HomeMy WebLinkAbout0067 TANBARK ROAD - Health 67 TANBARK RD., MARSTON MILLS
A = 100 -031
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TOWN OF BARNSTABLE
LOCATION kC 1 'ad SEWAGE# -7- 20T
VILLAGE rn%kkUSSESSOR'S MAP&P L��7?j-602 NAME&PHONE NO. [_666-�'
SEPTIC TANK CAPACITY��<� ���1 �� A- k1 a 6 0?3 GA
LEACHING FACILITY:(type)
NO.OF BEDROOMS
OWNER tom-- V"e
PERMIT DATE: to /,A Z / (7 COMPLIANCE DATE: 9 '
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) uAl Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) ` Feet
FURNISHED BY
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A
1
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COMMON WEA1,11I OF MASSACIIUSF,TTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
I)I',PAI TMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500
r
4?RITnYI E
350 MAIN STREET T 176 Serrat ry
ARGEO PAUL CELLUCCI WEST YARMOUTH, MA 'or DA sT-R-U Is
Governor �O 508-775-2800 Com10,, ner
1
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM S Z
PART A
CERTIFICATION
MAP 100 PAR 021
PROPERTY ADDRESS: 68 TANBARK ROAD, MARSTONS MILLS ADDRESS OF OWNER:
DATE OF INSPECTION: FEBRUARY 8, 1999 PETER STANLEY
NAME OF INSPECTOR : JAMES D. SEARS
I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000)
COMPANY NAME: A&B Canco
MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673
TELEPHONE NUMBER: (508)775-2800
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,
accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper
function and maintenance of on-site sewage disposal systems. The system:
X PASSES
CONDITIONALLY PASSES
NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY
FAILS
INSPECTORS SIGNATURE: — DATE: FEBRUARY 8,1999
The system Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within thirty(30)
days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the
system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original
should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority.
NOTES AND COMMENTS:
revised 9/2/98
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIVICATION(continued)
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
INSPECTION SUMMARY: Check A, B, C, orD:
A] SYSTEM PASSES:
X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR
15.303. Any failure criteria not evaluated are indicated below.
COMMENTS: SITE OVER ALL PASSES,INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME
OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM.
B SYSTEM CONDITIONALLY PASSES:
N/A 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.
Indicate yes,no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If"not determined",explain why not)
The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate
of Compliance(attached)indicating that the tank was installed within twenty(20) years prior to the date of the
inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or
exfiltration,or tank is failure is imminent. The system will pass inspection if the existing septic tank is replaced with a
conforming septic tank as approved by the Board of Health.
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s)or due to a broken,settled or uneven distribution box. The system will pa
pass inspection if(with approval of the Board of Health).
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
The system required pumping more than four 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
revised 9/2/98 2
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to
protect the public health,safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303
(1)(b)THT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 AND
SAFETY AND THE 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 soil absorption system and the SAS is within a Zone
1 of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 50 feet
of a private water supply well.
The system has a septic tank and soil absorption system and the SAS is less than 100
feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility
and the presence of ammonia nitrogen and nitrate nitrogen and is equal to or less than 5 ppm. Method
used to determine distance (approximation not valid).
3) OTHER
revised 9/2/98 3
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
D]SYSTEM FAILS:
You must indicate either"Yes"or"No" to each of the following:
N/A I have determined that one or more of the following failure conditions exist as described in 310 CMR
15.303. The basis for this determination is identified below. The Board of Health should be contacted to
Determine what will be necessary to correct the failure.
Yes No
Backup of sewage into facility or system component due to an overloaded or clogged
SAS or cesspool.
Discharge or ponding of effluent to the surface of the ground or surface waters due to an over-
loaded 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 Soil Absorption System,cesspool or privy is below the high groundwater
elevation.
Any portion of a cesspool or privy is within 100 feet of surface water supply or tributary to a
surface water supply.
Any portion of a cesspool or privy is within a Zone I 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. If the well has been analyzed to be acceptable,attach
copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate
nitrogen.
E) LARGE SYSTEM FAILS:
You must indicate either"Yes"or"No"as to each of the following:
The following criteria apply to large systems in addition to the criteria above:
N/A The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a
significant threat to public health and safety and the environment because one or more of the following conditions exist:
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
mapped Zone II of a public water supply well)
The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local
regional office of the Department for further information.
t
revised 9/2/98 4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
Check if the following have been done:You must indicate either"Yes'or"No"as to each of the following:
Yes No
X Pumping information was provided by the owner,occupant,or Board of Health.
X None of the system components have been pumped for at least two weeks and the system
has been receiving normal flow rates during that period. Large volumes of water have not been introduced into
the system recently or as part of this inspection.
X As built plans have been obtained and examined. Note if they are not available with N/A.
X The facility or dwelling was inspected for signs of sewage back-up.
X The system does not receive non-sanitary or industrial waste flow.
X The site was inspected for signs of breakout.
X All system components,including the Soil Absorption System,have been located on the site.
X The septic tank manholes were uncovered,opened,and the interior of the septic tank was
inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid
depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site
Has been determined based on:
X Existing information.Ex.Plan at B.O.H.
X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation
of distance is unacceptable)[15.302(3)(b)]
X The facility owner(and occupants,if different from owner)were provided with information on
the proper maintenance of Sub-Surface Disposal System.
revised 9/2/98 5
. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
FLOW CONDITIONS
RESIDENTIAL:
Design flow: 330 g.p.d./bedroom for S.A.S.
Number of bedrooms(design) 3 Number of bedrooms(actual): 3
Total DESIGN flow N/A
Number of current residents: 2
Garbage grinder(yes or no): NO
Laundry(separate system) (yes or no): NO If yes,separate inspection required
Laundry system inspected(yes or no): N/A
Seasonal use(yes or no) NO
Water meter readings,if available(last two(2)year usage(gpd): 1997 52,000/1998 56,000
Sump Pump(yes or no): NO
Last date of occupancy: PRESENT
COM M ERCIAL/INDUSTRIAL:
Type of establishment:
Design flow: Gpd(Based on 15.203)
Basis of design flow
Grease trap present:(yes or no):
Industrial Waste Holding Tank present:(yes or no)
Non-sanitary waste discharged to the Title 5.system:(yes or no)
Water meter readings,if available:
Last date of occupancy:
OTHER:(Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
N/A
System pumped as part of inspection:(yes or no) NO
If yes,volume pumped: Gallons
Reason for pumping
TYPE OF SYSTEM
X Septic tank/distribution boxisoil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system(yes or no)(if yes,attach previous inspection records,if any)
I/A Technology etc.Attach copy of up to date operation and maintenance contract.
Tight Tank Copy of DEP Approval
Other
APPROXIMATE AGE of all components, date installed (if known)and source of information:
1989 PERMIT#89-36
Sewage odors detected when arriving at the site:(yes or no) NO
revised 9/2/98 6
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
BUILDING SEWER: N/A
(Locate on site plan)
Depth below grade:
Material of construction _ cast iron _ 40 PVC _ other(explain)
Distance from private water supply well or suction line
Diameter
Comments:(condition of joints,venting,evidence of leakage,etc.)
SEPTIC TANK: X
(Locate on site plan)
Depth below grade: 2'
Material of construction X concrete _ metal _ Fiberglass _ Polyethylene _ other(explain)
If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No)
Dimensions: 1,000 GALLON PRE CAST
Sludge depth: 2"
Distance from top of sludge to bottom of outlet tee or baffle: 29"
Scum thickness: 1"
Distance from top of scum to top of outlet tee or baffle: 6"
Distance from bottom of scum to bottom of outlet tee or baffle: 22"
How dimensions were determined TAPE AND ASBUILT
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural
integrity,evidence of leakage,etc.)
TANK AT WORKING LEVEL,TANK AND COVERS 2'BELOW GRADE,OUTLET TEE IN PLACE.
GREASE TRAP: N/A
(locate on site plan)
Depth below grade:
Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene _ other(explain)
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural
integrity,evidence of leakage,etc.)
revised 9/2/98 7
C
l
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
TIGHT OR HOLDING TANK: N/A (Tank must be pumped prior to,or at time,of inspection)
(Locate on site plan)
Depth below grade:
Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene _ other(explain)
Dimensions:
Capacity: Gallons
Design flow: gallons/day
Alarm present
Alarm level: Alarm in working order Yes; No
Date of previous pumping:
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
DISTRIBUTION BOX: X
(locate on site plan)
Depth of liquid level above outlet invert: 0
Comments:
(note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,)
D-BOX IS 16"X16",30"BELOW GRADE,ONE LINE IN,ONE LINE OUT.BOX IS CLEAN AND LEVEL.
PUMP CHAMBER: X
(locate on site plan)
Pumps in working order:(Yes or No)
Alarms in working order(Yes or No)
Comments:
(note condition of pump chamber,condition of pumps and appurtenances,etc.)
revised 9/2/98 8
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
SOIL ABSORPTION SYSTEM (SAS): X
(locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods)
If not located, explain:
Type:
Leaching pits,number: 1
Leaching chambers,number:
Leaching galleries,number:
Leaching trenches,number,length:
Leaching fields,number,dimensions:
Overflow cesspool,number,
Alternative system:
Name of Technology:
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.)
ONE(1)1,000 GALLON PRE CAST PIT,PIT COVER IS 28"BELOW GRADE PIT IS 3'8"BELOW GRADE.2'WATER IS IN
PIT. NO HIGH WATER MARK.
CESSPOOLS: N/A
(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(cesspool must be pumped as part of inspection)
Comments::
(note condition of soil,signs of hydraulic failure,,level of ponding,condition of vegetation,etc.)
PRIVY: N/A
(locate on site plan)
Materials of construction: Dimensions:
Depth of solids:
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
revised 9/2/98 9
S
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'(locate where public water supply comes into house)
lO
y �
0
revised 9/2/98 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 68 TANBARK ROAD, MARSTONS MILLS
Owner: STANLEY, PETER
Date of Inspection: FEBRUARY 8, 1999
NRCS Report name
Soil Type
Typical depth to groundwater
USGS Date website visited
Observation Wells checked
Ground water depth: Shallow Moderate Deep
SITE EXAM Slope
Surface water
Check Cellar
Shallow wells
Estimated Depth to no groundwater 12 Feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
X Observation of Site(Abutting property,observation hole,basement sump etc.)
Determine it from local conditions
Check with local Board of health
Check FEMA Maps
Check pumping records
Check local excavators,installers
Use USGS Data
Describe in your own words how you established the High Groundwater Elevation.(Must be completed)
NOTE: HAND DUG TEST HOLE, TEST HOLE NOTED ON PAGE 10. NO WATER AT 12'. TEST HOLE 2' BELOW
BOTTOM OF PIT.
revised 9/2/98 11
m FF 2 2
' � �►oFaai 1999
COMMONWEALTH OF MASSAC � ids
EXECUTIVE OFFICE OF ENVIRONMEN S John Grad
DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector
ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119
TeaTicket,Ma.
(508)564-6813
TRUDY COXE
Secretary
ARGEO PAUL CELLUCCI DAVID B.STRUHS
Governor Commissioner
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Property Address: 67 TANBARK RD. MARSTONS MILLS MAP100 PAR 031 L 113
Name of Owner KIRSTEN TAVANO
Address of Owner: n/a
Date of Inspection: 2117/99
Name of Inspector:(Please Print)JOHN GRACI
I am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000)
Company Name: John Graci Title V Septic Inspection
Mailing Address: P.O.Box 2119 TeaTicket,Ma.02636
Telephone Number: (608)664-6813
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate
and complete as of the time of inspection.The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems.The system:
X Passes The inpection is based on criteria defined in Title V
Conditionally Passes code 310 CMR 15.303.My findings are of how the system Is
_ Needs Further Evaluation By the Local Approving Authority performing at the time of the Inspection.My inspection does
_ Fails not Imply any warranty or guarantee of the longgevity of the
septic system and any of its components useful life.
Inspector's Signature: Date:2/18/99
The System Inspector shall iubmit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of
completing this Inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner
shall submit the report to the appropriate regional office of the Department of Environmental Protection.The original should be sent to the
system owner and copies sent to the buyer,if applicable,and the approving authority.
NOTES AND COMMENTS
SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING SYSTEM EVERY YEAR.THE LEACH PIT HAD I'OF LEACHING LEFT AT THE
TIME OF THE INSPECTION.
revised 9/2198 Page 1 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2/17199
INSPECTION SUMMARY: Check A, B, C, or D:
A. SYSTEM PASSES:
I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated
are indicated below.
COMMENTS:
System passes Title V inspection
B. SYSTEM CONDITIONALLY PASSES:
_ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the
replacement or repair,as approved by the Board of Health,will pass.
Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not.
NQ The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance(attached)indicating that the tank was Installed within twenty(20)years prior to the date of the inspection;or
the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank
failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as
approved by the Board of Health.
ND Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)
or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health).
broken pipe(s)are replaced
obstruction is removed
distribution box is levelled or replaced
NO The system required pumping more than four 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
t
obstruction is removed
revised 9098 Page 2 of 11
v'
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2/17199
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 the public health,safety
and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 16.303(1)(b)THAT THE SYSTEM IS
NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
Cesspool or privy is within 50 feet of surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or 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 AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well,
The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the
well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less
than 5 ppm,Method used to determine distance nLa_(approximation not valid).
3)" OTHER
nta.
g
revised 9/2198 Page 3 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2/17/99
D. SYSTEM FAILS:
You must indicate either"Yes"or"No"to each of the following:
I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is
identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure.
Yes No
X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool.
X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow,
X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped nla.
X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation.
X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
X Any portion of a cesspool or privy is within a Zone I of a public well.
X Any portion of a cesspool or privy is within 50 feet of a private water supply well,
X Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality
analysis.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic ompounds,
ammonia nitrogen and nitrate nitrogen.
X The liquid level in the SAS Is over the invert pipe,Is In Hydraulic Failure.
E. LARGE SYSTEM FAILS:
You must indicate either"Yes"or"No"to each of the following:
The following criteria apply to large systems in addition to the criteria above:
The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and
safety and the environment because one or more of the following conditions exist:
Yes No
X the system is within 400 feet of a surface drinking water supply
X the system is within 200 feet of a tributary to a surface drinking water supply
X the system is located Ina nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public
water supply well)
The owner,or operator of any such system shall upgrade the system In accordance with 310 CMR 15.30412).Please consult the local regional office of the
Department for further information.
revised 9/2/98 Page 4 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2117/99
Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following:
Yes No
X Pumping information was provided by the owner,occupant,or Board of Health.
X None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates
during that period.Large volumes of water have not been introduced into the system recently or as part of this inspection.
X As built plans have been obtained and examined.Note if they are not available with N/A,
X The facility or dwelling was inspected for signs of sewage back-up.
X The system does not receive non-sanitary or industrial waste flow.
X The site was Inspected for signs of breakout,
X All system components,excluding the Soil Absorption System,have been located on the site.
X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles
or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption
System on the site has been determined based on:
X Existing information,For example,Plan at B4O,H,
X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)
[7 5.302(3)(b))
X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of
Subsurface Disposal Systems.
yy.
revised 9/2/98 Page 5 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2/17/99
FLOW CONDITIONS
RESIDENTIAL:
Design flow:-M g.p.d./bedroom
Number of bedrooms(design): 2 Number of bedrooms(actual):2
Total DESIGN flow: 22I
Number of current residents:I
Garbage grinder(yes or no):NO
Laundry(separate system)(yes or no): NO If yes,separate inspection required
Laundry system inspected(yes or no):JLQ
Seasonal use(yes or no):DLO
Water meter readings,if available(last two year's usage(gpd): IVA
Sump Pump(yes or no): NQ
Last date of occupancy: nLa
COM M ERCIAL/INDUSTRIAL
Type of establishment: n&
Design flow: n&gpd(Based on 15.203)
Basis of design flow: nLa
Grease trap present:(yes or no):M
Industrial Waste Holding Tank present:(yes or no): Na
Non-sanitary waste discharged to the Title 5 system:(yes or no):NQ
Water meter readings.if available:nLa
Last date of occupancy: nLa
OTHER: (Describe)
n&
Last date of occupancy: nta
GENERAL INFORMATION
PUMPING RECORDS and source of information:
SYSTEM WAS LAST PUMPED 5 YEARS AGO
System pumped as part of inspection:(yes or no):NO
If yes,volume pumped nLa- gallons
Reason for pumping: n&
TYPE OF SYSTEM
XSeptic tank/distributionbox/soil absorption system
Single cesspool
Overflow cesspool
Privy .
Shared system(yes or no)(if yes.attach previous Inspection records,if any)
I/A Technology etc.Attach copy of up to date operation and maintenance contract
Tight Tank Copy of DEP Approval
Other: nLa
APPROXIMATE AGE of all components,date installed(if known)and source of information:
SYSTEM WAS INSTALLED IN 1999 PERMIT#99-8
Sewage odors detected when arriving at the site:(yes or no). NO
revised 9/2198 Page 6 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2/17/99
BUILDING SEWER:
(Locate on site plan)
Depth below grade: X-C
Material of construction:_ cast iron X 40 PVC _ other(explain)
Distance from private water supply well or suction line: TOWN
Diameter: nta
Comments: (condition of joints,venting,evidence of leakage,etc.)
n&
SEPTIC TANK: X
(locate on site plan)
Depth below grade: 2'
Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain)
D&
If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO
nla
Dimensions: L 8'6"H 6'7"W 4'10"
Sludge depth: 2"
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness:-11
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle: n/a
How dimensions were determined: MEASURED
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,
etc.)
SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND RECOMMEND PUMPING SYSTEM EVERY YEAR
GREASE TRAP:
(locate on site plan)
Depth below grade.
Material of construction:' concrete_ metal_ Fiberglass _ Polyethylene_other(explain)
n/a
Dimensions: nta
Scum'thickness: n1a ,
Distance from top of scum to top of outlet tee or baffle:ja[a
'Distance from bottom of scum to bottom of outlet tee or baffle n(a
Date of last pumping: WA
'Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,
7 etc.)
4. n& r _
revised 9/2/98 Page 7 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2/17/99
TIGHT OR HOLDING TANK: NO (Tank must be pumped prior to,or at time of,inspection)
(locate on site plan)
Depth below grade: n&
Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain)
WA
Dimensions: n/a
Capacity: n/a gallons
Design flow: n/a gallonstday
Alarm present: NO
Alarm level:jila_ Alarm in working order:Yes_No_: NQ
Date of previous pumping: n&
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
n&
DISTRIBUTION BOX: X
(locate on site plan)
Depth of liquid level above outlet invert:x&
Comments:
(note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.)
PUMP CHAMBER: NO
(locate on site plan)
Pumps in working order:(Yes or No): NO
Alarms in working order(Yes or No): NQ
Comments:
(note condition of pump chamber,condition of pumps and appurtenances.etc.)
nla
revised 9/2/98 Page 8 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2/17/99
SOIL ABSORPTION SYSTEM(SAS): X
(locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods)
If not located,explain:
nLa
Type:
leaching pits,number: 1000 GALLON LEACH PIT
leaching chambers,number: -n/a
leaching galleries,number: -n&
leaching trenches,number,length: n&
leaching fields,number,dimensions: n/a
overflow cesspool,number: nta
Alternative system: n&
Name of Technology: ..nLa
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.)
THE LEACH PIT IS STRUCTU ALLY SOUND AND FUNCTIONING PROP R Y PIT HAD V OF I FACHING LEFT AT THE TIME OF THE
INSPECTION-PUMP EV
CESSPOOLS: -
(locate on site plan)
Number and configuration: n&
Depth-top of liquid to inlet invert: nLa
Depth of solids layer: n/a
Depth of scum layer. n/a
Dimensions of cesspool: nLa
Materials of construction: nLa
Indication of groundwater: n& inflow(cesspool must be pumped as part of inspection)n&
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
Wit
PRIVY:
(locate on site plan)
"Materials of construction:n/a Dimensions:n&
Depth of solids: nLa
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
nLa
,
revised 9/2198 Page 9 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2/17/99
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Include ties to at least two permanent reference landmarks or benchmarks
locate all wells within 100'(Locate where public water supply comes into house)
n/a
LM
A
O D
O
Ag �6Ae
revised 9/2/98 Page 10 of 11
v • f
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 67 TANBARK RD.MARSTONS MILLS MAP100 PAR 031 L 113
Owner: KIRSTEN TAVANO
Date of Inspection:2/17/99
NRCS Report name: n1a
Soil Type: Wa
Typical depth to groundwater: n&
USGS Date website visited: n&
Observation Wells checked: NO
Groundwater depth:Shallow _ Moderate _ Deep _
SITE EXAM _ Slope
_ Surface water
_ Check Cellar
_ Shallow wells
Estimated Depth to Groundwater 12 Feet
Please indicate all the methods used to determine High Groundwater Elevation:
_ Obtained from Design Plans on record
X Observed Site(Abutting property,observation hole,basement sump etc.)
_ Determined from local conditions
_ Checked with local Board of health
_ Checked FEMA Maps
_ Checked pumping records
_ Checked local excavators,installers
X Used USGS Data
Describe how you established the High Groundwater Elevation.(Must be completed)
USGS MAPS AND CHARTS AND VISUAL
revised 9/2198 Page 11 of 11
t --�l -I�'''OWN OF BARNS TABLE
LOCATION 11-0,1r7WR SEWAGE #���
VILLAGE /5±21 )t`l ASSESSOR'S MAP & LOT_ IOC"
INSTALLER'S NAME & PHONE NO. �/'/���`
SEPTIC 'TANK CAPACITY
LEACHING FACILITY:(type (size) -ZLfd
NO. OF BEDROOMS cO PRIVATE WELL, PUBLIC WATER
BUILDER OR OWNER f/a
DATE PERMIT ISSUED: =r- -.! /�
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
r; '�,-
r
j)
*!'
t� �
��
. ._
1
� / \.
A
�v
No...ff..._l . FEE...................... ��
THE COMMONWEALTH OF MASSACHUSETTS ....
, ;. BOAR® OF HEALTH
............. eat.± ..............0F..... .........................................................
ApplirFation for Uhgp a al Works Toustrurtion amit
Application is hereby made for a Permit to Construct (✓ ) or Repair ( ) an Individual Sewage Disposal
System at:
............. ...........
Loc n-Address .....0......o
t '�o.
,5< CE.v/3,�YCK b�c l -(! dk S!d Llo T6K�/1� f t
7 d,
- — -• ..........................I---------------.L....-------------•-----•----......------.
Owner G Address
W ,CZSGtsLL.
a ---_..?-(
---------------------------I----------.-----------------------------------•- ----------------------------------- ---------ddre-------------------------•-------------------
Installer AddressUTypf Building J Size Lot---!4,.A_®�•-_.....Sq. feet
, Dwelling—No. of Bedrooms............................................Expansion Attic (`( ) Garbage Grinder (A/)
'4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Ga Other fies ------------•---•---•--••---•-
W Design Flow............................................gallons per person per day. Total daily flow____.._.3 3d..........___...........gallons.
WSeptic Tank—Liquid capacity tOA4gallons Length-------------.__ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No..................... Diameter...................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosi tank )
'-' re
Percolation Test Results Performed by. �� ��')i�E�t. �n� ! --------- Date..._dd/5� ................
04 Test Pit No. 1....�_�
....minutes per inch Depth of Test Pit___ __-- Depth to ground water-__^!Oni�_...
L14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_.-_•__..__-_-_-_______-
Ix ................................ ... ....... :__..
0 Description of Soil......E'a......._s�iv 6........AI...........�`-f3(j C�
U ............................--•--•-•-•-----•----------------•--•---•-•-•----•--•---•---
W
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
••---•-•-•••--•-----••----•••--•---....-•--••-------•--•-----•--------_-•-----••---•-----------------•--•-••-••.............-----•••----------•--...••--•------..............--•-••-••••................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
!-1 T!-1 A�:
the provisions of 'T t LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance ha;bn 4issued y t board of health.Signed :... •-----•--• .... . 1_.......°..---._....
Application Approved By--•----••--.� - .•------....._...........-••--------•. ---- �f ---_-•---
Date
Application Disapproved for the following reasons ------... ......................................----••-•-----------•-----------•-•---•••-••-------•-
---------------------------••---••---......---•---••----•------......---------•------..-------------------•----•-------------•------•---•---•--------------•-•---------- •------------------------------
q Date
PermitNo.------ �9__...&------------------------- Issued.......................................................
A
No... .1�..... ..... Fss...... �a�
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
............ ow`'f OF... <?Z a-e: lS t: .
AliplirFa#ion for Elispati ai Vorks Tonoirurtion lirrmit
Application is hereby made for a Permit to Construct (�) or Repair ( } an Individual Sewage Disposal
System at:
dry "'? rc l�u�a
Loc n-Address
A It 6'c/ l ()'• . sk „i/G w ��z 1 c t.`
......................_.... - ..,......._...... -.-. -----.- --------------------------------
Q --•-------•-----------•-----------•-------
Owne ��
r -t T.. Address
a �K . ..L!C '
Installer Address
Typ of Building Size Lot... .......Sq. feet
F, Dwelling—No. of Bedrooms............................................Expansion Attic (}I ) Garbage Grinder (Al)
'4 Other—Type T e of Building No. of persons............................ Showers
P4 YP g -•------•----•-•---•-------- P ( ) — Cafeteria ( )
adOther fi�tx es -•---•--•---•-•••----•---•-----------•--•-•••----••-...•--.....--••-•--------------------•-••......•--••• --••••--•-------•--•••---•-----•-----•-•--
W Design Flow................ .....................gallons per person per day. Total daily flow........:-✓ >0........................gallons.
9 Septic Tank—Liquid capacity(40L'.galions Length................ Width................ Diameter_--_____.._----- Depth................
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area...................sq. ft.
Z Other Distribution box ( ) Dosi�jg tank )
a Percolation Test Results Performed by... �___------_�`�E q. av i / S
- •-•--•.•. = Date #
a Test Pit No. l__-_---'�_-__minutes per inch Depth of Test Pit---�.�.'_ .___. Depth to ground water___�-----.�___-__-.
f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.__-__-_-_-_____--__.
a .................................... ....... ----•----------------------------------------........................................................
D Description of Soil__.../"t+ _' ._ _... !?^'_'_?..._.... �.......
U -•••-•••---•----------••--------•--•--••-----••-•-••---•----------------•-•--•--•••••------•------•--•--•--••----•---- ------------•-------------------------•---------------------------
W
UNature of Repairs or Alterations—Answer when applicable..................................................................................._._.......__.
-------••--••••-----•----••----------••--•......•-•--•----•-••-•-----•-•••-----•----•----••-------...-•---••-•......----•••-•----•----•••-------------•------•---•--•--••-••--•••-•-•••-•----.....•••---
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'T'LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance ha;bn issued y thiYoard of health.
1Signedfin` - �.,�1 0 ------- - --------------------- ---- ......---------
D(te
Application Approved By---•• � .�; s '
Date
Application Disapproved for the following reasons:---------•------------------------------------------------------------------------------------------------------
..--•-•--••----•--•-.........--•--•---------•-------•---•-•--•-•---•-•-•---•-----•...............•-....--•-----------•-------•-------------•--•-•-••---••••••-----•--•••-•-----•••••---•-•-------------
Date
PermitNo...... ^` -------------------------- Issued--------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS ,
BOARD 'OF HEALTH
rs:w Aac�v�►'e� 3� `
..........O F........................................... ...............................
(9rdif iratr of Tompliattre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (4) or Repaired ( }
by------------------------- ---..... sur...
Installer
LoT ire
has been installed in accordance with the provisions of T I T i of The State Sanitary Code .as described in the
application for Disposal Works Construction Permit No.___...... ............. dated_.../ �� .................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
ccyy
DATE........................ ............................ Inspector....................- _��---------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Q---- `�
........................OF...... .............................................
No.-( 'Z
.ova
-•-_.... FEE... .:..........
Disposal arks Tonstr ion amit
Permission is hereby granted.... :_J: t,,� 1 c �.c• ,
to Construct (V) or Repair ( ) an Individual Sewage Disposal System
s t i�.v �A R o/-") ,w 19 A s,v,t,✓S
at No.....• 0....-•-•---p-•------------------••-----•------A............_ ..............--.......---------------.......-•---••---•-------•-----......----------•-•-----..._......--•--
Stree
as shown on the application for Disposal Works Construction Permit tNol,3�..15.'.. Dated.... ..V.--_--------
Board of Health
DATE........ ------••------------------------•--•----------••-----•----------•---
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
� 110 rrrwllt Iro.
SHEET 7 OF 7
i
teas �
MARSTONS MILLS
LOT 130
atw a
11t111A b � �
i AN LOT 129
/ � •10.0gs
LOCATION MAP
'� `tr —1 •� lei
Iq,e J
plop f C 76.6 `� A LOT 12� �1
R � OT�32 (p.,� i-.. ��� G' M h W loos s '�
IF 13 °'' I -to
do
LOT 31 ' N
LOT 137 �� / y+ s ..
�yA ti ,p 147M a ! �S LOT 124-
�eP LOT 106
` i �-- /\I ,V ? r >tZ» M �� Q • �!1 `\+ LOT 126t-325'. ^� `ytoo LOT 123
1A.4 `�1 �' LOT 13
1`� V Ilom a /
\ LOT 149 .r` t0.17�a *' ^� LOT 138 � lT% p� �� / �� _•
Isar 1 1 y �1 S LOT 122
LOT 134
I..a �, .. �, \/ •� '�L�OTo s1 �'�,� 1 y
\ LOT 107 LOT 148 t —.9 1 1 !a ^ - w \ rp3\ I o
311.0w .RIOT 147,' LOT 119
\ p •a • f+.
tamo a
+ t !t
� , 'IS.S � 'LOT 141 \ �i � ih r ef.5 � �•
s, �`\ .G loam \ ..1 Y r po \ 111
,0 J OT . \
l�
1 141 \i 0 e Imo ,t' ' LOT
+ Y R- L01 117 mmo a
xsv a + S. i Y1k,0 �� LOT 43\\ �� .�,_,\ �+ri tamo a + & r 11••4 `�1
ss1 pM y 'a \ d lobb �� Y l�l
• _ �� �'�.o • 'IL•o / 'LO 14d' P .a
la. �.. 1.56E *HEST 7A or"? fog- Son, La" A+yC
15 LOT 115 6 „ & -vallu—"W4 TEsT IO-. GwKc.
'10'�taaoo a oe !.s" tt pr 7A 9W 7 'DrL •1.�(riND'
/ COT ,wsra a
�� 4+ �•o
t l 1 LOT 108 : OTa-a' 3 .. Y r 14.4 tDOt lei
LOT 118
\\. IF \. u 1 +tJ`1 aL10 ' 11tmo a T 11a
}k' l i 1
LOT 111 iamtls sa.\ 4' r\'!�LO 114
Y
10."s a
i'''''/ i 1�1 b +1 ` a I •� 14 ! e6 .D,f w1 OoMD E 11+E'Mnowlb
1 1 3 11 29 88 FINAL BLDG. AND SEPTIC LOCATIONS PAL ,
81.11LDING LOCATION PLAN OON
1 10 1T a8 INITIAL 1 ELK
NO. DATE DESCRIPTI By
BUILDING LOCATION PLAN
LOT 110 MARSTONS MILLS WOODLANDS
LOT 109 11.M0 a BARNSTABLE, MASS CHUSETTS
\�`� °• WOODLANDS ASSOCIATES L?S 1
\\ SCALE: I" - 50' TJOG NO. 1338/.,.
>a o ro no ` L A.
a o%
UR, EIDME & TAGM A I)M INC.
solms umnt am= nm un snwite
t
SHEET 7A OF 7
sr.�rAnwwwr
PUNPUK ACIAIL an OF spu lam am
r•rr - PNNWN•as•rw�AN w� .
•ra ® ® Irmw _ DESIGN CmummALCULATIONS:soLVADW
OANL"9�Omem w 3k
A1O' TOTK aw1AO ROe ��p ��
(11�•ALAILAAT x?W) Z�,L AAT
1elwwal MAP ���� ��r�i R �;,�w"xi n awro one TAM eAPAarr
If
AlLEAarw CAPAarrML
JWir w te �nL
�1R UuA aMAoTT !AAL
QIITIdAl110N
OEM
SOX NOTES:
® 1. AIL rWAM NO rAw1ML•91 OavO N w)etGL
TM O AM 1K M M OF •AMWM L. "a AM
OMOS&
aiAA1ND rat•R•{w!•RAQ a awrz
1000 GALLON SEPTIC TANK I s A1L 007 m sAnrAMT uMns/wiu a awwT m
y a•r+tY v MMlrre w1A0E.
a. rn rMarT UMni Uo To a•w aalww to Sow
SEPTIC SYS ��pm _ ♦ n IMyrR,RY MNW INALL a want
MN w gu" BOTTOM OF TEST NOLE OF t•rm RN.aW WAS A PARKING UNLESSr SKY
A MM O i0
LEACHING PIT :wL Q as a an wow 10".of mm a
Am M11OK COWNM•IM ILW.walla
•roman me MoT000I e-i-.=PINT us0-10
LN
ELEVATIONS LEGEND:
FINAL SPOT norms) m
106 107 108 109 110 111 112117 i114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 as�TAM
u•o•aox oO.F N10hs aAorw� 0
r. A 7111 7t.s 71.0 -*.o -bn 110 b•0��7LOI�f 7f•b 76.0 7Z• •woaAwl>INACHM� '
I I 1+•+ so.• +)0s bra ♦L• Nn b►,e p• p1.0 W,• f 7>0 74.9 1f.4 7fo 74.e 74,0 7y 7b a 7T a 74.0 A
7♦,0 7i.S •*,+ 7f.o 74;0 7z.o 7D.e 7t.5 7i• 7)Jp ao�l ma�r rotl�
B 70.6 61,s N.+ 641 bb•I 00.0 Nd! 749I li.o 7►• 734 M! 76.0 -ns 71.s 775 w 10.1 7b•I 76.t - 7♦.0 76e 1s.c
f 71•� 7t� 71•(• �+ �,♦ Ito 7i•s 01 10.5 741 7;A 71.11 7lt4 7�4 104
w.s MAS b44 74o B
G l 6 rs 693 ►a♦ btu 61, Ni 7Ltl`7L7 7t.7 7tn 74•t 7f.7 71..s. 71 113, 7♦. 77,10 716 7i.ti - 77a 777 tot 74 7L; �t
7 (r 71•s 70.E 7fi 4 7l4 7t.Y 7i•1 I. N• Oft r♦.7 A.7 C
D 70.0 N+ ro.o su b+•4 sT.! Kel 7Lf r I hs 724 7m 74a 79.5 71.0 0 7Lo 1r,.e 7t• 77
7io - 77.3 77f 7s.0 0 7I•I Ii•f 7I•I 70•0 To.o It 7♦0 7s.4 fto 74.4 7S•4 1t./ 71.4 1b. vvo yfe 6♦.f *5 D
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1 12 INITIAL 15511E
NO. DATE DESCRIPTION BY
PERM TEST 1 PERC TEST 2 PERC TEST J PERC TEST 4 PERC TEST 5 SEPTIC SYSTEM DESIGN
LOT 116 LOT 123 LOT 131 LOT 149 LOT 146 MARSTONS MILLS WOODLANDS
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