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HomeMy WebLinkAbout0692 WAKEBY ROAD - Health 692-Wakelby4 ® d Y w� -t' Mi rstons 1V1111sl' A=02&' 101 'r I, rl, l � C- I� I l I l YOU WISH TO OPEN A BUSINESS? a� For Your Information: Business certificates (cost$3D.00 for 4 ears). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permissid oper te.) Business Certificates are available at the Town Clerk's Office, Vt FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: Fill in please: �-AT APPLICANT'S YOUR NAME/S: " `��` ,p f BUSINESS YOUR HOME ADDRESS: z v �- �''lrr+,KjSI mPts p 'go o&�a•T' l t & p TELEPHONE. # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS VG u TYPE OF BUSINESS IS THIS A HOME OCCUPATION? i YE$% NO ADDRESS OF BUSINESS O ' I O MAP/PARCEL NUMBER Z (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally optera a our- s s in this town. 1. BUILDING COMMISSIONER'S OFFICE - This individual has been informed of any permit requirements that pertain to this type of business. ?� Authorized Signature' COMMENTS: 2. BOARD OF HEALTH This individual be - rmed oft perm' r uirements that pertain to this type of business. MUST COMPLY WITH ALL IIIN7j HAZARDOUS MATERIALS REGULATIOniq Authorized Signature* COMMENTS: . 3. CONSUMER AFFAIRS (LICENSING AUTHORI ) This individual haMqn infor ed-of the Ipphs g ' ements that pertain to this type of business. mi Authorized Signature* COMMENTS: . I ,c6 I TOWN OF BARNSTABLE Date:S 97/ Cq TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 6,euC Ak BUSINESS LOCATION: 0*�' V INVENTORY MAILING ADDRESS: s TOTAL AMOUNT: TELEPHONE NUMBER: `77 ' —a `2 3 2CI CONTACT PERSON: � ) Ck j!'a�:) EMERGENCY CONTACT TELEPHONE NU BER: — ' O MSDS ON SITE? TYPE OF BUSINESS: o (� INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint & varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers `�[�� r9C (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSIN SS TOWN OF BARNSTABLE ZZ i LOCATION ��Z •t � ��� SEWAGE# vo J/l VILL,AGEA-Aa S ,ow18 ASSESSOR'S MAP&PARCEL age/Q I INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) JlM gw: YA$t+7 G,LS (size) X"Z S NO.OF BEDROOMS 3 OWNER 0('OVN 6J PERMIT DATE: a D COMPLIANCE DATE: 9 '2 �� 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) t^/I/ Feet Edge of Wetland and Leaching Facility(If any wetland exi within 300 feet of leac ng facility)y Feet FURNISHED BY � S 53 7 5-7 ��� �'�� L rlpr. Fee THE COMMONWEALTH OF MASSACHUSETTSt Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Oppftcatton for Mtgogal *pgtem Con!Aructton Vermtt Application for a Permit to Construct( ) Repair(Upgrade Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. U1�✓ ,? RD Owner's Name,Address,and Tel.No. Assessor's Map/Parcel eil 4f_ 01 pe 5a 11f)e Installer's Name,Address,and Tel.No. :5e g y-19 4177 Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size G sq. ft. Garbage Grinder ( ) Other Type of Building _ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) � gpd Design flow provided �' gpd Plan Date Number of sheets Revision Date Title �' Size of Septic Tank L Type of S.A.S. L �!, - 8 Description of Soil '`I b ��✓ �b S�Ti>'1p Nature of Repairs or Alterations(Answer when applicable) 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 B and of Kilt. Signed Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. ado!?_ 3J7 Date Issued / —— ————————————————————————————————— ———— Nor. ( ' j ' 1' Fee /D O ' a t/ �r`TH€ COMMONWEALTH OF MASSACHUS T3 4 Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 1 i ' {01ppgtcation for Dt.5poi nt *p!6tem Con0tructJion 'Permit Application for"a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components RD Location Addressor Lot No. �� '�6 Qwner's Name,Address,and Tel.No. /�Qi'S>�vs• �i�� Assessor's Map/Parcel ry C d n/Q✓2 5a W e Installer's Name,Address,and Tel.No. s0 g q77 C/77 Designer's Name,Address and Tel.No. /cna/1s 10,e var Type of Building: Dwelling No.of Bedrooms Lot Size �. sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures - Design Flow(min.required) 7�-3(0 gpd Design flow provided t _ gpd Plan Date Number of sheets Revision Date Oj 4 C) Title //SS Size of Septic Tank t✓��• v a Type of S.A.S. �' 6(�c/5 Description of Soil Pal,,( 5�z-r) L*4, 1S Nature of Repairs or Alterations(Answer when applicable) 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 En ironmental Code nd not to place the system in operation until a Certificate of Compliance has been issued by this B rd of H ' lth. Signed Date Application Approved by Date 'aC 3 Application Disapproved by: Date .� for the following reasons Permit No.Q O y— 3/ Date Issued 3 —0 r 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 /�/ ;51 �,,F-�'Cr(14 f/r?4 _T 11� t' (.,�� �G�i (�(/ /��• has been const 7ted accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. V�L dated J d Installer Designer �\ #bedrooms Approved desi-g flo l �-ZZ gpd The issuance of this permit shall not be cons�ue as a guarantee that the system wi 1 f�t''on a's esigned Date I Inspector �n✓. No. (/V '• Il Fee /U13).THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS �i.5pozar iipgtemc c�Cor�tructton Permit Permission is hereby granted to Construct S, ) Repair ( ✓) Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: onstruction mutest be completed within three years of the date of this permit. Date �C/ Approved by C�l ��f-� �1`-� Town of Barnstable Regulatory Services Thomas F. Geiler,Director MAM• rrnrwareatx. Public Health Division Thomas 1NIcKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-362-464 4 Fax: 503-790-6304 Installer & Designer Certification Form 1--!LT Date: Sewage Permit# Assessor's ivlap\Parcel agkol Designer:DD Y✓�✓I '"t Installer: Address: Address: Fr 46e iy. Sh&42 WIC D2S3 Ind, l L On ghn/o 4au S was issued a permit to install a (date) (installer) septic system at _c 21 W gkeb Y Ro*41�7 based on a design drawn by /A A (addres M VVl. 6(-dated 1 d �( (designer) 1 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 andlor septic tank. 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. OF y . - DARR�ii��dd��M. "G MEIi`lR� (Installer's Signature) ' o 11.40 I ANITAR%a� esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARN ABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COiNIPL1ANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Heal th/Septic/Designer Certification Form 3-26-adoc c • APPLICANT: ICAJ�10- -e y ADDRESS: (A?, WPfV-Egg RD DESIGN FLOW: 330 gpd REVIEWED BY: DATE: N/A OK NO Legal boundaries denoted [310 CMR 15.220(4)(a)] X Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220 4 (u)] X Locus Provided 310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for op components) [310 CMR 15.220(4)] X Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- i not, a variance is required 310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] X Location all buildings existing and proposed 310 CMR 15.220(4)(c)] X Location and dimensions of system components and reserve areas [310 CMR 15.220(4)(e)] System Calculations [310 CMR 15.220(4)(f)] daily flow x septic tank capacity (required andprovided) X soil abso tion system (required andprovided) k ,/ whether system designed for garbage grinder k North arrow (I10 CMR 15.220(4)( )] Existing and ro osed contours [310 CMR 15.220(4)( )] Location and log of deep observation holes (existing grade el. on each test) 310 CMR 15.220(4)(h) x Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and (i)] )( Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] )( Percolation test results match loading rate? [310 CMR 15.242] , Certification statement by Soil Evaluator 310 CMR 15.220(4) A X Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n)] YA Location of every water supply,public and private, [310 CMR 15.220(4)(k)] 71 ---- X . — � 2 �� 9I Address R Sheet 1 of 7 __ I ' I within 400'feet of the proposed system location in the case J. of surface water supplies and rayel packed public water supply x °� within 250 feet of the proposed s stem location in the case k within 150 feet of the proposed system location in the case of private water supply wells X ✓ Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. 310 CMR 15.220(4)(1)] X Water lines'and dth*&-'subsurface utilities located [310 CMR 15.220(4) m if water li'ne cross see 310 CMR 15.211(1) 1 ) . le t i e e Profs of system em showing inv rt elevations of all system Y g Y x components and the bottom of the SAS 310 CMR 15.220(4)(o)] Stamp of designer 310 CMR 15.220 1 and 310 CMR 15.220(2)] Gr Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate (two in each of the primay and reserve unless trenches as permitted in 310 CMR 15.102(2)or as approved for an upgrade under LUA at 310 CMR 15.405(1)(k)) K Test hole adequate to demonstrate four feet of suitable material? 310 CMR 15.103 4) X Test Holes adequate to confirm adequate groundwater separation? [310 CMR 1.5.103(3)] X Benchmark within 50-75' of system [310 CMR 15.220(4)(g)] Materials specifications noted? [various sections of 310 CMR 15.000 System components not> 36" deep(unless Local Upgrade X Approval or LUA.requested)f 310 CMR 15.405(1(b) Address (!/`! � Sheet 2 of 7 , w - Size OK? -[310 CMR 15.223(1)] Inlet tee located ten inches below flow line 310 CMR 15.227(6)] Outlet tee 14" or 14"+5"per foot for increase ft depth [310 CMR 15.227(6)] X Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] X Separation between inlet and outlet tees (no less than liquid depth) 310 CMR 15.227(2) �( Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for X upgrades under LUA [310 CMR 15.405(1)(k)) Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1)and 310 / CMR 15.232(3)(f)] X✓ Three access covers (inlet and outlet must be 20" or greater) - ��yy middle access at least 8" (b 7/07) [310 CMR 15.228(2)] Access to within 6 "-of grade - one port for systems<1000gpd, two fors stems>1000 gpd 310 CMR 15.228(2) �C All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] x > 10 ft from building foundation [310 CMR 15.211(1)] Buoyancy calculation Required/Done 310 CMR 15.221(8)] H-20 Where appropriate? 310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211) Required when other than single-family dwelling or flow>1000 d [310 CMR 15.223(l)(b)] �( First compartment 200%daily flow; Second compartment 100% daily flow 310 CMR 15.224(2) and (3)] "U"pipe through or over baffle, outlet of each compartment with as baffle or approved filter[310 CMR 15.224(4)] Address V& 'J Sheet 3 of 7 Located at leastten feet from any water line? [310 CMR �6n 15.222(2)] Disposal piping at least 18"'below water line (when water and • �U� sewer cross, see 310 CMR 15.211 1)[1)) X Q Cleanouts required/provided ? [310 CMR 15.222(8)] Thrust blocks specified in force mains?310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/811/ft) 0.02 preferable [310 CMR 15.222(6)] x Proper pitch on all runs?(.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] X Si honproblem/ leachfield below pump chamber) Endca s or vent manifoldspecified? X Size and orientation of discharge holes specified?(not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] �( Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) " X Stable compacted base [310 CMR 15.221(2)and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided?(when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if deeper than 9" 310 CMR 15.232(3)(f)] Inside minimum dimension 12" 310 CMR 15.232(2)(b)) - Minimum sum 6" [310 CMR15.232(3)(e)) Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] X. Capacity(emergency.storage above working=design flow)?(310 CMR 231(2)] Proper setbacks [310 CMR 15.211 (same as septic tanks)] Watertight 20-in minium access manhole at least 20"MUST BE TO GRADE [310 CMR 15.231(5)] Service components accessible (not too deep,with piping, disconnects accessible) Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. [31 Q.CMR 15.231(6) and (8)] Stable Corn pacted Base [310 CMR 15.221(2)] Buoyancy calculations needed ?Provided? [310 CMR 15.221(8)] Addresser/ , Sheet 4 of 7 s � Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1) Required separation togroundwater? 310 CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] X Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] , Breakout requirements met?(No violation of breakout elevation 1 within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] v Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] X Each structure with one inspection manhole(if>2000 gpd must be tograde) 310 CMR 15.253(2)] Aggregate 1'minimum-4'maximum. 310 CMR 15.253(1)(b)] 2'sidewall credit maximum [310 CMR 15.253(1)(a)] �C In bed configuration, inlet every 40 s i ft. [310 CMR 15.253(6)] �C Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] 100 feet-maximum length 310 CMR 15.251(1) a Minimum separation 2x effective depth or width whichever eater(3x if reserve between trenches) [310 CMR 251 1)(d)] Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' 310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e) Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15.252(2)(g)] Separation between beds 10' minimum. [310 CMR 15.252(2)(f)] Bottom area used in calculations only 310 CMR 15.252(2)(i)] Address Sheet 5 of 7 Pressure Dosed System ? Provided pump and piping calculations as re uired„ 310 CMR 15:220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems und :Mmedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] X If used in gravelless system -make sure jet is directed as not to scour soil interface [Guidance Document] x Inspections once per year(systems<2000 gpd) or quarterly (>2000 d good to note on plan [310 CMR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? �( Impervious barrier and/or retaining wall ? Guidance Document Impervious barrier installation must be supervised by designer [310 CMR 15.255(2)(b)] X Retaining wall must be designed by Registered Professional Engineer[310 CMR 15.255(2)(a)] }� Side slope not exceed 3:1 ? 310 CMR 15.255(2) Breakout requirements met? [310 CMR 15.252(2)and Guidance Document At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] _ x Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface k Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance a reement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has a2plicant submitted a co y of a maintenance Are the variances listed on the plan ? [310 CMR 15.220 (4)O RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412 4)] New construction or increased flow proposed- [Refer to 310 CMR 15.414] x Address M �" Sheet 6 of 7 r t Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] X Is the system proposed on the same lot as served by private well,? [310 CMR 15.214(2)] k Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] Pum in to se tic tank? 310 CMR I5.229 Shared S stem [310 CMR 15.290 i Address (C/�� V y��"" �' _ Sheet 7 of 7 Town of B msta•ble. Department of Regulatory Services Date �B� ; Public Health Division KAM e$ 200 Maiti.Street,Hyannis MA 02601 � tbs¢tip t •i � Date Scheduled '-1 Time Ua Fee Pd. 0 t7 i Foil Suitability Assessment for Sewage Disposal ' Witnessed By Performed By:D af LnCATION & GENERAL INI�'O12N1ATION Location Address &qz W AMBY P—©&•p Owner's Name �RZ ��y r � M!Lj,S MAI Address . M. M�its Mq Assessor's Map/Parcel: t,)Z 311© Engineer's Name Da-✓✓eA AA Z NEW CONSTRUt2ON REPAIR Telephone# SOFS 36Z`" Z I Slopes(vo)_' S l Surface Ston Land Use es D� >;5 U U i 3 00 ft Drinking Water Well Distances from: Open Water Body ft Possible Wee Area > 1 oa ft property i inc y 10 ft Other ft Drainage way i SIMTCH:(street name,dimensiods'of lot.exact locations of test holes&pert tests,locate wetlands in proximity to holes) Existing Leaching (Note 10) �-__ `:1 ^: �\ (�,;•.,- ,;'i�,r.,,� .••�, 'ate,^, I r O i f �. UgJ Depth to Bedrock l � 5� Parent material(gedlogie)�a ,I l e th to Groundwandr. Standing Water in Hole: /'�`� I Weeping from Pit Faee Depth tit i Estimated Seasonal,l•jigh Groundwater i D&ER1yIIN TION FOR SEASONAL HIGH WATER TALE Method Used: � lo Depth to sell mottles: in. Depth Observed standing in obs.hole . tt. Depth Wlweeping from side of obs.hole i in. oroundwttter AdJustment -o -� Adj.POW .,._,r_— Adj.Groundwater Leval.,.,e Index Well# . Reading Date Index Well level 1 PERCOLATION TEST . Date, .,.._. 'r4w V Observation TWO at 9" - Hole# I n Time at 6" .. Depth of Perc Start Pre-soak Time.@ -- - lo e-N End Pre-soak -- zZ t Rate Minlinch . ,� Site Failed; Additional Testing Needed(Y/N) — Site Suitability Assessment: Site Passed - ; Original.Public He'�lth Division Observation Hole Data To Be Completed on Back - of ***If percolalitin test Is to be conducted within 100 wrjor t ,bou must first notify the Rs,rnstable CAI ervation Diflsion at least one(1)wedk prior to beginning. r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones,Boulders. Consistency,%Gvel A' Spwoq u,21 "V ►oY.l2(0lg 2�= it C 40 IV' C gyp• � 2.5Y7/4 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color ;Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel) 27't 3T1 C ► 12s/� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistena. Gravel) DEEP OBSERVATION HOLE LOG Hole# N Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. t Flood Insurance Rate May: Above 500 year flood boundary No_ Yes 21. Within 500 year boundary No X Yes Within 100 year flood boundary No x Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? ,._____. Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the requir tr ' in xpertise and experience described in 3.10 CMR 15.017. Signature Dated 16 .............,..........-r.....new, SHEry own of Barnstable Barnstable Board of Health 4 BA ABLE, 9 Muss• �, 200 Main Street, Hyannis MA 02601 1 039. AlfO MAC b 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi June 22, 2009 Mr. Bruce Dion 692 Wakeby Road Marstons Mills, MA 02648 Dear Mr. Dion: You are granted an extension of the repair deadline until October 1, 2009 to replace your failed onsite sewage disposal system component(s) located at 692 Wakeby Road, Marstons Mills. The septic system originally failed during an inspection conducted by Robert, Bortolotti on August 1, 2006. The Distribution Box is 2'6" to grade and full at the time of inspection according to Mr. Bortolotti's report. The extension of the repair deadline is granted with the following condition: the system will be checked and will be regularly pumped as needed. If the system is.. not repaired by the October 2009, you must appear before the Board of Health at the October 13, 2009, meeting. The Board is of the opinion that the only resolution to this problem is to replace the failed septic component. An extension is granted until October 2009 to complete the work. Financial assistance is available through the Town's homeowner septic loan program, administered by Mr. Kendall Ayers. His telephone number is (508) 375-6610. Sinc ely yours, Wa ne Mi er, M. , Chairman Board of ealth Q:\WPFILES\SepticRepairExt 692 WakebyRd 2009.doc Town of Barnstable Barnstable " a Regulatory Services Department ADMed eaCft HAFtN$TABI:E. Y 16jq. Public Health Division 63g 1�� m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO May 8, 2009 f�c7� O p O Bruce Dion 692 Wakeby Road Marstons Millls, MA 02648 Re: 692 Wakeby Road You are scheduled to appear before the Board of Health at their public meeting scheduled on June 16, 2009 at 3:00, to show-cause why your property or dwelling should not be condemned to continued use of a failed septic system. According to our records, your septic system failed on August 1, 2006 and you were notified by certified mail to repair or replace your failed septic system on 8/29/06, 10/4/06, and 2/23/09. However, to date, the system has not been repaired or replaced. The purpose of the hearing is to provide you the opportunity to provide testimony, documentary evidence, and/or witnesses pertaining to the repair or replacement of your septic system. The meeting will be held on June 16, 2009 at 3:00 PM at the Town Hall, 367Main Street, Hyannis in the second floor conference room. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health I `' -\ OOMNIONTVVEA.LTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS. �>1 DEPARTMENT:OF.ENVIRONMENTAL`PROTEGTIO�T cl a� . TITLE 5 OFFICIAL. INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A` CERTIFICATION Property Address: 0. //¢ /Ql Owner's Owner's Address: b9, Date of Inspection; h ,_4. , 1� Name of Inspectgr_ (p;Qase pr'nt) Company Name Mailing Address: { (',� o::& Telephone Number- CERTIFICATION STATEMENT } 1.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 basedcon 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 Needs Further Evaluation by the.Local Approving Aut ority Fails Inspector's Sigftafure: : -- ._-. Date: c two The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or PEP)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. Notes and Comments ****This This report only describes.conditions at the time of inspection.and under.the conditions of use at that time...This inspection does not address:`how the system will.perform in the future-under the same or different conditions of use. Title-5 Inspection Form 6/15/2000 page 1 - t r Page 2 of I I OFFICIAL INSPECTION-FORiYI-:NOT FOR YOLUNI'AIZY ASSESSMENTS SUBSURFACE SEWA.GE'DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property.Address: Owner: Date of Inspection' .-,2 �.Oo6 inspection'Summary: Check A,B,C,D orE./AL.WAYS complete all of Section.D A. System Passes: I have-not found any inforrnation which.indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria.not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components.as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair;as approved by the Board of Health;will pass. Answer yes,no.or not determined(Y,N,ND).in the for the following statements. If"not determined"please explain. The septic.tank is metal'and over 2.O.years.old* or the septic tank(whether meta] 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 tarik as approved by the Board of Health. *A metal septic tank will pass.inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. . ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a.broken;settled or uneven distribution box. System will pass inspection if(with approval'of Board ofHealth): broken pipe(s)are replaced obstruction is removed distribution..box is leveled or replaced. ND explain: The system required pumping more than:4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s),are replaced obstruction;is removed ND ex p]ain: Paee 3 of 11 OFFICIAL INSPECTION FORM -.NOT FOR VOLUNTARY ASSESSMENTS SUBSURYACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART'A CERTIFICATIONv (continued) Property Address: (0 Owner: c c� dt13�✓ Date of inspection / °>t�.J � �"(` ia 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 i system is not functioning in a manner which will.protect public health,safety and the environment. _ Cesspool or F.rivy is within 50 feet of a surface water _ Cesspool or p-rivy 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).determmines 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 aSurface water:supply: The system has aseptic tank and SAS and the SAS is within a Zone i of a public water supply. The system has aseptic 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 aDEP 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 p'pm,provided that no other failure criteria are triggered:A copy of the analysis must be attached to this form. 3. Other: 1 " .3. J - , Paoe 4 of I t . OFFICIAL, FORM` NOT FOR VOLUNTARY ARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEIM INSPECTION FORM PART A CERTIFICATION(continued): t 9 Property �. Address: z� I r Own er: Date of Inspection: . &p_' D: System Failure Criteria applicable to all systems: You must indicate" es" or"no"to each-of the following oral_inspections:y f 1 m� ections: P Yes No Backup of sewage into facility or system component due to.overloaded or c1b2-Qd SAS or cesspool -it to.the surface of the ground or surface waters due to an overloaded or Discharge or ponding of efflue clogged SAS or cesspool _ Static liquid I'evelin the distribution box above.outlet invert due to an overloaded or clogged SAS or cesspool ,f Liquid depth in cesspool is less.than 6°' below invert or available volume is less than %day flow Required pumping more than 4 times in.the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the.SAS,cesspool or privy'is below high ground water elevation. Anyportion of cesspool or privy is within 100:feet of a surface.water supply or tributary to a.surface water supply.] . Any portion of.a cesspool.or.privy is within a Zone 1 of a public well. _ >Any portion of a cesspool or privy is within 50 feet of a.private water supply.well; Any portion of:a cesspool or privy is:less than 100 feet but greater than.50 feet.from a private water supply well with no acceptable water quality analysis..[This system passes if the well water analysis, performed at..a DEP certified laboratory, for coliform bacteria andvolatile 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 CIV1R 15.303,therefore the system fails..The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large:Systems: To be considered a large system the system must serve a,facility with a design flow of 10,000 gpd to 15,000 gPd You must indicate either"yes" or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200.feet.of a tributary-to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone Il 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 ih,,accordance with 310 CMR 15.304.The system owner.should contact the appropriate regional office of the Department. I Page 5 of I OFFICIAL FORM-NOT FOR:VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE'DTSPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: own Date of Inspection: Je,�_ C Check if the followine have been done.You..must indicate"yes"or"no" as to each of the folio win2t Yes. No Pumping,information was.provided by the owner,occupant, or Board of Health Were anv 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 f Was the site inspected for signs of break out? y 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 l✓ _ 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 / 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 unacceptable)is [310 CMR 15.302(3)(b)] Page 6 of l l_ OFFICIAL INSPECTION FORM—NOT`FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM IN FORM PART.C SYSTEM.-INFORMATIOIN Property Address t (� r Owner: Dateof Inspection: FLOW CONDITIONS RESIDENTIAL .� Number,of bedrooms desiQ. DE ( cn). 1`'umber of bedrooms(actual),: SIGN flow:based on;310 CMR 15.203 (for example: 11.6 apd x 9 of bedrooms): (, Number of current residents:. r Does residence have a garbage�ri.ider(yes or no): .r'-" Is laundry:on al separate sewage system (yes or no)> .[if yes separate inspection required] Laundry system inspected(y�e�`.or no): ) Seasonal use: (:yes or no; : LVO Water meter readings, if available (last 2 years usage(gpd)): Sump.pump (yes or no): A/ Last date of occupancy:. UF ,_ ff COMMERCIAL/INDUSTRIAL. , .9 tJ Type of establishment:. Design flow(based on 310 CMR 15.203): Cr Basis ofdesiQn flow(seats/persons/sgft,etc,):. Grease trap present(yes;or.no): Industrial.waste holdings tank present(yes or no): Non-sanitary waste discharged to the Title 5 system (yes or no):— Water meter readings; if available: Last date of occupancy/use: i . OTHER(describe): GENERAL INFORMATION Pumping Records ..., Source of information: r a � l Was system pumped as part of the.inspection(yes or no): 'V* If yes, volume pumped: gallons --.Hew was quantity pumped determined?_ Reason for pumping: T'E/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 an _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): t1oximate age of all components, date installe (if own)an source of information: Were sewage odors.-detected when arriving at the site(yes or no): /V 6 r PaLye 7 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM,INSPECTION FORM PART C' SYSTEM-INFORMATION(continued) Property Address: Owner Date of.Inspection:(,i�,6., ' ,� ✓, xz(, BUILDING SEWER(locate on site plan),A Depth below grade: Materials of construction: cast iron 40 PVC_other(explain): Distance from private water supply well or.suction line: Comments(on condition of joints, venting;evidence of leakage, etc.): SEPTIC TANK:-Xcate on site plan) /p Depth below grade: Material ofconstruction:. i ncrete_metal_fiberglass Polyethylene —other(explain) If tank is metal list age:_ .Is age confirmed by a Certificate of Compliance (yes or no)`._(attach..a copy of certificate) y . r Dimensions: P 617 , Sludge depth: l/ Distance from top of sludge to bottom of outlet tee or.baffle: Scum thickness: 1� Distance from top of scum to top of outlet tee or baffle- 2, o�. Distance from bottom of scum to bottom of outlet tee oor baffle: IZ- How were dimensions.determined: ,2 �,�, Comments(on pumping recommen''ations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as.related to outlet invert, evidence of leakage, etc.): Lagt °— °• 1 J`:% ' l( � � / /°d, j JET! (lP GREASE TRAP! , locate on site' lan`" t ` Depth below grade:_ Material.of construction:_concrete_metal fiberglass_polyethylene_other (explain): — Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffler Distance from bottom of scum to bottom of outlet tee or baffle: Date oflast.pumpine; Comments (on pumping recommendations; inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 7 __ i Page 8 of I OFFICIAL.INSPECTION..FOR :-NO'I FORYOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL. SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION(continued); Property Address: r Owner: �.f31. Date of Inspection: >q;. A r . TIGHT or HOLDING TANK (tank must be pumped at time of inspection)(loc.ate on.site plan) Depth,below grade: Material of construction: concrete metal fiberglass=polyetfiylene other(explain):. Dimensions:` Capacity: gallons Design Flow: gallons/day„ Alarm present.(yes or no):. Alarm level• Alarm in working order(yes or no): Date..of last pumping: Comments (condition of alarm and float switches;etc.): DISTRIBUTION BOX:'—V/(if present must-be opened)(locate on site.plan) Depth of liquid.level above outlet invert:' t- V Comments note,if box is.level and distribtl�to outlets equal,,.an.. evidence of solids carryover, any evidence of ( q � Y -1 kaQe into or out qf box etc.) /I J' PUMP CHAMBER::(locate on site.plan): Pumps in working.order(yes or no): Alarms in working order(yes or no):. Comments(note condition of pump chamber, condition of pumps and appurtenances; etc.): ;i Page 9 of 1 I OFFICIAL INSPECTION FORM.—NOT.FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL'.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1� a Owner: Date of Inspection: SOIL ABSORPTION SYSTEM (SAS): L�, (locate on site plan, excavation not required) If SAS not located explain why: Type,.-, _ i./leachin-pits,number: leaching chambers, number: leaching.galleries,number: leaching trenches, number, length:. leaching fields,number, dimensions: overflow cesspool;number: __.innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil,!,condition of vegetation, etc. A V AV), 01AA CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth'—top of liquid to inlet invert: Depth of solids laver: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of.groundwater inflow(yes or no): . Comments (note condition of soil, signs of hydraulic failure,.level of ponding, condition of vegetation, etc): PRIVY: (locate on site plan) Materials of constnuction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 1 9 Page 10 of 1.1: OFFICIAL INSPECTION FOR: NOT FOR YOLII-i ARY ASSESSMENTS SUBSURFACE SEWAGE ]DISPOSAL SYSTEM INSPECTION FORM PART SYSTEl2INFORMATION(continued) Property Address:('09,9, z .. ,, Owner: , Zr Date of Inspection: ? 'ag./J 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 supplyenters.the building. c?,! GC.l 000 1 ' ► ku I. I_U r Page. 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART C SYSTEM INFOR1fIATION (continued) Property Address: (r vo. "AeILI J Owner: Date of Inspection: . %+ SITE EXAM] Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: 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: You must describe how you established the high ground water elevation: Glib® � f�� . �. ✓� 11 • : Permit Number: Date: Completed by: "HIGH GROUND-WATER LEVEL COMPUTATION / n Site:Location: �� c��/� �� / �` A Lot No. Owner: Address: -----:_:_,_:........ Contractor: Address: � ✓� � �'%mod _ y Notes: _ _. ._�.._...-----, � ...r STEP 1 Measure depth to water table . to nearest 1!10 ft. ....:..........:.........................:.:::;.............:............:..... .Date U�/j l✓`J c month%day/year STEP 2 Using Water-Level Range Zone:. and Index Well Map Locate site and determine O.Appropriate ridex well .....A ... OB Water level range zone .......... STEP 3 Using monthly report 'Current Water ResourcerCon`ditions -:determine`corrent depthlfto �water.leusl for index yueli . " _...... .... month/year STEP 4 Using Table;of;Waler4evel-Adjustments for index:v✓ell-_(STEP-.-2A),:current-depth 'to water-level.for index=svell;(STEP 3), and water level zone (STEP26). determine.water-.level..adlustment .................:...........................................:.........:.....:............ STEP 5 Estimate depth.to high water by subtracting the water> level adjustment (STEP 4) from measured depth:to water �5• level at site (STEP 1) ............................................ Figure 13:7Reproducible computation form. I 15 ofs�r� Town of Barnstable Barnstable DARNRegulatory Services DepartmentM-A 'mIcaM 8 if MASS. Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 ThomasrA.McKean,CHO 02/23/09 Mr. Bruce Dion � -- 692 Wakeby Road Marstons Mills, MA 02648 p FINAL ORDER ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic stem located at 692 Wakeb 1st� p y y Road was last inspected on August 1 2006, by Robert J. Bortolotti, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Leaching pit was full at time of inspection You were given two years to repair your system. The deadline for repair has past. We, The Department of the Board of Health, have not been informed that you have taken any steps to bring your failed system into compliance. Therefore, you are ordered to repair or replace the septic system within 60 days from the date you receive this notification. You may request a hearing before the Board of Health, a written petition requesting a hearing on the matter, within seven(7) days after the day this order was received. Failure to repair/replace the septic system within the deadline period will result in future . enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health C:\Documents and Settings\malkusk\Desktop\692 Waksby.doc Town of Barnstable �FtHE Tp Regulatory Services Thomas F. Geiler,Director Public Health Division tED NIA' . Thomas McKean, Director 200 Main Street,.Hyannis, MA 02601 Office: 508-862-4644. r Fax:. 508-790-6304 October.4, 2006 Mr.Bruce-Dion 692 Wakeby Road Marston Mills,.MA 02648. SECOND NOTICE ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located at 692 Wakeby Road, Marstons Mills,MA was last inspected August I't 2006.by,.Robert J. Bortolotti,.a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system"Failed"under the guidelines of 1995 TITLE.5 (310 CMR 15.00) due to the following:. Leaching pit was full at time of inspection. You have 2 years from the date of the system-failure.to bring the system into compliance... If there are any questions about this reminder, please feel free to contact the.Barnstable Health Department. BARNSTABLE HE TH DEPARTMENT omas.A..McKean,.R.S., C.H.O. Agent of the.Board of Health Town of Barnstable { F THE t Regulatory Services aFrnB Thomas F. Geiler,Director M 9.p � Public Health Division D MA Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 j Office: 508-862-4644 Fax: 508-790-6304 August 29, 2006 Mr Bruce Dion 692 Wakeby Road Marstons Mills,MA 02648. ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 692 Wakeby Road,Marstons Mills,MA,was last inspected On August 1" 2006 by Robert J. Bortolotti, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to.the following: Leaching pit was full at time of inspection. You have 2 years from the date of the of the system failure to bring the system in to compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEAL H DEPARTMENT A. McKean,R.S., O. Agent of the Board of Health �.✓JI ��f���-. +. �{.>iJ s.L .t.l.�:J� ( ; .. ST .. � c. _ P - i !!7".31. �. �.�4; Cr:f: ���7T.(J G:1C"s"sl:.` et5� +:rz:`: tS e' ,'< .'' 5 i� ? < i?r,r; oa �aigcmjca oL 1662 J JJI-E 2 (3 i o r'T?.Tjf 0 f;:lf. [0 ;i'= toil0rnJrl5::: .l P Er co r-q It 7 ss, r-q , Irr o Postage $ .ti 0260,, 0 Certified Fee z , Postm Retum Receipt Fee Q' C3 (Endomement Required) Q �� C3 R ad p Olive (E Fee ndorse ent Required) / r=1 r-9 Total Postage&Fees Ln Sent T 7. N oirear,apr"riio.;G 9a (,Ja e b ---- Box No. City State.ZIP+4 hi a� ` � )0,A.4,9 M 14 QAZ,f Qr Certified Mail Provides: (es�anay)ZOOZeun�a'008£wjod sd e A mailing receipt e A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. o Certified Mail is not available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". e If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access.to delivery information is not available on mail addressed to APOs and FPOs. ADDRESS, .. Town of Barnstable ses q Public Health Division Q91P cF iow-Main Street 16 CFO Mn�" a Hyannis, MA 02601 7 ®RTNEY 60WE5 02 1A $ 04.640 0004606238 AUG29 2006 7005 1160 0000 0191 1789 MAILED FROM ZIP CODE 02601 'Mr. Bruce Dion 692 Wakeby Road Marstons Mills, MA 02648 Nx)( E 029 1 €7..2 01al2'7j 08 1 UNC RETURN TO SENDER UNCLAIMED UNAIDLE TO F'OF'i'Iw3AFi D CC: 0260,1400200 *0969-0529S-03-01A "Ca46b 1l1,IDUIDI111,IlII))I,Iil,I„III,,IIIII,;,hlll,I,►1„I,11L1 COMPLETEFagg JE'. risk •N COMPLETE THIS SECTIONON DELIVERY I` \ 1 ■ Complete items 1,"2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent m Print your name and address on the reverse X ❑Addressee "} so that we can return the card to you.■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery , or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Mr Bri c—&&on 692 Wakeby road Marstons Mills, MA 02648 s. service Type ❑Certified Mail ❑ Express Mail { ❑ Registered ❑ Return Receipt for Merchandise 1 ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2 Article Number i 7005 1160 0000 0191 1789 ;.. .. I (Transfer from service label) _-- I PS Form 3811, February 2004 Domestic Return Receipt 102595 o2-M-154o ' +"W Town of Barnstable �FIME::r, do Regulatory Services swiivsrase Thomas F..Geiler, Director. ArED.�-A Public. Health Division Thomas.McKean,Director 200 Main Street,.Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 29,.2006 Mr Bruce Dion 692 Wakeby Road Marston Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 692.Wakeby Road,Marstons.Mills,MA,was last inspected On August 1st 2006 by Robert J. Bortolotti, a certified septic inspector for the.State of Massachusetts. The inspection of your septic.system showed that your system has "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Leaching pit was.full at time of inspection. You have 2 years from the.date of the of the system failure to bring the.system in to compliance. If there are any questions about this reminder,.please feel free to contact the Barnstable Health Department.. BARNSTABLE HEAL H DEPARTMENT A. McKean,R.S.,. Agent of the Board of Health I i e Complete items 1,2,and 3.Also complete A Sign ure/ item 4 if Restricted Delivery is desired. X '1 �^i�� Agent H Print your name and address on the reverse ,' �V. ddressee so that we can return the card to you. B. R el d by(Printed Nariae)Gj C. Dall of elivery { ■ Attach this card to the back of the mailpiece, jr or on the front if space permits. D. Is delivery address difteieAt from Item ,Yes 1. Article Addressed to: If YES,.enterdelivery Address below: N0 ,1/— ULe ►/1 � D9 sr ,c� tyEl Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7008 1830 0002 0500 8338 j (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 s - - m MIt 15 <, - nsx'� O L l Postage $ Certified Fee OF70f � �p Return Receipt Fee(Endorsement Required)Restricted Delivery Fee(Endorsement Required)mTotal Postage&Fees r� Sent'Ce CO1 U,0 -ED �� 0 Street,Apt.No.; r ,1a'/ � � �I or PO Box No. �/lJ �( (----- ------- ----------------------------- City State,ZIP+ o f ' nl I l a n /� OZ n (,j L;0 CAT ION SEWAGE PERMIT NO. vU,LLACIr � � ���_ �� � 111 ems Oh'S � �L/- 5 INSTALLER'S NAME i ADDRESS S7Clt , tr, Ao 0.431i B U I L D E R OR OWNER DATE PERMIT ISSUED ()3 DATE COMPLIANCE ISSUED � ,�ki5 l aSi .6z I • t r No.. Fmc................`: THE COMMONWEALTH OF MASSACHUSETTS T . BOAR® �F HEALTH M�o 6dy,g)_./. ®/w&✓...-----....OF.......... TAN T 3T. 0�=------..---------... Appliratilan for 11itipatial Workg Tongtrnrtinn ramit Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal System at: �q�.... s,&`l.........I...P.........../f.. ....... ....................... .................................................. Location_Address l or o. Y, Owne Addres 10 Address Type of Building Size Lot_..45.2; _la__a__..Sq. feet U Dwelling—No. of Bedrooms.............-3................ _Expansion Attic ( ) Garbage Grinder ( ) '44 4 Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ................................. ------------------------- �3 J• O W Design Flow............../l_Q.....................gallons per pepsen per day. Total daily flow................_...........................gallons. WSeptic Tank—Liquid c city......_.....gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench— ........... ................. Width..... Total Length.____.__.___._;._.__ Total leaching area.._.....____..__..._sq. ft. Seepage Pit No.__....._...._..__.. Diameter.._..d......... Depth below inlet.......6......... Total leaching area.....2.6-2sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by._.7........ .rz.Gj(r__ _Y............................. Date_. ......... a Test Pit No. 1---4-1-_._.minutes per inch Depth of Test Pit-----4 4�.._ Depth to ground water----------------------- --__.. fi Test Pit No. 2.-_ee Z...minutes per inch Depth of Test Pit____ Depth to ground water........................ a ------•......................•-•---•• ----- ------------------.......•--•--...--••- O Descri tion of Soil. z ..`"_.. 1� GQ�Q o....�--•. -ClIs SQL c>------ 1 x /.S<1 � o U . --• ----- -• ...tea :�-----� `a ----- =--- -Inre ... .............. ---- UNature of Repairs or Alterations—Answer when applicable_."........................................................................:................... .....................................----------•----------•------------------••----•-••----•......---•-•-•••-•---•-----•-------•-••-••---•-•-••--------------•. -----•---•- .......................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI,% 5 of the State Sanitary Code— The undersigned further ee �them in operation until a Certificate of Compliance has bee issue thebo ie It . Signed-- ----------- ----•- -------------•-•-••--••••• 1.-.._ Date ApplicationApproved BY ---------•-----•-•-••----------------------------------••---•------------...--•--- --•--...`1-11.$s------------- Date Application Disapproved for the following reasons---------------------------------------------------------------••--------------------------------......._---•---- ....-••--•-•-•-•-••••----••••-••••-•-•••••••-••••-•-•--•----••••-•-•••-••-•••-•.......•--•••••--•.....•-----------•----••-----•-••............•-••-------------•---------•-------... ......------•--- Date PermitNo......................................................... Issued......................................................... , pp., r ✓ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH G/­/.,r.-----------OF..........1 / 1?n/. S T� I .�.t ................... Appliratiun for Disposal Works Tuntrnrtiun Prrmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at / J. ........ !_..!.. G!! ...�..1...----- ==' l -•�- caner VAUs/A W ................... Installer Address d Type of Building Size Lot_I6. ,.2Z­.2._._Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ................................. ----------------- W Design Flow.............1�2------------..-.-.-__gallons per per-son per day. Total daily flow............................................gallons. W,. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ „x Disposal Trench—No..................... Width.... -------------- Total Length.....................Total leaching area.................... ft. Seepage Pit No........./-____-___- Diameter..../.f-__.__-.--- Depth below inlet................ Total leaching area.....Z7.6_2sq. ft. Z Other Distribution box ( ) Dosing tank ~' Percolation Test Results Per b 7......._ .l L..l_�:t.............................. Date_... ?' Y .� - -- aTest Pit No. 1..4.�.._.minutes per inch Depth of Test Pit...../.�.��`... Depth to ground water........................ f= Test Pit No. 2---fz�.........minutes per inch Depth of Test Pit.... ----- Depth to ground water........-............ ---------------------------------------•--•-----------------------------------------------•-7------•--------------------------------•---------------•----- � 1 Des tion of Sotl. ` ... -. .......... / r, f_o ............ �= �' r.....`f O Z x ----------------------- '---a� � --------•----- : UNature Repairs> or Alterations Answer when applicable ................ ...................... ...... .... .....................................-----•-•----------•-•--------•--------------------•---•------•--•---------•-----------------------------.._.....------------------•----------------------------•------------------•----••-----•......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT12 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i ue the bo r lth. - �� Signed-- -- ................................ Date Application Approved ''7� --•--•--•--------------------------- �te Application Disapproved for the following reasons--------------------------------------------------------•------•-----------------------------••----------••-•••- ....-----•-------------------------••-----------------------------------•-•---------•--•----•------------......---------...-----••----------•------------------------------------------................ Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............................I..........OF..................................................................................... Trrtifiratr of Totnplinnrr i THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed�('q—) or Repaired ( ) bY-----....--..--•------------------••f•-------------•--•-•--------------•---------•--•-----------•--•---•-----•-----••--•-•--------------.------•-•-•-------------------•------------- Installer has been installed in accordance with the provisions of TITLES 5 of The State Sanitary Cod as described in the application for Disposal Works Construction Permit No------_-.�.._ .... `z ........ dated_._ _ ---? !...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRUE® AS A GUARANTEE THAT THE SYSTEM WILL fUNCtTION SATISFACTORY. S.......................... Inspector......... •. •�------............................................ DATE............ 3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... �+ �� ...........................................OF..................................................................................... No ........... FEE........................ Disposal Works %Tunstrnrtion Vvrrmit Permission is hereby granted... fir.__. . to Cons �ructN. or Re air ( ).,,,,an Individual Sewage Disposal System at No. U \e,1 .....t"=S'................... Street as shown on the application for Disposal Works Construction Permit ..._..... D'ated-z_,/,T 5g;..'� -------------------- " ---•----------•-------------•---.---- 1�! � Board of Health DATE. -C--------••---------------------------------------••-- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 'r f 2 37.08 ------ ----T—— --- -- -— LEGEND eo PROPOSED CONTOUR WELL �� y� �.� ® PROPOSED SPOT GRADE c �.•\— 98 —— EXISTING CONTOUR (No ten p)Leaching / �.+\96.52 EXISTING SPOT GRADE SITE W.--- EXISTING WATER SERVICE L °\\ TEST PIT WAKEBY ROAD NO GAS SERVICE/ ON PROPERTY s%� �0� b LOCUS MAP N.T.S. G�E�IERAL NOTES: �- ,°,' vacs �, 7 •'• \ a ���° ���� .,y S9,, 1. ALL CHANGES\TO THIS PLAN MUST BE APPROVED BY THE LOCAL 5�. A J�� _ } _ °c\ x BOARD OF HEALTK,AND THE DESIGN ENGINEER.y�P. i �� i Asa " 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMIWAL CODE, TITLE V. AND ANY APPLICABLE LOCAL RULES AND REGULATtQNS. EXCEPT AS REQUESTED BELOW: �� i r — 310 CMR 15.405 (1) O (B):�•� i� i / I 1) A 0.21 FT. VARIANCE FROM 3W.MR15.221(7) TO ALLOW LEACHING TO BE �� 3.21 FT BELOW GRADE VS REQ'6'3,FT. (H20/VENT PROVIDED) 3. THE SEWAGE DISPOSAL SYSTEM SHALT NOT BE BACKFILLED PRIOR TO INSPE TION A.D APPROVAL BY THE'kOARD OF HEALTH AND THE vim' ♦ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE N - R P T 1 4 t4 rt FROA, l < `v rr d0 ENGINEER 8E OREWCONSTRUCTIO CONTINUES. OMiNUES0iM�0 0 THE DESIGN 1 1 < wELL , / / BENCH MAR 1 / / O PAINT SPOT ON STEP )E 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 1 1 , If Q �� / ELEVATION = 98-3'7 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE\kJ URE OF i ? BARNSTABLE GIs DATUM THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOAR ,OF 1 / o HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. T / i / 1 7. WATER SUPPLY PROVIDED BY PRIVATE WELL / I 8. RSTORED O AREAS OITIONUAGREEDUUIPON B NEDKEN-ONNE�-R ANtD�CONTRACTOR. 9. IT SHALL BE O THE_-RESPBNSISILITY OF THE CONTRACTOR TO VERIFY THE LQCAT:IO -OF ALL UNDERGROUND UTILITIES, PRIOR TO 1 i ��' i I / BEGII`INING CONSTRUCTION. 1 j �i�,�\�E►�P��� 9 �� _ - 10. EXISTING LEACH PIT TO BE PUMPED. CRUSHED AND REMOVED. REPLACE WITH CLEAN MEDIUM SAND. 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 14. NO WETLANDS WITHIN 150' OF PROPOSED LEACHING. 15. ALL PIPING TO BE 4- SCH 40 ® 1/8-/FT (UNLESS SPECIFIED) OF 16. PROPERTY IS WITHIN A NITROGEN SENSITIVE AREA/ZONE ii. LOT.'101 o D R E M r„ PROPOSED SEPTIC SYSTEM UPGRADE PLAN. DEED BOOAC101? 0 H DEmPAGE AGE0 011 No. I14 692 WAKEBY ROAD, MARSTONS MILLS, MA Prepared for: Ron's Excavating NITAR� SURVEY REFERENCE: p� Engineering by: Surveying by: SCALE DRAWN DATE: La DARRENM.MEYER R.S. Boo-7Wab A}iv&anmenW 1-_30' DMM 09/16/09 SITE AND SEWAGE PLAN: EDWARD E. KELLEY, RLS Z3 PBA� ' (508) 364-0894 REV. GATE: CHECKED SHEET N0. DATED: SEPTEMBER 24, 1973 508,982-2922 09/23/09 DMM 1 Of 2� I 43 NOTE: TO PREVENT BREAKOUT. THE PROPOSED DESIGN CRITERIA NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL•94.29 FOR A DISTANCE OF 15' AROUND THE NUMBER OF BEDROOMS: 3 BEDROOM DESIGN (PROP IS IN NITROGEN SENS. AREA (private well)) 1 PERIMETER OF THE S.A.S. SOIL TEXTURAL CLASS: CLASS I SEPTIC TANK PROPOSED D-80X PROPOSED S.A.S. DESIGN PERCOLATION RATE: <2 MIN/IN T.O.F. EL.=99.34 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER DAILY FLOW: 110 G.P.D./BR OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. DESIGN FLOW: 330 G.P.D. F.G. EL.=99.Ot F.G. EL=98.0t F.G. EL: 97.5t EL 97.5t VENT GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) PROPOSED SEPTIC TANK: USE EXISTING 1.000 GALLON CAPACITY LEACHING AREA REQUIRED: (330) - 445.94 S.F. .74 L - 10'"t 9" MIN COVER/ ! L �. L 10'(M{�ff� INSTALL TWO INSPECTION PORTS (MIN.) DISTRIBUTION BOX: 5 OUTLETS (MINIMUM) O S-1R (MIN.) 38" MAX COMER m X (MMIIN..) O"S-1 (PVC) PRIMARY SAS. 4"SCH40 PVC USE 4 ROWS OF 4 - 11" ADS BIODIFFUSER H-20 UNITS-NOSTONE 10' 14 6.35" TO BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.70 SF/LF OF SIODUFUSER) INV.= 95.76 48"UGM INV.= 95.51 INVERT (BIODIFFUSERS) 16 UNITS x 6.25 LF x 4.70 SF/L` - 470 SF j LEVE1 PROPOSED INV.=94.80 DESIGN FLOW PROVIDED: 0.74GPO/SF(470:0 SF) - 347.60 GPO > 330 GPD req'd GAS BAFTU D-80X 4 ROWS OF 4 UNITS AT 6.25,UNIT - 25'/ROW � AA A INV.=95.0 DB-5(H_10) INV.= 93.90 SOIL ABSORPTION SYSTEM (PROFILE) EXISTING 1.000 GALLON SEPTIC TANK RESTORE VEGETATIVE COVER EXISTING SEWER OUTLET BACKFILL WITH CLEAN PERC SAND 75" I TO TOP OF CHAMBERS �- NOTES: 1 CONTRACTOR SHALL VERIFY ALL EXISTING °': =: :. "' PLACE FILTER FABRIC PIPE INVERTS PRIOR TO CONSTRUCTION BREAKOUT=TOP ELEV.=94.29 OVER ALL UNITS 2) D-BOX SHALL BE SET LEVEL AND TRUE TO INV. ELEV.- 93.90 • ' GRADE ON A MECHANICALL COMPACTED SIX BOTTOM ELEV.= 93.37 INCH CRUSHED STONE BASE, AS SPECIFIED IN EXISTING SUITABLE 310 CMR 15.221(2) 2.83' MATERIAL 3) REPLACE EXISTING 1,000 GALLON SEPTIC 5' MIN. ABOVE BOTTOM OF EFFECT. WIDTH = 4 x 2.83' = 11.32' r' 76" _I TANK WITH 1500 GALLON SEPTIC TANK T.P. EXCAVATION OR G.W. IF FAILED, DAMAGED, OR LESS THAN 1,000G IN CAPACITY. (7.07- PROVIDED) USE 4 ROWS OF 4-HIGH CAPACITY PROFILE BOTTOM OF TESTHOLE EL.=86.30 _ ADS BIODIFFUSER UNITS-NO STONE 4) INSTALL INLET & OUTLET TEES AS.REQUIRED j SEPTIC SYSTEM PROFILE I TYP CAL SECTION » - 11 N.T.S. KTA AW SOIL LOGS -i- --�- �---34" ►� Elev. TH-1 Depth Elev. TH-2 Depth SECTION END CAP 97.30 0" 97.50 0" OF I A SANDY LOAM A SANDY LOAM 11"" HIGH CAPACITY (H-20) BIODIFFUSER UNIT 7 10YR 3 2 96.80 B / 6" 96.92 a 10YR 3/2 • m Dl� E M. ys SANDY LOAM SANDY LOAM �Y R` MODEL 11" HICAP 10YR 6/8 10YR 6/8 -No. 1140 "' LENGTH 76" 95.05 27" 95.25 27" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT C1 LOAMY C1 LOAMY EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY S DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. SAND SAND S NITAItV SIDE WALL HEIGHT 6.35" OVERALL HEIGHT 11" 93.97 C2 10YR 5/8 40. 94.25 C2 10YR 5/8 39" OVERALL WIDTH 34" 464 ARD UOM/O 430 6 MEDIUM MEDIUM 2-3(� 9.91 CF • SAND cub PERC O 92.30 SAND CAPACITY (68.4 GAL) ADYANM DRAINAGE SYSTEMS, INC. 2.5 Y 7/4 25 Y 7/4 PROPOSED SEPTIC SYSTEM SITE PLAN 86.30 132" 86.50 132" 692 WAKEBY ROAD, MARSTONS MILLS, MA � , PERC RATE <2 MIN/IN. ("C1" HORIZON) Prepared for: Ron s Excavating NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN DATE [b4RRENM.MEYEFZ R.S. Boo-itch Rer1rommentel NTS D.M.M. 09/16/09 DATE: SEPTEIiABER 4, 2009 P#: 12690 • 1, Darren M. Meyer, R.S.. CSE. hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 po Box p8l (508) 364-0894 SOIL EVALUATOR: DARREN MEYER, R.S., CSE 161 4 to conduct Boil evaluations and that the above analysis has been perforrrrod cY me consists with the REV. DATE CHECKED requirements of 310 CMR 15.017. I further oertity that 1 have passed the Sod Evol. Exam in October, 1999. F1I3TSANDtt?CH,ATA02S37 . SHEET N0. ^I WITNESS: DONALD DESMARAIS BARNSTABLE BOH 506,V 09/23/09 D.M.M. 2 of 2 1� I 1 � � ! I I I --------- _____ ._. ,;,4 .,- ,�­l , I� I ­11!, - ��� -a,_:7-� �-%,--_-:,�-_, , _-:��' _. - � ,- -, , ___ -'­" '. �­` ,,� "l-"ti, ,�, , _ ­11'.�7_ . 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