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Home My WebLink About0068 TANBARK ROAD - Health 68 Tanbark ROa r�. Commonwealth of Massachusetts �. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 68 Tanbark Rd. Property Address r, r Longto ;; Owner Owner's Name information is required for every Marstons Mills ✓ MA 02648 1/24/20 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information 61# ILI 3L. S Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 Cityrrown State Zip Code 508.272.6433 13010 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 1/24/20 Inspebo 9iingt Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original 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 ie Subsurface Sewage Disposal System Form - Not for Voluntary Assessments e� 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 02648 1/24/20 page. City/Town 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: 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Tanbark Rd. Property Address Longto Owner Owners Name information is required for every Marstons Mills MA 02648 1/24/20 page. Citylrown 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 ❑ 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 ,o Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �e 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 02648 1/24/20 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 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Tanbark Rd. Property Address Longto Owner Owner's Name information is required for every Marstons Mills MA 02648 1/24/20 page. Cityrrown 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 El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 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.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 68 Tanbark Rd. Property Address Longto Owner Owner's Name information is required for every Marstons Mills MA 02648 1/24/20 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 El ® approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts �. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 02648 1/24/20 page. CityrFown 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: 2 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 ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage d 70 GPD 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Occupied Last date of occupancy: Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 02648 1/24/20 page. Cityrrown 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: Pumped 2017 per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for um in : P P 9 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 02648 1/24/20 page. Cityrrown 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: 1989 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ❑ No 5. Building Sewer(locate on site plan): Depth below grade: 2 6 p g feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 i Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 0264.8 1/24/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 2 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) H-10 tank appears to be structurally sound, inlet cover raised to 6"of grade If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000g Sludge depth: 7" Distance from top of sludge to bottom of outlet tee or baffle >12" Scum thickness 1/4" Distance from top of scum to top of outlet tee or baffle >2" Distance from bottom of scum to bottom of outlet tee or baffle >2 How were dimensions determined? measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.).. Pumping suggested every 3yrs to prolong the life of the system t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 68 Tanbark Rd. Property Address Longto Owner Owner's Name information is required for every Marstons Mills MA 02648 1/24/20 page. City/Town 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: f other(explain): of e e a metal fiberglasspolyethylene ❑concrete ❑ ❑ 9 ❑ ❑ ( P ) 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 (P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments L 68 Tanbark Rd. Property Address Longto Owner Owner's Name information is required for every Marstons Mills MA 02648 1/24/20 page. City/Town 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 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box 2'6" below grade, no adverse conditions t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form I' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments •.,� 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 02648 1/24/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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: Type: 1 ® leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ` ❑ overflow cesspool number. ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 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 I 68 Tanbark Rd. Property Address Longto Owner Owner's Name information is required for every Marstons Mills MA 02648 1/24/20 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.): Leach pit was video inspected, effluent level is approximately 18" below the invert at this time, no indication of past hydraulic failure 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 02648 1/24/20 page. City/Town 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.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 ti Commonwealth of Massachusetts �n Title 5 'Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments e 68 Tanbark Rd. Property Address Longto Owner information is Owners Name required for every Marstons Mills MA 02648 1/24/20 page. Cityrrown 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 I 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 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 02648 1/24/20 page. CityrTown 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: >12.5' 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: 1989 NGW 12.5 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: 4'seperation per 1989 compliance ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: TOPO mapping shows the site at 68'msl and nearby surface water at 42'msl You must describe how you established the high ground water elevation: See above } ti Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.712612018 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 68 Tanbark Rd. Property Address Longto Owner information is Owner's Name required for every Marstons Mills MA 02648 1/24/20 page. City/Town 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 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 t t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 1/21/2020 ShowAsbuilt(1700X2800) ( ° r I�),.i�/TOWN OF BARNSTA LOCATION /0- �5vj' T�A�i✓! /� .END. SEWAGE d Sq^.._J(�' s• VILLAGE_ /��ES7tlt/S I1/[c5 ASSESS��O�R''1S MAP 6&LOT INSTALLER'S NAME St PHONE NO.J,_f_D&ya/(. £�6J '77/ ✓4/G_ SEPTIC TANK CAPACITY—I&W (7*t- LEACHING FACILITY:(type) ( A'A= Til— (size) 1 CCU 66-t- � NO.OF BEDROOMS. 2- PRIVATE WELL PUBLIC WAT J BUILDER OR OWNER Il BpYW Ceti ��BW�NEt✓1 O DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED.• VARIANCE GRANTED: Yes No 3t' Z� • • https://itsgIdb.town,barnstable.ma.us:8431/Home/ShowAsbuiIt?mp=100021&sq=1 1/1 r 6"? TOWN Or BARNSTA> r LOCATION �y �/✓i31� ,1�. SEWAGE # VILLAGEE� '' S /'7/BLS ASSESSOR'S MAP & LOT INSTALLER'S NAME Sz PHONE NO. `77/- SEPTIC TANK CAPACITY 1000 GA'� LEACHING FACILITY:(type) NO. OF BEDROOMS �/ PRIVATE WELL PUBLIC WAT t BUILDER OR OWNER �(,�ill� /�1 DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED VARIANCE GRANTED: Yes No � 14-7 30/ CT 31 7 r THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............`6�"... ...----- ...OF....... ,�Rs./s rq C-�---------------------------•---..-_.... , pphration for Uhip gal Worko Tomitrurtinn Punfit Application is hereby made for a Permit to Construct (11/) or Repair ( ) an Individual Sewage Disposal System at: /CdT 6�c/ �f' v/iAa�lt Ieo�) �i,•LsfoniT lccS • - ----•-................................................� ......... ------ ....----..........-----. .......---••-•--------------...---.........--- Locat \o. ac��✓3,z1F •iZ ss .................................1? 3dx' S/D°r � �rFizvst l� -- — - .................................... .•---- c Ownerg SQ Address •/Z.2 SC�� Installer Address JU 3 0)0 Type of Building Size Lot------r.....................Sq. feet Dwelling—No. of Bedrooms........ ................•.......___.._..Expansion Attic (Y ) Garbage Grinder (s✓) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.W .gallons 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 ( ) Dosing tank ( ) ~" Percolation Test Results Performed ��^' `................... Date...�a.� !_. ................ ,aa Test Pit No. 1........ .___minutes per inch Depth of Test Pit.��:. ....... Depth to ground water....Ar............... N� fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_.____-_________-.-_____ P+ - -- -• -------------------- •------- •--•--------•----------------------------------- ---------------------------- 0 Description of Soil... p!'.`?_.._._.._.S'"'1r'� �"` �/513 L� x ...------•• -- -. ..-----•-------------------------------------------------.............................................. 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 �'1T•� the provisions of l'1T l: t LE 5 of the State Sanitagry �e, —The u rsigned further agrees not to place the system in operation until a Certificate of Compliance hasssued the b and of hgalth. / Signed-- '-'-r�....-... •- ......--•-------•.................. /J 8.....-•9---•••- /� Date CA lication A roved B ! . `-= --- - ---•-•-•----- . ------ --- ----•--•------- -------/................... •---- PP PP Y = ' Date Application Disapproved for the following reasons:--•------•----•--•--------------------------------------•-----...--•---•--•-----------•••--•---••----••--.._..-- ....................•--••--•-•----•-•-----.......---------------•-----•--------•---------.....-----------I---•----•--•---•--•--•-•---------•---•-•-•--------------------••----•••-...---------•••......-- v ate it No.-••• .� - = Issued........... ----- ��/ f- •-•----- -------- Date FENo.. .....or.a,,4...............5, .. THE COMMONWEALTH OF MASSACHUSETTS BOARS -OF HEALT14 764o ie^f S rq 0:5 ............ ......... ...................OF�.... ...................... ............... Appliration for Disposal Marks Tuni3trurfiatt Vamit Application is hereby made for a Permit to Construct ("I/) or Repair an Individual Sewage Disposal System at: to r f .............................................10L------ ... ......... ......A------------------------------------------------------------------------------------------ Locatr� ,jdj9ess or k4 Z r f te ........? ...................................................... ......................................... .... ........../--------------- ------------------------------ ,_,,Pwne,t Address .......... ......... Installer Address /0 U Type of Building Size Lot--i------------------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic o, ) - Garbage Grinder Pk Other—Type of Building ............................ No. of persons._..._._.__................. Showers ( ) — Cafeteria 0.i Other fixtures ....................................................................................................................................................... �4 5 W Design Flow..........................._.........___--gallons I per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity-to .().gallons 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 Dosing tank Percolation Test Results Performed by.QmRj.,_( .. ..................... Date..!dPll ................... Test Pit No. I............. minutesperinch Depth of Test Pit.... ....5.._.__. Depth to ground water------------------------ 44 Test Pit No. 2................minutes per inch Depth of Test Pit__......_....___..., Depth to ground water----------_----------- P1 -------------------- ............. h.,,M ....-5,------------------*------------------------------*-------------------*------------------ .��j............ 6( 0 0 Description of Soil...t!!�................................ ..................................................................................................... W U ......................................................................................................................................................................................................... W ------------------------------------------------------------------------------------------------....................................................................................................... Z U Nature of Repairs or Alterations,—Answer when applicable....-........................................................................................... ........................................................................ ......................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T'IE 5 of the State Sanitary ^)ode— The u&' rsigned further agrees not to place the system in operation until a Certificate of Compliance has L)eeri issued.. the 1b�ard of'h Ith. Signed...... ...................................... ........4�---------------- Date Application Approved Byn.:.j ......(1, ....... ..........•---------- ------ ------ Date Application Disapproved for the following reasons:............................................................................................................... .............................................. ........................................................................................................................................................ Date Permit No..... --------------------------- Issued-----------Z�.... -_------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -A/ .......... / ..........0 F.... ............................................................... THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired by-------f....�f ''� oy ........ ....................................................................................................................................................................... taller 1VA4,4�?4 Ins.4/Z U *i) 1 ,*^ 1 r6^ i S at........................................................................................j............................................................................................................ has been installed in accordance with the provisions of TIT 5 of The State Sanitary Code as described in the application for Dispo'sal Works Construction Permit .............. dated--..-/--J-7. ---------------- THE ISSUANCE OF THIS CERTIFICATE"'SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -77 DATE.......... ............ ------------------------............... Inspector- ........................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD,,9F HEALTH N o.. elc.. . ......... FEE.--- ........ Disposal Works Tonstrudior Vanfit Permission is hereby granted...... .It......... ............................................................................. to Construct (N/) or Repair an Individual Sewage Disposal System at No.......C&I---------eYY�--- r PAe!Le......... /-f Jt,(4 F------------------------------------------------------------------------------------------------------------ Street as shown on the application for Disposal Works Constructi ;�, ernut d. . ............91)............. A, Board of Health --------------------- DATE............................. - ----------------------------------------- FORM 1255 HoBes & w INC.. PUBLISHERS COMMONWEALTH OF MASSACHUSETTS g EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS z d DEPARTMENT OF ENVIRONMENTAL PROTECTION , TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 68 Tanbark Road ��D Marston Mills,MA Owner's Name: Ms. Laura Goddard Owner's Address: 68 Tanbark Road, SEP 2 12001 Marston Mills,MA Date of Inspection: 8/28/01 TiVwry OF BARNSTABLE ?_ HEALTH DEPT. Name of Inspector: (please print) Mr. Carmen E.Shay Company Name: Shay Environmental Services,Inc. Mailing Address: 34 Thatchers Lane East Falmouth,MA 02536 Telephone Number: (508)-548-0796 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: XX Passes Conditionally Passes -1NOFAtq Needs Fu9rther Evaluation by the Local Approving Authority 9 Fails q os Inspector's Signature: Date: 8/28/0102 O 4 FAT1 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of cuwEc%�� DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments 3' effective depth available at time of inspection in Leach pit#I. Evidence of liquid level being 6" higher in Leach Pit. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 68 Tanbark Road Marston Mills,_MA Owner: Ms. Laura Goddard Date of Inspection: 8/28/01 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: XX I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 1 I 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 68 Tanbark Road Marston Mills,MA Owner: Ms. Laura Goddard Date of Inspection: 8/28/01 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: • Page 4 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 68 Tanbark Road Marston Mills.MA Owner: Ms.Laura Goddard Date of Inspection: 8/28/01 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than %2 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Page 5 of 11 J OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 68 Tanbark Road Marston Mills,MA Owner: Ms. Laura Goddard Date of Inspection: 8/28/01 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No XX Pumping information was provided by the owner,occupant,or Board of Health XX Were any of the system components pumped out in the previous two weeks ? XX _ Has the system received normal flows in the previous two week period? XX Have large volumes of water been introduced to the system recently or as part of this inspection ? N/A Were as built plans of the system obtained and examined?(If they were not available note as N/A) XX _ Was the facility or dwelling inspected for signs of sewage back up XX _ Was the site inspected for signs of break out? XX _ Were all system components,excluding the SAS, located on site ? XX _ 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 XX _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no XX _ Existing information. For example, a plan at the Board of Health. XX _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 68 Tanbark Road Marston Mills,MA Owner: Ms.Laura Goddard Date of Inspection: 8/28/01 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 4 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): -No [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Sump pump(yes or no): No Last date of occupancy: Currently Occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(se ats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: 'None Available Was system pumped as part of the inspection(yes or no):_ If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM XX Septic tank,distribution box, soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 1989-per Owner&BOH Records Were sewage odors detected when arriving at the site(yes or no): No Page 7 of 1 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 Tanbark Road Marston Mills,MA Owner: Ms. Laura Goddard Date of Inspection: 8/28/01 BUILDING SEWER(locate on site plan) Depth below grade: 24" Materials of construction: cast iron XX 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition ofjoints, venting,evidence of leakage, etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: 24" to Cover Material of construction: XX concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 5' deep x 5'wide by 8' long (1,000 eallons) Sludge depth: 4. 01 Distance from top of sludge to bottom of outlet tee or baffle: 2' Scum thickness: '/4 inch scum layer noted Distance from top of scum to top of outlet tee or baffle: 9" Distance from bottom of scum to bottom of outlet tee or baffle: 18" How were dimensions determined: Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Structural integrity of tank was ok. No evidence of cracks, leaks, or water infiltration/exfiltration. 4" PVC Tee present at inlet end. Outlet Baffle present and in good condition. Liquid level equal with outlet invert. GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 2 Page 8 of 1 1 i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 Tanbark Road Marston Mills.MA Owner: Ms. Laura Goddard Date of Inspection: 8/28/01 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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: Present (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 1/8" 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.): A minor amount of past solids carryover present which has resulted in minor scum_ build-up on bottom of one pipe. D-box is structurally sound . No evidence of leaks'in or out of d- box. PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 Tanbark Road Marston Mills.MA Owner: Ms. Laura Goddard Date of Inspection: 8/28/01 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type XX leaching pits, number: 2 leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number, dimensions:_ overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): No evidence of hydraulic failure,ponding damp soil or stressed vegetation. Excavated cover and inspected pit'—3'effective depth available in pit No evidence of past hydraulic Failure noted. Liquid level has been 6" higher than at time of inspection. 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 or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction:. Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 Tanbark Road Marston Mills,MA Owner: Ms. Laura Goddard Date of Inspection: 8/28/01 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. STARLIGHT DRIVE Swine Ties: A- Tank In—24' B- Tank In—3 P Exist House A-Tank Out—2 P (3 Bedroom) B -Tank Out—35' B A- -D-Box-28' B—D-Box—40' A- -Leach Pit-38' B—Leach Pit--47' Septic Tank (1500 Gal.) Leach Pit Page 1 1 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 Tanbark Road Marston Mills,MA Owner: Ms. Laura Goddard Date of Inspection: 8/28/01 SITE EXAM Slope Surface water - '/2 mile+/- Check cellar -Yes Shallow wells—None Estimated depth to ground water Over 15' feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: XX 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) XX Accessed USGS database-explain: You must describe how you established the high ground water elevation: Checked with Ouadrangle of USGS Map MA GIS and performed GW adjustment calcs. Per Barnstable GIS: Elev. of Ground=70 Feet Elev. Of Groundwater=35 Feet Elev. Of Bottom of Leach Pit=60 Feet Therefore: 60—35 =25 feet separation between Bottom of Leach Pit and Groundwater. Groundwater Adjustment using Index Well SDW 253: 7.6 feet Adjusted Groundwater Separation=25'—7.6' = 17.4 feet (Refer to attached work sheet) Grade=Elev. 70 feet Leach Pit D-Box Septic Tank Bottom of Leach Pit=Elev. 60 feet Adj. Groundwater=Elev. 42.60 Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: Lod -'cr-11Dcic1- :j�,I Tf"l�a.��rs Ms Lot No. 4- Owner: L.AV2q �,� Address: 22tco-Q, Contractor: CR2�.nF )elt' Address: 7'�- a'�C1ntLf S (S��L. • �1('�c �, NJA Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. •,C........,•,G,t5 O,F;G...... „ Date month/day/year i STEP 2 Using Water-Level Range Zone j and Index Well Map locate site and determine: OAppropriate index well.................................................... SOW,tS I I O Water-level range zone ..................................................... i STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well ........................... month/year STEP 4 Using Table of Water level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) Hof determine water level adjustment .......................................................................................... STEP 5 Estimate depth to high water by subtracting the water• level adjustment (STEP 4) from measured depth to water level at site (STEP 1) .............................................................................................. �a� L Jra.4 Figure 13.--Reproducible computation form. 15 Cape Cod Commission: USGS Well Data - August 2001 Page 1 of United States Geological Survey Observation Wells As a service to Cape officials, engineers and other interested parties, the Cape Cod Commission is publishing monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly from United States Geological Survey (USGS) observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience, we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. For further information, please contact Hydrologist Gabrielle Belfit at the Commission offices (508-362-3828). August 2001 Water Record Record Departure from tJS(1S Sitc NIL III hcr ' Location Well No. Level* High* Low* Average** (links to t.'S(;S n,ttimull Monthly Overall Ia,Itcr-ICN cl (ktNh.ISc) Barnstable 230 25.0 20.5 26.6 -1.0 -1.3 413956070164301 Barnstable 24w 25.8 20.5 28.6 -1.3 -1.4 4141._5.4070165_00_1_ Brewster BMW 21 11.7 6.9 13.3 -1.7 -1.5 414518070020301_ Chatham CGW 138 24.6. 20.9 26.6 -0.6 -0.7 41410007001.1 101 Mashpee MIW 29 8.6 5.6 10.0 0.3 -0.1 413525070291904 Sandwich 2152 47.7 45.9 48.2 -0.3 -0.4 41441807024160_1 Sandwich SDW 51.5 45.8 55.1 -1.6 -1.5 41412407026590.1 Truro TSW 89 12.4 10.2 13.0 -0.1 -0.4 42020 070045901. \\'elltleet WNW 17 11.2 7.3 12.8 -0.7 -0.8 415353069585401 x Measurements are in feet below land surface. ** Measurements are in feet above mean sea level. U_SGS.national._.water-level_database, usually several months behind, provides historic data, hydrographs, and site maps. The USGS compiles the above data and other water levels into a monthly, online Water Resources Current Conditions Report that covers all of Massachusetts. htip://www.capecodcommission.org/wells.htm 9/19/200 R. Commonweatth of Massachusetts rad Executive Office of Environmental Affairs John Septic D.E.P. Title V Septic Inspector Department of P.O. Sox 2119 Environmental Protection Teaticket,MA02536 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM NO ' �. PART A I„' OI/ b CERTIFICATION I 8 Property Address: 68 TanBark Rd. Marston Mills Address of Owner: Date of Inspection:11/07/96 (If different) Name of Inspector:John Graci Hall f Company Name,Address and Telephone Number: i?} � 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 Evalua'on By the Local Approving Authority Fails _ r Inspector's Signature: Date: 1117196 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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. INSPECTION SUMMARY: Check A, B.C, or D: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. 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, cracked,structurally unsound,shows substantial infiltration or exfiltrabon,or tank 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. (revised 11115195) One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) i 4 Property Address: 68 TanBark Rd.Marston Mills Owner: Hall Date of Inspection:11/07196 _ Sewage backup or breakout or high static water level observed in the distribution box is 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 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 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 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 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 APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria volatile organic compounds indicates that the well is free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm. 3) OTHER D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined 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. Backup of sewage in 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 overloaded or clogged cesspool. SAS is in hydraulic failure. (revised 11115195) . 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) i 1 Property Address: 68 TanSark Rd.Marston Mills Owner: Hall Date of Inspection:11107/96 D] SYSTEM FAILS(continued) 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 112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers 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 a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. 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: The following criteria apply to large systems in addition to the criteria: _ 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: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11115195) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 68 TanBarK Rd.Marston Mills III Owner: Hall Date of Inspection:11107196 1 i t Check if the following have been done: x Pumping information was requested of the owner,occupant, and Board of Health. has X None of the have been pumped for at flow rates duringsystem period.components Largevolumes of water have least been introduced into b nto the system rec ntlyore receiving normal as part of this inspection. n1aAs 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. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11115/95) 4 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 68 TanBark Rd.Marston Mills Owner: Hall Date of Inspection:11/07/96 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 gallons Number of bedrooms: 3 Number of current residents: 2 Garbage grinder(yes or no): No I Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings, if available: rda Last date of occupancy: n/a COMMERCIAL/INDUSTRIAL: Type of establishment: n/a Design flow:0 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present: (yes or no) No Non-sanitary waste discharged to the Title 5 system: (yes or no) No Water meter readings, if available: nla Last date of occupancy: n/a OTHER: (Describe) n/a Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System has not been pumped in the last two years. System pumped as part of inspection:(yes or no)Yes If yes,volume pumped: 1500 gallons Reason for pumping: Maintenance. TYPE OF SYSTEM X Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records,if any) Other(explain) APPROXIMATE AGE of all components,date installed(if known)and source information: 1989 Sewage odors detected when arriving at the site: (yes or no) No (revised 11115/95) 5 4 I ` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C J SYSTEM INFORMATION(continued) Property Address: 68 TanBark Rd.Marston Mills j Owner: Hall Date of Inspection:11/07/96 9 SEPTIC TANK: X (locate on site plan) i t # Depth below grade: 2' G ` Material of construction:X concreate_metal_FRP_other(explain) Dimensions: L 8'6'H 5'7"W 4'10- Sludge depth:3' Distance from top of sludge to bottom of outlet tee or baffle: 24' Scum thickness:1' Distance from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle: 17' 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 two years for maintenance. GREASE TRAP:_ (locate on site plan) Depth below grade: Na Material of construction: _concrete_metal_FRP_other(explain) Dimensions: Na Scum thickness:n1a Distance from top of scum to top of outlet tee or baffle:Na Distance from bottom of scum to bottom of outlet tee or baffle: nla 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.) Na (revised 11115195) 6 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) {}3 9 Property Address: 68 TanBark Rd.Marston Mills Owner: Hall Date of Inspection:11/07196 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: n1a Material of construction:_concrete_metal_FRP_other(explain) Dimensions: n1a Capacity: n1a gallons Design flow: nla gallons/day Alarm level: n1a Comments: (condition of inlet tee,condition of alarm and float switches, etc.) n1a DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: nia Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box etc.) n1a PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber,condition of pumps and appurtenances, etc.) n1a revised 11/15195 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) ) Property Address: 68 TanBark Rd.Marston Mills Owner: Hall Date of Inspection:11107196 a SOIL ABSORPTION SYSTEM (SAS):x (locate on site plan,if possible; excavation not required,but may be approximated by non-intrusive methods) t If not determined to be present, explain: nla Type: leaching pits, number: 1,000 gallon leach pit 1 leaching chambers,number:n1a leaching galleries,number: nta leaching trenches,number, length: n1a leaching fields,number,dimensions:n1a overflow cesspool,number:n1a Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) The leach pit is structurally sound and functioning propelry.It had 2112'of water in it at the time of the inspection. CESSPOOLS: (locate on site plan) Number and configuration: nfa Depth-top of liquid to inlet invert: n1a Depth of solids layer: n1a Depth of scum layer: n1a Dimensions of cesspool: n1a Materials of construction: n1a Indication of groundwater: n1a inflow(cesspool must be pumped as part of inspection) n1a Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) n1a PRIVY: (locate on site plan) Materials of construction: n1a Dimensions: nia Depth of solids: n1a Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PrivyComments (revised 11/15195) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C t SYSTEM INFORMATION (continued) i Property Address: 68 TanBark Rd.Marston Mills Owner: Hall t Date of Inspection:11/07196 I� t SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' i IL I—ELF qA , 3� c .I 1G i 1 S 1 Y r l DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS Maps and Charts (revised 11115195) f SHEET 7A OF 7 C IA rr►rrwrwr +Ae� r!M rwlO e>•r 1EwM wgmftm Al DESIGN CALCULAl10NS: rl MORI'�tw 3k rt r s o r1e reEIDTAL IOrAl10N NAP �� Lea wRA��►re1 R r m w r1e reE 1�0AL/�R/OAr fc?MJ i fI�wr ROOM M ML PON Or ref R. ��enT1e TAME CFPAOTY r Le1e1 IW M AIfA>S11C TA1K INK 1 R11S germ AW/1 OILY. r-r 1.Y. eore7l AREA OIIL./ir. IY es11s 1rA000 eASAen ARO AW b OIS71d ox110N NOTES: ® - 1. ALL OMM Are NAteOAIS flMl aMAOW To 0I mu a AM e1E TOM or errAl...r elm me 100D GALLON SEPTIC TAW( L r I • 1 r I s ALL OPusall iwarisl�UM �K BBBI i my WMMT MIA Um 1 e1M OWAM A so= SEPTIC SYSTEM aRM F 1e I • 81r1 K amim 0 PUAX ALL 0O/VO1/e 0►T11E SAWA"ere11111 s1Atl K area[ wN w eru BOTTOM OF TEST mao►LeesEA11ae1e N-1e LeroeM Wtse 11Rr M[011001 a eWM 1 rT.ere M eAleale Aeus N-W ISAeeM LEACHING PIT eBULL1R a OIeO7 0w e M rx w eelw m i NOKOOAL AM%W"WX 0WIPBO,=LAW,aI - At MOO FMA 11e1000 1 1-11 10/MN 131-10 i LN ELEVATIONS LEGEND: rOf sot Qmm m106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143' j144 145 146 147 148 149 Es Im AM wu O JJII PMLWY • . ,f i, AM LeAoew PITeo1u �Gn �.OFOUND. A 76•s 7t.s 71.0 n no s.o 7Le 74E 70.9 i.0 'r7e ♦.! sa.e 4fA•f p - 61 . 7 T7 a 71.0 7so4so C.o 737f. A Bail 0i as assommoI B tb.s H.f N° 641 i6d HN.e 61J 7A5 7t.9 7f.9 73n 74f 7r,o 7+f 77•s 77•S w mild -44 711.E - "Wo 'W 77G f 71.6 714 ,11-4 1e•s 7*41 0,4 IW.f 741 7#1 r1,1 -M.4� �7►4 14/1 66r3 Mf ~ 7bo B C 1111 6 y $0.7 171.6 6A6 a' &$$ 74s Al 79.1 7t•7 74 i 7l.7 76•t ,77. 77•1, A►. 77•0 716 16.1• - 71.7 77.1 71.1 -74 -18-3 It& 71.1) 70.1, Im 11.7 1 7>s Tic Ifs 744 7166 11.Y 7i.1!71. N•I K• ef$ rb•7 '�•7 C 0 70.0 N+ 60.5 6a4 60.10 p,s 64s 7Le 71.s 7$4 7s,% 74.0 7s.f 14.0 0 77.0 71►.0 7+I• 77{ T3o - 77.6 Ttf 7S,e o 71d Ft.f 11.1 71eo T•.o 7l.f 73e fs4 7f.o 74•4 7S•4 1sA 7�•1 `10. 641 br•o 640 co.f *5 D E 1,111 Hrs•e 7 f sfy tt.4 K,q �ti 1.a� >.A 7h3 7is 7s.; 7111 r•3 7f•b 71.E 76.6 7s1 771s t13 tf.H► - rt'! 77.6 7 7f. 7VA let fe.l N.b y61 7A4 KA 7f• 741 74.3 7'f•3 tt.S 71•E • tLH►.1<}f.b 64.0 N•) m E F rte ep4 ♦s.l cf•s 4,94 6,7 64•6 7•.1. 7bl 7e.1 7t,j 704 7f,1 704, 7iH. 7e.r 7711 771 77.1 7HbH. - 77.1 741 ` 74.1, 7;,11 7e.1 7s,11 70.1 •4.6 6" 71.L 71g.$ 73.1 714.1 744 7s.1 N/r1 7e.Ir W& K.& 644 L9.1 *4 F G 1.1•S *as 6f.o 6►O If.e i7.e iJf 71rs Ito 7r.o rEo 7!3 1f.0 7f.0 7A.s 7e.3 7%5 71.0 77,0 7f,lt _ 77.017,0 I 74.9 ",f n.f is.* 70.1 H•S N•S 11•0 Its o 7!s 7�a 71e 7a.o 1/.f. 1ws f,ws 66. 64.5 rfo 1w0 G H Af 6L5 ete f7.0 140 ►1.0 rc•f 649 6" K.o IAo 67•s 00 643 7r•f 11 70. 71.E 7►.e N.v 164.61 _ 71,0 71,0 ofe Ws 64.E 66.0 r4s rs.s oSs 60,0 rs.5 6ao 6►f ran 70 &kv is.f #4.5 r9.0 64.f T66 1.ta r4o H APPROVED: BOARD OF HEALTH I J f4s fes ff•o fin d6.o l7.0 sbs 6sa iW ►s.o ♦te }af rs.e 0.5 16.9 Yi•f 671 610 4,10 cos _ cZe K•5 64s 1.3.E 6e•0 ♦s.i be.f 91•11 049 N.o sc.c a#e r4.f H.e rtae rt.o W.f' }o.f Jb.f 41.E Lo .o co.o I i Arw AeTw K 7sa 71a 7e.o rto µe 7r.o 71•0 71,3 730 7V,+♦ 7l.s u.o 11J 74e 74•s nf Go HNn 7H/•f _ 640 sae f 0,3 7sf74•b 74.0 70•e ►! 19•b 71E•e 7f,1 711 77.0 101 7.46 1 1*3; 7} 1 /, r1.e 1*.f 1t.o 114.9 K L 7fr.f 71.s ewo He Nf N•e 7e.1 %e lac srf Ito 71f•f 77.0 >,.f 7Ye r1•e 74a 116 74.H► 7�.0 - t1•b 7,•e W.e 71„e 771.E 74.0 '➢!.! 75.6 7y o 3f 74.7 a Tb o Ike 7f,5 11Af 7140, 71.e 7/.e166JI0.0 7A4 -ftfl L i • M 7y•0 7i.o 41s sF.s 1fn YTS Two Its 7t.o X!I 14 to 7lA 7s.b 77•f me 76.9 74.H. 74•6 7I.9 7Ze - 7ss 77•0 ly.o 7►0 716% o 'rss 4!•f 71•e 7so }1f 7 0 7tt 7e,, N.4 Teo' 71r. a r4'f 7Ao 1t.S m N Tt.O 71.0 6xe ifn iH►.o a 71t0 74•D 7ae 741� �i4 7ai 7A6 7Z$ 7so 76 0 ?*474.4 *o a 77.0 7e.[ 7so 7e.0 7r.o 77.0 Yt.'J 7�s 7}0 7t•f /♦.f ls.o A.S s ts.b t43 1i o`7 ,p:71Afr' r1►A 61,0 7e.S 1s.S N 1 12 NT1AL ISSUE MCT NO.I DATE I DESCRIPTION BY PERC TEST 1 PERC TEST 2 PERC HEST 3 PERC TW 4 PERC TEST 5 SEPTIC SYSTEM DESIGN LOT 116 LOT 125 LOT 131 LOT 1a 140 LOT 146 MARSTONS MILLS WOODLANDS . eA0�7Y.L �->oeL u aae^�eL y M�.... eAA AA ele�eAl1�MY) Ale e= A A•A� AT♦Samee Ale eR O - r•Glee aer b.A wee r�w1Ele ��ve►elee BARNSTABLE. MASSACHUSETT$ ' wer..n�e WOODLANDS ASSOCIATES REALTY TRUST V elee r Gee es ewe r A7♦r WA l Ae1A�raNR s wrAe1 r geNa r NaA>•r geEe eNr w�wee AR/1�r ANE/O�r SCALE 1- � 40� JOB N0. 133a�ss+11e .w or OA eJr 1Ae r MEe Meew •� rOIM •ARO +ONAR rrlw VAUa GAR O<e0L IOTULALw _. OAR 01 s0x lLe'T-"meu SAW OF faL 1QT MAVOeAR M MR +MTAW DANOr er � eTno>io BY MINC ID eY A�r olmm a eY AABM n . OTdfm Or �sf! eAR v eat TOT_ N 1 .• e l yr { reeoaAwol MR SLNeI/Mo1 rYIOaAT10110 eAR 11_AK/OO1 ra0aA1M M1[siIKA1o1 rOI0aA1a1 eAA 3LAeL/r1 PONOLAT10N MA-LA-MLAW PERCOLATION SOIL TESTS 1R g =G1 k IFAM MOMNS MC. Beo T7LrlT h1AII4 r cxfff7l11v= IQ onSr SHEET 7 OF 7 I 1 , MARSTONS MILLS \ i LOT 130 +4m w OWN 14 LOT 129 ,4aW LOCATION MAP \ r 1�1 p►p LOT 12� .9 d OT ues +4ne sr G ' ' •� \ db i ,gyp -��L \ �� '� �) / `i�` ��'�• \� �.L—tOTl37. \ i LOT 31 ...• � m s 1— 14w a I �� i LOT 137 ,�b• 4i S' / • laso.s: ri �^` � � � LOT 124��t'�� .'� lot d/ LOT 106 �� ' / I � ,�a �y � • � �� `�pbi- � �`e+•°° LOT 123` lotLOT 126 -�0�25 / At I 740 T9 \ "16wm w +b7O v I LOT 149 \\ WIND IF y / ^ �. q LOT 136 -d IS p 6D•0dIIA"IF lip to) rS LOT 122 of ��t ' � '�; LOT 134 135 1 . y �l � '�/ lira IF13 '• ..y M f4b.. J - i�+ \/ +�� LLOOTD 71 \te�'1S \ LOT 107 + LOT 140 • d 1 1 N \ !a' e ) „ M ,014 > U 1,40' '\/�0 I�1 r �• y pl. \\ a1.ao• O&OT 147 �, ro-� lot y `' to ^� i � \ , ��'' ` "'• � ' y LOT 119 ` \\\ p 79! / '�y �l „ Ty ti ',/� 'LOT 141 TO, T• \\ �" 1 1 i �•0 ) a 10 141 P' 4dOT 14W �, ' '/ *Ipn w �0� t- LOT 120 LOT 117 ! ll �, s +oaoo u s.sr ,.a 1 v• �-� �,y M 'l� : ,.o Y1k•0 ' ��,� L+O�/143\\ l�� '';P� �.\ jY a •$ ( 'h•b ��t ,� � 1 - ,� "�.O ` 'IL•O �� 'LO 14d'�,a- �: .a a \ ..• - .:Klt•ZL�s -. � ►a �� .\ L bEE 60"'r 7A oa1 PvK- swl, vlr. walla �i ' 6 w �• S. \/ 6 LOT 115 V. -�fo�•A�1.w1 fT". +<. ` •+D�d 145 �`� •tom 'y totDp s 4a 0 $ 'e 9.Yi Offtil • 7A o►7 /�� •1.4isND• i 1 I COT 146 tans sr t' �� I LOT 1d8 Y r 14•i \ tDOf 1 1 e: \ : r• LOT 116 \ �0 V � � ,r 5 LOT 113 �« � $ "NM w d \t ��' �~ �'• LOT 11� � i4 11 114 , �'�/' 1� b 14� �1• D &I A., 11 a •6 ,O.P a{ RAAD E �yTo.l!• < 11 c�1 3 11 29 BB FINAL BLDG. AND SEPTIC LOCATIPLANONS PAL 9 ��•5 jI �1,0 is `� . ODON 10 12 BB INITIAL 11 ELK NO. DATE DESCRIPTI By BUILDING LOCATION PLAN \\I I LOT t10 MARSTONS MILLS WOODLANDS \ r \\ LOT 109 n000s iBARNSTABLE, MASS CHUSETTS \\ WOODLANDS ASSOCIATES US , \ SCALE: 1 50' JOB NO. 1338 Xm-+D o "' 0 Ib 1W J �r•^�t UK EIMEDGE do WAGNER MOM INC. I umm wan amn Nm IN Bee REST 1WN STRUT CENTERV ZE MA 02832