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HomeMy WebLinkAbout0099 TURTLEBACK ROAD - Health 99 Turtleback Road Marstons Mills P A = 046 091 I TOWN OF BARNSTABLE LOCATION 49 TvrAl c So0.cR Rd- SEWAGE# Zo18- Z89 .VILLAGE 0), fyl;11$ . ASSESSOR'S MAP&PARCEL 4G-q 1 INSTALLER'S NAME&PHONE NO. ( -g E�CCa�io�.��ot� 4t1'1' 01,53 SEPTIC TANK CAPACITY f SOO LEACHING FACILITY: (type) s5b0g0.l !.�c f!2� (size) 13 x ZS x Z NO.OF BEDROOMS 3 OWNER i�oc��0.5 CapQ K PERMIT DATE: 9. 1 COMPLIANCE DATE: /d Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY A,- IS ' �8 29' )D" A4- 32 A F-�on� No. A�7 I Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppliLatlon for Bisposal *pstrm Const union VPrmit Application for a Permit to Construct( ) Repair(° ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components rNeba C �n Owner's Name,Address,and Tel.No. Location Address or Lot No. 'I?Assessor's Map/Parcel 1"1 1�� ��U� I v l C ,Sp g - 73 7g�3 Installer's N e,Address,and Tel.No. Designer's Name,Address,and Tel.No. )(CnVO-f On S08- �q_17-065 �'Cp _7�cFL 5b-9 -36L{ _o S94 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) "33 d gpd Design flow provided .�38. 14 gpd Plan Date Number of sheets I Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) I O T 26 d 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 Boar Ieal Si Date Application Approved by V Date Application Disapproved by Date for the following reasons Permit No. �l y'� Date Issued • No. Fee ,,,,a � Entered m computer: THE COMMONWE�►Lrh OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TO�11VN OF BARNSTABLE, MASSACHUSETTS Yes ftpfitation for VspoW *pstem Construction Permit Application for a Permit to Construct( ) Repair U'p"grade( ) Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. W / U r f to bn 0 Owner's Name,Address, nd,Tel.No. Assessor's Map/Parcel M� Dc'd 67 IfOi J�'!-/`', 5i,.i R ` 7 3 Installer's Name,Address,and Tel.No. Designer's Name,Address,.and Tel.No. Pf 8 XC.C1vO11oO 5&9- )-i 17 f.)0 CCU . �� ,�°'` .5 ( 3GLl - U L/ Type of Building: \ '� Dwelling No.of Bedrooms `•.-+' Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) k a ' Other Fixtures 1e, Design Flow(min.required) ( gpd Design flow provided gpd Plan Date —Number of sheets,,- o l : � Revision Date Title Size of Septic Tank r i - Type of S.A.S. Description of Soil a Nature of Repairs or Alterations(Answer when applicable) `~UU 1J 10 4-1 1 1 J 1 01 jr)ri n n "-J-)n or) 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=Health.Signed , ^��C.SC[. _Vl Date �J tom/ ;3 0 I l Application Approved by Date j Application Disapproved by Date for the following reasons Permit No. ;�;LQ/ Date Issued p 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 � y at ( a Y^ , {' -D C_t.,-_ � (.ar has been constructed in accordance } with the provisions of Title 5 and the for Disposal System Construction Permit No��0/9-%9 a l dated i`ITS d Installer i /.a f''j✓T_ t -1 U V Designer �( #bedrooms Approved design flow gpd The issuance of this permit shall n.t be cotistrued as a guarantee that the system w*ll fimction,aasdZs-ned. ' Date �� 7/� �e Inspector 1 r - -- - - - - - - - -- - - - - - - ----------- ------------------------------ No. 6 �iC'j L' - Fee l d o THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 1 Misposo.Y bpstem Construction Permit Permission is hereby granted to Construct( ) Repair() 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 compllbted within three years of the date of this permit. Date Approved,by Town of Barnstable Regulatory Services Richard V. Scali,Interim Director + BARNSTABLE4 9� MASS. 10� Public Health Division o3�s Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 10 Sewage Permit# PIE FO Assessor's Map\Parcel! 6 J Designe Installer:= e"5 ; :- Address: Address: wTb . On /l3A 11413q,rfwas issued a permit'to install a (da ) (installer) septic system at based on a design drawn by (a�d`dress) f BU V dated Z0/8 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found'satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found.satisfactory. I certify that the system referenced above was constructed in co nliance with the terms of the IAA approval letters (if applicable) �.�UF,y �3 UAVIII K '16OrJ (Installers Slgnat a �— Ti, st . AVk\ (Designer ignature) (Affix Des i &v,vr� mp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc Ct _, .J` • . TOWN OF BARNSTABL V LOCH ON SEWA81q# YTLLAGS ASSESSOR'S MAP & OT®� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHL�IG FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: F Separation Distance Between the: � � 4 C4 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 Gjj� z. FA 3 33�� (�G V1 f Town of Barnstable P 4t Department of Regulatory Services a a Public Health Division DateMAWL " 1'639. 200 Main Street,Hyannis MA 02601 ' 1` alED MKl + CID ND Date Scheduled /mil . Time � Fee Pd. 0 _ � � ' Q� i.,..� - . :Soil Suitability Assessment for S e Disposal Performed-By: covQ�10 wl— or, Witnessed By: LOCATION&.GENERAL INFORMATION Location Address Owner's Name 0[5/00 5 ,`l�j . Address f f / H l e beck• k4 i Mq r51-r4J yJ d/. ;04/4 Assessor's Map/Parcel: `4.� /(,�� Engineer's Name ; 6 NVj of c_.0-gkK4 hOwY' NEW CONSTRUCTION REPAIR Telephone# 1;;d Land Use �es.��`���I�l Slopes(%) Surface Stones ��✓ Distances from: Open Water Body U f� } ft Possible Wet•Area&t ft Drinking Water Well �ft • Drul'nagc Way t� � ft Property Line ft Other ft SIKETCH.,(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands In proximity to holes) • 'I Q . rp 14 _ J _ T?2 TFA J Parent material 06t4 ovf-�•15Depth12• r (geologic) to Bedrock_ Depth to Groundwater. Standing Water In Hole: Weeping 1Yon1 Fit Face Q!L e Estimated Seasonal High Groundwater no f t kq �3� 1 V1 DETEVIVIINATION FOR SEASONAL'HIGD WATER TABLE Method Used: A0*t.I-P-4; Ut L ht_ a 3$Depth Observed standing in ohs.hole: In, Depth to soil mottles. in. Depth to weeping from side of obs.hole: In, Groundwater Adjustment ft. Index Well-# Rcading Datc: Index Well Idval Adj,-fhetor,,,,,_.'.r Adj.Ground-ivater•Leval,,,,_, PERCOLATION TEST Dalu Gq Uwe 10 6M Observation Hole# Time at 0" Vt Depth of Pero Z t h Time at 6" G Start Pre-soak Time @ D Time(9"41 End Pre-soak q-, 3 6 Rate Min./Inch A i ,,t' Slte Suitability Assessment: Site Passed Sitp Failed: Additional Testing Needed(YIN) _ 4 r" "Original: Public HeealtC Division ' Observtielon Hole Data-To-11 e'Completed on Back---------- . ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:1SJ3PTlCU'ERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# I _ Depth from Sol Horizon Soil Texture Shcl Color Soil• Other Surfaco(in.) (USDA) (Mansell) MoUling (Stnucturc,Stoned;Boulders. o tsistency.%•t3ravel) •�-� e �N�� LopM 1-6- L31i 'Fro R LONVAk< �WD 10KiZ r? `` Lori (M c- N1E► mA w u i0 q P, 5/ V1 Loose, DEEP OBSERVATION HOLE LOG Hole# 7- Depth from Soil Horizon Sall Texture Soil Color Soil, Other Surface(la.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency, 5W O/C LONM t 3 f l 11 �ci�ble 12��6 �.o� S D ((1 ��.�� :. 11 0. • DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottiing- (Structure,Sloncs,Boulders.. 1Consistency, r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil ; Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories;Boulders, 0 Flood Insurance Rate Map: / Above 500 year Mood boundary No— Yes ✓__ Within 500 year boundary No Yes Within 100 year flood boundary No-, Yes_:,_.,_ Depth of Naturally Occurring Pervious Material Does at least four feat of naturally occurring pervious material exist in all areas observed thrpughout the area proposed for the soil absorptlbn system? ' i°4 •. ' - If not,what is the depth of naturally occurring pervious matorial? Certification I certify that on �Q� 1gg5 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by ma consistent with . the required training,expertise a d xperience described in 4 10 CIVJlt 15.017. tHpFM Si nature � Date u l/Sf l a 20��{j �a� DAViD g D. COl1GHANOWR SOS'(1C@N Src10 0 Q:\SBPTIC\PBRCPORM.DOC < e VA L U P'( Ln Ln '.. • • �. q • � •USE ' :.cc Certified Mail Fee k$�3 Q" $ Extra Services&Fees(check bo)G add fee as appropriate) ......��� ❑Return Receipt(hardcopy) $ Q ❑ t Return Receipt(electronic) $ ///fff/©vPosm,, � O ,❑Certified Mail Restricted Delivery $ �• Faefe � �, 0 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ >� •X,� p Postage r � m 2 u1 r%- Total Postage "va CAPAK, DOUGLAS M/ to SentTo 99 TURTLEBACK RD f ID Sfreeli Ap( MARSTONS MILLS, MA 02648 I�- Ciry-Sfate, Y :I• 1 11 111 1 �y� "' � 1 Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mail labeq. for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,presentthis,, delivery. USPS®-postmarked Certified Mail receipt to the.. IN A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. } Important Reminders: Adult signature service,which requires the •You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®;First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,whlctf •Certified Mail service is notavailable for requires the signee to be at least 21 years of age, International mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent." with-Certified Mail service.However,the purchase (not available at retaiq. of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is 4 insurance coverage automatically included with accepted as legal proof of mailing,R should bear a-- certain Priority Mail items. USPS postmark If you would like a postmark on f,j ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail Rem at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 SECTIONSENDER: COMPLETE THISSECTION WI COMPLETE THIS ON DELIVERY ■ Complete items 1,2,and 3. A. Si ture ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, eceived b in e C at of livery or on the front if space permits. 1. ^' ^''•^�^^ — -- — —_ D. Is delive ad d' -rent rom ite 1 es f YES nter delivery address below: ❑No ;) � I CAPAK, DOUGLAS A& DAWN M 99 TURTLEBACK RD i MARSTONS MILLS, MA 02648 3. Service Type p Priority Mail Express® �II�IIIIII I'II III I II I II II II I Ili II'll I II I I II III ❑Adult Signature Ei Registered Mail- 0 dult Signature Restricted Delivery ❑Registeied Mail Restricted 9590 9402 4116 8092 9363 64 rtified Maile Delivery o ail Restricted Delivery Return.Receipt for El Collect❑Collect on Delivery Merchandise Certified 2 ��•+�..� �u,.,,hn._?rnnefcr_fmm_carvira.labpD __— Delivery Restricted Delivery Signature Confirm ationT'^ ❑-Signature Confirmation s : 701 :17..3 0 i 0 O 0,1- .4 9 8 7 5 2 9 5 restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt First-Class Mail USPS9e&Fees Paid Permit No.G-10 9590 9402 4116 8092 9363 64 United States •Sender:Please print your name,address,and ZIP+4®in this box• I Postal Service --- com 'iown of BarnstableHealth Division � 200 Main Street Hyannis,MA 02601 I I 'i` --::.}C"2022L::.; 1l.il fill iB fill!11l i,l„1,illi11I1111Ifill 1111111 d lli lillib �F'THE r� Town of Barnstable Barnstable Regulatory Services Department ABAmmicap j aaarisras►.�. 039. ,�� Public Health Division m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 5295 July 30, 2018 CAPAK, DOUGLAS A &DAWN M 99 TURTLEBACK RD MARSTONS MILLS, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 99 Turtleback Road, Marstons Mills, MA was inspected on 07/18/2018 by Chad Hathaway, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH i h as cKean, S., CHO Agent of the Board of Health I Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\99 Turtleback Road Marstons Mills.doc f . ` IT "�KE Town of Barnstable f HARN3fABLE. ' ,p 6AM 9 A Regulatory Services Department TFD µA'I Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310-CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA (Static liquid level in the distribution box above outlet invert due to an overloaded or J� clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER El Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �- r=" ,M Capakk,, Y Property Address r 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 t 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. Important:When A. General Information sl 13 i 8 filling out forms c on the computer, use only the tab 1. Inspector: key to move your cursor-do not Chad Hathaway use the return Name of Inspector key. H.P.S. Company Name P.O.Box 151 Company Address Forestdale Ma 02644 CityfTown State Zip Code 774-274-2581 12866 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based.on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 7-18-18 Inspector's S' ature Date The system inspector shall a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This'inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 �� �T Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Capak Property Address 99 Turtleback Rd Owner Owner's Name information is marstons mills MA 7-18-18 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 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. 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): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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): 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 l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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 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. 3. Other: 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 '/z day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided,that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Ism Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ' M Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No 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 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: unknown Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 l Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 'p Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2'feet Material of construction: ® cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line 20+: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. Citylfown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day 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 t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: leaching gallies next to garage full to riser. cesspool full t5ins-3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ® leaching galleries number: 3 ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 2 ❑ 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.): cesspool over full and leaching gallies full to riser Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 Depth—top of liquid to inlet invert 0" Depth of solids layer 12" Depth of scum layer 2° Dimensions of cesspool 6x6 Materials of construction block Indication of groundwater inflow ❑ Yes ® No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 'p Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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 - 3 lot/ moo, t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M y Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 14' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: town GIS mapping You must describe how you established the high ground water elevation: lot el. 58 low wetland area. in area 44' i Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •''� Capak Property Address 99 Turtleback Rd Owner Owner's Name information is required for every marstons mills MA 7-18-18 page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 fi tT, Z, COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTIO F w n F. W f � PARCEL '� I ;.01r l��.-- TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 99 TURTLEBACK RD. MARSTONS MILLS,MA 02648 C1 1 Owner's Name: RICHARD CASTEN Owner's Address: 99 TURTLEBACK RD. MARSTONS MILLS,MA 02648 Date of Inspection: 5/18/04 F- Name of Inspector: (please print) JOHN GRACI,INC. A� Company Name: SEPTIC INSPECTIONS r ; Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536 N1 f;4, > 7-1 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 and that the informati n reported'beloWlis true,accurate and complete as of the time of the inspection.The inspection was performed based on my t ining 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 _ Conditionally ses _ Needs Furthe� aluation by the Local Approving Authority Fails Inspector's Signature: Date: 5/18/04 The system inspector shall submit a py of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspectoo . If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shal 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 YEAR TO PROLONG THE SYSTEM'S USEFUL LIFE. ****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. Titla 5 Incnertinn Fnrm 6/1 5/?f100 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 99 TURTLEBACK RD. MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 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 YEAR 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: 99 TURTLEBACK RD.MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 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 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 99 TURTLEBACK RD.MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 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 '/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the 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. a i Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 99 TURTLEBACK RD. MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 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 I _ 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 Page 6 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 99 TURTLEBACK RD. MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 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:0 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)): i�4 0 2A'0060- Sump pump(yes or no): NO 03, . 0 q0a 00 Last date of occupancy: n/a lip COMMERCIAL/INDUSTRIAL 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: n/a 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 _Septic tank,distribution box,soil absorption system X Single cesspool X of U\ _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: 1972 PER AGENT 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: 99 TURTLEBACK RD.MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:_cast iron =40 PVC Xother(explain): ORANGEBURG 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: (locate on site plan) Depth below grade: 0" 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: n/a Sludge depth: n/a Distance from top of sludge to bottom of outlet tee or baffle: 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 How were dimensions determined: 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 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 7 Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 99 TURTLEBACK RD.MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 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:_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: n/a 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.): n/a 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 I R i Page 9 of 11 ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 99 TURTLEBACK RD.MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type n/a leaching pits, number: n/a n/a leaching chambers, number: 0 GALLIES leaching galleries, number: 3 n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a 6' X 6' BLOCK CESSPOOL overflow cesspool, number: 1 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.): GALLIES AND OVERFLOW ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. SYSTEM SHOWS NO SIGNS OF FAILURE.GALLIES HAS 8" OF LEACHING LEFT IN IT. BOTTOM IS AT 8 FT. CESSPOOLS: X(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: I Depth—top of liquid to inlet invert: 0" Depth of solids layer:4" Depth of scum layer: 6" Dimensions of cesspool: 6' X 6"' 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.): MAIN CESSPOOL AND ALL COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY.RECOMMEND PUMPING EVERY YEAR TO PROLONG THE SYSTEM'S USEFUL LIFE. 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: 99 TURTLEBACK RD.MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 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. I� I ` a Aq 3�A-9 SO L L �A 33 Y to i Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 99 TURTLEBACK RD. MARSTONS MILLS,MA 02648 Owner: RICHARD CASTEN Date of Inspection: 5/18/04 SITE EXAM _Slope _Surface water _Check cellar Shallow wells Estimated depth to ground water 10+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 YES 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) NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: HAND AUGER- 10+FT. 11 i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION A f u M F m ' d Q V� V� TITLE 5 4 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM `` PART A CERTIFICATION Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS,MA 02648 U40 —00i p Y Owner's Name: STEVE BUNNELL Owner's Address: BOX 916,CAMDEN,MAINE 04843 p Date of Inspection: 7/23/01 R�G'��V Name of Inspector: (please print) JOHN GRACI Company Name: SEPTIC INSPECTIONS AEG p Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536 row/,of ?��� Telephone Number: 508-564-6813 FAX 508-564-7270 HEq�rNDEp7 1.H6tE CERTIFICATION STATEMENT I certify that I have personally inspected theksewage 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 15.34.0 of Title 5(310 CMR 15.000). The system: X Passes _ Conditionally Passes _ Needs Fu a Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: 7/23/01 The system inspector shall subm' a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design now of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments SYSTEM PASSES TITLE V RECOMEND PUMPING SYSTEM NOW AND EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. ****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. -.. .. ,. ., • . �-!.,r-•Winn 1 Page 2 of 11 c OFFICIAL INSPECTION.FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS, MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 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 PASSES TITLE V RECOMEND PUMPING SYSTEM NOW AND EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL 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 i6; ears bld* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltrahon or tankfailure 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 A , t. Page 3 of 11 t OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS,MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 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(l)(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 t`b'this form. 3. Other: n/a 1+ Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM ENSPECTION FORM PART A CERTIFICATION(continued) Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS, MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No 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 ''/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the 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:] _ (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 "M" in Section D above the lar 6ystoni lin failed.The owner or operator of any large Sysle111 comidered a§iguiliednt threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CM 15.304. The system owner should contact the appropriate regional office of the Department. A Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS,MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 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)] 4. 5 I - Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS,MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 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: I Does residence have a garbage grinder(yes or no):YES 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)): n/a Sump pump(yes or no): NO Last date of occupancy: n/a COMMERCIAL/INDUSTRIAL 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 5 Source of information: n/a 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: NEW SYSTEM 1N 1990 Were sewage odors detected when arriving at the site(yes or no): NO r, Page 7 of 1 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS,MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 BUILDING SEWER(locate on site plan) Depth below grade: 24" Materials of construction:_cast iron =40 PVC Xother(explain): ORANGEBURG Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,evidence of leakage,etc.): n/a SEPTIC TANK: (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'confi'rmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: 6' X 6' BLOCK CESSPOOL" Sludge depth: 4" Distance from top of sludge to bottom,of outlet tee or baffle: 30" Scum thickness: 8" Distance from top of scum to top of outlet tee or baffle: 12" Distance from bottom of scum to bottom of outlet tee or baffle: 4" 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.): MAIN CESSPOOL AND ALL COMPONENTS ARE STRUCTURALLY SOUND. RECOMMEND PUMPING NOW AND EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL 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 i Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS,MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 , 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: _(if present must.be opened)(locate on site plan) Depth of liquid level above outlet invert: n/a 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.): n/a 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 ,F f _ �l v� Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS,MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type n/a leaching pits, number: nla n/a leaching chambers, number: n/a GALLIES leaching galleries, number: 3 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.): THREE 4X4 GALLIES APPEAR TO BE FUNCTIONING NORMALLY.THERE IS I FOOT OF EFFECTIVE LEACHING LEFT. RECOMMEND SYSTEM BE PUMPED NOW.THERE IS A SECOND 6X6 LEACH PIT, WHICH CURRENTLY IS NOT IN USE. 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§oiiA Bill Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a n • Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS,MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 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. (o 3V -hn 0 l5� A g a � i AA3�6 A-gs � 163 Page 1 I of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE..SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 'SYSTEM INFORMATION(continued) Property Address: 99 TURTLEBACK ROAD MARSTONS MILLS,MA 02648 Owner: STEVE BUNNELL Date of Inspection: 7/23/01 SITE EXAM _Slope _Surface water _Check cellar Shallow wells Estimated depth to ground water 10+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 40+FEET G'P wf' TOWN OF BARNSTABLE LOCATION /g u f o bacK t^ SEWAGE VILLAGE �.5 E,�s I�JiGGs ASSESSOR'S MAP & LOT HICKEY CONSTRUCTION Cr, tme, — INSTALLER'S NAME & PHONE NO. P.O. BOX 236 27/- 7ag - 4"EN I t:HVICtE;MA'0Z63 SEPTIC TANK CAPACITY i LEACHING FACILITY:(type) (sue) 3 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER <S-�,ev� C3i,�v►n� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No .` 7 IX-T r� r - ID No....�,�� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Allp iratiun for Bi"oiial Works Tonstrnrtiun jhrmit Application is hereby made for a Permit to Construct ( ) or Repair ( '-I�an Individual Sewage Disposal System at: 9g 7 u 2CL� Q.Rck` \!a,� �......-........ ............. • ---•-•------...------------------• ---•---•- --•---------....-----.._..----•-•-------•-.-----------•--••-------._....-..............---•------- Location-Address Lot No cal 5�.Owner Address�. .--•-•-•... . ......----•- a 1G ................. Installer Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria P4 Other fixtures ------------------------------------------•--- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 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-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-___-_-____-___-•--____- ---•---------------•-----•-------•-----••-•......•------------------•------------------•-•.......... ODescription of Soil C� 2 S -�---------•-------�-------- Z•-----••=� -------....: 't�--...................................................... x W x ---•-----•••..--......--••-------•••---•-•-••---•------•-•••-------••---•--------•••-•••---•-••--•--------------••-•-•---•--•••------------•-•-•••--•---•••-•••--•••••••••--......-•------•--•-••---••-- U Nature of Repairs or Alterations—Answer when applicable.....1�4A.......� _ _...t____.tpp.._.... .................. 4 � -P ------- ---------?0-- F n V !S:���.... S i-s 7rh ....._..._.. ._...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been - sued by the board of health. n ` Signed -----............ ---e �X - '-5.--------- - .............. ....----- .'23 1�.. Daze ApplicationApproved BY - - - - - -- --- ---- ---------------------------------------------------------------------------------- Due Application Disapproved for the following reasons- ---------------------- ---------------------------------------------------------------------------------- - ------------------ --------------------- -------------------------------------------------------- ------------------------- ---- ---- --------------------------........................................................... -------------- ---------------------- Dace PermitNo. ......... -----------------_-- Issued ---------------------------........................................ Date oar ' 9 _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE - Applira#ion for Disposal Works Toustrnrtiun Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ko�_an Individual Sewage Disposal System at: ---... ....._. Ot.. ------- - ------- ---------------------------------------••-- -----------------••-•-------..-...... Location-Address or Lot No. .............................................. --- - Owner Address Installer AddressPq E Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QIOther fixtures ...................................................... w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 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----___.-___-______• Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-� Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water...................... .- Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................... a ----------------------------•----=••---•--•-----•---•--••-•-••---------------•------ -•----•--------•....---•---•-------••------------------.....--...... ODescription of Soil--•6 ...................................................!!!?......... --------:;!��...................................................... .-------------------------------------------------------------------------------------------------•--•-•-•--...... x ••---•----------------------•----•••-•••------•----••-•--•••---...-•---••••-•--••-••-•--•-•••-----••----------•••---••---•----••-----------•----•--.................................................... U Nature of Repairs or Alterations—Answer when applicable_...!ti 4_.._.:_ N_IE........_t P-0.......PAt•. ,dye_____________________ 2�•--•••.._ia N-�-- .._ _ lr i fi��i•C,........-S f'S% M... •------- -----••--- Agreement: The undersigned agrees to install the aforedescribed Indivdual)Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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 ----------------- .............................. ........... L.23.. ..`� .. Dace ApplicationApproved By ------------- ------------------------------------ ------------------------------------ ----- — ' I iP Date i Application Disapproved for the folio nw2 g reasons- ........................---------------------------------------- ------------------------------------------..--- ------- -- .............--- --------------- ------------------------------------------------------------- --------------------------------------------------------------------------------------------------------- -------................................ PermitNo. --------7.. ---c y--------------------- Issued ........................ .------------------------..Da....--- Date s THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH 1 TOWN OF BARNSTABLE C9Pxtifirate of Tantyiian e r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by----------N-Nc\C-`E"---------060Zs`k 00....... ------------------- ..............................................--------------------.----- Installer _ at 9g - - Tt_L=fi3t�C w� ------ .-- �5---------�--�� --------------------------`=----.............................. : ... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code``as described in the application for Disposal Works Construction Permit No. L`- dated j--------1..-_._......LL.:,...._....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR ED AA,GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....- /-./l h.-------- ------------------------------------------------- Inspector :--------- ------ =cam-' / f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No %))Y&t TOWN OF BARNSTABLE Disposal Works TOnstrurtion Prrmit Permission is hereby granted------- .......C`h ---------C ................................................. to Construct ( ) or Repair (?7 an Individual Sewage Disposal System w. at No.......9�'.....'�iz`�t lEr .? `. ....-_.`Z - ............. ................................................ Street as shown on the application for Disposal Works Construction Permit Noy. =:�,ktl Dated.......................................... -•--•.....................................i-a` ••-•---••-----------^------._..._..._..._^•---- oar 0 Health DATE............... .. = ....................... FORM 385OB HOBBS&WARREN,INC.,PUBLISHERS 14ARSTONS MILLS. MA T r C a M y '^ r T - m o SEP��������� MT§LOT§ES o a a 0 WATER LINE I \w GAS LINE A41 p� TEL/CABLE TV—M— II THIS IS A HYDRANT O Ov NOT ®15O11 i Ssjp E1 90o SCAOLE PLAN - -_ USE COLOR PLAN ONLY FOR INSTALLATION INSTALLER TOC U S M A P VERIFY LOCATIONS FULL DETAIL IS BEST OF ALL UNDERGROUND, - -- VIEWED IN UTILITIES BEFORE FULL COLOR EXCAVATING FOR SYSTEM. 139.20 ft i i LOOT 311 AREA = 22484 sf+- f I LAND COURT PLAN 30751-E ASSR MAP 46 PCL 91 r` 1 2 � O 0 EXISTING LEACHING SYSTEM - TO BE a o ABANDONED IN PLACE. 00 0 O i IS in 60 I i OAK \ w 15 in C OAK CGs�ld � I '�- N AR�IV GI504TUGli� po SLAB `� AVEO I. DRIVEWAY ELEVATION W40A y ]l0® w 9.6 9 Q�� b in - --- i ' T EE q SPOT ON BULKHEA I r iiivir. - COLLAPSE I WAY AND FILL I Q f REMOVE OLD CESSPOOL I - - r 060 o �I AND REPLACE. WITH CLEAN MEDIUM SAND PER TITLE 5. c 21 ft uj 59 � PROPOSED SOIL ., ABSORPTION SYSTEM \� - -SEE DETAIL 2 I ON BACK 15 in f 15 ft 0 K \ \ I G G G \ MINIMAL ____60 =STING GRADING PROPOSED CO !T y lOC/R II r :I • �� 1 122.58 ft I 59 0 p1 Q N i LEGEND 2 SCALE: I in = 20 ft GAR L� B LSGE11�1�p D 0 20 40 G O7 SEPTIC COMPONENTS OWED I 0 10 20 1500 GAL SEPTIC TANK PRINT ON 11 x 17 in EXISTING PAPER FOR PROPER SCALE • LEACH PIT/ CESSPOOL DISTRIBUTION BOX a -- TEST PIT ® ���H OF MASS9 �P��N OF'�SS9 ( a- SEWAGE DISPOSAL I DAVID SYSTEM PLAN ! � DAVID CyGJ, o� �yGJ, `� ti Y u COUGHANOWR n � COUGHANOWR u, I TO SERVE EXISTING DWELLING D. D. EST. No. 1093 IGHAN No. 461 DOUGLAS AND DAWN CAPAK 'PFG gppR Q _ n 1995� ,r OWNER(S) OF RECORD s sq 99 TURTLEBACK ROAD � �/� EVA � �� � �ES'�� 155 Geo R der Rd s MARSTONS MILLS, MA y PROPERTY ADDRESS Chatham, MA 02633 DovidcouOHotmoiLcom DATE: AUGUST 14. 2018 �' j;508 364-0894 PG,l/2 toe ETE-4314 nscoe' ) I SOL TEST LOG DATE; AUGUST 9, 2018 DEGION CALCUL TION8 PERC# 1a751 1 DD ESIGN CALCULATIONS SOIL EVALUATOR: DAVID D. COUGHANOWR. ASE #461 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. 1I SEPTIC TANK: 330 GPD X 2 DAYS = 66GALLONS NO GROUNDWATER ENCOUNTERED INSTALL NEW 1500 GALLON SEPTIC TANK. TEST PIT PERC AT 52 In - 2 MIN/INCH IN C SOILS } ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. INCHES HORIZON TEXTURE (MUNSELL) MOTTLES SOIL ABSORBTION SYSTEM: 58.65 0-4 O WOOD LOAM 10 YR 2l2 NONE FRIABLE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 4-6 E SANDY LOAM 10 YR 3/1 NONE FRIABLE SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES 6-10 A LOAMY SAND 10 YR 416 NONE FRIABLE PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. 55.98 10-32 B LOAMY SAND 10 YR 5/6 NONE LOOSE THE 24 ft z 12.5 ft x 2 ft LEACHING GALLERY .1532-138 C MEDIUM SAND 10 YR 514 NONE LOOSE DEPICTED BELOW CAN LEACH: 47 BOTTOM AREA = ( -E 2 4 x 1 2.5) - 300 s9 ft. NO GROUNDWATER ENCOUNTERED + + + _ SIDEWALL AREA - (24 24 12.5 12. )x2 5 14 f TEST PIT 2 2 MIN/INCH IN C SOILS b so. t. = s ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER TOTAL AREA 446 G. ft. INCHES HORIZON TEXTURE (MUNSELL) MOTTLES FLOW CAPACITY = 0.74 x 446 = 330iO4, gal/day 9 y i 58.95 0-3 O WOOD LOAM 10 YR 2/2 NONE FRIABLE .INSTALL A 24 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED 3-6 E SANDY LOAM 10 YR 3/1 NONE FRIABLE BELOW. FLOW CAPACITY = 330.04 gol/doy IWHICH EXCEEDS 6-12 A LOAMY SAND 10 YR 4/6 NONE FRIABLE THE 330 gal/dog REQUIRED FOR A THREE BEDROOM DESIGN. 55.95 12-36 B LOAMY SAND 10 YR 5/6 NONE LOOSE 36-138 C MEDIUM SAND 10 YR 5/4 NONE LOOSE 47.45 SO§L ABSORPTION 1500 GALLON oOnNl SEP #C TANK S YS T Es M CONSTRUCTION DETAIL DIMENSIONS & DETAIL USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL DRYWELL 24.0 ft USE SHOREY ST-1500-H-70 UNIT co I in NOT .� TAPER TOco SCALE U? ® U, CV N p 5 ft- STONE p 8 in 3.5 ft 8.5 ft 8.5 ft 1.3!.S ft I 500 GALLON DRYWELL .I :a yV DIMENSIONS & DETAIL INSTALL ONE INSPECTION RISER TO WITHIN THREE /O USE IN CHES OF FINAL GRADE & INDICATE LOCATION f i4-6 �J i -I H 0 ON AS- UI T 8 L UNI T INLET OUTLET �D� 33 COVER COVER 7-, i00a in 0 3 IN DROP . , . . ��OkDJ I -► Al FLOW LINE -► DJ $I�� FROM 10 in 14 TO I92 in BUILDING ,r) D-BOX 48 in CROSS SECTION VIEW - i7/D' i V 5 11" INSTALL AN APPROVED GECDTExTILt ° LEVEL BAFFLE FABRIC OVER STONE I 6 in STONE BASE 28 314 In TO 24 in 314 In TO in 1-112 in GRAVEL DEPTH EFFECT SEPARATION BETWEEN INLET & OUTLET 1 V Em 1-112 in GRAVEL TEES NO LESS THAN LIQUID DEPTH f CROSS SECTION VIEW 46 in 58 in 46 in G 150 in I I n p �n �u/ §S 71/ §B 7'§OIIV �O//0 UDB 3 H20Y DIMENSIONS PIPES EXITING D-BOX TO RUN LEVEL -INSTALLER TO OBTAIN DISPOSAL WORKS AND DETAIL FOR 2 FEET BEFORE PITCHING DOWN II\II PERMIT BEFORE STARTING WORK. IIJI VV -ALL COMPONENTS INSTALLED SHALL MEET ° THE MINIMUM REQUIREMENTS OF O MASSACHUSETTS TITLE 51SEPTIC 12 in CODE, (310 CMR 15). c MIN -INSTALLER TO VERIFY LOCATIONS OF ALL ->. T UNDERGROUND UTILITIES BEFORE FROM S c -� EXCAVATING ..FOR SYSTEM. N TANK (n U) TO -ECO-TECH ENVIRONMENTAL RECOMMENDS o; ^ SAS E THE INSTALLATION OF LOW FLOW FIXTURES & APPLIANCES. SAND PERI,�DDIC PUMPING OF THE SEPTIC TANK. ' b in STONE BASE 21 l CROSS SECTION VIEW -SYSTEM IS NOT DESIGNED TO WITH'TAND in 2 VEHICULAR LOADING. DOI NOT 'PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 0 . . - W L _ E j TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE 4 in SCH. 40 PVC I EL = 60.29 +- 6 in OF FINAL GRADE AND TO PITCH AT 1/8 in/ft MINI '. 59.00 D-Bo 3' USE H-20 MAX NSTA L 56.50 57.29 1500 GALLON PRECAST �p oo 6o T ooaooa �o°0000000�a� EXISTING (o o DRYWELL ao°0°° ° Ord SEPTIC TANK 56.40 °oo° ooaoo°a o0000010� o° 55.87 56.65 REFER TO DETAIL BOX S6 in SOL ABSORPTION 56.04 41 BASE 55.75 SYSTEM -REFER TO 32 ft bin STONE BASE 11 ft 5-72 ft DETAIL iBOX 0 NO GROUNDWATER BELOW 53.75 MOTTLING OBSERVED _ 47.15 '. SEWAGE DISPOSAL SYSTEM PLAN 99 TURTLEBACK ROAD MARSTONS MILLS, MA I AUGUST 14. 2018 ETE-4314 I'i PG 2/2 j