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0549 WHISTLEBERRY DRIVE - Health
549.�,Whistleberryil)fWe ' - _ Marstons Mills A= 061-042 R TOWN OF BARNSTABLE LOCATION �I�$EWAGE# __X�i g- ®JL6 VILLAGE NIL IXSSESSOR'S MAP&PARCEL 4L-yF=A— INSTALLER'S NAME&PHONE No SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -i I xNqG b;t— (size) NO.OF BEDROOMS OWNER WJ14- PERMIT DATE: ! COMPLIANCE DATE: Separation Distance Between the: r Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility — Feet Private Water Supply Well and.Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) H4. Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY . 3 - i3 3- C ��' - ® No. )_d Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:�iz/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes fipficatiou for Disposal 6pstrm Construction 3permit Application for a Permit to Construct( ) Repair(VUpgrade( ) Abandon( ) ❑Complete System aldividual Components Location Address or Lot No. Ja— ;sH r f5 D Owner's Name,Address,and Tel.No. �� ��'� Ala 6b 15h sv� &* 5flidX Assessor's Map/Parcel G I yo'j l5 - _ (S p Installer's Name,Address,and jTel.No.;�j$-'77!—9 99 Designer's Name,Address,and Tel.No. soFs-�� ' ' 5�� 2?oAvL6&L 0,onstivx.Vcgr1 i Zv c- P.lj isc):c 7®V �:?+> �a 'na "d �+�C �3 t Haln► SF- MA It5 b"1 fo Type of Building: Dwelling No.of Bedrooms Lot Size y3 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures p Design Flow(min.required) �3 0 gpd Design flow provided 341 gpd Plan Date Q,f). XX, 201B Number of sheets / Revision Date Title n i6 5S ;�Zi�er�n - 64� Itj is PgjW1rr �-d�tz ArS�r�;��Us s✓Size of Septic Tank i6 ` v Type of A IlS.�aJ SUC�a 4,e C�Chp/y 1p j jsn o�S,X�1�--•A� , Description of Soil 6u Sgwl" Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of fore described on-site sewage disposal system in accordance with tae provisions of Title 5 of the Environmental Code not to ce the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date t.2 r5— 1.? Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 2e I Date Issued / ' �( /`; (a t ♦ WTI • "! No. , O r 1J/ V 1V Fee LTV r computer: s / THE COMMONWEALTH OF MASSACHUSETTS Entered in com p - PUBLIC HEALTH DIVIS,IONi-.TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zfppfication for -Misposal *pstrm Construction i3ermit Application for a Permit to Construct( ) Repair( �U�pgrade( ) Abandon( ) ❑Complete System ®Individual Components Location Address or Lot No. %' `l ( �ie,}-� s• ( ", Owner's Name,Address,and Tel.No. 5�1$ fa s{-D Assessor's Map/Parcel (,I q-A 1!5 JLl r if Irt 0-�k.N Installer's Name,Address,and Tel No. :2)1$-e?12 -7 379 Designer's Name,Address,and Tel.No. 6 L>Ss-34 V-5VI 2)"4V{c& �ar�s ruc '�1 j Zvlc Po-i3,ox '70 ("apo �,��„�br,',� ���c c{3'{ a`.:'uio Sf-- meir56A-, ";!I,. I o—o-to Ll�- Type of Building: j I Dwelling No.of Bedrooms 3 Lot Size 99 �` sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3.30 gpd Design flow provided _3 V? gpd Plan Date S0. l. �r�R ?=)I8S Number of sheets f Revision Date Title i t 4e.S 14 RU.vA tJe. rfUI�. �S Size of Septic Tank 6A;5 f in- I cat ��_ ' Type of S.A.S. ( `iry�,a �( Eic�4��s7'f j/�t +.� t yZ c$X( • Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: r 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 of to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. f kia Signed -, ;I �,r '� _�M --- Date r , Application Approved by U 11{, �/�� f �l Date ,-1)-/ 1 r ` Application DisEpproved by Date for the following,reasons Permit No. a d Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance s THIS IS TO CERTIFY,that the On-site Sewage Disposalsystem Constructed( ) Repaired Upgraded( .) Abandoned( p)iby r" >�� c n5t1C:y'/sr71�a ?G. aY, -O _ at 1'� ,c _rCU A N— ,ti j t rs /!S has been constructed in accordance �! 'd � with the provisions of Title 5 and the for Disposal System Construction Permit No. dated �r Installer i.,/ j/ Designer t/_ tan ellf. rI'Oes'_ #bedrooms Approved design flow r " � w gpd The issuance of this pe;/t shall not be construed as a guarantee that the system will�fun ctj onra�esgigned Date r'�`�� 1 Inspector," J /l r - No. . . d Fee DU" THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction permit Permission is hereby granted to Construct Repair/) Repair Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must/be completed within three years of the date of this permiri J, Date ` �r I A Approved by w,_ /'-,j Town ®f Barnstable �7 4179 .�WE � Regulatory Services Thomas F. Ceiler,Director BMWSTABM 4� MAM Public Health Division 1639. ,0g r ApFDMA'�� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Forma Date:. a D J Sewage Permit# Assessor's Map\Palrcel Designer: o W`. e E-v,1(nAmt1gg Installer: %6 o v- /�1 , Address: qc�q MJ,, Address: / •y ' Od o x /�y D Yl,,-A4, 9- 141 On I &1Z ,L was issued a permit to install a (date) (installer) { I septic system at 'Sy based on a design drawn by c (address , s dated � ad Ile esigner) • � i <T , rtify that the septic system referenced above was installed substantially according to the design, which may include.minor approved changes such as lateral relocation of the distribution box and/or septic tank. . I certify that the septic.system referenced above was installed with major changes (i.e. • greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State&Local Regulations. Plan revision or certifie -built by designer to follow. i Q iG (Installer's Signature) a APINE M. , OJAt.A • CIVIL No. 3010 j (Designer's Signature) (Affix DesifftnWRamp Here) i PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLLANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. I I Q:Health/Septic/Designer Certification Form 3-26-04.doc 060tl �7 9 17 r Depar input of R.egwatoxy.services /1. LZ /� 1 Pu1�l Health.Dlvislou DateRUM ap ua a� 200 Maln Stroet,Hyannis MA 02601 r Date Scheduled 'I'izne — F6 e Fd., t'[ly"1 a0 (c) ; Soil Suitability Assessment for So e Des"osall 'r'r�ltness0d iiy: - !s LOCATION&-'AGE .rR1x � .t aO: Location Address � W 1` � �,r• Oy�ner'sName 1z/S �4 i 6-J' Address Assessor's Map/Parcel: �O��/Z- t Engiuvor's Name 0 0[��/� CAf e NEW CONSTRUMON !!! PAIR Telephone# jot Land Usa: vCPJ d Slopos(0) — 'to Surface Stones Distance's from: Open Water Body 2 rG0 ft Possible Wet Area laG Drluld g Water W,11:L ft Drainage Way> r QG ft Nopertp Line �l ft Other, fit SEMTCHo(Street name,dimensions of lot,exact locations of test holes&pert tests;locate wa lands'lfn pxoxiznity to holes) wh iIle r P,�, �r,dP oe® (� VV T%n �j — G�ac�'al o� wash _ zoo )yarent msterial(geologic) Depth to)3o[lrgclt Dapth-toGroundwater. StandingWaterinHole:.��� Woepingfii'gtxtPltPgOn'�/� Hstitllated Seasonal High Groundwater MothadUsed: G U/1�_:_ ltl, Depth Observed standing in obs.hole: lug epthTn.sll r�puls,- Dopth to wcepingfmm side of obi.hole: !ri. c3rnu�ldwa[crl�djudtm�nk n Xndex WeI #� li,cading Date: Index We11,1AYe[.,.:..,...,,,.......� Ad(. :tta`,•„�..._,.._..?�c�Ir:�lx�uiitlwlltet'1.aval„a,�, Observation ' Hole#k ` _ Tlmvat.S�" ..-..•.•...•...--.•. ,....,....•.•.�.--. r Depth of Bero• g Time At is" Start Pre-soak Tune @ Bud Frc-soak / L Rate Mln.r-hch Sit d:, AddltionaI xosting'Noodcd(�'!i'I} " SitcSuitabllty,Asaesstnent: S1CeI'Assecl g Fallo .— original: Public Health Dlvlsioa Qbsentation Hole Data To B.e Completed on B ack--�- -- **;Lllf percozataoaa test is to be conducted vattiai 1009 Of Wetl=da YOU must f.rst'.o 'y the Barnstable Coiasemdo)a DIdszon at toast one(1)week prior to,beg g. t,�s1SBPTIC`P33ItCl�OI�M.DDC • DEEP.03BSPIRVINT-11ONTIOU LOG Dcpthfi'om SallHari7.an Sall Toxture Shcl°Color Soil.. t7t'hcr Surface(in.) MbA) (MunseIl) Mottling' (Strncturc,S.toncs';Bouldr , . a i'ten cy.Ra'(irijyeil ' o WX 5 14 R2 30-132 Drpthfrom Sall Horizon BailTexturr Sall Color Soil Other Surface(iu.) (USDA) (Mansell) Mottling (5tracture,Stands,Boulddrs. ansis en %Grave -� 04 L s (0 ;A '/-�- I & 132 L 5 Z_(3z C /i/C5. 2L Ni bepthTrom Soilf3orizon Sall Texture Soil Color Sail Other SDA) (lviunscZ!) Mottling (Struatu;o,Stancs,;3ouldcrs. _ Colislitmoy,%,QmVQj) "GSPIRV&TION ROVE Loa il toe Soil Color golf Other Depth from Sail�latizon Bo Texture i? Surface Cn.) (USDA) (Munsell) Mottling (Structure,Stontz nouldars. • Co si Ectt 6 ' 7 �'Yood znstvranr;��I�ate�lt�fm�. / •, Above 500 earflaod hound No Yes __.. Y � Within5'00 year baundnry. NoZI Yes Within 100year flood boundary No•� Det�th of�'atirr'aYY�(�ccrgr�in�:�`er�"arcs 1i�'ater%aY . Dces atlaast four feet-ef-naturally occurring poi`vious Inner iai-exiiit in-all.arelia observed thrpughout_th6 --ro osed far the soil 6si o tiara system�l �L area-proposed rP , If not,what is the depth of naturally occurring pervious matatall �I�L'1.L1C2.'�IOY4 I certify that on Z (date)I havopassed the soil evaluator examination approved by the Depaltlnl;nt ofBnviromnontal Proteclion and tharthe above analysis vras.perl'orntedTay me consistent With . 'the required training,expertise and experience described in�10 Cl\d:R 15.017.Datb / Signature I / �� �lg y . Q:1S•)Jt'`X'ICtrL��.CnOSi.M T70C Commonwealth of Massachusetts. __ Title 5 official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 549 Whistleberry Drive property Address Linda LeBlanc Nominee Trust Owner Owner's Name information is Mastons:Mills. MA: 02648 April 28 2011 required for:e4ery r p page. Citgrrown state Zip Code Date of Inspection. Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist'at the end of the form. Important out ormsen A. General Information filling out forms use .o computer; use:o && nly the tab.: 1. Inspector: J I key to move your cursor-do not David D. Coughano"wr use the return key. Name of Inspector � Eco-Tech.Environmental- Company Name 43 Triangle Circle TA dF- Company Address MM Sandwich MA 02563` Cityrrown State Zip Code 508 364 0894 1328 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address andthat 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 M000) The sysfem; - .2 C.) Passes ❑ Conditionally Rasses ❑ Fails' ❑ Needs Further.Evalueition by the Local Approving Authority Lot I. U1,M-4----, S aril 28,201.1 i 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 tor the appropriate°regional office of the DEP. The original should be.sent to the system owner and-copieSr sent to the buyer,,if applicable, and the approving,authority. 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. I � I5ins1,,o910$ Titles Official Inspection Form:Subsurface Sewa SDisposalSystem,•Page 1 of 17 Com,m;onwealth=of Massachusetts l Title 5 4fifiicial Inspection Form. Subsurface,Sewa9e Disposal"System"Form -N,ot`for Voluntary Assessments. 649"W6istleberry Drive Property Address Linda LeBlanc Nominee Trust Owner Owners Name information is required for every Marstorts Mills MA 02648 April 28;'2011' page. C•ityrrown State Zip Code 006,of Inspection B. Certificati'on (cont;) Inspection,Summary. Check A,B,C,D or E7 a/ways:complete.all of Section.D A) System Passes:; I have not"found any,information which indicates that an,.of the failure criteria described in 310 CMR 15.3"03,orin 310 CMR 15.304 exist Any failure criteria not evaluated•are indicated below: _ Coinrrients: Inspector's;Note--=> A,septie"syst,- -is deemed to'pass.this Real.Estate:Transfer Inspection if does,:not trigger any of,the failure criteria listed .below, The septicsystem has been evaluated accprding`to the conditions observed on the day it was inspected. No estimate;or guarantee of system longevity is madebr implietl'by a passing determinati' 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, I will pass. Check the box foryes no' or n ot determined �Y' N ND) for the followin ;statements, If not determined;" please explain:. The>septic.tank:ismetal and over20;years old*.or the septic tank (whether metaf:or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is.imminent. System will pass. ihspection'if the sting tank,is replaced with a complying septic tank as,_approved by the Board_of Health, ,A metal.septic1ank will pass;inspection If it'is.structurally sound; not`leaking and"if a. Certificate.of' Compliance indicating that the-tank i8less.than.20 years oldis available. [] Y ❑ N ❑ ;ND (Explain'"below)': tSlns:a 09fi)8`, Titwe bfficial_lnspectib6 F6rin:"SubsuAace"Sewage Dispgsal System•P"age 2 of:17 commonwealth:.of'Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 540 Whistleberry Drive 'Property Address Linda LeBlanc Nominee Trust Owner Owner's Name information is required for every Marstons Mills: MA 0204.8 April 28, 2011. page.. City/Town State Zip Code Date of Inspection B. Certification (cont:) B) System Conditionally Passes (cont,.) ❑ Observation of sewage backup or brea�out or high static water level'in the distribution box,due to broken or obstructed pipe(s)or.due tb a broken;.settled or uneven distribution box. System will pass inspection if(with approval of Board of Health,) ❑ broken pipes)are replaced ❑ Y ❑ ;N ❑ ND (Exp'lain.below):: ❑ obstruction is,removed ❑ Y ❑' N ❑ ND (Explain-below): ❑ distribution box isleveledorreplaced ❑ Y ❑ N ❑ ND (Explan,below); ❑ The system required pumping more than 4 times.a:,year due to broken or obstructed Pipe(s);:The system will pass inspection if(with approval of the Board of Health); ❑ broken pipes)are replaced ❑ Y ❑ .N ❑ ND (Explain below).. ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain.below): C) Further Evaluation'is Required by the Boardof Healthy ❑ 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 accordancewith 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 El Cesspool or privy`is within 50 feet of-a bordering vegetated wetland or a salt.marsh t5ins:+o9/k Title 5 Official Inspection Forth:SubsuAace$swage Disposal System•Paga 3 of t7 Commonwealth`of Massachusetts, _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments: 549 Whistleberry Drive; Property Address Lindal LeBlanc,Nominee Trust- Owner owner's Name' inforrriatlo n is. required for every . April 28, 2011 prstons Mills: MA 02648 page- CitylLrowh State Zip Code' Date of Inspection 8.r Certification'`(cont) 2'. System`will fail unless"tlte Board.of Health (arid Public Water Supplier, if,any) determines;that the system is,fu_'nctioining in a,manner th�at'protects the'p.ublic Health, safety:and envit;onment :[] Th_e-system.;h'as a septic tankand:soil absorption system (SAS) and the SAS is within j.Q0 feet.of,a surface water supplyor tributary w.to;a surface ater supply. ElThe system l as a septictank and SAS and the SAS is within,a Zone,1 of a public water' supply, 0 The system has a septic tank-and SAS:and the:SAS is:within;50 feet bf'a private water supply well. 0` Thesysterp has'a septicltank and,SAS and the SAS is less."than 100 feet but 50 feet or more from a private waterrsupply well**: Method used to determine distance_: **This system passes if,th well w,ateranalysis, performed at a DER certified laboratory, for coliform bacteria indicates'abser, and ttiepresence of ammonia nitrogen and nitrate nitrogen 'is equal fo or less ll 5 ppm, provided that rro other failure crtter a:are triggered, A copy:.of th'e analysis,must be attached'to;this,form. I Other: D) System:Failure Criteria`Applicable to All Systems:' You:must indicate"Yes or"No"to each of`the'following for:alf- nspections: Yes. No. Backup of sewage intofacility or-system.component:due to overloaded or, clogged SAS or cesspool. Discharge or po dd- ' of:efhuent to the surface of the'ground or surface waters due.to,an overloaded or:clogged SAS or cesspool Static liquid leVol'in the distribution,box'_above:outl.. ihvert d.ue to an overloaded or clogged SAS or cesspool. Liquid depth in.cesspool is less than 61 below`invert or-available volume:is less than, day flow Mns`* P Title .Vkial Inspection Form:.Subsurface Sewage Disposal system•Page 4 of 17 Commonwealthof-Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-_Not for Voluntary Assessments 549 Whistleberry Drive Property"Address Linda LeBlanc Nominee Trust Owner Owner's Name information is Marstons Mills MA 02648 A nl 28,_2011` required for every p � , page: Cityrrown state Zip Code Date of-inspection B. Certification (Pont.) Yes No Required pumping,more than 4times in the last year NOTdup to clogged or obstructed pipe(s). Number of times pumped: ❑ ED Any portion of the SAS,.cesspool or privy is below high ground dater elevation. Any portion of cesspool or privy is within 100 feet of.a.surface water supply or tributary to a.surface water supply: Any portion of a cesspool or privy is within a Zone 1 of a public well: ❑ Any portion of a cesspool or privy is within 50 feet;of a private water supply well. ❑ Any'.-Portion of a cesspool or privy is less than 100 feet but greater tharr 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 amrrionia 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. ❑ Thesystern 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 largesystem the system must serve a facility with-a design flow.of10,000 gpd to 15,000 gpd. For large systems;"you mUstindiCate,either"yes"or"no"to each of the following, in addition to the questions in Section.Q Yes No ❑ ❑ the systern 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 mapped Zohe ll'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 31Q CMR 1.5 304. The system owner should contact the appropriate regional office of the Department. t5ins:.,'09/D8' Tf le 5 Official Inspection Form:Subsurface Sewage Disposal$ystem-Page 5-of 17 ,Commonwealth of Massachusetts _ Tit] 5 O?ff�.c�i`a.l Insp:ectiort Form .., a Subsurface'Sewage.Disposal,System Form-Not for Voluntary Assessments 549 Whistlebery. Drive Property Address Linda LeBlanc Nominee Trust Owner 'Owner's Name informaGon'is req every uired for eve Marstons;Mills; MA 02648` April 28, 2011 page.. Citylfown' State; Zip Code Dateof'Inspection C. Checklist Cheek if the following have been done. You must indicate"yes"or"'no"'as_to each ofahe°.following: Yes No. Pumping information was provided bylh,e owner, occupant,or Board of Health We-re:.any of the system,coMponents pumped`.out in.the previous two weeks? Has the system received normal flows"in the previous two week:period? Have large volumes of water,been introduced to the'systern recently or;as part of this inspection? Were,as built plans:°of the system obtained and examined?(If they were not available note as NIA). 0 Was the facility or dwell nietd fognofseweke p'?' Was the:.site inspected for signs:of breakout? [] Were',all system components; excluding the,SAS, located on site'? I 0 Were-the septic tank,manholes uncovered;-opened, and the interior of the,tank inspected forthe condition of the baffles ortees;,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 di sposal.$ystems? "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.th`e Board Hof Health:. Det&mihedAn the feld (if any of the-failure criteria related to Part Cis at issue approximation.of d stance;'s unacceptable) [31'0 CMR 15.302(5.)] D. System Information Residential Flow Conditions: Number of:bedrooms (.design:)': 3 Number of bedrooms(actual),; 3 DESIGN flow based on:310 :MR 15.203(for.e ca ple* 110 gpd x#of bedrooms); 330 gpd ISins.+.09108' Ti11e;5,Official'Inspection Form:Subsurface Sewa9e Disposal Sysi,em.•Page 6 cfA7` j Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 549 Whistleberry Drive Property Address Linda LeBlanc Nominee Trust Owner Owner's Name information is required for every Marstons Mills MA 02648 April 28, 2011 page. CitylTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 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 Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 158 gpd Detail: 2009-2010 Sump pump? ❑ Yes ® No Last date of occupancy: currentDate Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: 151ns•02= Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth,of,Massachusetts Title 5 Official Inspection Form $Ubstirface S:ewag;e Disposal System Form-Not for Voluntary Assessments 545 Ilistlebe Drive;. Property Address Linda LeBlanc Nominee Trust Ownef owner's Name information is required for every Mbrstons Mills' MA 02648 April 28, 2011' page.. city/Town State Zip Code. D.ate,of Inspection .D. System lnfo.rmat'ton (coht.) Last'date of occupancy/use: Date Other(describe.below), .:General information PumpingRecords: Source.of information;:; Was.systempumped as part of the:inspection? 0 Yes Z 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 Q Privy' Shared system,(yes..or`no) (If yes,aftach previous inspection "records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance Contract(to be obtained from isystem owner);-and a copy of latest inspection of the I/A system by,sysfem operator under contract Tight;tan k. Atfach alcopy of the DE P a'proval. 0 Other"(describe); t5ins•OV081 TA1 5,Official lKspection Form,Subsuaace Sewage;Disposal System•Page B of.i7 Commonwealth of Massachusetts t - Title 5 Official Inspection Form Subsurface Sewage.Disposal System Form-Not for Voluntary Assessments. 549 Whistleberry Drive Property Address. Linda LeBlanc Nominee Trust Owner Owner's Name information is: required for,every Marstons.Mills MA 02648 April 28., 2011 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components;date installed-(if known)and source of information! Age 27+years. Certificate of Compliance dated 2/10184(permit 83-1127) Were sewage odors detected when arriving atthe site? ❑ Yes No Building Sewer(locate on site plan): Depth below grade: 3 feet Material of construction: ❑cast iron © 40 PVC ❑ other(explain): Distance from private water supply Well.or suction line: feet omments (on condition of joints, venting, evidence of leakage, etc.): Sewer line.appears structurally sound with no evidence of leakage or backup into dwelling. .Septic Tank..(locate on site plan); Depth below grade: 3 feet Material of'con5truction ® 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 Di mensions' `8.5 ft x 6 ft x:5 ft(1000 gal) Sludge depth: 4,in t5ins+.09108 Title 5'Official Inspection Form:;Subsurface Sewage mposel,Systam•Rage-9 of•17 jCommonwealth of Massachusetts 'Title, 5 official Inspection Form = Subsurface.Sewage°Disposal System Form-Not for Voluntary Assessments w 549 Whistleberry Drive Property Address Linda LeBlanc Nominee.Trust Owner ow_n6es Name information is Marstons Mill% MA 02648 28 2011 required for'every -April page citylrown State Zip Code Date of Inspection D. System'Information (cont) Septic Tank (font.,) Distance from top of sludge to b6tt6rn-of outlet tee°or baffle 30 in Scum thickness 2.in in Distance from top of scum to top:of outlet tee-or baffle 9 Distance from bottom ofsc um-to'bottom of,outlet tee or baffle 13 in How swere-dimensions determined? Design plan Comments (Oh"pumping recommendations, inlet'and outlet-tee or baffle.condition 'structural integrity, liquid levels as related.to:outlet invert evidence of Leakage_,.etc.) Pumping''is not required,atthis time but;maintenance pumping is recommended within and every two years. Tank appears structurally.sound and functioning,as`intended. No evidence of leakage in or out was observed. Grease Trap (locate on site'plan): Depth below grader. feet: Material of_c,onstructon ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain); Dimensioris: Seum thickness Distance from top-of scum t ''top:of- outlet tee,or baffle Distance from bottom of scum,to:bottom of outlet.tee,. baffle: Date<of last:pumping: Date 15 ns 09R18. Title S:bf, ai.inspecUo I Font subsurface sewage Disposai'sOtem•_Page;10 01'17' Commonwealth of Massachusetts Title 5 Official Inspection Form = Subsurface Sewage_Disposal System Form-Not for Voluntary Assessments 549 Whistleberry Drive Property Address Linda LeBlanc Nominee Trust Owner Owners Name information is required for every Marstons Mills' MA 0264.8 Aril 28,20'11 page. Citylrown State Zip:Code Date of lnspeefion D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or:baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.). Tight or-Holding Tank (tank:must be pumped at time of inspection) (locate on site plan): Depth below grade. Material of construction-, ❑ concrete ❑ metal: ❑ fiberglass Elpolyethylene, ❑ other-(ex OWn): 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 j51ny.,09708., Titlo 5 ofriciai Inspection.Form.SuSsudace Sewage DisposelSystem•Rap 11 of-17 Gommonwe' fit_ of Massachusetts: Tithe 5Official Inspection Form, Subsurface Sewage Disposal System-Form -Not forVoluntary Assessments 549 Whistleberry Drive;, Property Address Linda LeBlanc Nominee Trust Owner Qwrier's Name information is: requiredfor.every Marstons Mills MA, 02648 April28,; 2:0'f1 page. Citylrown State: Zip Code Date,of Inspection D. System Information.(cont.), Distribution Box(if present must be opened).,(locate on site plan); Dep itth of liquid level abov.,,e odbt.inve,rt Outlet invert. Comments(note,if.box is:level arld'distribution to outlets equal, any'e.vidence of'solids;carryo er., any evidence of ,, akage irnfb.,w out::ofbox,;etc.): D-box appears structurally sound with no evidence of`leakago in or out..Some.solids in sump.. Pump CFiambet�(locate:oh site plan) Pumps in working order; ❑ Yes 0 No. Alarms in v—king order: ❑ 'Yes ❑. No "Comments(note condition ofpump chamber.;condition of pumps and appurtenances;.etc.)*,. S'oil,Absorption System(SAS)(locate:on site;plan;;excavation 66t'requ red); If-SAS not located, explain why;' 15ins-'09/08 Titie 5 Ofrko i inspection Pbrmi Subtuffac6 Sewage Disoosal:SyMbio�Page l2 of 17 <t\, Commonwealth:of Massachusetts> z Form Title 5 Official Inspection Subsurface Sewage Disposal System Form-Not for.Voluntary Assessments 549 Whistleberry Drive Property Address Linda LeBlanc Nominee Trust Owner Owner's Name informationqirfor Marstons Mills MA 02648 Aril 28, 2011. required for every p page. Cityrrown State. Zip Code Date:of Inspection D. System Information (cont:') Type: leaching pits number: 1 ❑ leaching chambers number: ❑ leaching:galleries number: leaching trenches number, length: ❑ leaching fields number, dimensions ❑ overflow cesspool- number: ❑ innovative/alternative.system Type/name of technology: Comments(note condition of soil; signs of hydraulic failure,'level of ponding, damp soil, condition of vegetation, etc.): Soils above leaching pit appear unsaturated. No evidence of surface ponding, breakout;.lush vegetation, or other evidence of hydraulic failure was observed. An observation hole was dug:into leaching pit stone and no;effluent;contact staining was observed in the stone or overlying soils. No standing effluent was observed in the top 18 inches'of'stone.. 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 t5G5s Title 5 official inspeclion'Form:Subsurface Sewage Disposal System•Page 13 6117 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 549 Whistleberry Drive Property Address Linda LeBlanc Nominee Trust Owner Owner's Name information is Marstons Mills MA 02648 Aril 28, 2011 required for every p page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09M Title 6 Official inspection form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachuseft Title 5 official Inspection Form S.ubsurface'Sewage'Disposal System Form -Not-for Voluntary Assessments 549 Whistleberry Drive Property;Address- Linda LeBlanc Nominee Trust Owner Owner's-Name information is Marstons Mills MA 026,48 Ail 28 2011. requited for every April , page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System:`Provide a view of the sewage:disposal system, including ties to at.least two permanent reference landmarks or benchmarks:_Locate aliwells within 1,00 feet. Locate where public water supply enters the building. Check one of the boxes-below: hand-sketch in'the area-below ❑ drawing attached separately i 1 d t ►JtC W ijo Y. A �cN z z Z7 . 3 Z WH-1 TL49E.Rgy Dzin t5ins•,09/,0,8 Title 5 officiat Inspection Form iSubsuAace.Sewage,Disposat System Page;l5.of.17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 549 Whistleberry Drive Property Address Linda LeBlanc Nominee Trust Owner Owner's Name information is Marstons Mills MA 02648 A nl 28, 2011 required for every p 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: loft 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: 12/13/83 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: Septic design plan shows bottom of leaching pit to be 10 feet above high groundwater. Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins•091D8 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 16 of 17 I I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '• 549 Whistleberry Drive Property Address Linda LeBlanc Nominee Trust Owner Owner's Name information is Marstons Mills MA 02648 Aril 28,2011 required for every P page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09= Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 17 of 17 Ids•-d �... ��d' ..._• .. . .. ...._. - 3¢'�� lo' ._....._._._..•__._...._.___.,. ... � { O I BATH 1,15 f.jz J OC ' 00 �! CL T5 Ile i ( 12.9 11'° 33 � to•�' T' w s , rap UP ?to o P4ys, q•U VI t -T io' V T'0, 1k•�f' %'�rSI•�_--.._ice• F7 f'Y.•'r{.!r'/•1/�� WA I .._.....- 14`0" r~i l3'c' a __ x,�n• sty, SA(SIDE• BUILDIUG CO C t U TTR VI L L�r, NI A Tr I� .. ._ .._..__.__ DkBr' s11E'7Zh/oo.i� �• vODGF' 12,%-84 � LOCy-ATIO/�N SEWAGE (�PERMIT NO. t,U� Ts VILLAGE h ld4 �t 1,041��� I N S T A LL E 'S NAME & ADDRESS S U I L D E R OR 0 NER DATE PERMIT ISSUE D DATE COMPLIANCE ISSUED �o ��- .� � ,vSp f � A� U { J_ t � � � � � . f 1 � :s � � � �� t .,����� �� i g � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 �U .�.s.............OF.......�6.*04 5, TJ,8L _.. 5�l Appliratiun for Dispuuttl Works Tunutrurtiun frrutit Application is hereby made for a Permit to Construct (V/ or Repair ( ) an Individual Sewage Disposal System at: Gvh,�rle, g........ �� ...:.--•---... IMF................•---.....------...................................................... Locati ddres C r Lot No. p rF�5J,6 ...... Gll.. ......... ..............••--•-----•--._ r .�' 0 ._......_. . Ow Address �h .................................................. Installer Address d Type of Building Size Lot...-C,.!? ....Sq. feet U Dwelling—No. of Bedrooms.._..... .....Expansion Attic (All? Garbage Grinder (N(l . '4 Other—Type T e of Building � .--....... No. of ersons.... Showers fir YP g ----•--• -e'tJ.- P ..�------------------- (A) — Cafeteria W Other fixtures .......................... d •..................•-------.....-------------------•-------------.--------....._.................. _. W Design Flow............. ......................gallons per person per day. Total daily flow..........IM .......................gallons. WSeptic Tank—Liquid*capacity.10.0.gallons Length....(Q....... Width....0....... Diameter-----�...... Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----------------_-- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (VI Dosing tank ) _ Percolation Test Results Performed b ...... ........ Date...... a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground w!epr..% _........__. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ....................................%......................I............................. - O Description of Soil...D --(-- �..4. ...... --5 24 5,nl------------------------------------------------------ ---...... ---...... U .................................... --l•Q........n!1?tKk-•-_... -A.h.S......To....C Pa1& .e-•-6•AA vEA� .......................................... UW ----••-----•------...... l.9' l -----��'z..K------------------------------•--•-------------------------------------------------------••------•---•--------................ Nature of Repairs or Alterations—Answer when applicable................................................................................................ •-- -----•-----------•------•---•--•-----------------------•------------•-------•---.......................---•---------------------•---------------•--------•------•-•------------......_----•••--..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ned_. .. ----- - u...�&? �1�. 2. �E lD/a,/ ........... ApplicationApproved .-•-- --•--- -•----...._.. -•--•--•............••-•--•-•..........••-•...._.................... ....... Date Application Disapproved r e following reasons:-----•-•-----------------------•----•-.............-•---------...------------.....--•--••-=--................. ........................... ...----••-•-------.........--•--.........----••--................. Date PermitNo......................................................... Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH jaw. .............OF......:.1'�. .. 1 . .. �. ' ---------- Appliratiun for Diuvuuttl 3 aarkii Tunutrnrtiun ramit Application is hereby made for a Permit to Construct (V/ or Repair ( ) an Individual Sewage Disposal System at: ..............�(J/1:...:rr. : r .. . / /�. /✓� . ...................-•--••......••—y...... ---....-•-•-•-•--•-•.......................... Location !Address or Lot No. ... i� Owner . Address a --------------- ......./l.......................................................... .......-••-•------•-•-•-------••-•.../< f.•••.........._..---•..............--•.....-••-•.... Installer Address Q Type of Building - Size Lot_.` :.r!4t�._..Sq. feet U Dwelling—No. of Bedrooms..........5................. p ( g ( )'Expansion Attic rt/�) Garba e Grinder PL4 Other—Type of Building _! ...... No. of persons.......3................... Showers (d2 ) — Cafeteria (UU) dOther fixtures ..._.....---•--•-•--•.............•-•--•---••-•-•--•--........-----.....-----.............---..._..................------.........................•... W Design Flow............ .. ..........................gallons per person per day. Total daily flow.._....... !�.........._............gallons. WSeptic Tank—Liquid capacity-1: .Cz.-gallons Length___!r........ Width....<e_....... Diameter-_._- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (V Dosing tank ( ) `-' Percolation Test Results Performed b r- r��. : N<r �.._ 1— �+ ��r'.�!��'+� Date._.___�.,�q.. �" G Y ... .... -- = -----... Test Pit No. 1..............:minutes per inch Depth of Test Pit.__-..(T _..._.. Depth to ground water.....:.n............ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------•--------------------•-•---------•------....•••-----•-------•-............---......--•--•••-•--••-•••--•-----•••-•-•......._......-••••-•-•.......................................................... Descriptionof .......... ..--=--`--------------------- ----••......------------------. .........-----------•---------•-••-----------.......-•------.. . ...................•............... ------.....---------........................--=-- W +r-' !: r U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------------------------------------------•---------------------...............-•-.....-------------------------•----•••---•-----•-•---•---..............•--••---...--•-•••..-•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ....•/. l/f f Application Approved ✓ Dat ' ate Application Disapproved of allowing reasons:------••--------------•-------••----.....-------------••---•------------------••---------. ......-•.........r ..................................... -•-----•••-------•---------------------------------------•.•-- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........1 /c 6/ OF...... ...:. .L:`.t..! ,.................................... ....... .............. Trrtifiratr of Taamlilianrae THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( v or Repaired ( ) by.......... .:__! 1 �/S<'f�/. %........................•-•--......__......---............-----•---•--------•--•--•-----------...........-----...................•----••••. Installer atj -•---.---•---..`..--------•-- -----------'j --'•------------------------•-........ ---• ----------------- has been installed in accordance with the provisions of T "LE fr of T e State Sanitary Code �d f-r'bed in the application for Disposal Works Construction Permit No.. 3-/r)._Z..._...._.. dated_..��_��. 8 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIW F CTION SATISFACTORY. DATE.......2.1 V ..................................................... Inspector_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH j OF i S Nov.................. ... FEE........................ Uiuyaaoal Work.5 an it Permission is hereby granted....... �1f .......I.. ...... ........:/........!) to Construct )or Repair ( ) an,Individual Sewage Disposal System atNo..••-•---•-••-...... y-,,l-.......c.�..!.:.` ..._..-•-•--.... 't l,. ~v�. . -----•••.............•-••----------------------------•••-•---•-••------•-•••• Street as shown on the ap licatio for Disposal Works Construction Permit No.-_ --10' ._._ Dated.......................................... / ----••......••------ --- -------••• ----•-•----------•--- .......................-••---•---•---••••. f/ /� ....... I Board of Health DATE-- ----•---- •---fff///-..-•--------------------•-•-- FORM 1255 A. M. 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N f" i �FSS/ONA��aG\ e :n r GI pv® r.�► r I.Et 4v ' DATE �zP ' LDREDGE E'NG/NEER/N . v; C1 $NT� ;�—. k l CRYIY 'IOW AT- TN E PROPOSED , t EGISTERE REGISTERED � N�. °IUIL.CIlN®�"SMA'WN ON::`TMIS PLAN CIVIL L'AAIO Yr `f u^ CgNFO'AMS .'tO,.THE, ZONfN4 ..1.AWS,: r* a N E E a pR:$'Y'� ° �r' A�j .� �y �+ < k�k'S N �1 fr? fir,. -...,_ �; ,. 3� :_ C x�t�ke tG�`"'�` �iy�'�� •,.d ice"' �-kt-i _�'� ,;; ( i .,.aS t`"... 7h2,,.MAI N• $TREET tf'sf« ' yk,fi�,S.Y3' +ri si*'t•,ti`: ii 't '§6, � '. 3 a.,,�.� .. •�.b'='t''"..--•r•.. t-.� ' ; M;YA► NNlS M�SS;� � � x - a E A E: EQ 4 A`ND SURVEYOR .t."Jt Rpis ` X •��..r,N'-,V"2�e d. €�`4:sr`�e y���+'_.r.m,': 'r:.ems. �..+' .�Y• y-� * R .. ,. _ �.. - _ Y 20 Fat' MlN. all /VOTE' /F• EITNeAr THE SEPTIC TAN l< LEACA1!/VG P/T ARE= MORE 7-NAW I2"BELOpV IQ M'N 6WAAF,A 24'O/AM ETER Co oVCAw.AF7-j_=, C®YE.p 4'PYC PIPS SJ+►ALL gLc a-V006NT TO Gq.4GE.�AN .EXrAF^' CQNCs�?�TL' i /` -57,4Vy CAST /RO/Y CO✓ER S//A4L- D.E USELD . EL.�-✓. fig,0 / M/N. P/TCN e • COVERS �8•PFiQ I f//N DR/VJFWA Y' 2 y. n/iN. CONCR,�TE A -. i— d of COVER CL EA/V .SANG BACie,= LL = LlgUeO LEVEL •- - ' ' 4~C.�IST IRON .4:,/PE %4'PEK P7 SEPTIC TA/V/C e ' •eh o • . . . s . . r r • . WASHED STGNE n oe $ s a • ao � .yd o 314 e o ► a If Pp crr / • a r • • o WASNED STONE 7 s o r r • • s • sr �o , 7 . s � o ro • • • "saar ' p o 1.13 1/ i a. a r a s • . o • r y V,p PRECAST SE M�-AGE' j j C.,sF A .G D y e e • r • • s s r 4 ® a InVYERT AT ArV LDIIVG y(>O .FT G F7` D/AI�9. fi INLET "P' W TA/VK FT. Z FT 91AM• `C(SEE TABut�reoiv� Ot1.9LET SEI'•TIC TANK FT,:, /IVLET 4o.,57R14adIT/ON sox �l� r FT IXA)c OROUNO WA7—F W TAALE 44;Z": $l..p -WtaPf ` .SEG'T/O/1e OF OtITLETD/STi l,94vrIG Y Aox 5.2, FT' r,ov d4t*rv� C,04cc,. I/VLET, LCACN/MCr' Ic-17- 9S,07 FT SE1�6IAGE t�ltSPfhSe�L S�''.ST�J►7 • LG'a'f0/0IC �/T T,44WLA7rlON.: T CRITEM/A ol .ws/eN 49 /=T.. Nt/M®ER OF®EDe�oOI+lS 3 DWZNS10H Ci 0 FT., t" G�PBaGEda/Sd?OSAL UNIT ,` SDIL LOG TO LEST/M�tTEO FLOH[ 3 G y .4L.�D TEST 0/AY SO/L S / So/L TEST 2 S®VL TEST' ' A(UMBER QF te�,�CNlNG BITS' I ELEY. 7 �LE�/ .DATE OF" SOIL TL=ST /1 j/< RESdJLa'S JVlTNESSE® ®O TTOM L64C/;IlNG PE1F'PIT 13 n S4 FT. v6 U s+ �t-1 ?c WMCOLATION RATE)'/ C-'.5 Mlfi/�/lNG/f 7'07A4 LEACHING AREA b SQ. FT. PERCOLA770N RATE Al RBSERYE LEi4CHlN6 R/4'EI► =G SQ. FT. / —. f 2,0 jJ - 2 (, C 0�� 7 Z P11l1STEr�ir:'� �/ f�A RO s 4T �� � AI,�BE AhzBRUCE RSEco ELOfi va `5 s Q No:10951�O �L.®�eEQ�7�A=.N!/A/ R1JWW CO�,LIVG- 7!2 NJA/N ST.' 14YANN/9, MA Ss. � e oMA��` ' 0K0�3/goulVD YYATeF7 g/VG'OC!/VTl�J2EG C6/,�a,VT: j3� `/5/•L�E Q.dTE Lye `,, GR®LINO Le/�ITER A:T �LEt�. 77.0 ' 10,& NO. S 3,3 o r1 .SHEET z- OF 2. q. f H'I GH G(tpUND•WATER 1.E11EL�'CdMPUTfiT ro 7 n t Site. :Lot No. Addee'sst—1 Owner: ) Address `' x Contractor: z Notes: STEP 1 Measure .depth -to water table to nearest 1/10 ft: . . • !/ / �Y/ ~:w date STEP 2 Using Water-Level Range Zone= ,,, and Index Well Map locate { site and determine: A) Appropriate index. well . . , . . . ..:.>. .�; � sI�Y } f xe B) Water-level' range' none` ' .; +• •`• •W j i n9 y monthl report"Cur:rent : STEP 3. Us s Water Resources' Conditrons r i determine current depth' to ,rY , z �� s, water level for index we115J ; It i t 4 .3 mo i w ' STEP 4 Using Table of. Wafer level A:d'ustments for index:,we') STEP 2Ac'urrent' depth to. water level for index Well € (STEP '3) , and wate:t--le"vel v zone (STEP 2B) ;determine ' { •2 ., water-level adjustment c ` s k � r STEP. 5 Est i nate depth' to ha ghi ".water . ; [ h Y '. by subtract Ong the `water t, d p� STEPr.4 • level adjustrnerit `'( ) y lW from rnea.sured. depth to.'water4 level at site (STEP 1 . • ' ! k}• - y. P114 �',S4f4'.�l.3 4: ..%r, + w y 3b•,� Sp{ ik i� s r, >'^ + »X h'J, .t ,. a�-. .yfF � T�s �h { .'',,+M1 .)ib k:. � 'r 1 F .i`$* �" n�Y t do it ���•'r� `+.�� '+� � .;� ...- ., ,.. ,.et T w,5 C S s 4 S,"4 s} ♦ te..;}F x y:4 `.t"7 s '.`t"a' �,v. y�.i•t ��t 'irf�' - . f��E ;:,1; a :,�, r�T:�},.y'€W., t ��r L„':S +r�y�'•y{'Z'°t S. i r�+-.,t� SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR Rd. e PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 �� gtic wheeler Rd ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS EXISTING TOP FOUND. EL. 56.9' FILTER FABRIC OVER STONE 4" SCH40 VENT WITH CHARCOAL FILTER AS 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. \ MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 53'-57.5' SHOWN PLAN VIEW PITCH BACK TO SAS, 4. DESIGN LOADING FOR ALL PROPOSED PRECAST NOTE: 2" MIN. WALL 0 PRECAST H-10 THICKNESS REQUIRED BLOCKS OR NO LOW POINTS. UNITS TO BE AASHO H-ZQ �Y �o�o RISERS (rrP.) PRECAST RISERS IS 54.7' 4"0 CH40 PVC MORTAR ALL PRECAST 5. PIPE JOINTS TO BE MADE WATERTIGHT. o, s" MIN. SUMP PIPES LEVEL 1ST 2' COMPONENTS H-20 12" MIN. INT. DIM. ENDS (NP') SIDES 52.0' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 14" a 10' TEE 0�00 0 �E10� OC-]00-0 -E�lQm >°°°°° °� 310 CMR 15.000 (TITLE 5.) R. TEE *53.3 ° ° ° ° ° ° ° ° °°° ° oaoaooaoo�a oE�oo®000000 ° °°°°°°°°°°°° WATERTEHT D'BOX o ;°o°o°o °°°°°°°° fi4o**EXISTING °°°°°°°°°°° °°°°°°°° �0��0��0��0 �C7��00�0FR�� °°°°°°°° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND GAS BAFFLE::' ° ° ° ° °- FOR LEVELNESS c ° ° ° ° ° ° ° ° SEPTIC TANK °o°o°a° NOT TO BE USED FOR LOT LINE STAKING OR ANY Locu� b °°°°°°° °°°°°°°° 49.0 51 .67 51 .50 ° ° ° ° ° ° ° ° OTHER PURPOSE. �a Qj J°°•o o o ° ° 0. o.o ° o;o o�° o.o 0;0 o o o`° 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ° ° ° ° O O ° ° ° ° ° ° ° ° O O ° ° O ° ° ° L°°° ° ° ° o°°°°°°°°°°°°°°°°°°°°°°°°°°°° H-20 500 GAL. �EACNING CHAMBER BY ACME PRECAST OR EQUAL. ° ° °_ ° ° o o ° °_°_n_°.° ° 3/4"-1-1/2" DOUBLE WASHED STONE 4' 'MIN. (2) �1NITS REQUIRED ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' CONCEALED WITHOUT INSPECTION BY BOARD OF L COMPACTION. (15.221 [21) o HEALTH AND PERMISSION OBTAINED FROM BOARD ��oo OF HEALTH. I i i 10. CONTRACTOR SHALL BE RESPONSIBLE FOR I % 4 % SLOPE) SLOPE) CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP ( ( 5 44.0' BOTTOM TH-2 VERIFYING THE LOCATION OF ALL UNDERGROUND & FOUNDATION- 10' SEPTIC TANK 40' D' BOX 12' LEACHING NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000'f FACILITY WORK. I *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL ** ASSESSORS MAP 61 PARCEL 42 INSTALLER SHALL CONFIRM MINIMUM SEPTIC 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY BE REMOVED BENEATH AND 5' AROUND THE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM FOR RE-USE. REPLACE WITH 1500 GALLON PROPOSED LEACHING FACILITY. SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF 12. EXISTING LEACHING FACILITY SHALL BE PUMPED NOT SUITABLE AND REMOVED OR PUMPED AND FILLED WITH CLEAN LEGEND SAND. 99 - EXISTING CONTOUR VARIANCE'S FOR SEPTIC SYSTEM REPAIRS WHICH MAY x 99.1 S8 �STL�+B HEAILTHE A�GENTYORRBYTHDEAB HT INSPECTORHE EXIST. ARD OF SYSTEM DESIGN. EXIST. SPOT ELEV. PROP. VENT WITH CHARCOAL FI R SLEEVES R LIN �C -[99]- PROPOSED CONTOUR AND BUGSCREEN (FINAL PLACEM WHERE WITHIN � ERRy � rNCHMARK: APPROVEPAPERWORK D BY HEARING THEBOARD OF HEALTHREVISED 0 PROPOSALS CONTRACTOR WITH HOMEOWNER 57 \ TO WATER SE CE MENT BOUNDGARBAGE DISPOSER IS NOT ALLOWED CONSULTATION DURING A PUBLIC HEARING HELD ON DEC. 10 2013 198.4] PROPOSED SPOT EL. ) 59.8' NAVD88 56 1) ALL SYSTEMS THAT HAVE NO INCREASE IN FLOW DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD TH1 �So - SEPTIC SYSTEM COMPONENT TO FOUNDATION - TEST HOLE / - \ SETBACK (NO MORE THAN 50% REDUCTION IN USE A 330 GPD DESIGN FLOW SLOPE OF GROUND 55 THE ��5 ^ 59 00 ' / REQUIRED SEPARATION DISTANCE) 2� 1" 5 SEPTIC TANK: 330 GPD (2) = 660 4 0 2) FOR AILL SYSTEMS THAT HAVE NO INCREASE IN i UTILITY POLE 5' OVAL OF UNSUITABLE SOIL QUIRED % 60, FLOW - SYSTEM COMPONENT,INSTALLATIONS **RE-USE EXISTING 1000 GAL. SEPTIC TANK ROU ERIM EACHING FA TY, 59 3 �_ , PROPOSED MORE THAT THREE FEET BELOW GRADE FIRE HYDRANT _� WN TO SUITABLE SOIL L R. REPLA E TH s8 ZX WITH -M-ED. SAND, TO HSBL� WITH PROPER VENTING (PIPED TO THE ATMOSPHERE) LEACHING: NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING IFICATIONS 0 310 CMR 15.2 (3) ° I AND WITH H-20 LOADING, BUT IN NO CASE SHALL SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD B LAYER REMOVAL LOW SIDE) 57 THE SAS BE LOCATED MORE THAT SIX FEET BELOW s6 s� ° GRADE. BOTTOM 25 x 12.83 (.74) = 237 GPD PROVID 40' OF 40 MIL LIN R AT 5' s l> OFF SAS I SHOWN. TEST HOLE LOGS ss?' L 51.8', BOTTOM T EL. 47.8't TOTAL: 472 S.F. 349 GPD 5 55 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) ENGINEER: DANIEL E. GONSALVES, SE #13587 ` PAVED ; WITH 4' STONE ALL AROUND DRIVE WITNESS: DONALD DESMARAIS RS EXISTING \ DWELLINGDATE: 1/12/2018 TOF = 56.9 PERC. RATE _ < 2 MIN/INCH 49 5O / / 53 MA I CLASS I SOILS P# 15575 DECK -52 APPROVED DATE BOARD OF HEALTH s ELEV. ELEV. 0Olt56' " z LS LS °p °FFevw TITLE 5 SITE PLAN 6" 10YR 3/2 8'9 1OYR 3/2 �� OF E E LOT 72 a8 MS MS 43,900 S.F.�F_� #549 WHISTLEBERRY DRIVE 12" 10YR 5/1 5-5' 16" 53.7'10YR 5/1 MARSTONS MILLS _ N B B �� 47� -� PREPARED FOR LS LS �s BORTOLOTTI CONSTRUCTION/ 1OYR 4/6 1OYR 4/6 52 53.5' 32 __-... .30/� .�, , WALSH DATE: JAN. 22, 2018 Cv �•. -� PERC C \ / oFMgS r o= �� HaF A�` f �-\ OAut off 508-362-4541 M/CS M/CS s ss� a`� -- .� �� q° �� 9� �^'a %� - o`' DANIEL fax 508-362-9880 /o DIANIELA. tiG' o`' ti �` s1FL �° � / m N DANIELA r J A OJALA r �, o Arx, downcape.com cog 2.5Y 7 6 2.5Y 7 6 4s OJA�4 OJ, I A / / CIVIL �. �, U! ,. C. �c., , l L No.40980d04#4 cope ellf keening, h7C. N1o.46502 J a 1 n No.46 02 / Po r 132" 45' 132" 44' �F`��isreR��`�.. p°� Fo ST ° vFq NFFss�°� 9 Sup �G .S q o civil en ineers onA� E �1 s, . ' SCR, °SU���, land surveyors NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' .., oNAL ` � � - y 939 Main Street ( Rte 6A) o 10 20 30 as 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 DCE # 9 7-479 17-479