HomeMy WebLinkAbout0045 WHEELER ROAD - Health 45 ,WHEELER ROAD
MARSTONS MILLS
. A = 104 007
04/05/2012 THU 15: 20 FAX 5083627103 Barnstable CTY BealthLab -- - Barnstable Health 20.01/002
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CERTIFICATE OF Page: 1 of 1
ANALYSIS g
Barnstable County Health Laboratory (M-MA009)
4- h
noNss¢ Report Prepared For: Report Dated: 4/5/2012
f Sally Desmond
s
I Desmond Well Drilling Order No.: G1267030
P O Box 2783
1 Orleans,. MA 02653
Laboratory ID#: 1267030-01 Description: Water-Drinking Water
Sample#; Sample Location: `45 Wheeler Rd,Marstons Mills' . Collected: 04/02/2012
Collected by: Customer Received: 04l03/2012
Routine
REM RESULT UNITS RL MCL METHOD# TESTED
Nitrate as Nitrogen 0•31 mgA- 0.10 10 EPA 300.0 4/3/2012
i Copper 0.12 mg/L 0.10 1.3 SM3111B 4/4/2012
Iron ND mg/L 0.10 0.3 SM 3111E 4/4/2012
E pH i g,3 PH AT 25C NA fi.5-t3.5 SM 4500.H-B 4/312012
I i
Sodium 21 mg/L 1.0 20 SM 311113 4/4/2012
Total Coliform Absent P/A 0 0 SM9223 4/3/2012
Conductance 27Q umohs/cm 2.0 EPA 120,1 4/3/2012
_ Sodium level/is above the max/um contaminant level. Those on a low sodium diet may wish to consult a physician.
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Attached please find the laboratory certified parameter list. Approved By: T
(Lab Director)
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ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph:508-375.6605
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04/05 2012 THU 15: 20 FAX 5083627103 Barnstable CTY BealthLab Barnstable Health 20021002
.° 9 CERTIFICATE OF ANALYSIS
g Barnstable County Health Laboratory (M-MA009)
9�ACtN�'
Recipient: Sally Desmond Matrix: Water-Drinking Water
Desmond Well Drilling Sampled: 04/0212012 16:00
P O Box 2783 Received: 04/03/2012
Orleans, MA 02653 Collection Address: 45 Wheeler Rd,Marstons Mills
Omer#: G1267030 Sample Location:
Lab ID: 1267030-01 Description: R E lot
Sample#: Date Analyzed: 4/4/2012 @ 10:01
Method: EPA 524.2 Analyst: yn
Dilution Factor. 1
Comment: Sodium level is above the maxium contaminant level. Those on a low sodium diet may wish to consult a physician.
EPA 524.2- Volatile Organics by GC MS
Result MCA. X0.50
ResultMCL MDL }
Parameter ug/L ug/LParameter ug/L ug/L ug/L
DicNorodifluoromethane ND Ch�o� ND 60 0.50
i Chloromethane ND cis-1,2-Dichloroethene I ND 70 0.50
Vinyl chloride ND 2.0cls-1,3-Dichloropropene ND o.50
Bromomethane ND 0.50 Dbromochlorornethane ND 0.50
i 1,1,1,2-Tetrachloroethane ND 0-50 Dbromomethane ND 0.50
a 1,1,1-Trichloroethane ND 200 0.50 Ethylbenzene ND 700 0.50
1,1,2,2-Tetrachloroethane ND 0.50 Hexachlorobutadfene NO 0.50
1,1,2-Tdchloroethane ND 5.0 0.50 Isopropylbenzene ND 0.50
1,1-Dlchloroethane ND 0.50 Methylene chloride I ND 5.0 0.50
1,1-Dichloroethene ND 7.0 0.50 Methyl-tert-butyl ether ND 0.50
l 1,1•Dichloropropene ND 0.50 Naphthalene ND 0.50 3
i 1,2,3-Trichloroberizene ND 0.50 n-Butylbenzene ND 0.50
1,2,3-Thchloropropane ND 0.50 n-Propylbenzene ND 0.50
I 1,2,4 Tnchlorobenzene ND 70 0.50 -Isopropyitoiuene ND 0.50 s
1,2,4-Trimethylbenzene ND 0.50 -Butylbenzene NO 0.50 f
1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50
1,2 Dibromoethdne(EDB) ND 0.50 ,tert-Butylbenzene ND 0.50
1,2-Dichlorobenzene ND 600 0.50 Tetrachloroethene ND 5.0 0.50
€ 1,2-Dichloroethane ND 5.0 0.50 Toluene ND 1000 0.50 e
k 1,2 Dichloropropane ND 0.50 Total xylenes ND 10000 0.50
s 1,3,5-Trimethylbenzene NO 0.50 trans-1,2-Dichloroethene ND i0o 0.50
;
1,3-DicHorobenzene ND 0.50 trans-1,3-Dichloropropene NO 0.5o
1,3-Diciloropropane ND 0.50 Trichloroethene NO 5.0 0.50 s
1,4-Did�orobenzene NO 5.0 0.50 IThchlorofluororrethane ND 0.50
2,2-Dichloropropane NO 0.50 f
2-Chlorotoluene NO 0.50
4-Chlorotoluene NO 0.50
Benzene NO 5.0 0.50
Bromobenzene ND o.so
Bromochloromethane ND 0.50
! Bromodichloromethane NO 0.50
Bromoform NO 0.50
Carbon tetrachloride ND 5.0 0150
1 Chlorobenzene ND 100 0.50
Chlorcethane ND oso
I
Attached please find the laboratory certified parameter list. Approved By:
(Lab Director)
ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
Superior Court House, P0.Box 427, Bamstable, MA 02630 Ph:508-375-6605 Page 1 of 1
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Commonwealth of Massachusetts
. Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
( 45 Wheeler Road
Property Address
David Dumont
Owner Owner's Name
information is required for Marstons Mills MA 02648 05/27/09
- -
every page. City/Town State Zip Code Date of Inspection'..--
Inspection results must be submitted on this form. Inspection forms may notbe altered in any
way.
Important: A. General Information
When filling out zj '
forms the
computer,
S Ir,use
1. Inspector: ,—
only the tab key ry i
to move your Michael Kellett `D
cursor-do not Name of Inspector
use the return
key. Aardvark Environmental Inspection
Company Name
P.O. Box 896
Company Address
East Dennis MA 02641
City/Town State Zip Code
508-385-7608 S13742
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000).The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
G��hJL 05/30/09
Inspector's Signature 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.
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r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
45 Wheeler Road
Property Address
David Dumont
Owner Owners Name
information is required for Marstons Mills MA 02648 05/27/09
every page. CitylTown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Answer yes, no or not determined (Y, N, ND) in the ❑for the following statements. If"not
determined," please explain.
❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is
structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent.
System will pass inspection if the existing tank is replaced with a complying septic tank as
approved by the Board of Health.
"A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate
of Compliance indicating that the tank is less than 20 years old is available.
ND Explain:
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s) are replaced
❑ obstruction is removed
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
.'t 45 Wheeler Road
Property Address
David Dumont
Owner Owners Name
information is required for Marstons Mills MA 02648 05/27/09
every page. Citylrown State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes(cont.):
❑ distribution box is leveled or replaced
ND Explain:
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced
❑ obstruction is removed
ND Explain:
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ . The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
' supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
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4 Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
y� 45 Wheeler Road
Property Address
David Dumont
Owner Owners Name
information is required for Marstons Mills MA 02648 05/27/09
every page. Citylrown State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cunt.):
❑ 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:
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 %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.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
45 Wheeler Road
Property Address
David Dumont
Owner Owner's Name
information is required for Marstons Mills MA 02648 05/27/09
every page. City/Town 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 falls. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered"yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
Commonwealth of Massachusetts
upTitle 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
45 Wheeler Road
Property Address
David Dumont
Owner Owner's(dame
information is required for Marstons Mills MA 02648 05/27/09
every page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes"or"no"as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
n ® 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)]
I .
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
'< 45 Wheeler Road
Property Address
David Dumont
Owner Owners Name
information is required for Marstons Mills MA 02648 05/27/09
every page. Cityrrown state Zip Code Date of Inspection
D. System Information
Residential Flow Conditions:
Number of bedrooms(design): 4 Number of bedrooms(actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440
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: current
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CM 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):
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
�< 45 Wheeler Road
Property Address
David Dumont
Owner Owner's Name
information is required for Marstons Mills MA 02648 05/27/09
every page. Citylrown State Zip Code Date of Inspection.
D. System Information (cont.)
General Information
Pumping Records:
Source of information:
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)
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed (if known)and source of information:
when arriving at the site? Yes No
Were sewage odors detected he a y � �
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
y� 45 Wheeler Road
Property Address
David Dumont
Owner Owner's Name
information is
required for Marstons Mills MA 02648 05/27/09 #
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site plan):
Depth below grade: 3.2
feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Septic Tank(locate on site plan):
Depth below grade: 2.5
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: 1500 gal
Sludge depth:
3"
Distance from top of sludge to bottom of outlet tee or baffle
30"
Scum thickness
3"
Distance from top of scum to top of outlet tee or baffle
7"
Distance from bottom of scum to bottom of outlet tee or baffle
16"
How were dimensions determined?
Measured
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
�f 45 Wheeler Road
Property Address
David Dumont
Owner Owner's Name
information is required for Marstons Mills MA 02648 05/27/09
every page. 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.):
The tank was sound and tight with tees in place and liquid at outlet invert. Theer was no sign of
ponding or failure in th a stones.
Grease Traplocate on site plan):
( P )
Depth below grade: feet
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
I
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.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
0 concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
t 45 Wheeler Road
Property Address
David Dumont
Owner Owner's Name
information is required for Marstons Mills MA 02648 05/27/09
every page. Cityrrown 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.):
*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 even
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.):
The box was level and tight with no sign of carry over.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: 0 Yes ❑ No
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
45 Wheeler Road
Property Address
David Dumont
Owner Owner's Name
information is required for Marstons Mills MA 02648 05/27/09
every page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
® leaching chambers number: 4
❑ 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.):
The system has four five hundred gallon drywelis surrounded by four feet of stone. there was no sign
of ponding or failure in the stones.
Commonwealth of Massachusetts
U
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
45 Wheeler Road
Property Address
David Dumont
Owner Owner's Name
information is required for Marstons Mills MA 02648 05/27/09
every page. City/Town State Zip Code Date of Inspection
D. System Information (cunt.)
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
i
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.):
Commonwealth of Massachusetts
Title 5 Official inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
45 Wheeler Road'
Property Address .,
David Dumont
owner owners Name
information u Marslons Mills MA 02648 05/27/09
required far city/town State Zip Code Date of Inspection
every -
D..SyMtem Information (cunt.)
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.
3
� 3�
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
45 Wheeler Road
Property Address
David Dumont
Owner Owner's Name
information is required for Marstons Mills MA 02648 05/27/09
every page. Citylrown 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: 20.0
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:
USGS maps show an elevation of over 20.0 feet.
TO BARNS ABLE C c'
LOCATIO � SEWAGE #
VII.LAGE W ASSESSOR'S MAP n& LOT �O l
INSTALLER'S N &PHONE NO. Lill
SEPT�'IC� ANK A ITY /�'�U r c %� A6 1
LEACHING FACILITY: (type) COO.-A (size)U*, k1_
NO.OF BEDROOMS 1
BUILDER OR OWNER -J407
RPERMITDATE: ' COMPLIANCE DATE: D 0
Separation Distance Between the: .
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) ` Feet
Furnished by
3 �3Ye
s'u� C4c-.,
3
s
TO OF BARNSTABLE
LOCATIO SEWAGE #d—lJlJ1__` L
VILLAG4,0
E lst ASSESSOR'S MAr LOT IU�
INSTALLER'S
g L� CAP' e NAME&PHONE NO.
RJJ�e I WAIL 0160-
SEPTIC A ITY %,�00 �G/
LEACHING FACELITY: (type)& COOC 11 e�(1,(1da•,L,,S' (size)YA ra .� 2�
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: flA -alCOMPLIANCE DATE: D 0
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
33 I c��.
► �„.Ja` y 'off six
� Y
No. -3 j FEE
COMMONWEALTH OF MASSAC14USETTS
�3�►�Ns`��Q�� mA.Board of Health,, G f„fir
APPLICATION FOP, DISPOSAL S YS�� M CONSTRUCTION FERMI
Application for a Permit to Construct('-�epairO Upgrade( ) Abandon( &-iffomplete System ❑Individual Components
Location YS Lu H JCL 46k R6 67P> Owner's Name PO V 1b 1)0 01 v N
Map/Parcel# /Q y —�'� IV\AQ%TQ W IM Address (o Cu t l'OW 44VR :N�c m viq M)l
Lot# 7 Telephone# s O - 77 - d p
Installer's Nam _ Designer's Name b41t,C'P-e 1 v,z ' C'(JLt-,v C7',q ATf
Address V Address Lb R X7Wbus'hr Ra MKQS^bNS
Telephone#' � ul Telephone# O$-/a�� O
IType of Building R�� �',� Lot Size 8 CY 13S-S sq.ft.
Dwelling-No,:of Bedrooms Garbage grinder,4/0
Other-Type of Building No.of persons Showers ( ),Cafeteria ( )
Other Fixtures /� /� u
Design Flow((min.required) -/ L�� gpd Calculated design flow -/ Design flow provided S / /q
gpd
Plan: Date Number of sheets Revision Date
Title I J lf 1-!�e 11 C., C iV �X� X 2
Description of Soil(s) P-f Qe4V d
QQ
Soil Evaluator Form No. O,Oa.� Name of Soil Evaluato y�c p6• W •ate of Evaluation
—�
DESCRIPTION OF REPAIRS OR ALTERATIONS
The and d a ees to W20 the above described Individual Sewage Disposal System in accordance with th provisions of TITLE 5 and
further agr to t to ac cs9 to ration until a Certificate of Compliance has been issued b d of Health.
Signed - Date
Inspections �� ��
Of
No";-?00 t 1,,... .:! k ,n FEE ! 60
r �`> 001
11Qi Board ofHealth, �� I � La
APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERM
Application for a Permit to Construct( }'R pair( )1Upgrade( Abandol("°)�- mplete System ❑Individual Components
Location ! w W FC'G 4 rQ Rd/�} Owner's Name l7,9 V l •�U N
Map/Parcel#,t/0 y --®V� M&Q gTQ W 5 1 �lAddress C. 7 41 1 �Gt H vt
Lot# �Cz�' Telephone# S`O 8 ^ 77 /`O 3 O
i
Installer's Nam Designer's Name yorteLt 5U./ ,i5 v ct# w
, p n.X
LT
dress , .� .. Address 11�0 /J .1,NuS-N R (7 Al l4Q$bA/5 M I L Mtt
lephone#
Address
j j,&,, 4 Telephone# 60 �yaQj� Q r
Type of Building u Lot Size(9 / 13,SSJ sq.ft.
Dwelling-No.of Bedrooms Garbage grinderQ
4
Other-Type of Building No.of persons Showers('),Cafeteria ( )
Other Fixtures /1Ld q
Design�:Flow_(min.required) Lw gpd Calculated design flow % �7 Design flow provided / gpd
k a Plan: Date Number of sheets Ck Revision Date
r
i Title �S/�� t" Se✓J 'C pC�
Description'of Soil(s) r E° +4 ` j y
Soil Evaluator Form No. Name of Soil Evaluat Oc PG1 MUOAAate of Evaluation 8`CJ! 0
DESCRIPTION OF REPAIRS OR ALTERATIONS
f� 1 ,
The un r i ed agrees to',s the above described Individual Sewage Disposal System in accordance with th pro 'sions of TITLE 5 and
further a s to got to lae s : toVAerationQ until a Certificate of ompliance has been issued b and of Health.
Signed . Date A
Inspections
�.
No. FEE -
COMMONWEALT14 ®F MASSACHUS ET', A _
Board of Health, �a./Vt L (� MA.
i
CERTIFICATE OF COMPLIANCE
Description of Work: ❑Individual Component(s) complete System r i
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned'(
Q ,
at Vll� 1�L.13�IQ �d ,
has been instilled in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating toJ
application No. dated Approved Design Flow S7 ,(gpd)
Installer
"Designer:��t�NCt'� ✓V�Y��SV���N/.dnspector: Date:
The.issuance of this permit shall not be construed as a guarantee that the system will function as designed.
No. �V �� FEE +
1v;
t
Board of Health 1g✓� �- MA.
DISPOSAL SYSTEM CONSTRUCTION PERMIT
f
Permission is hereby granted to; Constru/c�t(l-^Repair( ) Upgrade(, ) Abandon( ) an individual sewage disposal system
at as described in the, application for
Disposal.% tem Construction Permit No. �8 , datedV—/b LO,
Provided: Construction shall be completed;,within three years of the date.of_this permi F__ local conditions must fie meta
FormF 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Dato 4c Board of Healt R
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t ENVIROTECHLABORATORIES,INC. '
MA CERT.NO.:M-MA 00
449 Rre.130
j Sandwich, MA 02963
908(888-6460) 1-800-339-6460
FAX(908)888-6446
CLIENT: David Dumont LOCATION: 45 Wheeler Rd.
ADDRESS: 67 Willow Avenue Marstons Mills, MA
Hyannis, MA 02601
COLLECTED BY. !Desmond Wells SAMPLE DATE. 8/10/2001/8/13/0111
SAMPLE TIME. 3:30PM
WATER SAMPLE TYPE: New Well DATE RECEIVED: 8/10/2001/8/13/01
LAB I.D. #. 0108221/0108228*
WELL SPECS.: 4"X 807 55'
RESULTS OF ANALYSIS:
Parameters Units Recommended Results Method Date Analyzed
Limits
Coliform bacteria /100ml 0 0* 9222 B 8/10/2001
pH pH-units 6.5-8.5 5.77 4500 H+ 8/10/2001
Conductance umhos/cm 500 62 120.1 8/10/2001
Nitrate-N mg/L 10.0 0.197 300.0 8/10/2001
Nitrite-N mg/L 1.00 < 0.003 300.0 8/10/2001
Sodium mg/L 28.0 5.6 200.7 8/13/2001
Iron mg/L 0.3 0.2 200.7 8/13/2001
Manganese mg/L 0.05 0.014 200.7 8/13/2001
Volatile Organics ug/L See Report ND EPA 524.2 8/15/01
*Retest performed.
COMMENTS: Low pH indicates high corrosive characteristics.
WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES
FOR PARAMETERS TESTED.
<=less than Date 01
>=greater than Rodold J. Saan
TNTC=too numerous to count Laboratory Dir or
i
GROUNDWATE • Groundwater Analytical, Inc.
P.O.O.Box Box 1200
Buzzards
Main Street
ANALYTICAL. Buzzards Bay,MA 02532
Telephone(508)759-4441
FAX(508)759.4475
August 15, 2001
Mr. Ron Saari
Envirotech Laboratories, Inc.
449 Route 130
Sandwich, MA 02563
Project: David Dumont/45 Wheeler Rd Marston Mills
Lab ID: 43564
Sampled: 08-10-01
Dear Ron:
Enclosed is the Volatile Organic Analysis performed for the above referenced project. This project
was processed for Rush turnaround.
This letter authorizes the release of the analytical results, and should be considered a part of this
report. This report contains a project narrative indicating project changes and non-conformances, a
brief description of the Quality Assurance/Quality Control procedures employed by our laboratory,
and a statement of our state certifications. I
attest under the pains and penalties of perjury that, based upon my inquiry of those individuals
immediately responsible for obtaining the information, the material contained in this report is, to
the best of my knowledge and belief, accurate and complete.
Should you have any questions concerning this report, please do not hesitate to contact me.
Sincerely,
Jonathan R. Sanford
President
J RS/amb
Enclosures
GROUNDWATER
ANALYTICAL
EPA Method 524.2
Volatile Organics by GC/MS
Field ID; 0108221 Laboratory ID: 43564-01
Project; David Dumont/45 "'heeler Rd Marstons Mills QC Batch ID: VMS-1630-W
Client: Envirotech Laboratories Sampled: 08-10-01
Container: 40 rnL VOA Vial Received; 08-13-01
Preservation: HCI/Cool Analyzed: 08-15-01
Matrix: Aqueous Dilution Factor: I
Page: I of 2
ix it
75-71-8 Dichlorodifluoromethane BRL ug/L 0.5
74-87-3 Chloromethane BRL ug/L 0.5
75-01-4 Vinyl Chloride BRL ug/L 0.5
74-83-9 Bromornethane BRL uV91L 0.5
75-00-3 Chloroethane BRL ug/L 0.5
75-69-4 Trichlorofluoromethane BRL ug/L 0.5
75-35-4 1,1-Dichloroethene. BRL ug/L 0.5
75-09-2 Methylene Chloride BRL ug/L 0.5
156-60-5 trans-1,2-Dichloroethene BRL ug/L 0.5
-- ......- -
1634-04-4 -- - Methyl tert-butyl Ether(MTBE) BRL ug/L 0.5
75-34-3 1,1-Dichloroethane BRL ug/L 0.5
590-20-7 2,2-Dichloroproparie BRL ug/L 0.5
156-59-2 cis-1,2-Dichloroethene BRL ug/L 0.5
74-97-5 Bromochloromethane BRL ug/L 0.5---
67-66-3 Chloroform BRL ug/L 0.5
71-55-6 1,I,1-T ri ch loroetha ne BRL ug/L 0.5
56-23-5 Carbon Tetrachloride BRL ug/L 0.5
563-58-6 1,1-Dichloropropene BRL ug/L 0.5
7143-2 Benzene BRL ug/L 0.5
107-06-2 1,2-Dichloroethane BRL ug/L 0.5
79-01-6 Trichloroethene BRL ug/L 0.5
78-87-5 1,2-Dichloropropane BRL ug/L 0.5
74-95-3 Dibromomethane BRL ug/L 0.5
75-27-4 Bromodichloromethane BRL ug/L 0-5
10061-01-S cis-1,3-Dichloropropene BRL ug/L 0.5
108-88-3 Toluene BRL ug/L 0.5
10061-02-6 trans-1,3-Dichloropropene BRL ug/L,.-.- 0.5-
/9-00-5 1,1 2-Trichloroethane BRL ug/L 0-5
127-18-.4-Tetrachloroethene BRL ug/L 0.5
142-28-9 1,3-Dichloropropane BRL ug/L 0.5
124-48-1 TDibroniochloromethane BRL ug/L 0.5
106-9-3-4 1,2-Di bro moethane B-R L ug/L 0.5--
108-90-7 Chlorobenzene BRL ..ug/L 0.5
630-20-6 1,1,1,2-Tetrachloroethane BRL ug/L 0.5
100-41-4 EthylbE-nzene BRL ug/L 0.5
108-38-3/106-42-3 meta-Xylene and para-Xylene BRL ug/L 0.5
95-47-6 ortho-Xyl ene BRL u 0.5
100-42 5 Styrene BRL ug/L 0.5
75-25-2 Brornoform BRL ug/L 0.5
�8-82_8 Isopropyl benzene BRL ug/L 0.5
-1-08-86-1 13romobenzene BKL ug/L 0.5
79-34-5 1,1,2,2-fetrachlomethane BRL ug/L 0.5 i
Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532
GROUNDWATER
ANALYTICAL
EPA Method 524.2 (Continued)
Volatile Organics by GC/MS
Field ID: 0108221 Laboratory ID: 43564-01
Project: David Dumont/45 Wheeler Rd Marstons Mills QC Batch ID: VM5-1630-W
Client: Envirotech Laboratories Sampled: 08-10-01
Container: 40 mL VOA Vial Received: 08-13-01
Preservation: HCI/Cool Analyzed: 08-15-01
Matrix: Aqueous Dilution Factor: 1
Page: 2 of 2
96-18A 1,2,3-Trichloropropane BRL ug/L 0.5
103-65-1 n-Propyl benzene BRL ug/L 0.5
r
95-49-8 2-Chlorotoluene BRL ug/L 0.5
108-67-8 1,3,5-Tri methyl benzene BRL ug/L 0.5
10&43-4 4-Chlorotoluene _ BRL ug/L 0.5
98-06-6 tert-Butyl benzene BRL j ug/L 0.5
95-63-6 1,2,4-Trimethylbenzene BRL ug/L 0.5
135-98-8 sec-Butyl benzene BRL _ ug/L 0.5
541-73-1 1,3-Dichlorobenzene BRL ug/L 0.5
99-87-6 4-Isopropyltoluene BRL ug/L 0.5
106-46 7 1,4-Dichlorobenzene BRL ug/L 0.5
— --
95-50-1 _ 1,2-Dichlorobenzene BRL ug/L 0.5 _
104-51-8. n-Butylbenzene BRL ug/L 0.5
96-12-8 1,2-Dibromo-3-chloropropane BRL ug/L 0.5
I 120-82-1 1,2,4-Trichiorobenxene I BRL ug/L 0.5
87-68-3 Hexac h I o ro butad i ene BRL ug/L 0.5
91-20-3 Naphthalene BRL ug/L 0.5
87-61-6 1,2,3-Trichlorobenzene BRL ug/L 0.5
�iCIrroKaEeGcln# outK#:c
1,2-Dichlorobenzene-d4 101 % 70-130
4-Bromofluorobenzene 101 % 70-130%
Method Reference: Method;for the Determination of Organic Compounds in Drinking Water,Supplement III, US EPA,
EPA-600/R-95/131 (1995). Method Revision 4.0. Analyte list as derived from 40 C.F.R- 141.40 and
40 C.F.R. 141.61,and additional analyte MTBE.
Report Notations: BRL Indicates concentration, it any,is below reporting limit for analyte. Reporting limit is the lowest
concentration that can be reliably quantified under routine laboratory operating conditions.
Reporting limits are adjusted for sample dilution and sample size.
Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532
I
No. ---- - ��-�� � _-.....-. Fee--��--------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Applicat ion-*rVeil Congtruct ion Permit
Application is hereby made for a permit to Construct (M, Alter ( ), or Repair ( )an individual Well at:
- - --------------
TT Location — Address Map and Parcel --
l!/�--x�GririoNT ------- —— — 6— .4_�f/N�_
Own Address —
Installer — Driller —� _ Address
Type of Building
Dwelling '�
Other - Type of Building------------------------ No. of Persons.----------____--_—__—__—_
Type of Well_- �eC1i�bl_/ ------_- Capacity--/!g----1a2vm- -- - --—
Purpose of Well
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until Certificate.of ompliance has been issued by the Board of Health.
Signed ---
���_ date
Application Approved B 42_ G ____—__
Application Disapproved for the following reasons:------------------------
------------------------------
-------------------
date
Permit No. — �'`� ` ---- Issued----- - = — -- -----
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate Of (Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed (", Altered ( ), or Repaired ( )
Installer
ie� — �0 2-A-e-�d -- ------- -
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
.Ir�f
Regulation as described in the application for Well Construction Permit f�6.- "'_¢I= --Dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---- - — Inspector-----------______—_ —__—_—____
�C _'_lj_ ., Fee--! ---------------
No. - ---=-- -
BOARD OF HEALTH
.. TOWN OF BARNSTABLE
0(ppricat ion,f or lVell Con.5truct ion permit
Application is hereby made for a permit to Construct (1-1/, Alter ( '), or Repair ( )an individual Well at:
Vl_cieitionlL Addres's 1 Assessors Map and'Parcel —/—
�!/� i0004j_ 1Ue
own r Address
�lJPv nz o c ---------
Installer — Driller _ —— Address
Type of Building
Dwelling
Other - Type of Buildin -- No. of Persons----------------
Type of Well. Cacit
T e 2_r� GC�-- ---- a P Y------------- �
Purpose of Well----
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until Certificate/off Compliance has been issued by the Board of Health.
Signed
date
Application Approved By
LiG� date
Application Disapproved for the following reasons:--------------------------_—_______-__
date
Permit No. �_, Gij�'' 2 -- Issued----- '--`f� ---- -
date
a...!,.��`e.Y:s+eee4+x:r.::aeeaeayy:s:v�.exrer:e9ax�e:ee�'4..`:.:l:t.+aa:axe�a±�e:eaex�aoisxsxra:.+tr.erc:aaiwawwawaea+"r±ae.st:e:±slr.��e�s:i.:ea►zw.s�rs.sreckssesav-v.n>�.+,:e.'
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS.;IS. T ')O CERTIFY, That the Individual Well Constructed ('- , Altered ( ), or Repaired
by J ( )
/', Installer
at :: ,�a/7 �i7�GG4----------- ---
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation
Reg -as described in the application for Well Construction Permit
— b
ated9l-
•'--�"�- --
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------- -- -- Inspector—__--_----_-__-- --------
. rt.a.4r!.±:.�>:sxexe.e:exvaa:e»sx'raex'rr+wo.2r.t=±se:sro±x?�s!aca,•ssaxaenaxsasaseas�rr+rose.�seauasasara�aea+meawawa�ox:wa+cwaeaxxes+ar�.t�ae:ar.sasawaaxRa�a r�e�saza�s
BOARD OF HEALTH
TOWN OF BARNSTABLE," ,,
lVell Con5truction13ermit
No. Fee
Permission is hereby granted ������
to Construct 04, A,ltSr ( ), or Repair ( ) an Individual Well at:
No. - _�/ IPP/�� Ae --
street
as shown on the application for aa�.W�ell Construction Permit
No.---� — - --- Dated— =` lJ—/--------
U
Board of Health
DATE �� 43
'y MARSTONS MILLS
ASSESSORS MAP 104
LOT E NOTE. ARCHITECT FOUNDATION PLAN DIFFERS PLAN REF 240/41
— FROM THE DIMENSIONS SHOWN ZONING "RF" AIgvol
C.C.
lb
i 0 00 FLOOD ZONE.- "C" RACE LANE •
" �` COMMUNITY PANEL#
250001 0015 C
\ LOCU
DATED.• 8/19/85 4 ti�
OVERLAY DISTRICT "GP" C —'
0
IYAWCi
It
ID �D
po
00 ��
.: .. LOCUS MAP
509 ,
°o lq ; !g0 9
1 ' 1 � O I •:A•� Ltib`' � � � �
TP
LOT D
�` \ w — CB'
! AREA = 89,355fS.F. hoZ J 0 o� %BENCHMARK
�_ \ �O \ `' i �� '`s• --- � — ti iTOP OF C.B.
foo LEV.= 100.0" ASSUMED
LOT C i i `, O ~ i \� _ It
—102—
PROPOSED
SITE AND SE WA GE PLAN 6 °�;' ; �o GAg �� WELL
OF LAND /
Q.� AS LOT 12
00 o fsf3, rso,8y, ,pp 4 l
LOCA TEED A T ,
ti
45 WHEELER ROAD ',, �0�� • 00 �°' �1 o�
,
MARSTONS MILLS, MASS. ' w
UCE
PREPARED FOR -! MUR Hv y ;
No 74� \ TOWN WATER
DA VID D UMONT �EGI R� 104 1 _ AS/LOT 105
CB
AUGUST 12, 2001 gFt�� ��C g HSE BENCHMARK #56
GRAPHIC SCALE 5�eo � `' 163 i TOP OF C.B. ! '
YANKEE SURVEY CONSULTANTS 40 0 20 40 80 160 ELEV.= 100.,9'(ASSUME0)
UNIT 1, 40B INDUSTRY ROAD
P.O. BOX 265
MASS. 02648
TEI-- (50B)42B-OOARSTONS S5 FAX (50)420-5553 Q4�P
( IN FEET ) y1 J# 52834
1 inch 40 'ft.
103 _ 20' MIN.
719P OF FOUNDATION
10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P. VC
MIN. PITCH 1/8 PER FT.
102
2"LAYER OF
CONCRETE COVER _
" / / / / ♦ i , ♦ ♦ / / ♦ ♦ ♦ ♦ / / �" MAX //8 MAX „ ♦ / / / , ♦ ♦ / / / , EL=101 WASHEDiS71DNE
2 SEWER INVERT MID. HOUSE) PVC SCH 40 RISERS
LINES EL,_ 1_0.5 PI7L^H 1/4" PER FT RISER 36 MAX. ND UNITS
12 MIN
FLOW LINE EL. =98
INVERT (NORTH END) 1 10" o
EL.=_ 00
99 MIN. 14" '-2.0'-
00 0 0 0 0 0 0 0
CAS INVERT 6" SUMP LEVEL o 0 0 0 0 0 Cl 0 0 ° 0 °
INVERT BAFFLE EL = 98.5 INVERT INVERT 0 0 ° ° ° °
0 -
EL.= 98. 75 EL._- 9_8.25 EL.=98_ _ 4' 4' f f
/NVERT
(7V BE PLACED ON FIRM BASE) DISTRIBUTION EL,__97.5_
MECHANICALLY COMPACTED OR 6" OF S7VNE BOX
__150Q__GALLOIVS A--
42' X 12.8' TRENCH FORMATION � h
TO BE WATER TESTED of
SEPTIC TANK PLACE ON 6" STONE b
4" TO 1-112" SOIL ABSORPTION
DOUBLE WASHED STONE SYSTEM (SAS)
BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. = 86 _
1 ELEV.=��'__
OBSERVATION HOLENO OBSERVED WATER TABLE (8/08/01) ELEV. = 86
F' _
PROFILE Q
SEWAGE DISPOSAL SYSTEM PERCOLATION. RATE �2 MIN INCH AT 66 INC OBSERVATION HOLE 2 ELEK= 100'_
DEPTH HORIZ TEXTURE COLOR OTHER DEPTH HORIZ TEXTURE COLOR OTHER
NOT TO SCALE O_3.. O ORGANIC 0-3" 0 ORGANIC
A SANDY LOAM 10YR 4/2 3"-8" A SANDY LOAM 10YR 4/2
6"-30 0' B LOAMY SAND 10YR 5/6 8"-30" B LOAMY SAND 10YR 5/6
30"-5' Cl SILT LOAM IOYR 8/3 30"-5' Cl SILT LOAM 10YR 8/3
GENERAL NOTES 5'-9' C2 MED. SAND 10YR 5/6 5'-9' C2 MEDD, SAND 10YR 5/6
, , GRAVEL AND COBBLES GRAVEL AND COBBLES
9' C3 MED. SAND 2.5YR 8/4 9 -12 C3 MED. SAND 125YR 8/4
1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. NO WATER ENCOUNTERED 9 13' 1 1 1 NO WATER ENCOUNTERED 0 .12
TITLE 5 AND THE TOWN OF _B4RNf'T.4,6LE____ RULES AND
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. SOIL TEST
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO 810812001
WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" DATE OF SOIL TESTSOIL TEST DONE BY BRUCE G. MURPHY, R.S.
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY. GLENN HARRINGTON
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN
5 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE P# 10024
USED UNDER OR WITHIN 5 FT. OF DRIVES OR PARKING AREAS. DESIGN CALCULA TIONS.-
4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL NUMBER OF BEDROOMS . . . . . . . . 4
BE MORTERED IN PLACE. NOTE GARBAGE DISPOSAL . . . . . . . . . NO
5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH INSTALL FOUR (4) ACME TOTAL ESTIMATED FLOW
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 500 GALLON LEACHING CHAMBERS ( _110 -CAL/BR./DAY x --I-- BR.) 440 GAL/DA Y
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. REQUIRED SEPTIC TANK CAPACITY 1500 GAL
6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR 4. FEET OF DOUBLE WASHED STONE
IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS SIDES AND ENDS SOIL CLASSIFICA TION . . . . . . .
PRIOR TO COMMENCING WORK ON SITE. 12.8' X 42' X 2'E'FF DEPTH DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN.
7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . . • 74 GAL/DAY/S.F.
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. 5' STRIPOUT AROUND LEACHING LEACHING CAPACITY (AREA X RATE) 549 CAL/DAY
8) PARCEL IS IN FLOOD ZONE___"C"____. TO APPROXIMATELY 5' BELOW GRADE RESERVE LEACHING CAPACITY . . . 549 CAL/DAY
9) LOT IS SHOWN ON ASSESSORS MAP 124-_ AS PARCEL _7 . TO MED. SAND & GRAVEL SOILS (42 X 12.8 X . 74)+(42+42+12.8f12.8 X . 74 X 2)
REPLACE WITH CLEAN SAND
TOWN TO INSPECT+O VERDIG PRIOR TO BACKFILLINC SHEET 2 OF 2 JOB NUMBER-_ 52834-------
LOT E
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ARE = 8 , 5 SF. ` �a00
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A.M. 10417
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90 2 GP�G �'jyq y b0
PROPOSED 150 0
WELL
AS/LOT 12
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Od` 100, 'y
LOT C
Ak N WATER
TO
GRAPHIC SCALE 104 i AS/LOT 105
ao o zo ao ao ,so 10� C ENCHMA #�6
KSE
'V p40'0 USMYLFAAr ROAD
( IN FEET ) �j NAR99DNS041g/pNgD AM OM48
s�-aoaa FAA" 420-aas9
1 inch = 40 Pt. A�
PTI J1 52834
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NOTES
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o TV re a Proposed New Walls
j Ail r nhts rese,ved,
U Q�h r��m The arawings, designs, a"1 F�3nS em Cu t ui'?reln
M c C h a n C a are properly of Joyce Lanascnpirg, Inc and sha`4 not
be
Proposed New Walls i consentof Joyceced Landscaping,sl ed "bout written
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2866 Doorom
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ro
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Unfinished Areo
2866 Door
cn i
50 Cased -
i',
Opening
' :: - ---
Foundation Window 3066 Door
REVISIONS
___�___
Add 2 18 x 12" office Area
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n , Joyce Lonkc��,ir�u; TIC,
`C J y
a l /1
} Marstor,s H!"Us K4, 02648
508+-4?8-4778 508-428-4707
Q ( www,joycelandscaping,com
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FCIU NDATi0IN'
LAYOUT PLAN
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*I n su l a t e walls with R - 15 Fibergloss Insulation
JCCE `
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finished areas 7 above finished floors � � � I � � �`� � �
Dro ceiling in ,
p g i ,
4 r--� hc,e.er^ 1.6
Murstols Mi'.!s; Mq 02648
LP SCALE
y �r
0 4 8 12 feet S, AQitOi�icYl 'vi .j�U 1.J
/ 7 u_
I DECKED BY
il30 ( 7, SCALE: 1/4" = V DATE 01/2 7%
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P d m oi-f uA vaan 1 j