HomeMy WebLinkAbout0017 THATCHER HOLWAY ROAD - Health 17 Thatcher Holway Road _ -- -
tMarsA =
tons Mills P
�I
I -
TOWN OF BARNSTABLE
LOCATION in -Thla- Cow VA OL U-,, SEWAGE# -10 « —3 90-
VILLAGE /"I ae ST60(3K P (I Is ASSESSOR'S MAP&LOT I -?3-03
INSTALLER'S NAME&PHONE NO. C=1ar CO C
SEPTIC TANK CAPACITY C Xr S 1�f N�i /000 ! ,A r LEACHING FACILITY:(type) 3-�5 L10 c q( PPYVI)R MS (size) J g
S,S7,,A h1
NO.OF BEDROOMS
BUILDER OR OWNER L--l�uO WE(-
PERMIT DATE: o aliq COMPLIANCE DATE: ( ®- M-19
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ,Feet
Private Water Supply well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
ol
19
63 s �B
c,�����
No. G 1 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2ppliLation for Misposal *pstem (Construction Permit
Application for a Permit to Construct( ) Repair(J� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 1-7 �1�f1lkher l�p� � Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel ,r/ �3— ' Wormn Lk' r✓f` �7y'oZ'08 I�blv
I taller' Name'�dress an 1�.No.fQ 7� Designer's Name Address and Tel.No.
� �°r tom° oc�hS, �a wee}Cros�eb�-�
Type of Building:
Dwelling No.of Bedrooms Lot Size 21 sq.ft. Garbage Grinder( )
Other Type of Building �p�,r;(\ p\ No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided �3 gpd
Plan Date 7 s 1:57— Number of sheets �Z. Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) �� � �r' -L's"� �/�-/ �—
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Healt .
S' e Date44
Application Approved by Z Date ® o
Application Disapproved by Date
for the following reasons
17
Permit No. � 47, Date Issued ld /Q Z0
r 7
No. R t' Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTHbIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
01pplicatlon for Misposal .6pstem construction VPrmit
Application for a Permit to Construct( ) Repair(Vf Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. \'7 -Tyy\NGhe t' )_\O1I Owner's Name,Address,and Tel.No.
1�3- Qo f-mon L,pne� -"LA-�N l�tea
Assessor's Map/Parcel ,ff t
Installer's Name;Address,and Tel.No.. O � �; Designer's Name,Address,and el.No.
G�9jG'lT Gp ,.�f G � o�ih5 ►a w Vr Ccos ;e�CN
Type of Building: -
Dwelling No.of Bedrooms b Lot Size sq.ft. Garbage Grinder( )
Other Type of Building p va/�Pr,�4 C,\ No.of Persons Showers( ) Cafeteria( )
Other Fixtures q,
Design Flow(min.required) 3 (S .- gpd Design flow providedQ. / gpd
Plan Date 'a Number of sheets_ Revision Date
Title ! _
Size of Septic Tank //Jn/5 Type of S.A.S. 'T uA art mc ar Vj/
Description of Soil /1/ isl
Nature of Repairs or Alterations(Answer when'applicable) Zj
.
Date last inspected:
t+ Agreement:
-The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by Date /
Application Disapproved by Date
for the following reasons
Permit No. G 2�'J_ Date Issued /D 1/0/ 7z)19
------------------------------------------------------------------------------------------------------ ------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( )
Abandoned( )by
at S f ( has been constructed in accordance
with the provisions of Title 5 and/the for Disposal Sys em Construction Permit No. - )17. dated /O�r'��Zra►4
Installer �/s('46/= T /� Designer ey:iJ I'I(/L-1-ff,�j ligr=- ul! zz'e-�
#bedrooms Approved design flow z / gpd
The issuance of this permil shall not be construed as a guarantee that the system will .. ct as desi ed. r
Date OI 101 Inspector 1n \
No. .21 �� �_ Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction VPrmit
Permission is hereby granted to Construct( ) Repair(().e) Upgrade( ) Abandon( )
System located at
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date. / �>f�C7 Approved by
Town of Barnstable
of sett:r� -
"� Regulatory Service
BARNWABLE, �_. Richard V.Scali,Interim Director
i s�y, Public Health Division
A1.f`—At
Thomas McKean, Director
Z00 Mail]Street,Hyannis,YIA:0260`1
()fficc: 508-8 62-4 644
Fax: 508-790'.6301
[n§taper&'Desiener Certiftcation Form
Date: a 6 �l
_q Sewage,Permit#',^J _ _Assessor's 11ap\Pai cel� is
FC41,r NC1—:-, E2
Designer: I:= � ,
lnstallcc..
12 �tiJ C," L� �.-�?�r� �e�
Address:
rbss,r lc/ c� Address` 2( (t•'t-c °
_ ------- t rt_ S t
On 04 � - `! T was issued a peratit to install.(dare) (installer) � __a
septic system at
based on a:design dram?n btii
�tlCldre55) __
dated
(designer) _
✓I cetti.fy that the scptic system ze&--renced above:was installed substantially accorditlg co
the design, which may include 11�iuor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was in and. the soils
Gvere Found satisfactory.
I certif 1 y ,
that the septic system referenced above, was installed:with inrtjpr'Changes, (i.c,
greater than 10' lateral relocation of the SAS ar.atay vertical relocation of Any component
of the septic system) but in accordance with State&Local Regulations. Plan.re�+isiorr or l'
certified as-built by designer to follow. Strip out.(if required)was inspected and the sciGs
were founcl satis#'actory.
I certify that the system referenced above was constructed in
of the AA aj�proval l.etiers-,(i#'applicable) with'the terms
�Islviatw-e) CNt1,
�to.3510a
1 "j I-- �.RFOJStE�
(laes:gner's Sgn1titre) {Atli t Designer .ere)
PLEASE RETURN TO BARNSTABLr PUBLIC HEAL.TI:I DIVISION. Cl .OI+' CU:IIPI,IANCE 4vIL.L I3IJ7LT'CARD 111, N iST 1SS ) T\t THOBE O IORtIMANDARE CFI ED tity THE
IR!vABLE PUBI,1C i AKIO ALT] 65'1StUV.
_
Q",SeHti ;:i�signor Certific..ation Fvrm t:ev R-lit-ll;doa
Engineers note,This certification is limited'to an as-built inspection of system components as installed prior to backiilf:The
e tt ineer did nofsupeivise construction off, system. the installer assumes responsibility for all materials,workmanship,batkf Iliny
to specified grades with proper compaction and setting ricers'oover6 as shown on the design plan.
4f-
L 0 C A T I O-N--,,, SEWAGE PERMIT NO.
YVILLAGE T
INSTA LLER'S NAME i ADDRESS
d All&&/ CA603l J�a.
A9 c6eiS7,o-/ Ave
R UILDER OR OWNER
D6 // Pigs eSTi 17;
DATE PERMIT ISSUED
DATE COIAPLIANCE ISSUED 8 ��:
c��//
r � i
1
w ��®
V
1�
No.. .�. - - Fxs........3. .
�- HE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Gw.tJ..........-.oF...... C.------------------•...........---
ApplirFation for Disposal Works Tonstrurtinn Vantit
Application is hereby made for a Permit to Construct (A or Repair ( ) an Individual Sewage Disposal
System at: Lk
:1. ........... ...............
, cation-Addre o t No.
x�
- . .. R F ................................... �� .
.... . ......- ..
Owner Address `" s
a .......................................... ............................ ..•-•-------•---••-•---•--•----••-•-•-------------.................•-•--•--•-•--•---------------•-
Installer Addressq.
UType of Building � ®, Size Lot__z -4_�� ---Sq. feet
Dwelling No. of Bedrooms.................•-.._.:..............Expansion Attic kid Garbage Grinder ("6
Other—T e of Building .................... No. of persons............................ Showers — Cafeteria
Q' Other fixtures .
W Design Flow....................... ..........gallons per person pfr d4y. Total daily flQyv__..•_--_-----•---�. .s_. 5_6.......geallons.
WSeptic Tank—Liquid capacity... _gallons Length__ _^ ._ Width. ." . Diameter................ Depth_- .. ,..
x Disposal Trench—No..................... Width_..._......_...... Total Length............ Total leaching area....................sq. ft.
Seepage Pit No...... ............. Diameter.......9.__._._. Depth below inlet............... Total leaching area..o`Z...00...sq. ft.
Z Other Distribution box (1< Dosing tank ( ) p
`" Percolation Test Results Performed by....... .__ . ..... .. Date....:j.V $2"..p_�C1�,7
0_� Test Pit No. 1................minutes per inch Depth of Test Pit..A_ .......... Depth to ground water...V..v'QY"..AZ.i
Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-a-----------------------••------------•-- - ------- ........ 1_... ----;-------------•-••------------.... ------•-----.-----
O Description of Soil---- "-�._.�lkm...�.. _.U-c r-C' C 5
Ux , / ...................
••-•------•-••-•---•---••-•-........-••-••----- ��?
W &,t--------------------------------------------------------------•------------------------------------------------------------
U Nature of Repairs or Alt ations—Answer when applicable...............................................................................................
-•--------------------------•------------------------------•---•--•-----------------•---...........-----.....---------------------------------------•--•---------------------•••••...........•-•--•--•••
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT!,- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed••. --•--••........... ...... 6�� ..........
Date
eP
ApplicationApproved By......... ... ---- = •................................ ........................................
Date J
Application Disapproved for the following reasons---------------------------------------------------------------•-----.._..------•----------------------•---•-----
••-•-•-•-•••-••--••••-•----...-•--•................•••-•-•-•---•-----•-••....----•••••--.......•••--------••••••••••.....••----•-••------•-----...•--••-•••-•---•--•----------•-•----••-•------•-••--•--�
j Date
PermitNo......................................................... Issued_.......................................................
Date
,
NO-9 .-:a :, F�$.........157-"
.r THE COMMONWEALTH OF MASSACHUSETTS
r-- BOARD OF HEALTH
..... .-. `j.� 1:- -................................
�v— �J oF. .... - '
Appliratiuilt for Diupuiia1 Works Toutitrurtiun hermit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:
molds.. ( �'
.... ......-�..1-�' .....�:T��1�'n� -• .:............ > =------ --•------.........---------------....------------------------------•••---
�A _` q�cation-;AAddre`s� i ¢or L t No.
!._)_:b`F-..}4..I 0� V'.!C� �Q�`.��].G.:......Q J........ — 1•--=-=- C)U �
—= -•
Owner Address a,
a ...........................................CAIMA-'-c............................ ................................_................................................................
Installer Address -2'
d Type of Building " Size Lot.._ ,_+-_ _._(!..Sq. feet
U Dwelling�No. of Bedrooms.................................._..._.....Expansion Attic ( Garbage Grinder (�1,�j
'PL44 Other—T e of Building .... No. of persons............................ Showers — Cafeteria
04
d Other fixtures .................... .................................................--••••-•-•-----•--------•--••-••-•--...-•-�••-�-•.........•••••..------
WDesign Flow.........................`-�-.5.......___gallons per person Dor day. Total d�Ky flow.._......_............,, ......alons.
r Lt C ,
WSeptic Tank—Liquid'capacity...f. tallons Length... _.::..... Width--------"_1_... Diameter________________ Depth_.- __.-.(=,
x Disposal Trench—No. .................... Width......%............. Total Length.__._........7.._._ Total leaching area....................sq. ft.
Seepage Pit No-------I............. Diameter........9........ Depth below inlet.._..•.......... Total leaching area...9.)O...sq. ft.
Z Other Distribution bQx Dosing tank ( )
Percolation Test Results r Performed by........ E`! _'_1.�..����: Date......
::_�.1�.����'..!..'U��
,4 Test Pit No. I......G..._.-..---minutes per inch Depth of Test Pit---___-_4........ Depth to ground water..j;;��---!r__.__1z.�
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
I - 1 .........................................................
O Descr#ption of Soil..... .'-.._ _... 'M � - -.0 Q)`01 <C3�'� 5� _
------- --------
U Nature of Repairs or Alte &ions—Answer when applicable...............................................................................................
--•-----------------••----------......----------•-------------------------------------....--------------...-•------------------------------------ ......................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in -
operation until a Certificate of Compliance has been issued by the board of
health.
Signed ,q---------------------------------- --------------------------_....
v Date
Application Approved BY----- ................... -------•--•---
- a_�. -- --••---•---------
-�--�'--- --.. _ ------•---------
Date
Application Disapproved for the following reasons-.............................................................------------------.................................
--------------•-----.....----------------•------...---------••-----------•....-----•---•--•-------------•------•••-•-••-•--•--•-...
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........,! ?.k?./V...........OF...........I .��..'........................................................
Tntifiratr of Tumpliattrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( �or Repaired ( )
Installer
ate . - ? '._/ J_ _;,art.
has been installed in accordance with the provisions of TITLE 5 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. "~
DATE..........................................•--............-••••-•-----...._•..... Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
pp ..........................................OF...................................................................................... FEE �,
...�.�••--��''
l...............
iuruu1 Turku �ujt trurtiun permit
Permission is eby granted .•• .
to Construct or Repair ) an I ividuaL -w a Disposal stem �
atNo.------. _ .3 .. . ._.... --.••••"-----i.... ..►-.......................................................
^� Street
as shown on the application for Disposal Works Construction Permit No_______________•-•_- Dated..........................._..............
1. 4 ---------
-----------------------------------------
® Board of Health
DATE..................................
ll _,� rti-------------------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
ATG4 E2— .VJ . f ILA
fSIrJGuC FAMILY( - 3 BEoeooM
1 IO GAQ5A6a 6w WnEQ- i
�AiLY FG ova Ito x 3 3306.P=?
5EPT1G TANJK = 330915C>% =-49,1�6.P. Q l2� ov .I,� Pao P.
u5F- . 400o GAL.
P u5E too0 GAL. �I,J v
o%5Po5AL IT
QQ qt o
,5%DE.WAI.L AR6la - 1 rjo S.F CS"
150 5.I" X •5 - 37 5 G.R c?
50TTOM AREA= T-
50 s.F x I. o 5 o G.P o � . • . . 93+ z;
-TdTAt~- DESIGN = q-25 G.P� .fit
-TaTAL DAtG.�( FL-Otlf = 33oG?o ,
Is. S _ t
PE2GOLATiou RA-rsjT"trj 2MIN og-LE55 : .
is - .. . . :.:. . .. .. . .. . . : .. .... -. . � : � . . .. .' ,Q I;
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T1It5 pL�N 15 NoT gA-jIGD 40d AN GSTE2.VILLJ` • MASS.
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i
Log Number: r r� i 5/5/#32
Date:
1
BA w.
BARNSTABLE COUNTY HEALTH DEPARTMENT
SUPERIOR COURT HOUSE
vBARNSTABLE, MASSACHUSETTS 02630
o • '
A s PHONE: 362-251 1
DRINKING WATER LABORATORY ANALYSIS EXT. 331
Client: Dale Crowder Collector: 1400han Woll
Mailing Address: Box 524 Affiliation:
So. Yaratauth, MA 02664 Time & Date of
Collection: 3#00 p•m•, 5/"2
Telephone: 428-7157 Type of Supply:
woll water
Sample Location: Lot 13 Thatahor Rd. Date of Analysis: 5/4/82
Halway Rd.
Marstms Mills, MA
Parameter Sample Result Recommended Limits
Coliform bacteria (organisms/100 ml) 0 0
pH 5.5
Conductivity 70. 500.0
Iron (ppm) .05 0.3
Nitrate-Nitrogen (ppm) 86 10.0
xx Water sample meets the recommended limits of all above tested parameters.
Water sample is drinkable but has higher than average levels of
This does not represent a health hazard but future monitoring is recommended (2-3 times per year).
We will test for Sodium.
Water sample is drinkable but may present aesthetic problems to users (staining, odor or taste).
Water sample is of poor quality and is not recommended for human consumption.
Resampling and retesting is suggested.
Results only.
REMARKS:
cc: V Barnstablo Board of Houlth
cc: Moahan Well Drinins
Analyst:
11/18/81
. 9
COMMONWEALTH OF MASSACHUSETTS COP
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
RECEIVED
� d
JUN 1 3 2003
TOWN OF BARNSTABLE
HEALTH DEPT.
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 17 THATCHER HOLWAY RD. MARSTONS MILLS, Mti 02648
Owner's Name: CAROLYN IDEATING
Owner's Address: C/O KATHY RICHARDSON 17 THATCHER HOLWAY RD. MM
Date of Inspection: 5/19/03
Name of Inspector: (please print) JOHN GRACI,INC.
Company Name: SEPTIC INSPECTIONS
Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536
Telephone Number: 508-564-6813 FAX 508-564-7270
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address .nd 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:
X Passes
_ Condition Passes
_ Needs Fu er Evaluation by the Local Approving Author ity
Fails
Inspector's Signature: ` Date: 5/19/03
The system inspector shall submi copy of this inspection report to the Approving Authority(Board of Health or DEP)within
30 days of completing this inspe ion. If the system is a shared system or has a design flow of 10,000 gpd or greater,the
inspector and the system owner s all submit the report to the appropriate regional office of the DEP.The original should be
sent to the system owner and copies sent to the buyer, if applicable,and the approving authority.
Notes and Comments
SYSTEM PASSED TITLE V INSPECTION. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE
SYSTEM'S USEFUL LIFE.
****This report only describes conditions at the time of inspection and under Cie 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.
Titl,• C It, t•, rli•.n fnrnt r1i,:,1nnn
Page 2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 17 THATCHER HOLWAY RD.MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
X 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:
SYSTEM PASSED TITLE V INSPECTION.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE
SYSTEM'S USEFUL LIFE.
B. System Conditionally Passes:
_ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,
upon completion of the replacement or repair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain.
n/a The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits
substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced
with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating
that the tank is less than 20 years old is available.
ND explain: n/a
n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed
pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of
Health):
_ broken pipe(s)are replaced
_ obstruction is removed
_ distribution box is leveled or replaced
ND explain: n/a
n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass
inspection if(with approval of the Board of Health):
_broken pipe(s)are replaced
_obstruction is removed
ND explain: n/a
Page 3 of 11
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 17 THATCHER HOLWAY RD.MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
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 n/a
"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:
n/a
Page 4 of I I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE,SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFI
CATION(continued) �
Property Address: 17 THATCHER HOLWAY RD. MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all-inspections:
Yes No
X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged
SAS or cesspool
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 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 SYSTEM PITMPED.HJNF, 1991 AND MARCH 1998 BY OWNER.
X Any portion of the SAS, cesspool or privy is below high ground water elevation.
X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
X Any portion of a cesspool or privy is within a Zone 1 of a public well.
X Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_ X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with
no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP
certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free
from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be
attached to this form.]
NO (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
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 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.
d
Page 5 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 17 THATCHER HOLWAY RD.MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
Check if the following have been done. You must indicate "yes" or"no" as to each of the following:
Yes No
X _ Pumping information was provided by the owner,occupant,or Board of Health
X Were any of the system components pumped out in the previous two weeks?
X _ Has the system received normal flows in the previous two week period?
X Have large volumes of water been introduced to the system recently or as part of this inspection?
X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A)
X _ Was the facility or dwelling inspected for signs of sewage back up?
X _ Was the site inspected for signs of break out?
X _ Were all system components,excluding the SAS, located on site
X _ Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition of the
baffles or tees, material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ?
X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance
of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes no
X _ Existing information. For example,a plan at the Board of Health.
X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is
unacceptable)[310 CMR 15.302(3)(b)]
5
Page6ofII
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 17 THATCHER HOLWAY RD.MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
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: 1
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): NO
Seasonal use: (yes or no): NO
Water meter readings, if available(last 2 years usage(gpd)):V�&
Sump pump(yes or no): NO
Last date of occupancy: n/a `
COMMERCIALANDUSTRIAL
Type of establishment: n/a
Design flow(based on 310 CMR 15.203): n/agpd
Basis of design flow(seats/persons/sgft,etc.): n/a
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: n/a
Last date of occupancy/use: n/a
OTHER(describe): n/a
GENERAL INFORMATION
Pumping Records
Source of information: SYSTEM PUMPED DUNE 1991 AND MARCH 1998 BY OWNER
Was system pumped as part of the inspection(yes or no): NO
If yes,volume pumped: n/agallons--How was quantity pumped determined? n/a
Reason for pumping: n/a
TYPE OF SYSTEM
X Septic tank,distribution box,soil absorption system
_Single cesspool
_Overflow cesspool
_Privy
_Shared system(yes or no)(if yes,attach previous inspection records, if any)
_Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from
system owner)
_Tight tank Attach a copy of the DEP approval
Other(describe): n/a
Approximate age of all components, date installed(if known)and source of information:
1982 BY OWNER
Were sewage odors detected when arriving at the site(yes or no): NO
Page 7 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 17 THATCHER HOLWAY RD. MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
BUILDING SEWER(locate on site plan)
Depth below grade: 18"
Materials of construction:_cast iron X40 PVC_other(explain): n/a
Distance from private water supply well or suction line: n/a
Comments(on condition of joints,venting,evidence of leakage,etc.):
TOWN WATER
SEPTIC TANK: X(locate on site plan)
Depth below grade: 12"
Material of construction: Xconcrete_metal fiberglass_polyethylene other(explain)n/a
If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate)
Dimensions: 1000 GALLONS"
Sludge depth: 1"
Distance from top of sludge to bottom of outlet tee or baffle33{
Scum thickness:
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: ` '
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.):
SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY.
RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE.
GREASE TRAP:_(locate on site plan)
Depth below grade: n/a
Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a
Dimensions: n/a
Scum thickness: n/a
Distance from top of scum to top of outlet tee or baffle: n/a
Distance from bottom of scum to bottom of outlet tee or baffle: n/a
Date of last pumping: n/a
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related
to outlet invert,evidence of leakage,etc.):
n/a
r
7
Page 8 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE. SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 17 THATCHER HOLWAY RD.MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade: n/a
Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a
Dimensions: n/a
Capacity: n/a gallons
Design Flow: n/a gallons/day
Alarm present(yes or no): N/A
Alarm level: N/A Alarm in working order(yes or no): NO
Date of last pumping: n/a
Comments(condition of alarm and float switches,etc.):
n/a
DISTRIBUTION BOX:X(if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into
or out of box,etc.):
D-BOX IS STRUCTURALLY SOUND.
PUMP CHAMBER:_(locate on site plan)
Pumps in working order(yes or no): NO
Alarms in working order(yes or no):NO
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
n/a
R
r
Page 9 of l 1.
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 17 THATCHER HOLWAY RD. MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required)
If SAS not located explain why:
n/a
Type
1000 GAL 6' X 6' leaching pits, number: 1
n/a leaching chambers, number: n/a
n/a leaching galleries, number: n/a
n/a leaching trenches, number, length: n/a
n/a leaching fields, number: n/a
n/a overflow cesspool, number: n/a
n/a innovative/alternative system
Type/name of technology: n/a
Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.):
LEACH PIT WAS NOT EXPOSED,IT WAS UNACCESSABLE DUE TO BEING UNDER BUSHES.PIT WAS
VIDEO INSPECTED AND APPEARS TO BE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY.PIT
HAD TIN IT AT TIME OF INSPECTION.
CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration: n/a
Depth—top of liquid to inlet invert: n/a
Depth of solids layer: n/a
Depth of scum layer: n/a
Dimensions of cesspool: n/a
Materials of construction: n/a
Indication of groundwater inflow(yes or no): NO
Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
n/a
PRIVY: (locate on site plan)
Materials of construction: n/a
Dimensions: n,'a
Depth of solids: n/a
Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
n/a
9
Page;10 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 17 THATCHER HOLWAY RD. MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
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.
Jb
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1?age l l of l l
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 17 THATCHER HOLWAY RD.MARSTONS MILLS,MA 02648
Owner: CAROLYN KEATING
Date of Inspection: 5/19/03
SITE EXAM
_Slope
_Surface water
_Check cellar
Shallow wells
Estimated depth to ground water 12+feet
Please indicate(check)all methods used to determine the high ground water elevation:
NO Obtained from system design plans on record- If checked,date of design plan reviewed: n/a
NO Observed site(abutting property/observation hole within 150 feet of SAS)
NO Checked with local Board of Health-explain: n/a
NO Checked with local excavators, installers-(attach documentation)
YES Accessed USGS database-explain: n/a
You must describe how you established the high ground water elevation:
USGS MAPS AND CHARTS- 12+FT.
f
:r
LEGEND omo�« Rd N
—— 67 —— EXISTING CONTOUR \eta Lance's Lo 01)
ae�Loy°
x 100.98 EXISTING SPOT GRADE �0o°y thgW yef
No
—UGW—UNDERGROUND WIRES Res`'e WeQcheNoneOCUS
G EXISTING GAS SERVICE wy
W EXISTING WATER SERVICE E�Son Rd
0
TEST PIT o
MBERT
BENCHMARK LUPOND
LOCUS MAP
Q� NOT TO SCALE
THAT CHER H0LWAY ROAD
• 99,41
CATCH BASIN
98.59 99.31 99.79
100.09 edge of pavement ® _ x 100.23
fence N 57'51'30" E 01.01
.67 125.00'
02.02
AS p—
/ x 102,�� 102,22
00
s� + 03,20 5 \
WALK
LAM'Jul-
. .::, 0 .20
. 0
104.48
/ D01
-_� +
105.03 1 3.96
x 104,36 3 ,q
3 04.04 \
'o
SHRUB(TYP.) o
PLUMTRE 105,91 /
w �
L J Q> + ,
6.4
I� 00
o rn `w 15,13 EXISTING
HOUSE(#17) - - Z
T.O.F.=106.7t (A
U) 8'� 1a� 06.22 v N
1 _ Ln 00
. I O,
PROPOSED S.A.S. 10' PATIO °i o
3-500 GAL CHAMBERS l BM/STEP.
WITH STONE AROUND .I
/ 107,19
AND BETWEEN TP-2 �::: GREEN
can j• HOUSE
06,04 FLOOR=104.3 106, 6
106.26
105.7 I T T �' 104.64
TP-1 05.87 1 5.28 •-I•: 10517
O . • ( 106.12 of \o�n+ 105,86
C e
L ° ea9 BENCHMARK
c CORNER OF STEP
EL.=107.19
+.106 7. -F 105.93 a�
U
C
EXISTING SEPTIC TANK / \
TOP OF TANK, EL.=105.28t
INV.(OUT)=103.95f
EXISTING LEACH PIT
TO BE PUMPED, FILLED �' - 1 LOT 13
WITH SAND & ABANDONED
21,398t S.F.
13.03' fence 108.98'
N 57'55'28" E N 57'47'50" E
OF MAss9�
o�`` PETER T. PARCEL ID: 123-031
M CIVILEE N PROPOSED SEPTIC SYSTEM UPGRADE PLAN
No. 35109 17 THATCHER HOLWAY,
MARSTONS MILLS, MA
Prepared for: Cape Cod Septic Services, 350 Main St., W. Yarmouth, MA 02673
OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO.
LIPNER, NORMAN D & RHEA C Engineering Works, Inc. 1"=20' P.T.M. 201-19
17 THATCHER HOLWY RD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
MARSTONS MILLS, MA 02648 (508) 477-5313 7/15/19 P.T.M. 1 Of 2
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL.103.5
FOR A DISTANCE OF 15' AROUND THE
EXISTING SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S.
PROVIDE RISERS WITH COVERS OVER INLET & PROPOSED S.A.S.
OUTLET MANHOLES SET TO 6" OG FINISH GRADE. INSTALL RISER & COVER
SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND
4FG-=EL.=
06.7t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT
106.3t F.G. EL.=1®3-1t F.G. EL.=106.0t F.G. EL.=106.0t
¢�l�lGl�7A IA MAINTAIN 2% SLOPE OVER S.A.S.
um
L = 23' L = 15'(MAX.)
® S=1% (MIN.) p S=1% (MIN.)
4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2"
DOUBLE WASHED STONE
LLiio"l g aB®Saaa (OR APPROVED FILTER FABRIC)
14" 2' EFF. aBaaBaa
EXISTING 48" LIQUID DEPTH aaaaaaa --3/4" To 1-1/2" DOUBLE
LEVEL ADD GAS WASHED STONE
PROPOSED 1.6' 4.8' 1.6'
BAFFLE INV.=103.37 D BOX INV.=103.20
INV.=103.95 EFFECTIVE WIDTH = 8'
f (VERIFY) 3 OUTLETS INV.=103.00
EXISTING SEPTIC TANK H-10 3-500 GALLON LEACHING CHAMBERS WITH STONE
AROUND AND BETWEEN CHAMBERS AS SHOWN INSTALL PIPE
H-10 RATED BETWEEN CHAMBER51
TOP CONC. ELEV.=103.8t
BREAKOUT ELEV.=103.50
NOTES: INV. ELEV.=103.00 Ono alaaaa a B6a
6aa6a a09aa 6Ba
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & aaaa aaaaa aaaa
INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.=101.00
3' ENDS 8.5' 2'
2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 35.5'
ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL
STONE BASE, AS SPECIFIED 310 CMR 15.221(2). 5' ABOVE GROUNDWATER
3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION
4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE NO GROUNDWATER, EL.=94.30 - 3/4" TO 1-1/2" DOUBLE
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. WASHED STONE
3" LAYER OF 1/8" TO 1/2"
SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE
(OR APPROVED FILTER FABRIC)
GENERAL NOTES:
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
BOARD OF HEALTH AND THE DESIGN ENGINEER. EXISTING
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ��A� HOUSE(#17)
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE �' T.O.F.=106.7f
LOCAL RULES AND REGULATIONS.
-310 CMR 15.405(1)(b): 1a
1) A 2' variance, S.A.S. to cellar wall, for an 18' setback. 10' -
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR i 23•
TO INSPECTION AND. APPROVAL BY T'IHE BOARD OF HEALTH AND THE
DESIGN ENGINEER. - i 1--10 -
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING I GREEN
ENGINEER NEER BEFOREM THOSE WN HEREON CONSTRUUCTIONALL BE CONTINUESORTED TO THE DESIGNHOUSE
c 1, FLOOR=104.3 ,
5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. 12 100 M
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF ' "D� �V
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. •� 'S
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. NOTE: BREAKOUT EL.=103.5
S. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 10' _ GREENHOUSE FLOOR EL.=104.3
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
DIRECTED BY THE APPROVING AUTHORITIES. SEPTIC LAYOUT
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION.
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SOIL LOG
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). DATE: JULY 2, 2019 (REF#TPT-19-63)
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE SOIL EVALUATOR: PETER NcENTEE PE, SE-1542
INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. WITNESS: DAVID STANTON R.S. HEALTH AGENT
13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND ELEV. TP- 1 DEPTH ELEv. TP-2 DEPTH
NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 105.8 A 0 105.8 A 0"
14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC
SANDY LOAM SANDY LOAM
SYSTEM COMPONENTS NOT SHOWN ON THE PLAN 10YR 4/2 10YR 4/2
105.3 B 6" 105.3 B 6"
DESIGN CRITERIA, SANDY LOAM SANDY LOAM
10YR 5/8 10YR 5/8
103.3 30" 103.3 30"
C C
NUMBER OF BEDROOMS: 3 BEDROOMS PERC
SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF)
DESIGN PERCOLATION RATE: <2 MIN/IN
DAILY FLOW: 330 GPD M-C SAND M-C SAND
DESIGN FLOW: 330 GPD
2.5Y 6/6 2.5Y 6/6
GARBAGE GRINDER: NO-not allowed with design
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 94.3 138" 94.3 138"
.74 GPD/SF NO GROUNDWATER, PERC RATE: <2 MIN./IN.
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY REFERENCE PERC P#1067, (IN SAND)
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MIN.), H-10 RATED
USE 3-500 GALLON LEACHING CHAMBERS IN SERIES WITH PROPOSED SEPTIC SYSTEM UPGRADE PLAN
STONE AROUND AND BETWEEN CHAMBERS (10.0' X 29.0') 17 THATCHER HOLWAY, MARSTONS MILLS, MA
SIDEWALL AREA: 2(8.0' + 35.5') x 2 = 174.0 SF Prepared for: Cape Cod Septic Services, 350 Main St., W. Yarmouth, MA 02673
BOTTOM AREA: 8.0' x 35.5' = 284.0 SF
Engineering by: SCALE DRAWN JOB. N0.
TOTAL AREA:............................................................458.0 SF o "-20' P.T.M. 201-19
Engineering Works, Inc. 1
DESIGN FLOW PROVIDED: 0.74 GPD/SF(458.0 SF) = 338.9 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
(508) 477-5313 7/15/19 P.T.M. 1 Of 2