F-601 Su R Vey Type of Bu' g: Dwelling No'of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 7 Design Flow(min.required) Z Z O gpd Design flow provided J53 gpd Plan Date Number of sheets Revision Date j Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) //!S-Eif % � OF _/?O)(- 'r J M 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 b this Board of Health. gig ed c73` +v:`"� l/° ,1� Date Application Approved by /// / I( I L Date Application Disapproved by Date for the following reasons v , Permit No. V Date Issued TH E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( l�Upgraded( ) Abandoned )by /�)2 2 ®/, �- at , tI1 I t1 !/ a n#11 1'has been construct d in a•9r,(�aance with the provisions of Title 5 and the for Disposal System ConstructionPermit No!X ated Installer KolitVlB Designer #bedrooms Approved design flow Z 2 O / , + gpd i� The issuance of this permi a*1 not be ,o/nst ed as a guarantee that the system wilpMn��dfion aa§designed,//) Date !- Inspector �il,l�,C/ `t� awO A �� -----------�---------------- I-------------------------------------------------------------t-j------- - No. ' X Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal �6pstetr�,( ustruction Permit Permission is hereby granted to Construct( ) Repair( �) Upgrade( ) Abandon( ) System located at _� y - c ,g,� Cii�L' /7/�ecv. �1� /" ' �`�•Il e ...✓.. 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. i Provided:Cons t/ibn t I e completed within three years of the date of this permit. Approved by PP • , s Town of Barnstable �t Regulatory Services ti o� Thomas F. Geiler,Director t BARN LE Public Health Division 9� s � Thomas McKean Director '°rEc Har 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 19-U— L3 Sewage Permit#2a13.. Assessor's Map/Parcel ©.9 a o 3(o Installer &Designer Certification Form r, Designer: � S TllL Installer: Address: `� ��Z 9 X Address A,6 : :i 3a . On _ _was issued a permit to install a �e) (installer) septic system at /ptlt T-vea� Fo4 Q based on a design drawn by (address) —;*e-)trD D. RCL•6E r� �_ datedg�j Zo (3 (designer) I certify that the septic system referenced above was installed substantially according to the iesigngwhich may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and,the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan-revision or certified as-b i t by designer to follow. Stripout (if required) was inspected and the soils w re found a sfactory. 2��ytN of MASJq � �o DAVID �yG�, Ins a er' i nature D. ( g ) FLAHERPY JR. No. 1211 Zz 3 tilt ��G�STER�O (Designer's gignaturey, (Affix vN' p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND ,AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formMesipercertification form.doc I Via Town of Barns fable pit Department of Regulatory Services aMAUMMSTAB � Public Health Division Date - � MAM A fl'639 200 Main Street,Hyannis MA 02601 IfD,Mttl A . Date Scheduled_ ,+'../ �;. t Time� Fee Pd._ Soil Suitability Assessment,fog- S n e Ili ® Performed By: C`-''-T-ia �,6 Witnessed By: LOCATION& GENERAL INFO ON Location Address t ` W O 3 +c) pA.ctc) 3 e, Owner's Name z Sj�)tr t Address Assessor's Map/Parcel: 0�" ��S.IA(Lc-s lzzb4 9 Engineer's Name lrlZ°1 SINA OLt)ICA NEW CONSTRUCTION REPAIR � Xr-L2 Telephone# _SZ - C� ID —7 Land Use 3t3p— '�.e-LOf,.rrr A.L- a �a Surface tol Chao ; e Slopes(96) Surface Ston r, h u-- e% I ar Distances from: Open Water Body ft Possible Wet Area N ib ft Drinking Water Well ��'l_ftW1l Z baw&- Drainage Way �JA ft Property Line ft Other ft S�TCH.' Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) IXe• 0 s, t (D U) -,,. O -rt 31. n r° e U�I DepthBParent material(geologic) VJ2Sh �a0 Depth to Groundwater. Standing Water in Hole: 1$ ICkd Weeping from Pit Race Estimated Seasonal High Groundwater g DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: 'y�4 In, Depth to soli mottles: in. Depth to weeping from side of obs.hole: _..�-._. in, Groundwater Adjuatmenk �+ Index Well#_ Reading Date:_� Index Well level Adj.factor ,�_ Ate.C3roundwater Level--> �5 PERCOLATION TEST ]Hate Observation Hole#tea' Z / Time at 9" - Depth of-perx; Time at G" Start Pre-soak Time @ I y : ZZ( 4� Time(9"•6") End Pre-soak t Cl 33 Rate Min./Inch . Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you roust first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. QaSEMC\PERCrORM.DOC " DEEP.OBSERVATION HOLE LOG Hole# /_X 9 f• 6 Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,,Boulders. onsistency,%Uravel) Z4'' & 6 ��jvz'/ ✓ c�j d Q��C DEEP OBSERVATION HOLE LOG Holtz# x 92.4j Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 75 7.� 0 6r f7; &I/clJv V-r RE, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gy 7 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sol] Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Cons' to 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 pery s material exist in all areas observed throughout the area proposed for the soil absorption system) S If not,what is the depth of naturally occurring pervious material? Ceitiflcation _,r " 95 (date)I have passed the soil evaluator examination approved by the I certify that on � Department of Environmental Protection and that the above analysis was performed by me consistent with the required train,/f_expertise a e nce described in 3 10 CMR 15.017. Signatur 4�"` , Date Q:\S.EPnC\PERCFORM.DOC • w AsBuilt Page 1 of 1 G�� a TOWN OF BARNSTABLE s LOCATION,�Rw/ /t1p�(TrQLU/'J &< `SEWAGE VILLAGEAA-jl�;�ff f/S ASSESSOR'S MAP & LOT/eQ30 036 j INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY /DDO alae_f LEACHING FACILITY:(type) (size) /400 6�4,1s NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No #,cr .. Rr http://issgl2/intranet/pro;pdata/prebuilt.aspx?mappar=030036&seq=1 8/20/2015 C> �u � o r✓ `� S No.. .'e. c 17 Fus........................... THE COMMONWEALTH OF MASSACHUSETTS OKO BOARD 9F HEWALLT ApPrFa#ion for Uhipaii ai Works Tonotrurtion thrmit _Application is hereby made r a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal .S..y..s.t at:� N Tk . ....-----� a. - .. . ocati Ad w ss' 01 .-. t No. caner 0• Address/_ 1 .1 �........ . . .� ..... AQ......_. ��� iL/y a lr _......l ............ . Installer Address dType of Building 2 Size Lot.�c_,�_.. . ....Sq. feet U Dwelling—No. of Bedrooms...,._...•...................... _Expansion Attic ( ) Gar�sage Grinder ( ) �+ '04 4 Other—T e of Buildingl� No. of persons............................ Showers — Cafeteria dOther fixtures ...-......m�r .....-•---•-•----•-------•--.......-•----------•---------------------•-••--•-....---•- W Design Flow..........6 ......................-gallons per person per day. Total daily flow.___] ..... _.._gallons. WSeptic Tank—Liquid capacity./�agallons ,^Length................ Width sr Diameter................ Dept x Disposal Trench—No. ...../........._.. Width..../.Q......... Total Length__...(--_......... Total leaching area---------------sq. ft. > Seepage Pit No..................... Diameter..........._........ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing a k ) '-' 00 Percolation Test Results Performed by �.� 5...... -Le Date...... a Test Pit No. 1................minutes per inch Depth of Test Pit__.................. Dept o ground water------_............ ____. f� Test Pit No. 2................minutes per inch Depth of Test Pit-_._-__............. Depth to ground water.............._......... xDescription of Soil.........Q ..2 �! �`1.......... '�ID ;` . -...__..-•-------------- v ----------------------------------2.- ..... ....... W -----•------------------------------- ---�l--2......- - �' ...............aA -AZ------•------•---------•--------•---------•--...-------•-- VNature of Repairs or Alt rations—Answer when applicable_______________________________________________________________________________________________ ---.........................-..........................................................................................................................---.....................................-....... Agre ent: T e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with e pr visions TI f the State Sanitary Code— The undersigned further agrees not to place the system in ope d e fi of Compliance has been ' /,:db e board of hea Signed � -t +le.---- ..... ............................... Date ppl. on Approved By........................ :.... • •. ............. ----•tea ` ' Date A lication Disapproved for the following reasons:-•----------•-•-----------••------•--•-- ................................-............................ Date Permit No. - =4 _.... Issued..-..!__..__`. ..: . . �- Da No........... ------- Fimic.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF Jt ............ ----------------------------------........................ Apptirtation for 1415pos al Works Tonstrnrtion ,unfit Application is hereby made£or a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System.,at: J _ Location-Address / w or Lot No. / . ............ . C ..G ..}i / l n.. c� ' Owner r "" Address W /�/j/o - f i �rl'-V ! r,' ;i r •5 Installer Address Q Type of Building Size Lot _ '_ t.....Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )U — Other—Type of Building, .......... No. of persons............................ Showers Cafeteria Other fixtures : -`---------`---'-'----•------ ....... •--------------------------------------------------------------__...------... -•---------____-__--------- W Design Flow___..._...-.7......... ...............gallons per person- r day. Total daily flow........w. gal Ions. WSeptic Tank—Liquid capacity./._,__-gallons Length________________ Width;.__.__........ Diameter................ Depth.__,............ x Disposal Trench—No-_----Z............. Width....j__�..--..... Total Length._._f:_____._...___ Total leaching area__.r.. _.!:..sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area_'...............sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 14 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............----------------- ...............................................................:.............................=................................ O Description of Soil ' -' ------•• rt.^rJi3 1 e.�_�_� } � {' .............................................................. 6 ..... _ :-'1 ✓�Y" "_` U Nature of Repairs or Alterations—Answer when applicable............................................................................................... •--------•-•--------------•-•---•---•--•••.......--•-•----•---•---------•------•---•..........-•--•-•-------•-----------------------•--------------------------------•-----------•------•---••.....----- Agre ent: T undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with e pr visions o MI f the State Sanitary Code—The undersigned further agrees not to place the system in Op e io fi of Compliance has beeneissued byathe board of hearK Signed---------...` ✓i. F��F .tee. v ............................ ................. -- �� / nat pin Approved BY = ✓ _•�:-','...................... ---------------- ...--------- /'` Date Ap ication Disapproved for the following reasons:............................................................................................................... .................•--•-------•-•---•-----•-•--•--•------•--•--•-•-•---...--•---•--------••-......-•--••--..--.........---••--------•---------•-••----------- ------•--------............................ Date -- -- Permit No....-< ----. .` ...... Issued--------1 4 ' •----•----... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF......................:.............................................................. Tntif iratr of Tontph anrr THIS IS TO CERTI.F7,, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------------------ �......_.�" -=------------ ------ ----- ----- r" Installer y /!7 has been installed in accordance with the provisions of TITg t�5 o�.T� State Sanitary Code as described in the application for Disposal Works Construction Permit No..............................................,7...... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UE® AS A GUARANTEE THAT THE SYSTEM WILL cFUNCTION SATISFACTORY. sDATE................ ._� !f.`'4.....`..±----------•----•---•---. Inspector............... - - ----- -- ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p . ..........................................OF..................................................................................... F_.No....... ..f-•�I FEE......... ........ S. Disposal for To atrtion �erntit Permission is hereby granted--------------= -= -�• to Construct ( )Lei"Repair ( ) an Individual Sewage Disp Sal System V, �..�....__.L.r.................. ...................................... Street as shown on the application for Disposal Works Construction Permit N�J.............. Dated.......................................... Board of Health DATE.................... .........................................w FORM 1255 A. M. SULKIN, INC., BOSTON v " l{ � C�atd }r# r ,+ W��Z•G. 1..CJC./«}�j?GP./ -�'li . . .��„ L.,.. \ \. �, t �O �:�.1\\":.9�^, -. lb fly N tCA� �y": y fd ''�+ i�r '� .+• +1 �(/ N1 // ti•- '' �r? t�. `�t�?§•r��s,x4-'�.. -� Q . :fig. � t��'�s`�'-� �. i d��',';` ..a.,F, f ` +� - fx 'y�'`Cf •,' f�^J'_� _ /�� ty' �; .°.�,nl�.�� Fvr-i'• y7,,. 5 J.. /� ,� tl` [ ,l..Y'91t� 'yY "'�•rf'.,✓' .}. M \ l'�..� 'f l�tQ �n,'rw,rZ �X Y�'`•• �v 8 •`6' y � .i \ � � `/`' �,, "�*°� ,,+.•s, 1 ^ f•/ .� � � • .{ uc,X as �h.f L Y r•�i {s' i a i iy,�'--,p—�^�'.'��j,�, V Al' �r .d F lygsV L 14' h x" `` s •. �i •.�� � s a� �:e` � fin,. RT Cr # rr p BpUCE t# r ! Ym El ONTOUR If tt µ Y The���Rcation. of any exis'tzn o ound nse,werra 0 y we s,;��or# other "utaiities shown or -t s�l�, na ,rppxox pnI a determined .from xeccxc�s xid%or ve:rhal `< 3 d a Y1�Yp TAri A t. 'the' cg 1$ l'eS a. b 3+ �' .f �.� 4 locax?oMmi, e ;:, i ,. 5�� i.',s"" �fo �A'P a �o/rZ v .»7 3, � ,pqr a.wgri�u�.agw�N.gw�--...'�w�i»�r. -+sw�n'q�rojfn^ar.•urx�v " 'Y'��'�t5+�•�` b r i �'�,c,-a` ���.� `,r ti s -d " , '`� r.7� fF+a G=iV� �J 4�. � �+�� @ez �• � �r `� � ,fi �r�lj ; �'�'�t a ; K !FY `CHAT THE PROPOSED px�•n,.+�,.....Y+e .wmr+iw+aaw+ is 3 . F s -VJ�-.DjN St OWN 4N TKIS PLAN s2r".iis`S ,- �,.�•� t�.j LAW :'. 3 pr 's'+P ,h`t s ; F ZONING LAWS M. .r .. r f s, �tp�- r-.}t, W. r'` �� •• "_ .� l f'4 MA r16 . #;t9Yw .i 3 MA'Sr ' E A REG. LAND SURVEYOR, r..•<"•�� ,; tap 4 f b +T --2, .t.. .,". ..• z. -�k`t � - t jVE/!v'�" CAST 1,VO ' Ct���/� .Sf�.�4d � ®'z USED MIN. 4017'CN CO V19FAI. .. .' � f to G�,�P r(T�,�,jj�9��+ - _• GAWAL s' !e a .o. JP a. s ' , yyy w o ,8.e e , t: �, a- r �`-= 1t3. �� . - gig• � .� o «a �'�`e �?-��� Pm� �'•� .; .' = jy✓ a. z+ .-s:. !r / _�'d C+'1l� - r t{e ,^ z ,,r'°i'�F" 17f• `�.' ..: p �ME d y, , 9 b ���g ♦ . ..,..., di* ems .r. '�' } -.,..4;: .a,. 4 -max..:•.-';+ '3..«,., F'a„� - - '¢�rr�{ ,�;U'V �,�.-gt6' > d '_r ..ISGw ma's'. '.' ,6dACKv^'.J P'4CV'' '^.::� ..r....:. .,.. �f d F .. r:.::,• '3r ;;,::,L S �: _ -_ __ Y S b , ..-dff -_ ,. e:'•:- :.. -... ,.. .._-.e.�� .,,M1....V i k..5.y .m: ,:{. !.a _ ��'_','„.�._'_"..•ylF d ,y l- �': L,. � �: �- � .,�.. ..._ .�. _. -,. ...,. ,..A r?.� u. h- .:,, ,, ,. r a _ .� 'ar. ;*, wr•; c �n`::G y�� 'c '::::' �,'` • .:., ..,..:, : .. - v .;.=.: ;�.'._. ,:...,, :>r .... , ,. .r, xGRO:� �.m�s't4/°"g��'t n '��+1.r h�k '��. wv: 3�•Z a�3'^�.'�,"J'��.' r i •: .. .. .. ;.::�. -�_:.:. ., .. ,�.•:.^!—..«e`r�-�-•- :. to :.. , .,-. .. �>r, ..: -.•i y �6 ,.� ,,�e s aS. y�'�"y';'+::rd' ®.- p •�•�` .:' x : :wry a`` :: ..:..: rF-' ,,a.:3j° ..`:, i'...;r-- a .. -'. � `Y ;N*' k.2 +'�° :�:.. 'I'Y'''Rn•'A �.xy,,. Y;?�?-jZ:`,'S'a�:lip,' �� .-.:L +.. .ts A t �.k. ,,,,.: ¢.:r ' 1 CBS/R� �/- .: e-E'-,f=ems•—+elf® £ t:,4. t - ,. , LZA ,.. _ ...:,�� ...- :',:. .,S :.r.' h..;.`.. .a. :•,. - r .i..wf T,f:'� ib'?:x. :ra.� = _'� � "`�%., r.y-T'S"_��'*' 4, ' IE9�am!i Gti�:.... 9;� ! '�'- a--,;"'., $'*, -�,:i�r r �" -'+ zfes�'�. '.: t .�`- t +�.'< -:.:r• ,r:ti'.. , x cps ',.31.rti' i � ,h`x�"` °v � .: .5g -� -. ... .. .. _. _ _ .! '" ,fi =�w: p� •"t"11,. may, �� tt,sr4;01 �. 3 4 - Viz✓ ;. lLs �G z r -07.4L. ��l^IA-r� F tf 3 o .a,�.fP StJ I �' S:T � ��lL i 3 r` ,2 1. ' �T yWe , Al fv�o%`,r°°•;� Aa! T � M .i. _ Pra ;a9Cd 6"�17WRI..«aS4 f 86' �6•ah GFrY✓'� r a: : V g -�ros. ry �®r 1 3w .� [ � �����i� �r `, - ss � '/ erg 7"O7� +d.� I'�/NCs �e4 �d. Z.G . .S F) •� .:S c r3 S of� F?.,4;°aC04�7ri.�dV R,-41�`t 1- 7 tr vE,L SC�'lL —r&-57 �e\'�G�l c `�� �•2/%� �a �p�• .�-h,,g- yp.�y per:' 4r r L@1.TH t,4, �/ S I RO?ERT' ALBS /�' �TDN.S'> ✓ BRUCE ^^DD p�/�� �+C _�' �. \-µ -: 4�" /` ; `Sa- Y d'w' S `5- = .'IS' •''(� �3. rE• V{t LiJCIl' .-'•1L. '$o -NY '`-'x' - A .+74 d" -,fls =i"'. .:-z '! u1 tf ..++�.'.' -i" ���e",,'�e.. :� 9- vk •3K*� ;'hF : . .. ,. .-,. .. .,.' -� Q' «•�. ,. v� .,.. a.-_.; :-: +£;�.�t4 t �.- ,�^-� -_,� �.ra +i. t f ecs.'«fir. - r, 7' ++ M1:� � � '... 'Q , ,... a '..,ice� .(�]G'� �(j ., .:�-:. �a_tai,. ,-. ,.-�t•o�.,'..?f4...5e�;.'J,.� -.y•. r,G3• '�-'.-. -,a5 t-"...e - R - �'a, '?'4 dam`- ..€.ly a: z_ _. t.:" .-r(�' .:.,. ..' ::f. �.. !r-..� Y•:-?..� « }'�;„"'-� >^J.' t;i=i`. .:.,Y' " ,'s;:. c,✓.:. -":` •; G ,C..r..°"•. ...c.:�� 71�a � :J�... $T '. '�„ 't._. •s?a or-'- ✓�:�+.' ,.a `.�'�.� '# `�''u�-h_-a':,�+ ,t"'.r. �.. ..�. .:.z; _. .. ...:s i a,. ._ -: .. .a' +�...:✓e`\.: .....�' �, - 9 4:t�r at •{A �.�- ::r .' -t• M •U - gym . 5. tr .a`'�.'-:,.. 1,ry � �g�/!Q'y'��{(y� ,.e�'.l a;.•. >..�, t7,, ,ck�.cr+'�."� rel�) .,fi .f.... ,+syk axLiSM 71�r,^-3'^� :.f ?.-. ':`:`�C. !4. �h'6.. .tasr.. � ..v Y-i'4 ��':�._ 7'N.` ,y�✓!».,,... .y,r. • ., �� k .y .-, `�- .�. ..�. ,_ ., ..y,E >r -+� ,. ..y:.�y, rt.��....,.'A,.:, .,, .�.,,,»+� ,,.. a-rv. �',. .:,,rs,f, i ..va "��° k(ST:w '+,�+•`:. a x:.u'! do �. ..�.r,.F.M.^�., _ 'f- ..., d,:..;.,,,•,. ,F'+,4o.a,�. «. ,::_"`W«e Y ;� z.,,.rr,: a .,. l`F'`'�`3 -P �r:,..r ad sc'�-'�;ce� .� ,s r. t.. -' r.. .,..,:-1"�-"'_ ,. .r:'•;„-.. ,. > .....,� ..':,:,� ..�:. r ..., , .:w_ .�.-�H�}.•'`�.- a�.a.=��.,' �!'� (_.,a^. _ ,,�.tta. ,��p "i-'-z T',. .... .� ',.^.' ..-. - ,.,F0,k Y{t M F. ai• �'::A e. , � -e2' _'X Bicg�� �!. •F'}., 15:`'•?;1 � �ly: j3'%� �,a/ b.y. '�!n'.:.`t�� ��r ?�- _ a.c •+.F.z'C,i^�.5.rs., �%�� f e,Y �� I.��'"' �•J,s. k x 4 ,.C:�F, �. pb..r •:�, ,d:`r. Ga ,u -"i'7'' '.}�• '.zJ.t _W'' .,�,. !�,-,+.. ,�✓•^ 0 x: A.. it.�i ..:v_ y•�?_ %'R. a "r:r,r:: id'w..,« A' :t..1Ap.«�: y +� ",5`M.w -B,t1v;e'a�'. k�e f ,r5• '`.. w. r,r. .f�? .,i. .�'if-S :..':, .,... ._�+,+ KK•u.,.. t_ .. h. . 4 .h:b�" M[w .r a- •Ta'�ufa?..: .. : , t.`` �a.#'*wr r{.- �.'I Y• > �K ,.,� ,:, 1. .::.r2,1,.♦:.,3.. �t� ,.and .'� ', .. .,-. o`wt .:v".a ,�� ;i.';,.-+Yc �:'.. .. ..� r.:C+.... +��" ,, ... .. .. .. ��yy� %,* zr �: ck`. z ate' :.s''�,�.'�` ... ,. :, .. �d. '�',� c•. .u�'. � - i.�-- ,:•� ':� •�a c�... ;Y;,',,• ....,... ,^R:; ..a, .,.., ..Ikr.. �'�rn�.,°,.�..�^"�,.�.�,...,...t.rx-:?Liwfl'�.4. ..,.,4,..�_. '?4'�?...., .:-y.za,.a'���u�. .�*ea.-, :,n�:�t,'A�, ro� .{. .r,� tb^6, ,..,1?;w, �Yr •�. r:>:.: ,���'���L'�Xr.. ,,:a:r�,L. President: Member of: ROBERT BRUCE ELDREDGE,R.L.S. �j �j CAPE COD SOCIETY OF PROFESSIONAL '-' ELDREDGE ENGINEERING ENGINEERS AND LAND SURVEYORS MASS.ASSOC.OF LAND SURVEYORS Associates: AND CIVIL ENGINEERS ALBERT A.MORSE.P.E.,R.L.S. COMPANY, INC. AMERICAN CONGRESS ON PHILIP WEINBERG,P.E.,R.L.S. SURVEYING AND MAPPING / AMERICAN SOCIETY FOR CRE91sE£'i£0. �E[istvad' TESTING AND MATERIALS L'and �iviL 712 MAIN STREET estezv£yozs •,, �n9inEE'ts HYANNIS,MASS.02601 TEL.(617)775-22" March 12, 1985 Board of Health Town Office 367 Main St. Hyannis, Ma. 02601 Re_i Lot 8, (Plan Book 206, Page 135) Santuit-Newtown Road, M.M.) Variance dated Mar. 6, 1985 (Expires April 1, 1986) Dear Mr. Childs: In accordance with the requirements of the above mentioned variance, I have inspected the said lot on March 11, 1985 and have found the sewerage system to have; been installed substantially as designed per our plans dated October 12, 1984, revised February 25, 1985 with the exception that the leaching pit was installed about 1151* from the well (instead of 1301±.) For your reference, I am enclosing a copy of our plot plan showing the As-Built location of the existing sewerage system. Sincerely, ELDREDGE ENGINEERING COMPANY, INC. Robert B. Eldredge, R. L. S. President RBE/etb x y a r.� S 5 , .. LOT OW N � a h� f, Z3 7D.s,F, �- s tl }..fit � ` f,, • _. - _ , f SEI(!> 7�r4GE �YS T3c)It_- R •, x .. . �4' 3 t(S� 'Fav�✓7"7G-6C '�� .. CERTIFIED PLOT PLAN RT1v{. L O ''; a r r BRUCE =+ ds ILLS`. c� ELUREUG IN:Al sk s SCALE, ! ` o DATE s./Z�. /.� ¢.E xr Q4�w r% i CERTII�'Y .TF1A E v�:/mA-Tt tj 1\ i CLIENT ,,,,,,..,,,,, T.` TH 9-®1•STEREQ REGISTERED "SHOWN ON THIS PLAN 18 LOCATED } JCS'NO.: �4 o ,. CIYI6.�- " LAND , --�.--. ON THE' 6ROUH0 `A9 INOICATED.AN� 'fEN01NEER SURVEYOR " OR.'8Y� •,� 'CONFORMS TO THE XONIN t,Ail�9''�� ` , , x �. _ .:J2�l3,� yOF �ARN3TAs E. -MA.B$ s; . �t T 1:2' M A I N STREET C d�Y ...,.,..,,..�,,., / ' `HYANRIS MASS DATE. R:Ee. LAND BU;RVEYOA � TOP OF FOUNDATION EL=92.61 2" LAYER OF 4" SCHEDULE 40 P.V.C. 10 7' MIN. PITCH 1/8" PER FOOT 1/8 _ 1/2" (10' MIN,) DOUBLE WASHED STONE OR FILTER FABRIC EL=90.9 EL= 91.4 % EL= 91.2 t EL= 91.3 EL= 91.7 > ,., ,,. 111 6"..MAX. 'b Iu�Ak': 6 MAX. . ;a;;::::::;c�... Max. .. . .,., ,., 9" MIN. J�. ... . . RISER RISER •••.•� •,. ::::::;,...,:; . NEEDS COVER NEEDS CONC. �Q r• • INVERT CLEAN SAND FILL EL= 90.02 RISER & LEVEL LONGEST �, 1- EL= 88.2 2.3' ��Q- PER 310 CMR 15.255 2.7' -�c,;�, 39' ® S=.04 22' S= 0.015 COVER FOR J RUN �;��• • • .�O 0 FLOW LINE 7' S=.01 • • •• . . EL= 89.0 EL=89.28 7,,o ' .". . . . . .' INVERT 110 14" INVERT INVERT INVERT ° 0 0 ° 0 o 0 0 Q 33„ TO REMAIN EL=88.97 MIN. EL= 88.77 EL= 88.44 „ . . o o° o0 6" SUMP IEV88.27 INVERT 4' GAS i1 24. °o o C� 0 C� O 0 C� C� O 0 C� Cp BAFFLE 6' BASE OF MECHANICALLY F o 0 0 0 COMPACTED SANDFL PROP. DB3 I` DISTRIBUTION �-4' 8.5' 5' 4' 5'-j EXISTING - BOX (TYP.) 1 ,000 GALLON TANK 3/4" TO 1-1/2" 25' DOUBLE WASHED STONE 2-500 GAL. (H-20) DRY WELLS (5' X 8'-6" X 2'-9.5"): Of g (TO REMAIN) PROFILE OF SOIL ABSORBTION (TRENCH. FORMATION) SEWAGE DISPOSAL SYSTEM SYSTEM (S.A.S.) 13' 25' (NOT To SCALE) W/ S TR I P O EJ T 2 3' X 3 5' BOTTOM OF TEST HOLE #1 ELEV.= 78.6' 11 GENERAL NOTES (NO GROUND WATER) 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT FOR SUBSURFACE DISPOSAL OF SEWERAGE. SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED DESIGN DATA: 2. ALL ACCESS PORTS OVER TANK TEES SHALL BE ACCESSIBLE WITHIN 3" OF.FINISH GRADE, WITH ANY REMAINING BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE ACCESS PORTS BROUGHT TO WITHIN 3" OF FINISH GRADE. DESCRIBED IN 310 CMR 15.017. 1 FURTHER CERTIFY THAT THE RESULTS OF MY NUMBER OF BEDROOMS......... 2-- .3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE ARE ACCURATE AND IN AC ORDANCE WITH 310 CMR 15.100 THROUGH 15.107. GARBAGE DISPOSAL................... NO -- UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY TOTAL ESTIMATED FLOW MUST WITHSTAND H-20 LOADING. - Z2DG PD 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION (110 GAL./BR./DAY X 2 BR.) OF ALL UTILITIES PRIOR TO ANY EXCAVATION. EDWA A. STON , CE �FIED SOIL EVALUATOR 2206Po X 200% = ,440 GAL 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE USE EXIST. 1000 GAL. SEPTIC TANK OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE.6. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE TEST PIT RESULTS: , P 1 40 41. INSTALL: 2-500 GAL. DRYS WELLS (W/4, CRUSHED STONE OVER THE S.A.S. AND DISTRIBUTION BOX. - - ON THE SIDES, 4 ON THE ENDS) AND BACKFILL 7. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF SOIL TEST DATE: JUNE 21, 2013 SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE WITH CLEAN SAND FILL PER 310 CMR 15.255 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND B.O.H. AGENT: DONNA MIORANDI, R.S. LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. SOIL EVALUATOR: EDWARD A. STONE, PLS SOIL CLASSIFICATION................ 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN DESIGN PERCOLATION RATE..... <2•�INl ./IN. 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT BACKHOE: LOWDEN EXCAVATION EFFLUENT LOADING RATE.........__74 ELEVATION OF THE OUTLET PIPE. ---- 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. TH#1 EL.=91 .6 P ERC R ATE<2M I N./I N. @ B OT 78 REQUIRED LEACHING CAPACITY....2_2s GAIDAY 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS LEACHING CAPACITY PROVIDED.....353 GAL/DAY BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND SIDEWALL: (13'+ 25')x2x(2 SIDES)(.74)= .113 GAL/DAY FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL 89•9 0"-20" FILL ------- --- ----- BE LEVEL. 89.6 20"-24" A LOAMY SAND 10YR3/2 --- ----- BOTTOM: (13'K 25')(.74) 240 GAL/DAY 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION 871 24"-54" B LOAMY SAND 7,5YR5/6 --- ----- TOTAL= 353 GAL/DAY TO EAS SURVEY, INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW AND APPROVAL. 78.6 1 54"-156" C COARSE SAND I 2.5Y7/6 I --- 10% GRAV. 353 GPD PROVIDED - 220 GPD REQUIRED = 133 GPD RESERVE. 13. PROPOSED SEPTIC SYSTEM IS WITHIN STATE APPROVED ZONE II NO GROUNDWATER/NO MOTTLES IN OF SS9 OF I' so CONSTRUCTION NOTES: TH#2 EL.=9 2.4 0�� DA ID cy �S q�yG SEPTIC SYSTEM DETAIL PAGE 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND ELEV. DEPTH (IN.) HORIZON TEXTURE . COLOR MOTTLING OTHER �� o EDWARD ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING --- F H Ty o� A N 264 SANTUIT-NEWTOWN ROAD K ON THE SITE. 2. NORDETER NATION HAS BEEN MADE AS TO COMPLIANCE 87.7 30 -56 B LOAMY SAND 7,5 STONE 89.9 0- 30 FILL - ----- - " " ___ _____ N 21 No. 28980 o MARSTONS MILLS, MA. WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT �6 --- PERC FOiSTEP�o4' G All JULY 3, 2013 IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 80.4 56 -144 C COARSE SAND 2.5Y7 6 0� GRAY. i TE S"Irvr Aar � � N N'S REV: JULY 29, L20133. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING NO GROUNDWATER/NO MOTTLES SHEET 2 OF 2 45 TAPE OR A COMPARABLE MEANS. K n MARSTONS MILLS LOT 12 I Q� PLO//SA ME�G ROAD S r r �' LOCUS N LOT 9 1� �� + /�Q0 Z RIVER ROAD 4 N LOT 13 ., LOCUS MAP LOCUS INFORMATION �hh PLAN REF: 222157 c0 O- �O TITLE REF: 4467/95 ► / PARCEL ID: MAP 30 PAR. 36 IN ZONE 11, ZONING: "RF"/ "GP" \ � TP 2.4\0% 97 f FLOOD ZONE: "C \ I COMMUNITY PANEL: 250001-001 5—D DATED:08/19/85 o �(11 LOT 8 SEPTIC SYSTEM 1.6 \ \ AREA=23,704t S.F. REPAIR PLAN / r \ co, J \ i96' LOCATED AT: \ �� 9� \ ) �5 �� 9s crops 264 SANTUIT NEWTOVUN RD. o �' MARSTONS MILLS MA. r ON \ REMOVE 9 PREPARED FOR dQ s F DORIS A. ZONFRELLI PUMP, CRUSH, AND ILL DULY 3, 2013 LQ `moo & ABANDON PER REV: JULY 29, 2013 IQ TITLE 5 264 j LOT 7 W # OF G �o�� DA I cti� �o�� E DWARD c�G� / W / �C o A. G- \ r/ / G EL F HE TY, STONE W 0 121 p N 28980 �P o ` G BENCHMARK: �• TOP OF RAILROAD TIE ELEV.=91.00 E. A. S. SURVEY, INC. 141 ROUTE 6A GRAPHIC SCALE SALT POND BUILDING \\ F P.O. BOX 1729 20 o �0 20 ao so SANDWICH, MA. 02563 Q \ s \ ( IN FEET ) BUS:(508)888-3619 CELL:(508)527-3600 \ 1 inch = 20 ft. SHEET 1 OF 2 J 1545