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HomeMy WebLinkAbout0246 WILLIMANTIC DRIVE - Health 2 16 WILLIMANTIC DRIVE, M. MILLS A= 103 079 - I 'r TOWN OF BARNSTABLE LOCATION SEWAGE # 7 1ILLAGE A/L����-, �t��� ASSESSOR'S MAP & LOT103-7Q INSTALLER'S NAME&PHONE NO. f04s few.¢ 6- SEPTIC TANK CAPACITY l - -09 6,01 G LEACHING FACILITY: (type) ^� %®�� (size)3/X��• NO.OF BEDROOMS q BUILDER OR OWNER 5-/ �-V? COMPLIANCE DATE: f 3/,a PERMITDATE _ 7 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by LO T 7/- 6 -3 g6, to Q-.Z -2 v , q Q- 3 A 7 I 1 11 wu Of :aarnsta:ble P# Department of Regulatory_ gu ry Services F Public Health Division 1 Date �� •� 2 0 Main Street,Hyannis rMA 02601 k. O,MAI Dattr s6ncduled rime I FeePa O0 Go Soil Suitability Assessment or Se ' atmad , e%r Jk Eny--ee OS � e sp a : Witnessed By:. LOCATION& GENERAL�O. Lacadon Address 'Z.y (itJ "� 1 ° RMATION rlGi }r`G ,.-_ Owner's NarneC► 7 • /`1.� j -S � r � S AddressM.. q7q Engineer's NameTIIJFTIQNREPAIR c'Telephone# �!Q ty 7�-J n Land Use �/�0 y17t��1/ Slopes(%) Dtstanccs from Surface Stones Open Water Body Possible Wet Area !d"ZJ --�� .Zft Drinking Water'Well DraInag. ... ft Property;Line Zt _ft. .Other $ F"i(Street name,dimensions of lot,.exactlocations of testholes<&pera eats loc ate.;wetlands.(`nproxtmtty-to holes). 10 l�r � f "No Dom- 3. CZ bV\Li✓ b. L Paroot ma "� cetial(geologic) QIJf'T,t.�i,S� ._.� Depth to Bedrock �. 74 � Aepth to t3roundwater Standing;Water in Hole: Weeping Thom Pit Face.311 A . Fsttmatod Seasonal High 43roundwater �j t" �t- �,� . Method Used TERMINATION FOR SEASONAL HI GI WATRIt TABLB lk thObserv€d}$tandm in obs hole: �\ Aei3tfi to to In g... . In, Depth to soil mottlos Index Weth# 8 from stile df ops.hole: in, ©roundwatr3h AdJugtrnent in. O O RgadmgDate: Index Well level,; $ .-r...� AdJ.Iactor-..- -Ad t.droundwate�Laval observation; PERCOLATION TEST r-� Ugte.........� 'I'lnta Hole(i G. .- t 'rime at 9" Dth of P v 2 ...��..,. .�..�..� Start Ae soak,Tl Tune at-6" (4 End;Pre-sue:; Rate MmJ(uch Z �^ et (aW ^ .`��^ - "_ S� Stte Suttabtlity A �yment: Site Passer! ^ Site Failed: Additional Testing Needed(y/N) Or►ginal 1'uhhc HeaIt ,Division. Observation Hole Data To Be Completed-on Back.== i If percoiatiol�test is.to be conducted within low of wet! larnstable Conse>cvation Division at least one_(1) week-prior to you must.fi-rst notify the Q\SEPTICIPERCFORINDOC P. beglnitting. DEEP OBSERVATION HOLE LOG Hole 'Depth from Soil Horizon Soil Texture Soii.Color Sotl :' Other Surface(in.) (USDA) (Munsell) Mottling,Structu Stones,Boulders t a S 3 G.Z. DEEP OBSERVATION HOLE LOG Hole# `z pepth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Ston4s,13qulders. *- 5C_ 2' S lee .44 • DEEP OBSERVATION HOLE LOG Hole# Depth from' Soil Horizon Soil Texture Soil Color Soil Other. Surface(in.) (USDA) (Munsell) Mottling (StrUCtule,Stones,Boulders,,. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i Cox 1+loosl_ I' suran'ce'Ltan• Above 5.00 year flood boundary No— Yes_. ., _ 'WithinIo0 year boundary- No Yes Within 100 gearflood:boundary No Yes ' � ,. . Death of Naturally occurrine Pervious Material Does at least four feat of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? � 3 If not,what is the depth of naturally occurring.pervious material? ..� Certification L 5� I G date I have passed the soil evaluator examination approved by the I cergfy that on (date) P •_ Department of=EnvtronmentatTrotection-and-that the above analysis was performed°by conststenE with the required training,expertise and experience described in 'lU CMR 15.01� j p I Sign te ature A DaQ� `r t � �f 1 � No.7 06 7 — Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zippfication for Zigaal *p.5tem Con5tructiou Permit Application for a Permit to Construct(V)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a u 6 W 1 GLI N 19Pn 1. Dij. Owner's Name,Address and Tel.No. I;/A417S 0ON16 j_ Assessor's Map/Parcel I D -2 9 Installer's Name,Address,and Tel.No. PR57&Z15 Ey CAV Designer's Name,Address and Tel.No.05�63 A> o 13&A 1129 /z Wv (_,a0Sslrl'6z0 1ZO 08 23-- 9 3 b rqnV -VV2!S 0 77-53Z 3 Type of Building: er,47 I vVi-iJk Y, re .>'. +teh,hL Ar b/ �<� Dwelling No.of Bedrooms _ Lot Size 1�0I U7 sq. ft. Garbage Grin er( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Y gallons per day. Calculated daily flow ��� gallons. Plan Date 4l'/Z-03 Number of sheets Z Revision Date Title Size of Septic Tank /S VD Pao 120ssp Type of S.A.S. 3 SOO 97 QH)9m85 Description of Soil P1_803S O1 I._ I_0 Nature of Repairs or Alterations(Answer when applicable) U?b'QAD q-T Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been ' ed y Board of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. 2007- 11S Date Issued 2 — tod No. O0-7 / / Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION'- TOWN OF BARNSTABLE., MASSACHUSETTS 2ppfication for �Digozal bpotem Construction Permit Application for a Permit to Construct(V//)Repair( )Upgrade( )Abandon( ) Complete System O Individual Components Location Address or Lot No.a u 6 W 1 LL1 M!?r,n L- Dr1. Owner's Name,Address and Tel.No. PIA4 y S Assessor's Map/Parcel I U3 --7 p Installer's Name,Address,and Tel.No. PM57_&7 V tom"CAV Designer's Name,Address and Tel.No.01J61/ itr,_ 1. bU U72-43' A, a 8056 1189 /2 W- (_20S!'/=/$L.0 /ZO S 68) Fonn7"0,0Z15 N77-53113 Type of Building: Q tIA7 jr r by �,J Dwelling No.of Bedrooms Lot Size _90 r 07� sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow l G/�/0 gallons. Plan Date L1-/Z-07 Number of sheets �— Revision Date Title Size of Septic Tank SOU P120/>oStO Type of S.A.S. 3 5o0 91 C14Pm8'61'K Description of Soil `35 �t A l•>� J U 1 l.. p Nature of Repairs or Alterations(Answer when applicable) U t?6Q—AM aj- 7S Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bei;R, Board of Health. Signe Date 5`�_G Application Approved by Date ^I y_.0 7 Application Disapproved for the following reasons Permit No. 200 7 Date Issued o-?00 7— S ————-——-— —-—————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( � )Upgraded( ) Abandoned( )by PA51_67Lb t�XC,A v PNT� at Z-y G u_ l LLA M IA+TS"\L_ 0Q_- M, MILLS has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �0°7—/V dated S Installer �p` _GX�y N T.\ r5-0 Designer 4( J The issuance of this permit sha 1not be construed as a guarantee that the syst ft w function�ass ddesigned.�0`� Date 1 �t ! Inspector ���titlt� P No. C 0 7 — l4 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS li5po5al *p5tem Construction Permit Permission is hereby granted to Construct( )Repair(1✓)Upgrade( )Abandon( ) System located at Z 4 6 W I I-LA M lA7y Y 1 L_ D fL M'g 1M 1 LLS and as described in the above Application for Disposal System Construction Permit. The applicant recognizes 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 pe 't. Date:_ � II l� � Approved by Town of Barnstable Regulatory Services • ,�. Thomas F.Geiler,Director Ma& 13 Public Health Division �A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: O'7 Sewage Permit# Assessor's Map\Parcel �0 3 71 P}�e� 7, Mc&J—ee daF Designer: Installer: ������o"� Address: Address: /• 0- 434'- /Z O 9 M4- o2o y y On Act '"0 r-2 Ex L-OJc•f"-` Was issued a permit to install a (date) (installer) septic system at 2q G t`1 f"^L cAA+rC (PI" M ffl based on a design drawn by (address) �{-{✓%�c£� f'2P ��= f L dated 0' (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. \-H OF M4 Oan stallers i ature �� cyG (� ' gn ) � PETER T. McENTEE � CIVIL `n a�x- .0 9 No.35109�a 0/8-re (Designer's Signature) (Affix ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q �Ptic/Desi Health/ er Certification Form 3-26-04.doc gn s� ' I AA/y . TOWN OF BARNSTABLE LOCATION of A I M f L SEWAGE # (4 V:L LAGE _ A,�AS i/�ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. d SEPTIC TANK CAPACITY LEACHING FACILITY: (type a e) NO. OF BEDROOMS BUELDER OR OWNER Ch ARI, PERMTTDATE: _COMPLIANCE DATE: 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 facil4yj Feet Furnished by �y° �7� � '� :... /yJA,Rs'r�s /ll,/h �;�L9 �� �� r � y� �a } .� . i .. . ;, ;� ' i'K. , S' }"' �".fir .ASSESSORS MAP NO: � PARCINO: ................. _Q. Fss...�f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Ui�5pv ul Workii Towitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (XI an Individual Sewage Disposal System at: ..... -- AZ.�S7A...Loc .. �J C 7 D.��D1C,7� T t_ J T Gov -....... ........... , �c�s O�cncr ress ...... 41 /�. Installer Address Q Type of Building Size Lot............................Sq. feet U -Ex Expansion Attic Garbage Grinder Dwelling—No. of Bedrooms------------------------------------------- p" ( ) g ( ) '04 4 Other—Type of Building ..... ..... No. of persons---------------------------- Showers — Cafeteria Q' Other fixtures ------------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity---------_gallons Length................ Width................ Diameter.-.............. Depth................ x Disposal Trench—No- -------------------- Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------.-_ ....... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ C-14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ---------•--------------------------------------------------------------------------------------•------------------ ........-•-----•-----. .............. ••-- ODescription of Soil........................................................................................................................................................................ U ---.......••--•-•----------•--•-•----.....--•-----•-•--•-------••---•••••-••---••-•-•....................••-•------ ----•-••--•--•------•--•--•------•---•-••-------••---•------...............--•---••. -------------------------------------------•-------- ------.......------------..............-----•---- -•-� U Nature of Repairs or Alterati9s—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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli n e has be s ed by the bo health. Signed .VA .... ................................ ApplicationApproved By ... ....... ......... ............................................... ........................ ..... .... Dace Application Disapproved for the following reasons: ........................ ............................ . .... --. .. .. .................................. ................ .......................................... ............................... . ... ................................... ........ . .......................... ........................................ c /' r Dace Permit No. ...._ +..'.:..... ��..................... Issued ..�,,1�. -----. ------.. ------------------- ....----..... Uace THE COMMONWEALTH OF MASSACHUSETTS BOARD- OF HEALTH TOWN OF BARNSTABLE App rtttiou for Dioptiml Worko Tomitrortiott Vanfit t Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: ............. 4- _.,.. �.....: , ..���...... •. ........................................ LoctfimiXddess ' r Lot No. � n` q Ta J__1i � ......................-•-• , ..-•--• -•----......... ---•-=---•----•-•-•-•----•-•-------- ••-•-- r� 7 ? .. ................ / 7(/6lt) d owner ✓- Address !� U IcistalIer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) p' Other fixtures ....--------••-••-•-------•----• :_. ... . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter................ Depth................ Disposal Trench— No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------._- ....... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.....................•--•---•--•-•-•------------•--•--•-•-•---•---•-...._. Date........................................ ,.� Test Pit No. I--_-----_-_-.__minutes per inch Depth of Test Pit.................... Depth to ground water........................ �Z4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 9 ...................................... •--•----•••-•-••.....-•-•-•...............--•---..................................................................... 0 Description of Soil........................ ......-----........---------••----.....------•--••-----------------•---.........----------•---•-------------•---------------•-••......-••••••. V -----------------------------------------•••-•-•---•.......-----------•----.--•-•. W •-•--• --- ---•--•-----•------------------------•-------•-•--•••---------•-----..:- . ..................................................... U Nature of Repairs or Alterations—Answer when applicable..___ _ n12__ 1 (_l-�...._.!,�:. R0:y.Y/ .:.!...--.15!Z!P - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compiianle has been-issued by the boax'd"W health. Al j Si ned . ....44 1 !��./J.f1 ..�........................ .................................:...... g ! Dace Application Approved BY �' ���4 -- ' - ... ....... Dace Application Disapproved for the following reasons: ........................... . .................... .........................�...1.../............... .............................................................. -- . ............................ ...... ........................................ Permit No. ........ ................... Issued ... .� , .e ... .... .... .............. Dace...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF`BARNSTABLE �1-TTEztifi ate of Cant naive THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (V, ) byJ....r...:�a......_ ... _...._ .. ..... - - _............ - '....� ' /at ................. .,I�ls'1!." h.. ...../�l�/ /.:�.........11.4.. ............................... C + has been installed in accordance with the provisions of TI fI.E of The State Environmental Code as described'in the application for Disposal Works Construction Permit No. � - l ."�._..... dated .r.....� -� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ---- .... -----------------------.....------- .......... ...... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH "> TOWN OF BARNSTABLE No. ................� FEE... Rottttosal Work,5 Tanotrartiotn "rrntit Permissionis hereby granted..... ........t a.. .................................................. .............................................................. to Construct ( ) or Repair (, ) an Individual Sewage Disposal System / h - 1I r , I. I i .I Street as shown on the application for Disposal Works Construction Permit,No........::.��---......__, Dated...... ...� .......'5_..c. Board of Hca)ih DATE. = ---- --------------•----. •..... FORM 36508 HOBBS R WARREN,INC.,PUBLISHERS �F -01 FEB Commonwealth of Massachusetts 8 1996 - Executive Office of Environmental Affairs ' � '� qwy `'WE Department of 4 n� Environmental Protection Wllllam F.Wad Toys Cote Governor ArQw Paul C•llucci a%4d S.Strhrhlil LL Governor �Or (�7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION rvhARSTo►JS MlLa.S�M A Property Address: 24(p WILL IMAWRL -159. Address of Owner: G Date ofInspection: Zi2oit9(0 (If different) 1r1ARISTA PkoP`RTy SfrfwlGtvS�iNC. Name of Inspector: 5RAV10 HANDY P.011_ 60)( ?0(0 Company Name, Address and Telephone Number: C-AST Love&MP5AP0bdr MA 01028 MASON e0vieom-MENTAL 5&l?U10E5.fJC, f.D- 60x /+so PocA55S) MA 02557 %60•-Uq-Z336 CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function'arid maintenance of on-site sewage disposal systems. The system: _ Passes �[ Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: /�, Date: 11 Zr/' il!o1 The System Inspector shall submit a copy of this ins ion report to the Approving Authority within thirty (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 Department of Environmental Protection. d The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C,or D: A) SYSTEM PASSES: 1 have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. e) SYSTEM CONDITIONALLY PASSES: V One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no,or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or eAltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. �, AeplGce 411 pi f e5 w' .4" ]DIAM. "fHE �l laWlnfG is NEE D s Z.ORovide .a i-bt41 0'� Zees an new ?hQec, . (revised 11/03/95) '3 . AD'joS} '-evert e1@V,(6v,3 J-b coAf-,W. -'%"e 4. CovesS i-o w►'�'►n G" jtN(511 D 5fKAe w rii erS One Wlrtter Street • Boston,Massachusetts 02108 •� FAX(617)556-104R • Telephone(617)M w 10 Printed on Recycled Paper 'I .. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 24v W'k-UmgwYiC 9Rtu0 MR25%WS MILL',r"4 Owner: G 1-1AOSTA QRoDE¢.7y ICINce$ 1:rr\)C. Date of Inspection: Z12019& BJ SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four 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 Cl 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM 15 NOT FUNCTIONING IN A MANNER WHICH W1LL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. 3) OTHER (revised•il/03/95) 2 r. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Z4U WI!-U MgyuTlC WIVE M445-rVAIS Owner: CNARISTA PQoOE/L7�' 50AVIees ,ZNC- Date of Inspection: ylZoig(p D) SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. — Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E]LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11/03/95) 3 --------------- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 24& WJZUMA1VTIC ' RIVE /►9445VOru,S MIL( 5�✓r//� Owner: 04AR15TA PRoPpATY SERVICES,Z/VC, Date of Inspection: Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. NO None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. 5Y5`tEmM SAS NoT gEErcU Aecaovq r nroR^Q_ FLOW /AiEs ­60- µ t 1090"4Y 5 6EEN VACAvr �►//4 As built plans have been obtained and examined. Note if they are not available with N/A. VL/The facilityor dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. V/The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner(and occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/03/95) 4 Y V SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C s SYSTEM INFORMATION Property Address: 2410 6J11-L)P1ANT%C_ -Dpj%)E YY)ARSfoNS M►t,t,5� N.►f} Owner: CHAR►S9'A P2oPERTy SFa2U►CES S/uc, Date of Inspection: ZI 2-0I9(p FLOW CONDITIONS RESIDENTIAL: Design flow: "a gallons Number of bedrooms:4 , Number of current residents: Garbage grinder(yes or no): J�/O Laundry connected to system(yes or no): YAS Seasonal use(yes or no):_" Water meter readings, if available: 2sL.1.�, I Last date of occupancy: UNKNOWN COMMERCI AUI N D USTRIAL: Type of establishment: Design flow:_gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER (Describe) Last date of occupancy GENERAL INFORMATION PUMPING RECORDS and source of information- 'r12EA"iMEo)T PJANT 9131413 —CE%P00t_ PuAlpEb 111Z1194 -00ssPOOL PUMPiED — Q"I6/—AG(jF- WAS-Tr-w'ATeIz System pumped as part of inspection: (yes or no) NO If yes,volume pumped: Gallons - Reason for pumping: TYPE OF SYSTEM Septic WAVdistribution box/soil absorption system Single cesspool _.----------___ .-- Overflow Cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: 1 JAIKNOW�j Sewage odors detected when arriving at the site: (yes or no)�O (revised 11/03/9S) $ P. a w J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 2"{K WILLjrnAN TIC DRIVE 1'I'vsnoMS M Owner: C14AR157A Pf aPERYY SER�iCE$ I INC i /USI InIg 'Date of Inspection: SEPTIC TANK:DIES (locate on site plan) ' d Depth below grade: Igo Material of construction: _concrete_metal _FRP—other(explain) —•• P9cRFoRA-M,p 6IAGK CeaS rRuCTIOAJ Dimensions: G' O►AM k b' 'Dr:P'ftl Sludge depth: 941 ► — Distance from top of sludge to bottom of outlet tee or baffle: Co=3 Scum thickness:_ 11 Distance from top of scum to top of outlet tee or baffler Distance from bottom of scum to bottom of outlet tee or baffle: , ;�6N -Ve: ALL P141;5 WOE -1 cR/09AN�,QU{Lt: COMSTOeuC770N ANa S/{p3J1j� n✓E Comments: KEPLACEO UVA0 Dion p,V,C, (recommendation for pumping, condition of inlet-and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural Integrity, evidence of leakage, etc) —riA9r PiKSl CraSYoof;. iS ri,71i5%r „r, A -iFrT C_ W N VAI_UA-rn AS nAJra Ti•NFPE I,✓Edtt:SOL1.DS It 9 ALL P1QE5 'AF-un/b A-u- -MC- f�/DF-S .4tJO A8dVE ALL T41� PtD_S R►6,NZ UP To atNli dAJ 'TNE Bo Im of 7'll�C>fSSPaoL 4 VEIe ?FN5 INDICA"+ S TNr;7 7N15 CE55PooL WAS 0v6RLLcIwr2> AND ,w NYDRAuLICFAnV& ATdlvE TIME ALL //VLET PIPES ANA ouTC6r PIPES 5 i4out,D Se QEPI,ALSD wires P.V.C. PIPES ANO 44✓E TEES taiAcEO o- -r i4--on a 1F po5s161a v PIPE E,I EVA-r'6 5 GREASE TRAP:iV© 5N4�„-p e�(t �4v3os",ED To CaNF012M Tv TITL-r- 1/ /3-eso. ALSO A AISM 76 Qgle1 o_ (locate on site plan) h►E CaV9?_ ZO w1T/lllu G of r-1NISI-I.ED G/tAVE 6I-1-0ul,� r3E �R���1 pVP CES59401. tTSt:� r,►A� SYILI/CT►J�LQt l y SO►>r1/A, Depth below grade: ' Material of lion: _concrete _metal _FRP —other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee oXore: Distance from bottom of scum to bottom of outl Comments: (recommendation for pumping, condition of' t and outlet tees or baffles, depth of liquid level in relation to outlet invert,struMral integrity, evidenoe of leakage, etc) (revised 11/03/95) 6 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 2+0 W►LLtmpNTt.0 TAI uE r"A2SToNS Ai�t5� rn,q Owner: CNA2►STA 'OpoQE27y Sr Date of Inspection: Z 12-0j 9(o TIGHT OR HOLDING TANK:�O (locate on site plan) Depth below grade: ` Material of construction: _concrete _metal _FRP—other(explain) Dimensions: Capacity: gallons Design flow: "Ions/day Alarm level: Comments: (condition of inlet tee, condition of aZswitches, DISTRIBUTION BOX:N(D poste on site plan) =` Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover, e ' ence of leakage into or out of box, etc.) PUMP CHAMBER:- (locate on site plan) Pumps in working order:(yes or no) Cornrnents: (note condition of pump chamber, condition of pumps and appurtenances, etc (revised 11/03/95) 7 „ v SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 244a InNILLI MANT►C 'PAIVE MAQSToNS 1►)NLl�S��1'/A Owner: ekAR►STA p'OPeP-t)r SERU)CESr Zt11C Date of Inspection: 2 I Zo0 10 SOIL ABSORPTION SYSTEM (SAS):.�fS (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number:_ Z 4”AI-L pIPQzS W"Ir TAR10944A)&E.gu,Q- CONS-l"t-NA) ANO 5r10u1_O GP_AE-PLACSV '&V4"'DNAM. P•II,C, Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) 'Two yvERPLOW ANTS WEAE PRESEa►T. PIZ# l e J�' O14rr1 )(&`'Dl:97K fERfotza-rev 610CiC COKST90C-Thal11 -PRY W1Tu N0 LI&I)lt) (3wr empr_mcs QI• Sat 105 INTM 4Tom Op p►1 skoe s of o►'r wERt CLEAR/ a06 FREE d1= 5DL rD.S 74ER E WC-AP sot►OS N/v 'Tiae WI,I:T PIPE: t00%Cti NAD M-TM oA) /T 1 Hk P)PE Vo TNIS Pi 1441) . wPRESSNON /N /Y A90VT Z' 0 'INE 9%T.MT WAS 80WED a0wrU To f} Low Po)#xr ArvO TM-EN CvFev i UP TO T//E PNT �NLETe.PLou wqS CESSPOOLS: UNABtFE 10 PASS AND LACK UP occuWED.'1"g15 O►PE mu54 BE t=EPLacE tJ WNTN A 4n P.V.C, (locate on site plan) 94 E A a0 A Ti f2L ICED o ti-rAE GIUD OF N T, Also COVE4 5 pouLz ZF_ A&UC-41 76 wNT14,14 �` O Fta►1Sh1Ea C�AjF Pl7 h >�F ivAS S`CRtJCTtJ'�4t G y sou,N17., Number and configuration: of I' to inlet invert:Depth-top of Q17}#)FZ'i (, Tr:IA/h.*(n "DEOTM SoLIp StAC;K Co»STp_uc7/o)u Depth of solids layer: '--- Depth of scum layer. a�T w)AS ORY W1Z H ta" U F 5Lu DC*_ A-T Bo`ftoM. )NLE'r' Dimensions of cesspool: P►@E WAS &11 -DjpM. Advo 14AD SoLloS IN 17. N6 TEc- -WAS Materials of construction: `400LESFo-r.'T14F P►T WAS 5T2uCTU0ALLY SoUrJb. -rue &" iNLF-o Indication of groundwater. PIPE 5lku-1,D q F.EpLACE® qA k" A.1/:C. P)PE,A TEE P2av)AFD inflow(cesspool must be pumped as part of inspection) ON -r4P- E,ND .4AZ -f"9 COVE,A &KOO461T -YO i'dITMIN (er' OP FI o1ff'O GerA09. Comments: (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY:_ (loate,on site plan) Materials of cwnsmiction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition-of vegetation, etc.) (revised.11/03/95) 8 i " r! SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 24& WILLIMANTIC g21UE MARIToNs ✓hI.LLS rvj Owner: C11AR1STA P", SaTy SeeZ3,CeS Date of Inspection: 4 7-6 � I SKETCH OF SEWAGE DISPOSAL SYSTEM: indude ties to at least two permanent references landmarks or benchmarks locate all wells within 100' ®APPkoX• LOCATtoAI or- WIF-LL_ 7 V VI)Ae : we" (oCa-vloln is de'�er�►red �:bm �reVlnuS o��e fs q�( !S CIPP f'0'4 .-rNE wit COUL10 1"T 8C LoeA7-,g j N 7µE FiIEL.,1) , E�c►STtNC, 1�0(�5� wiL.LImAvrtC zt21ve_ 1� �r � 45 � eve WELL i \ C655'Pool. DEPTH TO GROUNDWATER \ 'T / � � P►T st1, p�pi Depth to groundwater. 7I 2 feet Oo:RGtFLaw P►[z1:1 medlod of determination or approximation: _ekSTIO& pf�Ep 0852KWA'fien/ 4ete ,DA7rt Gp,OM 464RAdWtE ?� , eo 0 Lo'T 1S — P357Q —� NO GkoUAIDWATE,e of�SEQUe:D Downs 7o IZ ALSO obERFLow p,t5 I d Z .roPL.ErEty .DRY iv)TH dnVty SOME SOLIDS /tv 7KEM TNEreEFtiRE GRocWD wRrE� G✓.4S iuoT IA/F1L7kA7�N�JA rO 71/E►'11 (revised 11/03/95) 9 Fee----1-3 - BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rVe[t Cootruct ion Permit Application is hereby m fora ermi tc Cons ru (��), Alter ( ), or Repair ( )an individual Well at: ------------------- y - - - Aj -- - --- - � —- -- -- - Location — Are Assessors Map and Parcel ,(ss Address --- --------- ---------- ----- 1 nstaer — Driller Address Type of Building Dwelling----------------------------------------------------------------- Other - Type of Building ------------- No. of Persons-------------------------------------------------- Type of Well - ------------------------------------------ !/ �� - -- - -- -------- Capacity------------------------ Pu Purpose of Well 3.�� -------------------------------------- rP 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 a Certificate .of Compliance has been issued by the Board of Health. Signed.7. A,-,)V �/�- - - ----------- `�" — — — L ------— date Application Approved By - � � --- (J 13 --- —--—— date Application Disapproved for the following reasons:-------------------------------------------------------------------------- -------------------------------- - -----—----—--- date PermitNo. -- - --------- Issued-------------------------------------------------------- --------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY- — -- �—Q 41 --------- ------------------------------------------------------- - � Installer , at =--------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection g Regulation as described in the application for Well Construction Permit No. �� Dated--------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- --- - - ---- Inspector------------------------------------------------------------------------ -- Fee- BOARD OF HEALTH TOWN OF BARNSTABLE Application for Veil Congtruct ion Permit Application is hereby m e for a ermit to Cons ru (. ), Alter ( ), or Re air ( )an individual Well at: y -- ►�� -- - ---- � ------- � _-------------------------- . Location — Ad ress Assessors Map and Parcel / -- — — — ----— — =— ------------------------------------------------------------------------- a Own r Address � . -------------------- --------- „ Installer — Driller Address / Type of Building Dwelling-----—------------------------------------------------------- ^,. �r Other - Type of Building---------------------------------- No. of Persons---------------------------------------------- Type of Well ,/v-� ----- Capacity 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 a Certificate .of Compliance has been issued by the Board of Health. Y Signed, -`— — -- - - ------- - - --�---------= date / Application Approved By - --- -- —�-A a — -- -- -- date Application Disapproved for the following reasons:------------------------ -- -- ----------==---------------------------------------- ----------------------- -------'-- '. -----------------------------------L--------—------ ------ ---------------date 1----------- Permit No. ------ — -- -------- Issued;%------------------------ ---- - — --- -------------- date s>serramer�aea�aq�sccrae: mn sm�+ ae�-atat�----- '•"":zeao sa�aes caee*' BOARD OF HEALTH TOWN � OF BARNSTA:BLE,,- f' C ertif irate=Of Compliance `✓ _�-.tea THIS IS T/O�C�EQRTIFY, That the Individual Well Constructed ( ) tered ( ), or Repaired ( ) by---------—s� -- - —LtJ-2 QQ.— -i �.e --- - -- - --—-- -- — -- taller ---_------------------------------------------------------------------------------------ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection yy Regulation as described in the application for Well Construction Permit No. a /0-' U-t--Dated------------------------ L.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. t01 el f DATE- ---- --——--- - — —— -- Inspector-------_----------------------------------- ----- BOARD OF HEALTH TOWN OF BARNSTABLE Veil CoMrkfionpermit p , _ No. / � Fee-- — ----- Permission is hereby granted----- —� —---—--—----—--------------------------—-------------------------------- to Constructs( ), Alter ( ), or Repair an Individual Well at: No. - —°� =f — - -- '--- --� A-------- -T x--------------------------------------------------------------------------------- Street as shown on the application for a Well Construction Permit c�► No.------------—- --- —---- -------------------- Dated---------- "-� ( --------------------->------------------ --- ---------- ----------------- -' -- DATE— ...-.. - Board of Health :. -� 3--! ---- ----- • .. yY� �� -r s:- y - . e a s: LEGEND�\ t o N40°374a W )d' r EXISTING CONTOUR RAC£�N RACE LN 126.Oa Q0 -'" a 9 6s TEST PIT a WfBSTER Rp NEW LONOON qvE ,..m_................... his W PROPOSED WATER SERVICE ? E 5%fVING5ET + ( •`% --- '�.�.W� ' OVERHEAD WIRES M99 O GO4J�pA \NG10N PdF.• R�PJE P`1<- S m ,)1011 •r''t g }.� �� t MANTIC pR ' -I 9 10 13.2 I KNOWLTON LN OCU vi. I p I \ _. ,;_., `` LOCUS MAP N.T.S. ;r, �:W _ EXISTING CESSPOOLS IN.:. I TP-2 TO BE PUMPED, FILLED WITH a,' I ! SAND, AND ABANDONED. o GENERAL NOTES: tI. f + folk PROP; 99S 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SEPTIC BOARD OF HEALTH AND THE DESIGN ENGINEER, TANK I k, g 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS R OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE O O I LOCAL RULES AND REGULATIONS. gn C� BENCHMARK: CORNER OF 5TEF 1) 310 CMR 1 5.405(1)(b) CONTENTS OF LOCAL UPGRADE APPROVAL: ELEVATION = I00.W A 0.5' variance to maximum cover requirement of 3', for 3.5' + maximum cover. S.A.S. shall have H-20 units and be vented. (nh 9 _ ' 9 (A55UMED DATUM) — > / % / ; / / /j'' / /�/ S 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED. PRIOR �i SEWER OUTLET', / / / / r' / 66 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 'INV,=97.90t ' %j f DESIGN ENGINEER. !,TIE IN ALL PLUMBING /NOSTM6/ / TO THIS OUTLET' 4 I ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING E /' . z FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ; GAG- / ENGINEER BEFORE CONSTRUCTION CONTINUES. jT.O.F. ffi 100.29' O .I 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. i Cn + 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF W l THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 0. HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 9 99 rn 9 99j,4'' R ;i S 7. WATER SUPPLY SHALL BE PROVIDED BY TOWN WATER SERVICE. ?> 60 8. THERE ARE NO ABUTTING WELLS LOCATED WITHIN 150' OF THE S.A.S_ EXISTING WELL 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO BE ABANDONED p' TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY PROPOSED WATER SERVICE 5TONE +�99 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING DPIVEWAY RS CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. APN 103- 1�J9 ? AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 20,073±5F 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY OF44s AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. !- I26.O(Y 540°54'300e PETER T. G� PROPOSED SEPTIC SYSTEM UPGRADE t�+ ----_... . .. ..011v' ..............................�I � M avIL N 246 WILLIMANTIC DRIVE, MARSTONS MILLS, MA No. 3510 �: R w Prepared for: Daniel Almas, 246 Willimantic Dr., Morstons Mills, MA 02648 9 1-5G +�0 01 ,rRA` F-Lff0 �VA�' `E' 96 s' "" i \ Engineering by: Surveying by: SCALE DRAWN JOB. NO. o NA Engineering Workv HOOD SURVEY GROUP 1"=20' P.T.M. 120-07 c4 12 West Crossfield Road 18 Route 6A WI LLI MANTI C DRIVE Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET N0. (508) 477-5313 (508) 888-1090 4/12/07 P.T.M. 1 Of 2 S� - NOTE: TO PREVENT BREAKOUT, THE PROPOSED F.G. EL: 99.0t FINISH GRADE SHALL NOT BE < EL:95.5 (EXISTING) F.G. EL: 99.3t VENT FORIMETER DOF ISTANCE THEFS.15' AROUND THE EXISTING F.G. EL: 99.2t(EXISTING) MAINTAIN 2% MIN SLOPE OVER S.A.S. 4 SCH 40 PVC PERFORATED PIPE WITH SCREW CAP SET TO WITHIN 3" OF FINISH INSTALL RISERS OVER INLET & OUTLET INSTALL RISER OVER D-BOX TO 3-500 GALLON LEACHING CHAMBER IGRADE TO SERVE AS INSPECTION PORT. TO WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE IN SERIES WITH STONE AIL SIDES INSTALL RISER OVER CHAMBER CONNECT ALL INTEIOR a L =10' rl L =21' SHOWN ON PLAN AND SET COVER PLUMBING TO ONE 4' SCH 40 PVC - L=22'(MAX.) 6. 4" SCH 40 PVC WITHIN 6" OF FINISH GRADE 4" SCH 40 PVC OUTLET ® S= 2% (MIN.) i0.. -2" LAYER OF 1/8" TO 1/2" ® S= 1% MIN. 6 DOUBLE WASHED STONE ( ) ® S= 1% (MIN.)48" uoul0 2' EFF. DEPTHW"i LEVEL INV.=95.40 INV.=95.23 .•.:..a... 3/4"-1 1/2" INV.=96.50 GAS D-BOX 4' 5.2 4 DOUBLE WASHED BAFFLE INV.=96.25 EFFECTIVE WIDTH = 13.2' STONE TIE IN TO EXISTING 4" SEWER OUTSIDE PROPOSED 1500 GALLON SEPTIC TANK INV.=95.00 HOUSE IF POSSIBLE. EXIST. INV.=97.9t OTHERWISE, SET NEW OUTLET TOP OF CHAMBER ELEV.=96.0 - -BREAKOUT ELEV,=95.5 PIPE NO LOWER THAN 43" NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING INV. ELEV.=95.00 ®®1153 BELOW T.O.F. (INV.=96.7) PIPE INVERTS PRIOR TO CONSTRUCTION. ow = ® 2) SEPTIC TANK AND D-BOX SHALL BE SET LEVEL BOTTOM ELEV.=93.00 3 x 8.5' = 25:5' 3' AND TRUE TO GRADE ON A MECHANICALLY COMPACTED 3' SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 31.5' 310 CMR 15.221(2). T.P. EXCAVATION OR G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED- LEACHING SYSTEM SECTION 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE. NO G.W. ENCOUNTERED BOTTOM OF TP EL: 88.0 SEPTIC SYSTEM PROFILE ESTIMATED DEPTH TO G.W.=43't BELOW EXISTING GRADE (BARNSTABLE G.I.S. DATA) N.T.S. (3) 5" DIP.OUTLETS 15.5" 1---1W, --1�2° SOIL LOG DESIGN CRITERIA 13'2---{ DATE: APRIL 5, 2007 (REF.#11,684) ts�in yy l ^ SOIL EVALUATOR: PETER T. MCENTEE P.E. NUMBER OF BEDROOMS: 4 BEDROOMS ��� i'DO 'I 15.5" i O Q �08, WITNESS: DON DESMARAIS SOIL TYPE: CLASS I t" DESIGN PERCOLATION RATE. 2 MIN./IN. T 2• I V) l (HEALTH AGENT) DAILY FLOW: 440 G.P.D. H-10 LOADING 1n _p_ TP-2 D�- � � 97• Elev. TP- 1 De th Elev. DESIGN FLOW: 440 G.P.D D-BOX r� I a I 99.0 0„ 99-0 0„ GARBAGE GRINDER: NO MS. p A A LEACHING AREA REQUIRED: (440) = 594.6 S.F. 0C SANDY LOAM SANDY LOAM 74 4 f 10YR 3/3 10YR 3/3 30.9'--� B B PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY aa0aaa0a0aa 37^ LOAMY SAND LOAMY SAND W ®a0a0a0aaaE 10YR 5/6 10YR 5/6 USE 3-500 GALLON LEACHING CHAMBERS IN SERIES N z ® aaa0aaaa 96.5 " 96.5 ���� - c/ 30 G1 30" SIDEWALL AREA: 2(13.2' + 31.5') X 2 = 178.8 S.F. �. SILT LOAM SILT LOAM 102" 2.5Y 5/6 2.5Y 5/6 BOTTOM AREA: 13.2' x 31.5' = 415.8 S.F. 95.0 C2 48" 95.0 C2 48". TOTAL AREA: 594.6 S.F. 4^ KNOCKOUT SEWER OUTLET lA �/r PERC DESIGN FLOW PROVIDED: 0.74(594.6) = 440.0 G.P.D. 20. OIA, COVER INV,=97.9Gtf /,! % �/ / 60» r /' COARSE SAND COARSE SAND �� TIE IN ALL PLUMBING /�/NO. 246� 2,5Y 5/6 2.5Y 5/6 4° KNOCKOUT 4" KNOCKOUT 62" iTO THIS OUTLET' ; i 1 STY..% i 10% GRAVEL, 10% GRAVEL, PROPOSED SEPTIC SYSTEM UPGRADE i / i f BOULDERS / !f�/j//��/J��/,WD. F `�. BOULDERS a" KNOCKOUT x` '// / ..T.O F.=/l00 291 91.5 go" 91-5 96" 246 WILLIMANTIC DRIVE, MARSTONS MILLS, MA r'' C3 C3 f ` .MED. SAND MED. SAND Prepared for: Daniel Almas, 246 Willimantic Dr., Marstons Mills, MA 02648 2.5Y 6/4 2.5Y 7/3 500 GALLON CAPACITY, H-20 LOADING r t� Engineering by: Surveying by: SCALE DRAWN JOB. NO. 88.0 132" 88.0 132" EngineeringWorb HOOD SURVEY GROUP NTS P.T.M. 120-07 CHAMBERS I NO GROUNDWATER OBSERVED 12 West Crossfield Road 18 Route 6A DATE S.A.S. LAYOUT Forestdole, MA 02644 Sandwich, MA 02563 CHECKED SHEET NO. N.L4 PERC RATE <2 MIN/IN. ("Cl & C2" HORIZONS) (508) 477-5313 (508) 888-1090 4 12/07 P.T.M. 2 of 2 I