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HomeMy WebLinkAbout0051 SHAMMAS LANE - Health 51 SHAMMA LAN-;LOT 16- A=065-004.997 MARSTONS MILLS I i ""`z 7N OF BARNSTABLE sr LOCATION,�,Th{Q M!�r�'► a SEWAGE# VILLAGE&g,�SrOOS Pd/IS ASSESSOR'S MAP&PEA©E�/UD 9^!JG 7 INSTALLER'S NAME&PHONE NOSIo93- SEPTIC TANK CAPACITY I f GU LEACHING FACILITY: (type) Or�lj/¢�,6t��S (size) J X�SJ NO.OF BEDROOMS OWNER )/,VL% ('pc-DZZ PERMIT DATE: COMPLIANCE DATE: /O'Z.- 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 Gy'� b ` . I �1-7 - 9 13- 11 t3 1 , " No. �Vj Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in comput is PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Vsposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(er4-Upgrade(Abandon( ) []Complete System ❑Individual Components Location Address or Lot No.S1.S 171/1#As = Owner's Name,Address and Tel No. Assessor's Map/Parcg pp /yj.4/4SL y IZIIs sr7G I taller' N eA�'l��dress,and Tel.No,S08—yX4 '773 De igner's Name,Addrj s a el.No.,�-09-527-3000 asseFGr r�o� / / ,�9.S, Svri� j i�c, �'�C -c f1'I i^sloy/S�'1%.�Cs Sf3rl��vr ty/c�, Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 S gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Sit -UlJ !0 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) l r11411 ;4li j0 -15gx 2-Soo �/ LFl�cL! C`i���i=rs cy�TLi Y'S1Uhl� ��'Uy� 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 issue s Board of Health. Date Application Approved by Lff Date Application Disapproved by Date for the following reasons Permit No. Date Issued To :4 k w7% No. Fee `THE COMMONWEALTH OF MASSACHUSETTS Entered in comput r: 3 Yes PUBLIC HEALT DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS appli for Disposal 6pstem4onstruction permit Application for a Permit to Construct( ) Repaif(,�,). Upgrade(,O—Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.f/S y Z Owner's Name,Address,and Tel.No. Assessor's Ma /Pazce?� � � �r �/ p Oc. -va ,'WiP , U6/ //, S Installer's Name,Address,and Tel,No 6 pS-IX, -f7 3F Designer's Name,Address,and Tel.No.sU� e S Q 7-34 oU 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. - k Description of Soil Nature of Repairs or Alterations(Answer when applicable) /,+tClictII/I-41 l)'��DtC Gi 'srr��= 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 his Board of Health. t edDate Application Approved by ; Date Application Disapproved by Date for the following reasons Permit No. -"' Date Issued g r ----------------------- - - -- ------ -- - ------------ -------- ---- - ------------------ _- ------------------- • a: THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS . Certificate Of Compliance / { THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(+ems. Upgraded(_j Abandoned( )by. at 5 -,ram / � 'fi �r x'tFae�t' <I.J i/f<' has been cons ucted in acc e� with the provisions of Title 5 and the for Disposal'System'Construction Permit No t� 0 S.4 q Installer Designer 1�, / #bedrooms 3 Approved design flow gpd The issuance of this perm t shall not be construed as a guarantee that the system wi func ' ras designed Date Inspector :r- - - - - - - No. Fee 12 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(4i) Upgrade Abandon( ) System located at y/ 5 ebb y�`y/p; Z<a/7/; -3 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constru9fion r4ust be completed within three years of the date of this permit. Date Approved by Town of Barnstable �. ► Regulatory Services Richard V.Scali,Director BARMABMPublic Health Division 639• Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Date: 16-1�-19 Sewage Permit#2t)+9- 3'15 Assessor's Map/Parcel06JrOv�w�- Installer& Designer Certification Form Designer: _ uc3il e I / nstaller: Address: Address: G l G�' �On l 0- 3- t 9 was issued a permit to install a (date) (installer) . septic system at based on a design drawn by (address) dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils «vere found satisfactory. I certiA, that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the I/A approval letters (if applicable). OFntq DAVID D. ���Ustal�ler`s �igna �e) �- " FIAHERTY, JR. N r No. 1211 f S sTca* 'A B4NI TAR% esigner s Si ture X (Affix Desioe'?'T Stamp 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 forrnsldesignercertification form.doc c Commonwealth of Massachusetts Title 5 Official Inspection Form I� F Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills ✓ Ma 02648 8-5-19 page. City/Town State Zip Code Date of Inspection r+. Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. Inspector Information (Sl filling out forms ,�jr on the computer, use only the tab Chad hathaway key to move your Name of Inspector cursor-do not H PS use the return Company Name key. P.O.Box 151 Company Address Forestdale Ma 02644 Citylrown State Zip Code 774 274 2581 12866 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 8-5-19 I ctor's Signatu Date The system inspector shall s it a copy f this inspection report to the Approving Authority(Board of Health or DEP)within 3 days of co let this inspection. If the system has a design flow of 10,000 gpd or greater, th inspec nd the system owner shall submit the report to the appropriate regional office of the DEP. a original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: This inspection is not a guaranteeand applies no warrantyof the described septic components in this report including but not limited to piping structual intergrity of components and life exspectancy of leaching and described components. This inspection is to describe conditions witnessed at time of inspection only. Regular tank maintenance and water conservation can prolong life of septic systems . Information on care and do's and don't's can be found at town health dept or mass.gov 2) 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): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts �tl Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 E Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts �d Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. c. Other: 4) 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Y% 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ® ❑ 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 '/z 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. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c Commonwealth of Massachusetts � Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: 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)] t5insp.doc-rev.7/26=18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts 11P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. 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 Description: Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes E No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .� 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: 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 below): 3. Pumping Records: Source of information: owner pumps every year Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.R26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 L Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . � 51 Shammas Lane Property Address COcOZZa Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 4. 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: 1998 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 1.7 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 20+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form < Subsurface Sewage Disposal System Form -Not for Voluntary Assessments "u 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) 1500 gal H10 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle 31" Scum thickness less then 1 , Distance from top of scum to top of outlet tee or baffle 0" Distance from bottom of scum to bottom of outlet tee or baffle 22" How were dimensions determined? tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): tees inp lace. water level is over outlet pipe. no signs of major decay or cracks in tank visable at time of inspection t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts �9 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 51 Shammas Lane Property Address CocoZZa Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 6" 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.): Dbox was over full. Dbox was dug up and cover was lifted water began to flow out of Dbox. staining of sol over dbox was evident. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts rn Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (coot.) 10. 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. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: no inspection port probed soil and stone hydraulic failure is evident Type: ❑ leaching pits number: ® leaching chambers number: infultrators ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Shammas Lane Property Address CocoZZa Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): yes ponding and damp soils in leaching area 12. 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts rn Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Shammas Lane Property Address CocoZZa Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 i cam, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owners Name information is required for every Marstons Mills Ma 02648 8-5-19 page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) 14. 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 C 2 3 L15I C3 _ so P 3 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments o 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 50+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: lot el. 104 You must describe how you established the high ground water elevation: low in area 50' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 51 Shammas Lane Property Address Cocozza Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-5-19 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 TOWN OF BARNSTABLE :LOCATION nz&/!7G SEWAGE # d i �f��—:�� VILLAGE—ZY �-,'4f r" 9L11 ASSESSOR'S MAP & LOT r'T INSTALLER'S NAME&PHONE NO.�G rrti �1//CL�c,�J ?G 7 C Z,f SEPTIC TANK CAPACITY, Z.5 CS 0 LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER C A v W v PERMITDATE: 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) ., v 2�� Feet Furnished by Kq tee ' P _/ 1� c � � U� � �� . � � � � w ,a 6`� P 18 i �s�°fib �� " ,� � 5 No. 0 FEE Board of Health, � tbt , MA. APPLICATION FOP DISPOSAL, SYSTEM CONSTRUCTION PERMIT Application forAar4r1to�Constru t( Repair( ) Up r e( ) AbandorL(,) - ❑Complete System ❑Individual Components J Location Owner's Name r d 1 Map/Parcel# Address Lot# Of Of Telephone# Installer's Name A��' ✓ J' Designer's Name Address A7 Address Telephone# Telephone# Type of Building Lot Size sq.ft. Dwelling-No.of Bedrooms 1 -3 Garbage grinder ( ) Other-Type of Building No.of persons 7 Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) gpd Calculated design flow 70 Design flow provided gpd Plan: Date V Rtf T !Z Number of sheets Revision Date Title A� Description of Soil(s) /I/�/� Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to a the in er 'on until a Certificate of mp' ice has en' ued by the Board of Health. Signed Date Inspections �4 No. V6 ✓ 0 ✓-_ ©O l oU 7 FEE 0 u •"r Board of Health, MA.. APPLICATION FOP DISPOSAL SYSAM CONSTRUCTION PERMIT � r , Application fora e O O to Constru t Repair( ) .Upgr e Abandon(/ - ❑Complete System ❑Individual Components -eon01 •mo Location 10"W4 i �yrr�-t� Owner's Name �� a ,WO/Parcel# 62 Address Lot# j / Telephone# Installer's Name ' lgl-V- l " Designer's Name Address pe r x- Address Telephone# Telephone# Type of Building / r Lot Size sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons_ Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (minim.required) ��0 gpd Calculated design flow : (� D,esign flow provided gpd Plan: Date ,,> V rr,r -e '( Number of sheets ReVision Date t Title a Description'of Soil(s) �d / .2i Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to a the syste in er 'on until a Certificate of nip ncehas b eriissued by the Board of Health. Signed .'" ! Date &poor7 Inspections No. q yo COMMONWEALTH OF �'ASSACHUSETTS FEE�� Board of Health, MA. CERTIFICATE Of COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certif/thn t the Sevvge Disposal System; Constructed K),Repaired ( ),Upgraded ( ),Abandoned ( ) has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and th_e.approved design plans/as-built plans relating to application No. dated pproved Design Flow (gpd) Installer Designer: Inspector: Date: 1 1 l a t JOV 11 i The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. ( n I O) FEE COMMONWEALTH Of MASSACHUSETTS Board of Health, Lb&Aj� , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby g anted to; Construct(,Repair( ) U grade( Ab ndon( ) an individual sewage disposal system at ''�`'l ,+ ,i �, yd -�d` Y� � ��,# �e-a 0 ,� as described in the application for Disposal System Construction Permit No. -�"(�' dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date-7-1 -?g Board of Health Cj I LOCATION / rl TOWN OF BARNSTABLE VILLAGE ,. SEWAGE # f� ASSESSOR'S v IIVSTAI-LBR'S NAIL PHONE NO. a M�& LOT j SEPTIC TANK CAPACITY C 6 LEACHING FACILITY: (type) NO. OF BEDROOMS (size) /C1 BUILDER OR OWNER / PERMI TDATE: v COMPLIANCE DATE:Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Private Water Supply Well and Leaching Leaching Facility on site or within 200 feet of leaching g Facility (If any wells exist Feet Edge of Weiland and Leaching Facilityg facility) ope within 300 feet of leaching (If any wetlands exist Feet Furnished by �tir g facility) `%1� � Feet IV, t:t APPLICATIO;'N FOR PER�:'OLATION TEST AND OBSERVATION PITS 'LOCATION -C� ) t'7 -�-� x NO.' �` k1LI.AGE (�( /; DATE �g APPLICAN FEE (Non-refundable) ADDRESS ' TELEPHONE NO. ENGINEER•. S. S TELEPHONE NO. DATE SCHEDULED eF. - ` (Applicant's Signature) ......... . . ....... . .. . ............... .............. ...... ..... ............... ......... ........... .. .:...........0..................... ASSESSOR"S MAP & LOTNO SOIL LOG SUB-DIVISION NAME DATE ���z��a� TIME J.P&W EXPANSION AREA:.YES NO ENGINEER VE TOWN.WATER Y PRIVATE WELL T2GCP1A 164 BOARD OF HEALTH CU' EXCAVATOR SKETCH: (Street name, etc., dimensions of lot,.exact location of test holes and percolation tests, locate wetlands In proximity to test holes) NOTES: to �o K 70' ?363 7µ2d x 00 TR 1 �1 :OLATION RATE. Z. Wl I K 11 - HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: . 1 1 2 es—o L� 2 4 4 5 5 6 6 7 7 � 8 9 9 9 10 10 ' 11 11 12 12 J 13 13 j 14 14 / 15 15 16 t 16 ABLE FOR SUB—SURFACE SEWAGE: LEACHING FIELD LEACH G PITSL"*� LEACHING TRENCHES' IITABLE FOR SUB-SJJRFACE SEWAGE. REASONS: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION iINAL: COMPL13TED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH t: RETAINED BY APPLICANT �� MARSTONS MILLS LOCUS RACE LANE �o LOT 16 LOCUS MAP LOCUS INFORMATION PLAN REF: 38973F e0' '��O ASS. 150MPN 1p'NK PIARCELE D: MAP 51208 PAR. 004/007 EX SO RE h ZONING: "RF" WP STATE ZONE II ^ FLOOD ZONE: "X" ` COMMUNITY PANEL: 25001 CO541 J DATED:07/16/14 103.2 o°o`` \ GPRPoE SEPTIC SYSTEM \ REPAIR PLAN f #51 \ ,� LOCATED AT: '03.5 O TOF=107.45 \ �, 51 S H A M M A S LANE tK�4j� TH, Q COR. CHIMNEY WOODS 104.E 2 �� \ \ MARSTONS MILLS, MA. PREPARED FOR 103.7 FP o\` o o� \ LOT 17 KYLE & ELAINE 0+ TM422 �� \\ i COCOZZA c \ SEPTEMBER 25, 2019 103.2 9S \ \ \ EL=108.71 \ \ \ TOP SPINDLE OF N s ��N Ass O P N AS OF N S8 �, \/ 10 6E A ��.l 5 \\ \ i�2�QQ \ s�o ?� EDWARD y�� _� DA 3 16 26 E P � 5Q' A. STONE H FL Y J . 236.37 ` o.2 N 1 �o � �o O (q O O E FCCSTV- 11 SANITAR\aN �LOT 15 I SH AM M AS LOT 13 GRAPHIC SCALE LANE E . A . S. 30 0 15 30 60 120 SURVEY, INC. P.O. BOX 1729 SANDWICH, MA. 02563 ( IN FEET ) CELL:(508)527-3600 1 inch = 30 ft. SHEET 1 OF 2 J#2131 1 PROFILE OF ;" LAYER OF SEWAGE DISPOSAL SYSTEM DOUBLE WASHED STONE OF=1+07.45 (NOT TO SCALE) OR FILTER FABRIC CLEAN SAND FILL PER 310 CMR 15.255 1o3.s 104.5 104.5 104.3 104.0 .irrr rrrr rrr,rrrrrr.rrrrrrrrrrrirr rrirrrrir.irr.rirrrirrrrrrrr.irrrrr.i ririr. irrrrriiirr iirrrrirN rrriirrrrrrrrr irrrrrrrirrrrrrriirr rrrrrrrrrr rrririirrrrrrirrrrrrrriirrrrirrrrrrrirrr rrirrrrrriirrir..................rrrrrrririr rirrrrirrrirrirriiir103.61 rrrrrrrr rrrrrrrrri iirrrii irrrrirrrrrrrrrrrirrirrirrrrirrrrrrrirrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr .......... .r..rrrr ........ ........ ....... RISER RISER 4" SCHEDULE 40 P.V.C. MIN. PITCH 1/8" PER FOOT\_ RISER RISER 101.0 EXIST. 16' ® S=.2 i LEVEL LIQUID LEVEL "T' FOR 2' 5' 0S=.01 ® ® ® 0 ® ® ® ® ® ® 0 102.53 1 O„ 14" 102.36 6" SUMP ® ® ® ® ® ® ® ® ® ® ® ® ® ® 0 0° MIN. ss.22 6' BASE 99 O5 00. o o 92 ® ® ® ® ® ® ® ® ® ® ® ® ® 0 48" ADD COMPACTED SAND 4 0 0 GAS 4' 98.0 BAFFLE PROP. DB3 3/4" TO 1&1/2" DISTRIBUTION DOUBLE WASHED STONE BOX (H-20) 04 25' W/"T" 2-500 GAL. (H-20)CHAMBERS EXISTING (5'W X 8'-6"L X 3'-0"H) 1 ,500 GALLON TANK SEPTIC SYSTEM DETAIL PAGE SOIL ABSORBTION (TRENCH FORMATION) M (TO REMAIN) #51 SHAMMAS LANE SYSTEM (s.A.s.) 13' x 25' Lo M AR STON S MILLS, MA. BOTTOM OF TEST PIT 2 ELEV.= 92.7 SEPTEMBER 25, 2019 1 CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF DESIGN DATA: GENERAL NOTES ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED NUMBER OF BEDROOMS.........-_ 3 BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM To D.E.P. GARBAGE DISPOSAL................. NO TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS DESCRIBED IN 310 CMR INDICATED . I FURTHER CERTIFY THAT THE RESULTS OF MY FOR SUBSURFACE DISPOSAL OF SEWERAGE. SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, TOTAL ESTIMATED FLOW ARE ACC ND 1 A O ANCE WITH 310 CMR 15.100 THROUGH 15.107. (110 GAL./BR./DAY X 3 BR.) _ 330 2. ALL ACCESS PORTS OVER TANK TEES SHALL BE ------ ACCESSIBLE WITHIN 6" OF FINISH GRADE. 330GPD X 200% = 660 GAL 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE USE EXIST. 1500 GAL. TANK CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE EDWARD A. STONE, PLS, CERTIFIED SOIL EVALUATOR SE#2359 UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY INSTALL: 2(H-20) 500GAL CHAMBERS (W/4' CRUSHED STONE MUST WITHSTAND H-20 LOADING. ON THE SIDES AND ENDS) AND BACKFILL 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION TEST PIT RESULTS:- P #19 - 13 0 WITH CLEAN SAND FILL PER 310 CMR 15.255 OF ALL UTILITIES PRIOR TO ANY EXCAVATION. 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. SOIL TEST DATE: AUGUST 28, 2019 SOIL CLASSIFICATION................ 6. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE B.O.H. AGENT: DAVE STANTON DESIGN PERCOLATION RATE..... <2 MIN_/IN. OVER THE S.A.S. AND DISTRIBUTION BOX. EFFLUENT LOADING RATE.........__74___ 7. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF SOIL EVALUATOR: EDWARD A. STONE SE 2359 SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE REQUIRED LEACHING CAPACITY.....330 GAfDAY THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND BACKHOE. JOEY DEBARROS LEACHING CAPACITY PROVIDED.....352 GAUDAY LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN TH#1 EL.= 104.2 SIDEWALL: (13' + 25')X2X(2 SIDES)(.74)= 112 GAL/DAY 2 INCHES NUR MORE THAN 3 INCHES ADOVE THE INVERT BOTTOM: (13' X 25')(.74)= 240 GAL/DAY ELEVATION of THE OUTLET PIPE. ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. 103.5 0"-8" A LOAMY SAND 10YR5/2 N/A TOTAL= 352 GAL/DAY 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. 101.5 8"-32" B LOAMY SAND 10YR5/6 N/A 352 GPD PROVIDED - 330 GPD REQUIRED = 22 GPD RESERVE 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND 92.7 32"-138" C COARSE SAND 2.5Y7/4 N/A FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL BE LEVEL. NO MOTTLES, NO GROUNDWATER 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION TO EAS SURVEY, INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW AND APPROVAL. TH#2 EL.= 104.2 (PERC BOTTOM @ 42" <2 MPI) OF NqSSgcy I 13. PROPERTY IS WITHIN ZONE II ��� C A S CONSTRUCTION NOTES: ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER Q D I E. A. S. 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 103.5 0"-8" A LOAMY SAND 10YR5/2 N/A p �, SURVEY, INC. ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING FLA Y, J P.O. BOX 1729 WORK ON THE SITE. 102.5 8"-20" B LOAMY SAND 10YR5/6 N/A 21 SANDWICH, MA. 02563 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 92.7 20"-138" C COARSE SAND 2.5Y7/4 N/A 107.GR O WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT �C/STER� IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. NO MOTTLES, NO GROUNDWATER SANI TAR\pN 3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING CELL:(508)527-3600 TAPE OR A COMPARABLE MEANS. 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