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HomeMy WebLinkAbout0011 WHEELER ROAD - Health 11 WHEELER ROAD Mars to"n. s Mills (aka 875 Race Ln) A = 104- 005 - 002 A I i I I 4 005 - 000- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Wheeler Rd. Property Address m Sullivan r Owner's Name Q? Marstons Mills ✓ MA 02648 5/27/16 City/Town State Zip Code Date of Inspection — T' Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 City/Town State Zip Code 508.272.6433 Telephone 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 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 5/27/16 InspectoWsTdridtbre Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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. 11 Wheeler Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 �oG�Vs Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 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: Pumping suggested every 3 yrs to prolong the life of the system B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: 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 11 Wheeler Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 I r 4 Commonwealth of Massachusetts 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 11 Wheeler Rd. Property Address Sullivan Owners Name Marstons Mills MA 02648 5/27/16 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: 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: j n/a 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 16.303(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. 11 Wheeler Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria 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: n/a i 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 1/day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 11 Wheeler Rd•03f08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments GM , 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® 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 11 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. 11 Wheeler Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 Cityrrown 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 ❑ E 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? El E 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)] 11 Wheeler Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 Cityrrown State Zip Code Date of Inspection 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 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date Commercial industrial Flow Conditions: Type of Establishment: n/a 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: Last date of occupancy/use: Date Other(describe): n/a 11 Wheeler Rd-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: No pumping per owner 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): Approximate age of all components, date installed (if known)and source of information: 9/5/13 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No 11 Wheeler Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 12"tee" Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10'feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 6"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: 1500g Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle >12 Scum thickness trace-1/2" Distance from top of scum to top of outlet tee or baffle >2° Distance from bottom of scum to bottom of outlet tee or baffle >2.1 How were dimensions determined? Measured 11 Wheeler Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 Cityrrown 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.): Pumping suggested every 3 yrs to prolong the life of the system Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): n/a Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): n/a 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): n/a 11 Wheeler Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 CitylTown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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.): n/a *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box 2'6" below grade, cover raised to 12", very good condition Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 11 Wheeler Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , 11 Wheeler Rd. Property Address Sullivan Owners Name Marstons Mills MA 02648 5/27/16 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ 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.): Chambers are 3' below grade, they were video inspected and are damp at this time, no adverse conditions 11 Wheeler Rd•03/011 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): n/a 11 Wheeler Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 f' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 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. �1 `1_ a 3 t b 11 Wheeler Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 11 Wheeler Rd. Property Address Sullivan Owner's Name Marstons Mills MA 02648 5/27/16 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: >12 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: You must describe how you established the high ground water elevation: Per elevation of home 11 Wheeler Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 t. FROM :down cape engineering inc FAX NO. : 15083629880 Sep. 06 2013 10:00AM P1 17TVIL r Thomus F. GP41.1m, 0 KNSTATAR, A' Ileafth DbAsion Y. "I'hom"118 1Vj1oXre..aixD, TN'irectar ?,011 1K,0 N in Sfl-eet, r*-,11,y,,&nnk,,IKA.02601 Office, 509­81'62-�W i,ax- AU790-6304 Da6.A-. 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N0.46502 GIST SION (,A fix DtAlgiiar's Star-ip Uera) CITI.IRTIF CA PLEA81i,' TLETURN 6A.E T�..Mle CUNITIT E 'INUJ, '60T BE, i'689k;)) 0' H 7i.BUS FO."RWI tND A,1j;LDCF.U,T T.) ARE IR7 1,T V D BYHE -A R STABLE?UDLICI. fbMIS1015. THANK - -----.TOWN OF . STABLE LOCATION '75 �acc ( ,�7 . SEWAGE# Z�, - IS y VILLAGE ASSESSOR'S MAP.&PARCEL/o!j INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY _fS0 0 q� LEACHING FACILITY S Z slze (type) (size), NO. OF BEDROOMS OWNER PERMIT DATE: �I- Q I COMPLIANCE DATE: r . Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Feat g Facility�any wells exist an'°site or within 200 feet of leachvng facility) _ Edge of Wetland and Leaching Facility Feat - g tJ'(If any wetlands exist within 300 feet of_eachiing facility) Feet FURNISHED BY r _ b zdi Id TOWN OF BARNSTABLE LOCATION Al' v►c c L�. SEWAGE# 2 D 13 e I S H VILLAGE tfn, t+r');I I S ASSESSOR'S MAP&PARCEL JOY. S-2. INSTALLER'S NAME&PHONE NO. LI'l"?- OG 53 SEPTIC TANK CAPACITY 1S0 O 9a LEACHING FACILITY:(type) -;Dog SJ aA .,.5 (size) fig x NO.OF BEDROOMS OWNER PaU l ct PERMIT DATE: 30`13 COMPLIANCE DATE: q-5`1 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 Az- q3 0 A3• �- -/4 O® Tron4 No. t Fee THE COMMONWEALTH OF MASSA6IUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0[ppliLatlon for MIStloBal ;btndnon( Cl (Construction Permit Application for a t to C nstruct( ) Repa' ) Upgra ) Complete System ❑Individual Components Location Address or Lot o. 875 &' Owner's Name,Address,and Tel.No. 1 O q Assessor's Map/Pazcel �� PrJa -1- -2, D4Y/D 8ri+o C/77Lf/36 8^ �9 q Installer's Name,Address,lzrhd Tel.No. Designer's Name,Address nd Tel.No. 13 �xcciv2ttv/L �GaB-y77-D6s3 mown Came 9 . (508)342-V5Y Type of Building: Dwelling No.of Bedrooms �2 Lot Size 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 4 Number of sheets Revision Date Title Size of Septic Tank / 6 Od Type of S.A.S. Tc> Description of Soil 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 Board of Health. Signed Date y 2Q-13 Application Approved by ` Date Application Disapproved by Date for the following reasons Permit No. Date Issued 13 ------------------ ----------- - - - - -- - - - - / 5d Fee THE COMMONWEALTH OF MASSACHUSETTS Entejed in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF. BARNSTABLE, MASSACHUSETTS 2pplication for IstlOsaY: pBteltY (Construction Vermit Application fora it to C nstiiict( ) Repair(" ) Upgrad'e( )tV�Abindon( ) Complete System El Individual Components Location Address or Lot o. 6(,t 9CL 1Z0 `t a`'Owner's Name,Address,and Tel.No. � Assessor's Map/Parcel �, )O�/ [-!e/ 5 Z c�yr r� /� 1 U i Installer's Name,Address,and Tel.No. Designer's Name,Address,.and Tel.No. lit G 9X(nvattuiL SUS "i77 U653 _Do mI (n-p-c M - (5os ) 36-2- L15YI 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) a_;3 U gpd Design flow provided TK gpd Plan Date L� 9 l Number of sheets Revision Date 1 Title Size of Septic Tank ) 15 UU Type of S.A.S. 7C� Description of Soil - I f a >. �. Nature of Repairs or Alterations(Answer when applicable) I t " Date last inspected: Agreement: " z. 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. Sim Date j Application Approved by Date 1`�•t �3 r Application Disapproved by 1 Date i c for the following reasons Permit No. 'Po I ( Date Issued 3� -- -- ------ ----------------`------------ - ---•----- --------------------------- --------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS . h: `Certifirat>e of Compliance J THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed O Repaired( ) Upgraded( ) iAbandoned( )by.._­R EX \l r i I C) at 7 rS L.a C1 r- has been constructed in acc rdance L f? with the provisions of Title 5 and the for Disposal System Construction Permit No. D 3 15 dated 7 Installer ID ( Designer #bedrooms _ Approved desi n flow `) V} gpd ,i a c , The issuance of this permit shall not b t ed a a u antee that the system n d 'g d. Date Inspector m - a 3� - -` . - - - -- -------------- No - - -- _ ------- - - / /-, O1 I5 Fee / ISO THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem-Construction permit Permission is hereby granted to Construct( Repair( ) Upgrade( ) Abandon( ) 5 !�' f System located at �((( and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit.''" Date �'� '3(?— 1 3 Approved by4 ( . �J 4 r ¢� J 1 ° P'l ra MO 10V oos oo ),. 1� f 6 74- ^ 3(L3 33gc , f 4 t� (F� 1C a� t I a I 174.38 288' LOT F2 44,386t SF D (1,02 AC) n�-7--� N m \ D Z M, i N r*m ( m 78.4 z CONCRETE FNDN 7 TOP OF FNDN ELEV. = 100.1 1 �r,-aN ! I ` Dit ve t t 46:3ad! � L=119.30' WHEELER ROAD IPOUNDATION PLOT PLAN DCE #13-047 PREPARED EXCLUSIVELY FOR THE !PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 875 RACE LANE, 1VIARSTONS MILLS, MA SCALE : 1" = 40:' DATE : 6-26-2013 PREPARED FOR: REFERENCE MAP 104 PARCEL 5-2 DAVII �r DB 27394 PG 96 I HEREBY CERTIFY THAT THE STRUCTURE -pa SHOWN ON THIS PLAN IS LOCATED ON THE A. GROUND AS SHOWN HEREON. oozff 508-362508-362-9880 C [v?,7C v / f -�541 downoa xom civil engineers �jr - 2Ce- 2t0��j land surveyors ________________ ______ 939 Moln Street ( Rio 6A) YARMOUTHPORT MA 02675 DATE REG. LAND SURVEYOR TOWN OF BARNSTABLE D.P.W. r� r` P 104 # 85 ` �98 {J MAP 104 WHEELER ROAD .f # 29 MAP 11 r `MAP I #45 I basemaps.dgn 8/13/201.3 1"0:17:04 AM property lines shown on this Pisa are for assessing purposes only d do not mpressnt actual relationships to physical 0010Ctm ParcelEdit Page 1 of 1 f'YA' �•d.SF✓ r'+h+ nee�;.w....�.' �V�L+•'�: f!'V zi4j y..' � L u Y N iWT. Logged In As: Parcel �r,�� Tuesday,,August 13 2013 -Frank Schlegel Application Center Road Svstem Reports Road Svstem The record has been updated Parcel Detail Parcel ID: 1104005002 Sewer Acct: J T/R Fi r Update. Devel Lot: ILOT F2 ........... _ ..... _._. _.. .._... .._ _ --- .._, Owner: JBRIGSS, DANA S TR Co Owner: J%BRITO, DAVID TR Street: ISTONEBRIDGE REALTY TRUST City: JOSTERVILLE a State: MA Zip: 02655 --------------- Location: 11 1 WHEELER ROAD I' Village: Marstons Mills Road Inclex: F24-1 Pri Frontage: 0234 To set road,you can also enter road index and tab out of field. Secondary Road: IRACE LANE ¢' Sec Index: 1344 i Sec Frontage: 0186 j Visions Location: 875 RACE LANE Last Updated: 8/13/2013 10.22 38 Al_ r8 --------------- No. Bldgs: 0 Account No: 399125 1 03000459 Lot Size(acres): State Class: 1060 Year Added: 10 Fire Dist: 1" Deed Date: F5/1 5/719 9 4-1 Deed Ref; 9180/290 Land Value: 127700 iBldgs Value: i� Extra Featuresi 0 --------------- Condo Complex: Building: ; Unit: Update httn://issal2/i..ntranet/r)rondata/Parce]Edit.asnx?TD=6264 9/11/2011 I Town ®f Barnstable NAB MASS Department of Public Work 'y �. $pTE039. 382 Falmouth Road, Hyarmis MA 02601 http://www.iown.bamstable.ma.us Office' 508-790-6400 Daniel Santos,Director Fax; 508-790-6406 Roger Parsons,PE.Town Engineer SUBJECT': Numbering of Buildings Map No. 1 Q L Parcel No. S'• - Date A itt7 i3. act.9 Dear Property Owner, Notice is hereby given in accordance with the General Ordinances of the Town of Barnstable, Chapter I11, Article V, Numbering of Buildings, adopted March"3,1931, revised July 21,1994, public convenience and necessity requires the assignment of number I I for your property located on hA saner, STREET NAME VILLAGE; This number should be affixed to your building,so that it is visible from the street as outlined in Exhibit"E", Town of Barnstable Rules and Regulations for Numbering of Buildings. Please contact Mr. Frank Schlegel at the Engineering Division at(508) 7W6400 x-4942 and be prepared to.provide all telephone numbers at this location so that your E-911 account records can be confirmed when the correct building number is posted. Roger Parsons, P.E. Town Engineer encl. _411, T.O.B. Rules R Regs. Common Questions. Site Ma Map _ Assessors Change Form Message Page 1 of 1 Wallington, Ellen From: Crocker, Sharon Sent: Tuesday, August 13, 2013 11:30 AM To: Wadlington, Ellen; Parvin, Lindsay Subject: FW: Address change for Map 104 Parcel 005.002, Formerly#875 Race Lane, Marstons Mills FYI, Judith is revising the paperwork/file/and as-built for us. Thanks -----Original Message----- From: Schlegel, Frank Sent: Tuesday, August 13, 2013 10:43 AM To: Barrows, Debi Cc: Heath DeptMa il box; 'MacNeely, Martin' Subject: Address change for Map 104 Parcel 005.002, Formerly #875 Race Lane, Marstons Mills He Debi, The owner came in and indicated his new house is facing and taking access off Wheeler Road and he believed he needed an address change for the property identified above. Based on his submitted site plan, I have changed the address to#11 Wheeler Road, Marstons Mills for this property. Please update any hard copy files you may have on this property to reflect this address change. Frank Schlegel E911 Data Liaison Engineering Records Manager (508) 790-6400 x-4942 10/1/2013 /,3 - °417 1HE Town of Barnstable P# t� c Department of Regulatory Services g .AMSTABLE, Public Health Division Date Y MASS. 1659. � 200 Main Street,Hyannis MA 02601 ArFD MA't s Date Scheduled Time / Fee Pd. �� $goal Suitability Assessmentfor S e Disposal -Performed y: ��-a"�\ Witnessed By: Taut CATIQN &'GENERAL INFORMA ION, Location Address B?,A-' 4�a ne Owner's Name �� �a l-r Address 3 CL,6 1 q Assessor's Map/Parcel: �d�( 00S 0O Z Engineer's Name W v\I e ��,(• _ NEW CONSTRUCTION REPAIR Telephone# CJ �� t3 6 c2 y Land Use Slopes(%) 6-7 Surface Stones AF (,f, Distances from: Open Water Body ft Possible Wet Area A&q_:ft Drinking Water Well �ft Drainage Way M ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) /" Z� c \ _ NO �"S, A/ 511 e 4/5 Parent material(geologic) (:25 r 4-Loa4) \ Depth to Bedrock 7 3o o Depth to Groundwater: Standing Water in Hole: N/A_ �C? Weeping from Pit Face tio��C Estimated Seasonal High Groundwater (,4-- = DETERMINATION FOR SEASONAL.HIGHMATER TABLE Method Used: / Depth Observed standing in obs.hole: yV in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: ._ Index Well level Adj.factor _ Adj.Groundwater Level PERCOLATION TEST Date Time '_ Observation Hole# p Time at 9" Depth of Perc 0 72 Time at 6" Start Pre-soak Time @ UO /0:249 Time(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be 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:\SEPTIC\PERCFORM.DOC 1 DEEP OBSERVATION HOLE LOG_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 5L 7/7 Ate./ SL--. D_ EEP OBSERVATION HOLE LOG. Hole# � Depth from > Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency_%Gravel) a-5' 542w /o y12'VZ_ 7, t 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) GL 6 DEEP OBSERVATION.HOLE LOG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 54 ICI -1�Z � ✓�°`�� Flood Insurance Rate Map: Above 500 year flood 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 feet of naturally occurring pervo is 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 1/(� xt_ILt (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 required training,expertise and experience described in 310 CMR 15.017. Signature a6i�� Date Q:\SEPTIC\PERCFORM.DOC }ti i — t � -O 3'-2 I/2' It'-4 1/2" IS'-5° 15'_6• ���///JJJ T BULK FAD /^V N 2� 2& rTl r - - cARPET"� � (� 1 tn PATIOI.TIMITF o t� u ( Ice v� CARPET O O PTO 2g65-5 L 1 2'_ 11: DORMER ' m 45 3/4'x&5 3/4 to ABO�/E CATHEDRAL ] 2 (3) 1/2' LVL NOR ;�i� CEILING MASTER L V NG BEDROOM NIP RIDGE PTD 2g59 co i, WARD WOOD I W --- 1 - CARPET 29 3/4°x59 3/4° g ---_ N --� ` MASTER m O ---- [[7�]Z4 ® BATH TILE O W ' co O m 1 STEP 54 ' o in 17'_baWARD 5'-9 3/4 13'-6' L?— to -8 1/ o in -b" 7'-3 3/4" 2� 1 — N 0 �- 0-- - N REF. ' I KITCHEN r HARD WOOD 0 mI b �PCC 2g41-3 LFR o J N m 1 w ISLAND I N I \ r 07 3/4'x41 3/4' o F I WARD WOOD- j i UP Q q "I ------------ J ir1 I W12x30 STEEL BEAM ABOVE 3 1/2" LALLY COLUMN 3 1/2' LALLY COLU _—__ c TO CONCRETE ~ Ni RA TO CONCRETE //\ Q N I — VAPORRE GARAGE .t,, z 4' CONCRETE SLAB \ry`� J °O I PITCH TOWARD DOORS 2Q 212 W. N_ 5'-4" 01 PTO 295q C ! = IL W t17 Z _; �- � z Q r^ YER 2q 3/4°x5q 3/4" AROD WOOD O IL to 312 WARD -0 2 N� 7'x9' O.W. DOOR 7'x9' O.N. DOOR i Q v CONCRETE L. m APRON � - m O N N N cUuv `v PORCH n x SWEET 3 OF 10 N Q A n PTD 965-2 2-10" 2'-2' b'_OSB 3/4 65 3/4°b'-0" 2'-8" 4'-5° 3'-5° I-9' 9-0" 12,-Oa 10'-6" 23'-0" 50'- I I I Ell 1 11 13 b" MROT i ."K 1305 DRAWN BY: KW sr-ALE: I/q" = 1'-0" DATE: 4/18/13 c O2'_0° 1 O/ ACC2 75 3/4'x2S x25 3 3 /4' o V1 p ACC 2525-3 m ,n V/ aD 75 3/4'x25 3/4' DORMI R WALL v. . O Q � � w �N 26 oC f ACC 2521 25 3/4'x25 J J Q DORMER WALL I In LOFT rT , PTD 2953-2 Be 3/4"x53 3/4 F co 9 2fi Ib Oj 1� _ On F- 0 ACC 2525 BATH #2= N 25 3/4'xZ5 3/4" flaw'.'. O <, 2� ,. BEDROOM3 m r Q J 2Q V/; N �/, 4'_g" 4'-b" 3'_Ou 4'_q 7Tj^Ti 7/ FIN � //PTD 2953-Z �58 3/4'x53 3/4 WALL/ DORMER WALL //%KNEE WALL' IL W In Z 1 /BEDROOM Z V/ IN In 1 PTD 2%3 29 3/4'x53 3/4' SWEET 4 OF 10 4'-q" 5�_0u occoW 1-b°oM MAN JOB: 1305 SCALE: 1/4" = 1 _� DRAWN BY: KW DATE: 4/18/13 r ALL TE LL SYSTEM PROFILE MARK DS WITHC MAGNETIC TTAPEAOR BE (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS APPROX. NGVD Airport TOP FOUND. EL. 99.7' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS AVAILABLE 98.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. �o PRECAST H-10 BLOCKS OR RISERS (TYP.) PRECAST RISERS INV'S EL. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST O Locus��a o�P 2'0 4"0SCH40 PVC IAORTAR ALL H-10 UNITS TO BE AASHO H-10 ,.. PROP. TEE PIPES LEVEL 1ST 2' I 4, COMPONENTS 94 96' 4' \*96.04' 10" 1500 GAL H-10 14" IrENDS (NP') SIDES 95,8' S. PIPE JOINTS TO BE MADE WATERTIGHT.S FD.➢°eP°°.'i°O°e'Y' '. ° . e °. ° ... . O O O O Mystic Lake 95.74' TEE SEPTIC TANK TEE f 0��� ���m m m m0 �0m0 >o°o°o©o° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 5.49 ° ° ° ° ° ° t2M TNT DIM >00000000 oao®®a®a®tea aoa000aoa®a >o0o0o0". WITH 310 CMR 15.000 (TITLE 5.) °°o°o°°°°°o° SUMP ° ° ° ° o 0 0 o o i� o 0 0 0 0 0 0 0 0 0 ° 0 0 ° GAS BAFFLE..," b ° ° ° ° ° ° ° °°°°°°o°°°C °°°°°°°° 000®�a�oc�a ®aa000aoo®a °°°o°©°° N >°o°o°o°o oao�oaoo®moo ooao�aaoaoo o°©°0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND end r f >°o°o°000 - oo?o°ofr: 4' LIQ. LEVEL (ACME OR EQUAL) 95.25 9 °°°°°°°° °°°o°o°O 92.96 NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. 000°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°tl°o°o°o°000 L ° °,,°°°°°°°°°0°V°^° ° ° °,°°°°°. H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. - ' - - - - 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. � 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. ALL AROUND PRECAST STRUCTURES (2) UNITS REQUIRED �o 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.0' X 12.8 ' 9. COMPONENTS NOT TO BE BACKFILLED OR Middle Pon 3 COMPACTION. (15.221 [2]) _ (0 CONCEALED WITHOUT INSPECTION BY BOARD OF ( 3 % SLOPE) ( 2 % SLOPE) ( 1 % SLOPE) to OFALTH HEALTHD PERMISSION OBTAINED FROM BOARD LEACHING 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP FOUNDATION 1�� SEPTIC TANK - 12' D' BOX 12' FACILITY CALLING DIGSAFE (1-888-344-7233) AND O BOTTOM TH-3 GROUNDWATER FOUND VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE N *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL NO OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF ASSESSORS MAP 104 PARCEL 5-2 UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS l WORK, AND COORDINATING ALL. UTILITY CONNECTIONS LOCUS IS WITHIN FEMA FLOOD ZONE "C" PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH APPROPRIATE VENDORS. 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ZONING: RF " SHALL BE REMOVED 5' BENEATH AND AROUND THE SETBACKS REQ. PROVIDED \ \ PROPOSED LEACHING FACILITY. FRONT: 30' 43.0' TEST HOLE LOGS \ 12. OWNERS ENGINEER TO VERIFY SOILS AT TIME OF SIDE: 15' 57.0' � \`L� ENGINEER: ARNE H. OJALA, PE, SE CB/DH FND \ BENCHMARK INSTALLATION. REAR: N/A N/A \ CENTER BASIN LOCUS IS WITHIN GP ZONE: 330 RULE APPLIES WITNESS: DON DESMARAIS, IRS \ ELEV. = 98.91 3 BEDROOM ON S 1.0 ACRE (OK) DATE: 4/5/13 PERC. RATE _ < 2 MIN/INCH \ , 13912 MAP 104 PCL 5-1 `\\ SYSTEM DESIGN: CLASS SOILS P# 0 ELEV. ELEV. \\ -9�� GARBAGE DISPOSER IS NOT ALLOWED 0 `TI 98'3' V 97.4' \\ DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD Sc UNSUIT. /SL UNSUIT. USE A 330 GPD DESIGN FLOW , ff /10YR 4/2 10YR 4/2 �,� ``\ SEPTIC--TANK:,..,u330.-GPD_(2) =_660 I g / / g _ BW1 Bw1 5' REMOVAL OF UNSUITABLE SOIL REQUIRED \fig$ USE A 1500 GAL. SEPTIC TANK SL /L UNSUIT. AROUND PERIMETER OF LEACHING FACILITY, \ L,7.�,5Y UNSUIT: DOWN TO SUITABLE SOIL LAYER. REPLACE \ LEACHING: 5/6 7.5Y 5/6 WITH CLEAN MED. SANG, TO MEET \ 2699 2619 SPECIFICATIONS OF 310 CMR 15.255(3) \\ SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD Bw2 Bw2 \ BOTTOM 25 X 12.83 (.74) = 237 GPD SILT LOAM UNSUIT. SILT UNSUIT. LOT F2 Res, \ TOTAL: 472 S.F. 349 GPD � ' ' ' ' 44,386f SIF 65" 2.5Y 5/4 92.9' 66" 2.5Y 5/4 91.9' CB/DH FND _ _ _ (1 .02 AC) � \ ��h � \ USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) E STRE T SIGN WITH 4' STONE ALL AROUND C C MAP 104 PCL 5-2 PERC ti ? p BENCHMARK'. CS CS of �Ov" yE /� r CENTER BASIN h 7 p� �� / \ /"O \ ►� ELEV. = 96.23 9., 10YR 5/3 10YR 5/3 MA \ h o F o o� `®J j 132„ 86.4 \ PROP. sF� 132 87.3 ���// APPROVED DATE BOARD OF HEALTH NO GROUNDWATER ENCOUNTERED \\FO 8 c GAS SERVICE ^ / C / ROP. STOk ELEV. ELEV. \�C PROP. \ DRIVE 0" 97.1' 0" 97.1' LEGENDy�\�c GARAGE �;` c �,� / BENCHMARK \ 6 NAIL SET IN THE TITLE 5 SITE PLAN A AOF \ ` _ PROP. DWELL. o,• / PO ELEV. = 100.2' P P 99- EXISTING CONTOUR \ \ TF = 99.7' `°' `� 7+ I c / 1OYR 4/2 1OYR 4/2 X 99.1 EXIST. SPOT ELEV. ^ / 8 8 __ 99 _ PROPOSED CONTOUR `��• s��FtiT `� �: °'// 875 RACE LANE Bw1 Bwlo TM ' >' �. / MARSTONS MILLS /SL /SL �98 4) PROPOSED SPOT EL. \ \ `\ TM 4�` �/ w\� NOTE: SEPTIC SYSTEM IS NOT DESIGNED 7.5Y 5/6 28" 7.5Y 5/6 TH 1 \ ��\ ,\ // �\ // V VEHICLE LOADING PREPARED FOR 28" TEST HOLE \.` \ �O• �� G/ Bw2 /Bw2 2� SLOPE OF GROUND \ o DAVID BRITO SILT LOAM SILT LOAM MAP 104 PCL 6 \UTILITY POLE \ ,�o,� APRIL 9, 2013 / 60" 2.5Y 5/4 92 1, 60„ 2.5Y 5/4 92 1, J _ _ / REVISED: 6-10-13 (AB. WELL, MOVE SAS) FIRE HYDRANT PROP. WATERLINE \\ G// fs nA 0- Ar 4fA cN OF q � off 508-362-4541 OCEMENT BOUND w / �� ,�R ��4p� SsgI� fax 508-362-9880 C C EXISTING WELL �T ®AIN'IELA. f�� s o DANIEL ��m�:w I downcope.com 1 3�o OJA.LA ® CATCH BASIN PER ABUTTING c� J PLAN C.SHORT / CIVIL Cj " OJALA down cape enghieefiq Inc• PERC / 16502 No. � CS CS OCT 20, 1981 .� No.� �. NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING I I �° Fc/ o �„ F 4 � civil engineers Scale: 1 = 30 : - o tea, -� S sT_ S� o� land surveyors 132" 1 OYR 5/3 86 1 132" 1 OYR 5/3 86 1, BENCHMARK: CB/DH �^ /f �~ ,� ` � 939 Main Street ( Rte 6A) NO GROUNDWATER ENCOUNTERED 0 15 30 45 60 75 FEET AT ELEV. 96.1' / DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 3-04'7 1 SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE A MARKED WITH MAGNETIC TAPE OR TO N N OF BI-'. =I r (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES' ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE APPROX. NGVD Airport I 2" PEASTONE OR GEOTEXTILE 1. DATUM IS P -'I'' TOP FOUND. EL. 99.7' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS AVAILABLE 98.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 98.8' _ PRECAST H-10 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. �o BLOCKS OR SIT: 1 I RISERS (TYP.) PRECAST RISERS 4. DESIGN LOADING FOR ALL PROPOSED PRECAST O Locus 6 o�P I s. , _ 2'r 4"0SCH40 PVC MORTAR ALL H_10 INV S DEL• UNITS TO BE AASHO H-10 PROP. TEE PIPES LEVEL 1ST 2' 4 COMPONENTS 94.96 Z2 ENDS (NP' SIDES 5. PIPE JOINTS TO BE MADE WATERTIGHT. *96.04 10" 1500 GAL H4TEE , o.•o..... 95.8 y Do�o�°�o�o 95.74' TEE SEPTIC TAN ° ° ° ° ®®�® ®®�]® QEl�® _®®®® 'o°o°o°o° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE Mystic Lake O 0 0 > o 0 0 0 0 0 0.o o'0 12" MIN INT DIM �00000000 0❑®�®®0®®®C�70 ®®��®®®®®®® >o�o�o�o� WITH 310 CMR 15.000 (TITLE 5.) 0 0 0 0 0 o w > o 0 o o > o 0 0 0 �f• 6 MIN SUMP ° ° ° ° ®®®®��®®®G7® ®�®®�®®®®® ° ° ° °GAS BAFFLE::: so'o�o�o�o� o°oo°o°° o o ° o c o"�. �' >°o°o°000 ®®®®®®®0®� ®®®®�®®®�®� °000°o°o °°°°°°°° °°°°° ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY ANDTenr 4' UQ. LEVEL (ACME OR EQUAL) 95.25 95.08 >°°°°°°°° °o°°°000 92.96 NOT TO BE USED FOR LOT LINE STAKING OR ANY ';, .. ....:.•: .:•s... .. OTHER PURPOSE. JO°OHO;O�O�O�O�O�00000000O;O;O;O;0;0 0 0�0°GAG 0000000'0„ o,,000000000�o�o„o�o„o�0000000. 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H--10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8• PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. (2) UNITS REQUIRED ALL AROUND PRECAST STRUCTURES �0 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.0' X 12.83' 9. COMPONENTS NOT TO BE BACKFILLED OR fiddle Pon COMPACTION. (15.221 [21) co CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD ( 3 % SLOPE) ( 2 % SLOPE) ( 1 % SLOPE) CO OF HEALTH. LEACHING 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP FOUNDATION 10' SEPTIC TANK 12' D BOX 12 FACILITY _ CALLING DIGSAFE (1-888-344-7233) AND 86.1' BOTTOM TH-3,4 VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF ASSESSORS MAP 104 PARCEL 5-2 UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS WORK, AND COORDINATING ALL UTILITY CONNECTIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH APPROPRIATE VENDORS. LOCUS IS WITHIN FEMA FLOOD ZONE "C" 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ZONING: RF SHALL BE REMOVED 5' BENEATH AND AROUND THE SETBACKS REQ. PROVIDED TEST HOLE LOGS PROPOSED LEACHING FACILITY. FRONT: 30' 43.0' \ 12. OWNERS ENGINEER TO VERIFY SOILS AT TIME OF SIDE: 15' 57.0' CB/DH FND ti' \ INSTALLATION.ENGINEER: ARNE H. OJALA, PE, SE \\ BENCHMARK REAR: N/A N/A \ CENTER BASIN LOCUS IS WITHIN GP ZONE: 330 RULE APPLIES WITNESS: DON DESMARAIS, RS \ ELEV. = 98.91 3 BEDROOM ON S 1.0 ACRE (OK) DATE: 4/5/13 ) PERC. RATE _ < 2 MIN/INCH \ CLASS I SOILS P# 13912 MAP 104 PCL 5-1 SYSTEM DESIGN: \ 1 ELEV. z ELEV. \\\ �-9� GARBAGE DISPOSER IS NOT ALLOWED 0" Q 98 3' 0" Q 97.4' DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD �SL UNSUIT. iSL UNSUIT. USE A 330 GPD DESIGN FLOW 10YR 4/2 1OYR 4/2 \ $,. 8n rc0Tl(- TAAII.�. 7Zft t�[�n n\ �+�'•/''� ,.ti.+ [.l',i 3i•,;. •Jvv V.:-`L/ (c;.f - yCJV Bw1 Bw1 � \ US4E A 1500 GAL. SEPTIC TANK / 5 ,REMOVAL OF UNSUITABLE SOIL REQUIRED 9 \ /SL UNSUIT. SL AROUND PERIMETER OF LEACHING FACILITY, \ UNSUIT. DOWN TO SUITABLE SOIL LAYER. REPLACE \ 26" 7.5Y 5/6 26„ 7.5Y 5/6 WITH CLEAN MED. SAND, TO MEET \ LEACHING: SPECIFICATIONS OF 310 CMR 15.255(3) \ SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD //B lw 2 Bw2 \ BOTTOM 25 x 12.83 (.74) = 237 GPD SILT LOAM/ UNSUIT. SILT/LOAM UNSUIT. LOT F2 TOTAL: 472 S.F. 349 GPD " ' " " 44,386t SF 2.5Y 5/4 /2.5Y 5 \ 65" 92.9' 66" 91.9, (1.02 AC) - - \ tiny \\ USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) E � E T SIGN WITH 4' STONE ALL AROUND C C MAP 104 PCL 5-2 PERC 2 p y ` BENCHMARK CS CS o �� E /� r CENTER BASIN /0' 11 ELEV. = 96.23 „ 10YR 5/3 " 1OYR 5/3 h 9 o F ® , 132 87.3 132 86.4 / \\ Fs�. ��° j J APPROVED DATE BOARD OF HEALTH MA / \\ a � GAS SP. ERVICE NO GROUNDWATER ENCOUNTERED \Foc / ROP. sTo1 ^ / f ELEV. 4 ELEV. / \ F / � PROP. \c DRIVE 3 \ // w0" 97.1' 0" 97.1' LEGEND \9�iti � GARAGE �\ og� / BENCHMARK \� C NAIL SET IN TREETITLE 5 SITE PLAN \ ` PROP. SWELL. o,• / PO ELEV. = 100.2 Ap Ap 99- EXISTING CONTOUR \ TF = 99.7' ` `� TH ISc L OF 8" 8„10YR 4/2 10YR 4/2 EXIST. SPOT ELEV. __ 99 _ PROPOSED CONTOUR As�• 9sF'�F� \ j \\��` / �2 875 RACE LANE /SL /SL 19g•41 PROPOSED SPOT EL. 1 \ �� �� f `�`C/ MARSTONS MILLS \ \ "& TM 4 NOTE: SEPTIC SYSTEM IS NOT DESIGNED „ 7.5Y 5/6 7.5Y 5/6 TH 1 \ VEHICLE LOADING 28 28 � TEST HOLE \ \ \��o, � � / PREPARED FOR Bw2 Bw2 2% SLOPE OF GROUND / / \ y/ DAVID BRITO SILT LOAM SILT LOAM c� UTILITY POLE MAP 104 PCL 6 \ \ �� G / 60 2.5Y 5/4 92 1, „ 2.5Y 5/4 // REVISED: 6-10-13APRIL 9(AB 1WELL, MOVE SAS) 60 92 1 FIRE HYDRANT PROP. WATERLINE a off m ¢G' r O 508-362-4541 CEMENT BOUND W \ // C � � H F SAS fax 508-362-9 80 C C DANIcL_A, �s ' :so DANIEL ®� CATCH BASIN PER TING WELL ABUTTING O.1ALA A Nm downcope.com U �. -i • • • CIVIL OJALA down cope engineering, inc• PERC PLAN 0, 1981T 16502 No.409,•CS CS OCT 20, 1ss1 "�� No.� I a,a NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING I � (t QP / s � �tSTE fi4 �i civil � engineers SScole: 1"= 30' 10YR 5/3 ? land sue1 OYR 5/3 yo�s 132„ 86.1 132 86.1 BENCHMARK: CB/DH a 939 Main Street ( Rte 6A) NO GROUNDWATER ENCOUNTERED 0 15 30 45 60 75 FEET AT ELEV. 96.1' DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 13-047 ----- - - _ -------------------------_ _