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0014 WOODSIDE ROAD - Health
14 WOODSIDE 1404 Marstons Mills A 127 — 017 4 t *No. P0 19— qJ 1 ( Fee 1 `� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS YeS Rpptirationwfor Bisposal *pstem Construrtion permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. S F Owner's Name,Address,and Tel.No. A( -s�,rt� 14 WrAskk Q. Assessor's Map/Parcel /all / �,' gon b g Installer's Name Address,and Tel.No.So$•11)/ Y3 Y9 Designer's Name Address,and Tel.No. 5 O� 3Got VS-W �ao�l�}Ei �'ts'�(7rx�•i�1��r,c. ,t� �n�iet�e.f'i ,�,e 43Q wtai's�� Type of Building: 8 Dwelling No.of Bedrooms 13 Lot Size y�i `f44 � sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) J 3 gpd Design flow provided (o gpd Plan Date 2C['Xh r- 17,,�a Number of sheets Revision Date Title 7;t&S 6; S Size of Septic Tank G'X�S �(k+ JUwgc,,j Type of S.A.S. - s$' hod Description of Soil 'CaL nAIhP�j sa; .�39 Nature of Repairs or//Alterations(Answer when applicable)2n$ / �oTU a25) I / ,5'0041�j f� tCfl IV&CS SclAPauld/���d��S 1P 4,2 4.'*3'w X :30'L x —1) 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 Envirom7n tai'Code and to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal Signed - Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. eloDate Issued I P U � No. 'go ` � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplicatlapr-lat MisposaY 6pstEU1 Construction 3dermit tl Application for a Permit to Construct Repair( UPPSade( �andon 1Complete System � ndividual Components Location Address or Lot No. (y UJOCC15 t ,,1• Owner's Name,Address,and Tel.No. S'-0 rb /�� 0 a go � - Ie. ! Z' C U �r Cilv 'Sidi r1. Assessor'sMap/Parcel t.17// ct)• rns(z�b� nn !� „$ Installer's Name,Address,and Tel.No.So$•?1)r - 937Y Designer's Name,,Address,and Tel.No. 5 08 3Ga- �15'W -Tnc.. 6:t" C1117inieer%Y1y1.Tnc 93Cra��aE.� S 1-ya 1-17)40M o C�mtG•'�S Type of Building: Dwelling No.of Bedrooms 13 Lot Size 7, e.� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Des;*gn Flow(min.required) 3 3 Q gpd Design flow provided & gpd Plan Date 204_1W. (t7. ;t6)3 Number of sheets //�� / �� Revision Date Title s _S' �i�.e k(h o o•C /y abod sid,- l�S�xtr�' (Azs l &rys/,- e_ ++ Size of Septic Tank a�;fit i(1a /t)bU�o( Type of S.A.S./-,' ,J, - S'cx)cm�l wa� C,! /!) Description of Sod �� �n ,or ltrca `� Nature of Repairs or Alterations(Answer when applicable) . oS16/� /1w�� //do (�,��r�w4�,n 6Y 500gnJ ILr'Cld'h �i �[I!!�,/'Jdl�rf/ ����inn,- iv, -1 •-)'u)X .30'L x� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage'disposal system in ��A K-.. accordance with the provisions of Title 5 of the Environmental6de and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal J T Signed /' _ Date Application Approved by `f Date 12 'j 7�' y Application Disapproved by Date for the following reasons Permit No. O I d Date Issued 1) --------------------------------------------------------------------------------------------------------------------------------------- TH E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate Of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by &rto/a#, at -M. 11), (�a has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.aO I I -971 1 dated Installer �BAblo'�', &>Aro �bn,.J-n C.• Designer,,/own Oa pop #bedrooms 73 Approved design flow _33 G gpd The issuance of this pe it shall not be construed as a guarantee that the system will%nctio designed. Date ���z Inspecto\r" --------------------------------------------------------------------------------------------------------------------------------------- No. ^ 9I ' Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposat 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at Li tioa4s Ice_ ju. i and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit,.- ,1_ Date Approved by `I 1 i emu(<a. t, F r 1 i Sen i yam. /I T C��J i i B4FJJSTABLE ems• i l�blic Heat1,h Mwisioui Thom as M u, Dire�t0r 700 Main sheet,Hyomniq,A/1C.k 02602 Of5ce: 508-962-4644 Fax_ 503-790-6304 �nns�t�l�er Desigmer Certification Form Date: � � U Sew21Ue Ir'OTMitT o2o ssces&or's MolpTaIlcei /7 /7 Designer: Installer. Address: %� Ad "` � Ad dress- l�. � f t'c V. . �c s=.•j 5 On , " was issued a permit to install a (date) u 1� septic system;.at Woo W/ 6 ` � _� based on a design drawn by (address) JC • , (/ a la dated °, 7 (desl r) 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 is accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. H OF MASS9Cy DANIELA. �s (fnstaIler'S Signature) o OJALA CIVIL Cn No.46502 o � �SS/ONAL ECG (Designer's Slgnature) (Aflin Designer's Stamp Flere) PLEASE RETO NT TO BAIUTS IBLL PITBLIC BEA.L'Q')EI IVISION. CERTIFICATE OF CeaiiCPL ida D '4�L �di�i BL TSSyED fiT f 210TH •IES FORM APJL AS-BUILT CAR APE P,ECEDVE D BY THE BARNST' 'LE PUBLIC BE DIVISION. THM� 1IK YOU. Q:Health/5eptic/Desipu Certification Foni13-26-04.dac 2 - 500 GAL. CHAMBERS TH 4' STONE ALL AROUND i o EXIST!ST 1000 GAL.0 DECK ,11DXISTING WELLING TOP FNDN. EL 112.8' LOP 51 44.488tSF ° i i b / i ps185.51 /�i �OOOs A.151.5° � OFR o O ' SEPTIC AS-BUILT 12-310 PREPARED EXCLUSIVELY FOR THE HEALTH DEPT. LOCATION 14 WOODSIDE ROAD,WEST BARNSTABLE SCALE : 1" = 40' DATE : JAN. 8, 2013 PREPARED FOR: REFERENCE MAP 127 PARCEL 17 BORTOLOTTI CONST./ I HEREBY CERTIFY THAT THE SEPTIC SYSTEM N . SHOWN ON THIS PLAN IS LOCATED a��� gsS9cy AS SHOWN HEREON. ��o DANIEL �lp A. ar 5O8-W2-454, OJALA c fox 508 W2- W No.40980 down cope engineering, inc. 11 , , �° ode / \ ClWLENGINEER9' -- l /� -- — -------; D SV�y�'----'t----- LAND SURVEYORS 939 Main Street — YARMOUTHPORT, MASS. DATE REG. ND SURVEYOR - r 4 'i /°F THE r°� Town of Barnstable Barnstable °�,I, Regulatory Services Department � nARNSTAULE, public Health Division NASA!. 0 9$ArfD MA�a`� 11111.1 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7006 0810 0000 3524 7465 November 19, 2012 Albert A. Nazzaro 14 Woodside Drive West Barnstable, MA 02672 The septic system located at 14 Woodside Drive, Marstons Mills, MA was last inspected on 10/23/2012 by Patrick M. O'Connell, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • System is in hydraulic failure. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF BOARD OF HEALTH i Thomas McKean, R.S. CHO Agent of the Board of Health I Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\14 Woodside Dr Nov2012.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments .14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for s (�( i�s. ��� MA 02668 October 23, 2012 every page. City/Town 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:When filling out A. General Information forms on the computer,use 1. Inspector: I only the tab key to move your Patrick M. O'Connell - cursor-do not Name of Inspector use the return Ivey. Septic Inspection Services Co. Company Name k 189 Cammett Road Company Address Marstons Mills MA anµ . :... City/Town State .Zip Code ry 508-428-1779 SI12855 Telephone Number License Number ., _ f ;X7 B.'Ce'rt'ification I certify that l have personally inspected the sewage disposal system at this addressland that t'-* a n information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function'and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 'z—Qctober 23, 2012 Job# 12-259 Vecto,-s=S'iig`naiure Date - The system inspector shall submit a copy of this inspection report to the Approving.Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Nib l5ins•11/10 Title 5 Official 1 e ti n Form:Subsurface Sewa a Di System•Page 1 of 17 9 Po Y 9 r Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Woodside Drive Property Address , Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. City(Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated'below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-11110 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 2 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain 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 pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins 11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is West Barnstable MA 02668 October 23, 2012 required for _ every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and:the.SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5,ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters r{ due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow t5ins•11110 Title 5 Official Inspection form Subsurface Sewage Disposal System•Page 4 of 17 I N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ Any portion of cesspool or privy is within 100 feet of a.surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal.coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"y.6s"or"no"'to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under,Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4�M 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ 0- Were any of the system components pbmpeci out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined inline field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 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 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 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)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: CurrentlyOccupied. 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: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Unknown Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): 15ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Leaching field installed 4/27/98 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 1 Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): ' Depth below grade: 1 feet Material of construction: ® concrete ❑ metal fiberglass ❑ polyethylene ❑ other(explain) A If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 8.5' long x 5.2'wide- 1000 gal. ' Sludge depth: 2" t5ins-11/10 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information,is required for, West Barnstable MA 02668 October 23, 2012 every page Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 28 Scum thickness 1 Distance from,top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Liquid level was found at bottom of outlet invert wnd tees were intact. Observed solids on top of baffles indicating hydraulic failure. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of-scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•11/10 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 10 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Woodside Drive Property Address Al Nazzaro Owner. Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 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 t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Liquid level was at bottom of outlet pipe, observed solids snd staining to top of box indicating hydraulic failure. Pump Chamber(locate on site plan). Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form PI Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required.for West Barnstable MA 02668 October 23, 2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: ❑ leaching galleries ;lumber: ❑ 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.): Interior of Infiltrators were video inspected, found solids on ceiling of leaching units indicating the leaching system had surcharged and is in hydraulic failure. Cesspools (cesspool must be_pun.1ped 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 t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments k 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. Cityrrown 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.): 15ins-11/10 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w� 14 Woodside Drive Property Address .- ----- ---- --- ------ - —_.--- -- — --- AI Nazzaro Owner Owner's Name r information is West.Barnstable required for; ____ ____.____-___ MA 02668 October 23, 2012 every page. Ctyrrown 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 all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately \ \ �\ \�\ \\(\}/fig\ \ \` 2 19 1 42 • <f\, Commonwealth of Massachusetts Title 5 Official Inspection Form i� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Woodside Drive Property Address _ Al Nazzaro Owner Owner's Name requon is West Barnstable re uired red for MA 02668 October 23, 2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: N/A feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. 151ns•11110 Title 5 Official Inspection Form.Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ' a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 14 Woodside Drive Property Address Al Nazzaro Owner Owner's Name information is required for West Barnstable MA 02668 October 23, 2012 every page. City/Town 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-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Apr 13 04 08: 36a Al Nazzaro 5109727139 p. 1 To: Donna Z Miorandi April 131h, 2004 From: Albert Nazzaro This is in regards to the home addition project at: 14 Woodside Road West Barnstable, MA 02668 by Ferullo Construction . This note is to confirm the removal of the French doors and recasing of the opening to the den on the I` floor at the above property. These doors will be removed so that this room will serve as a den. If there are any questions or concerns please feel free to contact me at: Home Phone: 510-471-9046 Cell: 510-471-9046 Regards, Albert Nazzaro Existing 1 st Floor ................................................................. 2=2" 5-6" Mudroom Laundry 5'-12" 2'-5' i Dining Room Kitchen 2-2 T-7", . 77- � { 2'-0' 26=0" .......................... _ 8'-3" 19'-11" 1z'-4" Den Living Room 2=5" i 3'-1" ................................. 32'0" I - Existing 2nd Floor Under eaves storage T-211 .................... .............................. ..................................................... f ...............N I Bedroom #1 Bedroom #2 1'-5' 2'-2- 161-11, 8-81, 0 1 1-0" T-81' ?Y f ' No. / Fee$5 0 .0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for Mtgonl *pe;tem Conmructton Permit Application for a Permit to Construct( )Repair(x)O Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 14 Woodside Dr Owner's Name,Address and Tel.No. 4 2 0—5 3 0 7 Assessor'sMap/Parcel W Barns able, MA Michael & Susan Russell 2 7 14 Woodside Dr, W Barnstable, MA C2668 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Sr Sept Sry P O Box 1089 , Centerville, MA 026 1 2 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(n9 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil _ nvPrdic2/replace with clean sand vQ Nature of Repairs or Alterations(Answer when applicable) Title 5 Leaching system consisting of D—Box, and three H-20 stonepacked maximizers. 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 issued by thi Bo d`of Heal Signed Date Application Approved by Date s" .- ' Application Disapproved for the following reasons Permit No. f Date Issued e' TOWN OF BARNSTABLE LOCATION I y W06dSJde SEWAGE# a� VILLAGE wt,8hrIv . ASSESSOR'S MAP&LOT L. 7- OD INSTALLER'S NAME&PHONE NO.WiI_I rain EQ6inSotj -775 7776 SEPTIC TANK CAPACITY /000 Q P' LEACHING FACILITY: (type) 3. 0.4 W MI Z t r5 (size) a F4 N0.OF BEDROOMS 3 > BUILDER OR OWNER �S PERMITDATE: '/did/9'�_COMPLLANCE 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 2W feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i No. 9 Fee$50.00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF.BARNSTABLE., MASSACHUSETTS 0(pplication for �Bigpoml *p.5tem Congtrurtton Permit Application for a Permit to Construct( )Repair(X4 Upgrade( )Abandon( )� O Complete System ❑Individual Components Location Address or Lot No. 14 Woodside Dr Owner's Dame,Address and Tel.No. A 2 0—5 3 0 7 Assessor'sMap/Parcel W Barnstable, MA Mieh'Ael & Susan Russell Z-7 p/ 7 14 Woodside Dr, W 'Barnstable, MA 2668 Installer's Name,Address,and Tel.No. 7 7 5-.8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Sr Sept,,Sry P 0 Box 1089, Centerville, MA 026 2 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(n9 Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. l Description of Soil overdia/replaey with clean sand ; , f V�� R Nature of Repairs or Alterations(Answer when applicable) Tttle 5 Leaching system consisting of D-Box and three H-20 stonepacked maximizers. k � Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage dispos l system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operatio until l Certifi- cate of Compliance has been issued b t B d of Heal . Signed d Date �i Application Approved-by- Date "�? Application Disapproved for the following reasons Permit No. < Date Issued THE COMMONWEALTH OF MASSACHUSETTS `+ BARNSTABLE, MASSACHUSETTS Russell (Certificate of QCompliance THIS IS TO CERTIFY that the On-site Sewage Dis posal is osal System> g pConstructed( )Repaired LKx )Upgraded( ) Abandoned( )by at 14 Roodside Dr, W Barnstable has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated InstallerW E R@binson Sr Sept Sry Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date LJ - =-1 Inspector l�` No. �7 ^ —`�- -------------------------Fee--- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Russell Mwi5pogal *pgtem (Eott!5truction Permit iN Permission is hereby granted to Construct( )Repair(Xx)Upgrade( )Abandon( ) System located at 14 Woodside Drive ` `L7,*; W Barnstable, MA ""� Installer: W E Robinson Sr Sep c Sery ce 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 t �it. ,, Date: �<4� Approvedby� NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, William E. Robinson, Sr. ,hereby certify that the application for disposal works construction permit signed by me dated �Z— I7— ' ;r , concerning the property located at 14 Woodside Dr,W Barnstable, meets all of the following criteria- * Th/areetlands within 100 feet of the proposed leaching facility. * Thvate wells within I50 feet of the proposed septic system. * Thease in flow and/or change in use proposed. * Thriances requested or needed. If the proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) ey c B)Observed Groundwater Table Evaluation(according to Health Division well map)/ SIGNED: y 1 DATE LC "rl LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 20-1998 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). - I � � I ,,.., �� .. � , __� �G ti W DATE March 31, 1987 ❑ URGENT TOWN F BARNSTABLE ❑ SOON AS POSSIBLE BOARD of HEALTH FILE NO. ❑ NO REPLY NEEDED 367 Main Street P. 0. Box 534 HYAMIS, MASSACHUSETTS 02601 ATTENT/ON TO SUBJECT Joseph DaLuz Building Commissioner 367 Main Street, Hyannis, Ma. MESSAGE It is requested you serve a Cease and Desist Order to the owner, lklikhael Russell, at Lot 51, Woodside Road, West Barnstable, Ma.; until such time the Designing Engineer corrects the in- f addquate on-site sewage disposal system. SIGNED REPLY DI ector Board of 14e�rh DATE OF REPLY U � J SIGNED U 01)n��� RECIPIENT. WRITE REPLY, RETURN WHITE TO SENDER. KEEP THIS PINK COPY. ASSESSORS MAP•NO:,. �; DESIGNING ENGINEER MUST SUPERVISE e ON AND CERTIFY IN WRITING PARCEL NO.: � °� INSTALLATEM WAS INSTALLED IN STRICT I ; ACCORDANCE TO PLAN. Fzca•. THE COMMONWEALTH OF MASSACHUSETTS _ BOAR® F HEALTH 1�1 oil l.. ................oF........-.--. ... Appliration for Di4paoal Workri Tianstrnrfinn ramit Application is hereb made for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal System at: Fn0 � - r26 LocatiWAddress or Lot No. Owner Address Installer Address Type of Building Size Lot...................._......Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building --------- No. of persons......��..................... Showers (2 ) — Cafeteria Other fixtures ) Design Flow............................................gallons per person per day. Total daily flow.................... .___._._._._._..____..gallons. WSeptic Tank—Liquid capacity�a __gallons Length......... Width................ 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 ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1........_-------minutes per inch Depth of Test Pit.....!.yy...._. Depth to ground water_-________---•_--_--___. fs, Test Pit No. 2........ .....minutes per inch Depth of Test Pit.__ 6__.._.._ Depth to ground water........................ a -----------------------------------------------------------.-.-------------..-------••------------------.--•-- O Description of Soil---Src-�.?' Q S ` '� `S:oucrs --' ^i9 .�-x . . U --•-- w M. ----------------- -------•-------•...------••-•-------•------------------•---•--------•-•-••-----•-----•••-•-----•-•------------------•--•--•••••-•--•-••••••------•---••••-•---•---•-•••--•---••---•-•. 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 iiTL p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss 'ed by the board of health. Sined-•-••--•--- -•••-------------------------------------------------•••-- Application Approved BY - -- -- . - --_--•---_ -------------------------- ...........-- - - ............ Date Application Disapproved for the following reasons:............................................................... ..................... ...................... .....••--------------•--•-•------------•-----•--•-------•--•--•-•-••... •••... ----------------- ......................... DatePermit No...... -y - Issu L Date THE CO MONWEAL OF MASSACHUSE TS OARD O HLALTR G .....90.1 .... OF. At -firatr of T pinanre THIS S TO IFY, That the Individual Sewage Dispo 1 Syste constructed ( ) or Repaired ( ) by-------------- Installer has been installed in accordant with the rovi •ons of TT" -'p of he,,,S,tate Sanitary Cod as scrl'�ed in the application for Disposal Works Co struction Pe it No._ .-Cp__ .ham_...... dated........ -___-•--__-_-___--- THE ISSUANCE OF THIS C TIFICAT SHALL NOT BE CONSTRUED AS A GU RANTEE THAT YHE SYSTEM WILL FUNCTION SATISFA ORY. DATE...................................................................... .... .. Inspector...................................................................................... Ficz THE COMMONWEALTH OF MASSACHUSETTS BOARDHEALTH ,, ...�°�-".................OF.....-J LJG. ................ ....... .................................................. 4plira#ion for Disposal Works Tontrnrtion runfit Application is her herej y a for Perm o Construct �) or Repair ( ) an Individual Sewage Disposal ystem a • _ r .... ......... ....... ............ .-:....----••......--••--....... ......--••-•---•---••--............_...........--•----------•-----•----------...................•. E Lo� or Lot No. Owner Address Iastal':er Address Type of Building Size Lot-------------------- -------Sq. feet Dwelling—No. of Bedrooms.................._........................Expansion Attic ( ) Garbage Grinder ( ) r4 Other—Type of Building 4Iix.Bwx.......... No. of persons....A.................... Showers ( ) — Cafeteria ( ) 2 Other fixtures ......................... W Design Flow............................................gallons per person per day. Total doily flow......._,_..--:. ' gallons. ! • 4 M...-..f--, ram ••____.. .......... , WSeptic Tank—Liquid capaci�yfQop_.gallons Length--- '':":____. Width................ Diameter:.'-.....____... Depth._._.L{..____. x Disposal Trench—NTo. .................:.. 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 ( ) Percolation Test-`Results Performed by.......................................................................... Date-----•-------------------------•------ a o. 1______S.___Test Pit �T minutes per inch Depth of Test Pit.....!Y.`.�...._. Depth to ground water________________________ 44 Test Pit No. 2------7.....minutes per inch Depth of Test Pit-__Ls`._.._... Depth to ground water........................ 9 -•••-•------••-•-•--••-•----•••...................•--•'-••---'--•-•••.----.....------------------- .-------------- •-------------- --•-•------------- •--------- D Description of Soil....St-e'xr-f._.SAA1.JQ.....kt ft...C* --wac'( .-----------------------------•-----------------.-.------------•--- x W 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 T?TL; ',1 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been islued by the board of health. Signed ....................................... -------------------------••- Application Approved By----- '•A-4 .----------------•--•--------- --•----- - f Date Application Disapproved for the f ollowinqlrr'easons:--•-"--••--•'-----•......_...'--••------•••------••--••---•---------------'----•----••-•-•-----•-•-•-•--...... ..-•---•-----•--•---........-•.........................------...-•-------.....-------•-------...---------•---------•-.....---••••'---•••---••-••...'•-----•-------••••--••----•••-••--•---•-------_..... 2�-� , /� .Date PermitNo.................... •-----....... Issued-.---------•--...----- ------ Date THE COMMONWEALTH OF MASSACHUSETTS r—�-� BOARD OF HEALTH s leoww OF. 'Z ... Tntifiratr of Tontplittnrr THIS,�jS T CE IFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( } by........ -= c- ..................................................................................................................................................... .1 •, _ ( i ( � C"`S\ Installer e at ;b =;-----........... .........5'1 -•------�-------------=`�--•---------•------------------•------•------------------------------ has been installed in accordance with the provisions of "'T" -5 oI �}j�,,State Sanitary o j e cs bed in the application for Disposal Works Construction Permit No _� ______.. dated___4 -- --•------ ------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS _.. i'4 NG ENGINEER MUST SUPErivis, BOARD OF HEALTH 3TALLATION AND CERTIFY IN WRITIN ". SYSTEM WAS INSTALLED t� STRIC_`. OF.. �y NO......................... __ F. ............... i o 1 o�ks Tons#.rwtion frrutit , X Permission is hereby granted•.._.__.....j to Construct ( (r)Zp4-R it ( W.6gIN4k.ual. ge Disbs'k1� hW*-- atNo....................................................................... sEreet as shown the application for Disposal Works Construction Permit No. .._ D d ---------------------------- IT I') f���___ 1 E.` .................................................---'--•---••-•-----•--•-•'----••-'----•--- Board of Health :.-- --•---- . • .......................................... FOR, -�1. 5 HOBBS & WARREN. INC., PUBLISHERS L4 , i r ;TON - SEWAGE : SEPTIC TANK - q I -"D"BOX- I -LEACH IT 9 pp� fn�TIP :.I(MSU• "2"OFrrsTOWl / WASHEO STONE I I IN- OUT- ITF N- OUTS•. IN• 7� I L Y G I ID�,t��l I.Ogr SePrlc ELEV. TANK ELEV. ELEV. ELEV. 104�4�� 10.4�2P� ELEV. ELEV. r �OI ---�.- OFi4"=1;%" -WASHED STONE • �'� of -r++-1 TEST HOLE LOG. : = .p 1(:;l21 TEST BY WITNESS I TEST DATE .�. _ {JL_ . . BEDROOM HOU; j T.Hj r 1 T.H. • 2 DESIGN:. : _J64 ELEV. ELEV. NO i it Lo u �M pERC RATE. M!N/lN.: DISPOSER OISPO ER 3C� IL FLOW RATE3 O•(GALrDAY) EPTIG TANK 3 Urr�= 9!�;` hIL h i. v 1; +& ,�,1 �REQ'DSEPTIC NKSI. M l X w LEACH F CI LITY aF-/"ILr SIDE WA �( r . (1,�8� . l(o G/D. I � BOTTOM Z r77 _ S r_"—G/D TA(. i I�o'I ,I USE: LEACHING I?I� X 41 I WATER ENC UNT' �0 1 �/oIL GoQ!0flo l0 v 0E V�I P9 W ®Ti=S:. (UNLESS.QTHERWI NOTED? � � �� ����I��K .�''� Il 1.DATUM(MSU1.TAKENFRO +� I� C ADRA`NGLEMA". 1.MUNICIPAL WATER_- VAILABLE 3.PIPE PITCH:li"PER FOOT -I(� �LjN OF 4.DESIGN LOADING FOR ALL PRECAST UNITS:A HO- �:44 f 3.MIN.GROUND COVER OVER ALL SEWAGE FACILI S:(1) ARNE f{, ` 6:PIPE JOINTS SHALL BE MADE WATERTIGHT 03 L4. 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH MM. F MASS. ) STATE ENVIRONMENTAL CODE TITLE S a.ior 6E tJ�d i-a7L �_o?t?.t'•`C t_r`tG "�'d.�r�..n<. . REG.PRSSy NL~ENGINE BOARD OF HEALTH CONTOURS ((EXISTING)... -O-O-... APPROVED ____DATE ��T'� � MA oo-� l/J m ti• clo �''. \ � �? � �g � Ip I`ll• 1 Lol 51 J / I / Ipr3 IOq. ;IID i _ ot01 1 � i i ': ' `� �- -� o l ,o ` d. ( � I • III . . 1 � / ;I�j-� \ , � I fig, ,,,• - . , 1 Q •;`.'.���, � / � r 1 . boa�t�y ' �� SITE PLAN Laws: LaYkepI klooG��I�E �ob.p_ x ;N o f M - ,W r �STI , ARNE y\ REF: WOW,7 cape en�►ineer"ng § 48 PREPARED FOR: CIVIL ENGINEERS LAND SURVEYORS �2Q'IAt(s 8t, REQ.Li SF*RV�vO�. (il - r SCALP ATE yR, A-5I Yaiiiwsl�.!iX D l/4�57 362-4541 926 main street yarmouth mass. 02675 down cape engineering civil engineers&land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning sewage system designs inspections October 23, 1986 permits Board of Health Town of Barnstable South Street Hyannis, MA Gentlemen: On October 15, 1986 Down Cape Engineering inspected the septic system on Lot 5 Woodside Road, West Barnstab e. The system as installed conforms with Ma s. En ironmental Code Title V and the Barnstable Healt Regulat ns an Down Cape Engineering site plan hat#84-25 'A51 dated /11/8 except that the location of septic tank was cha ged to avoi excess excavation and tree removal. See attached "as-built" sketc plan. Very truly you , Arne H• Ojala, P.E., L.S. Inspected by Carol Youn AHO/amp JO �424 16 r } \ � I Ad PREPARED Foie: O Jc IXkl�l CASE Eii/r/rtl�i��it/G� �`84� Z 7 Ss�ON/V O.t/ T/-//S .oL..oq.V /S LOCgTEa O.C/ TLIE y BOc%t/D A95 51WO WA.1 "C-eEOti/. `P4"h 9 I I A�E yr down cam en9inecrir�9 .OvAt_A..; ' �..SiA StJ0V6YOB� � Zl�j�9 —S __ �o u TE 6�q +r�i!l'�BMOC JTH, A44P TOWN OF BARNSTABLE LOCATION J4 fa)p�ts IN t r ( , _ SEWAGE# VILLAGE _ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. 0,C, P _ SEPTIC TANK CAPACITY J5 aJ4 (Cco LEACHING FACILITY:(type)�2hg�Ia� (size) :addW91 r NO.OF BEDROOMS 3 S' .C W4", ` j3�C2TjCa OWNER ZQ PERMIT DATE: (,L.17-1 — COMPLIANCE DATE: 7 3 Separation Distance Between the: 7 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) t-4 A,— Feet ' FURNISHED BY /glut �r FU job' �.�•. b�6" 76• 1 s Rrv�a�G .1elL r �r -2 310 Town of Barnstable Pr) Department of Regulatory.Services MARQ u ]Public Health Division Date / -0 is 200 Main Street,Hyannis MA 02601 Date Scheduled Time / Fee Pd. Soil Suitability Assessment,for S Disposal Performed-By: Witnessed By: LOCAT r�r Gx 'NEi2AT,!NN OIMA•TION location Address /� / l/./' W 0 f'1���JJJ���•••lll": /p�Q( Owner's Name W' Address Assessor's Map/Parcel: /a 77/ n'O Name ' En ineers g y✓ L' NEW CONSTRUCTION REPAIR Telephone Land Use: Slopes 96 p ( ) Surface Stones Distances from: Open Water Body ft Possible Wet Area fk Drinking Water Well ft Drainage Way ft Property Une ft Other • ft SIMTCH:(Street na dimensions o exact locations of test holes&pore tests,locate wetlands'In proximity to holes) 1 ti VO® v � o O• —n t. Qq Parent material(geologic) Depth to Sedmck 7 YAP Depth to Groundwater: Standing Water in Hole: d i�--� _ Weeping from Pit Face Estimated Seasonal High Groundwater V V v o M ethod Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE Depth Observed standing in obs.hole: In, Daptll to sv11 inuUies: ln,Depth to weeping from side of obs,hole: I11, Groundwater Adjustment Index Well# Reading Date: Index Well laval : Adj,factor �_ ,� _ c(►.drautldwnter level Observation PERCOLATION TEST D019 Tbnn _____ Hole# 1 — —� Time at 9" p De th of Pero Time it 6" Start Pro-soak Time @ Time(9"-611) _ End Pro-soak ' Rate Min./iuch e— Site Suitability Assessment: Sitc Passed, Sitq Filled: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----/C-- ***If percolation test is to be conducted within 100' of wetland,you Must first notify the. Barnstable Conservation Division at Ieast one(1) week prior to beginning. Q\S EPTIC\PER C PORKD O C ]DEEB.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Shcl Color Soil• Ofhcr Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders• i tcn:y 96'Orayell SL —I ZO C Inn 141-64,-4 DEEP'®BSERVA ION HOLE LOG Dole 7, Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. onsis en, %G ve y2 & y/2-540 c6/ DEEP OBSERVATION HOLE LOG Hole#. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories,Boulders. a 1te c G e 4 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soli Color soil Other G1. Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Co si to 6 Flood Insurance hate Map: _ Ahcvc 500 =flood bou-,dart' No- Yes - Within 500 year boundary No Yes ' Within 100 year flood boundary No._ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious miiterial exist in all areas observed throughout the area proposed for the soil absorptibn system? If not,what is the depth of naturally occurring pervious matarial? Certification I certify that on (date)I have passed the soil evaluator examination approved b,the Department of Lnvirorarrenial Protection and that the above analysis was performed by me consistent with . the requited training,expertise and experience described in�10 CMR 15.017. Signature Datb �J1 JZ QAS,RPTla*PERCPORM.DO C TOWN OF BARNSTABLE r , LOCATION /t/ W0Z)QS7Lje QP`iVe SEWAGE # VILLAGE V 3A dV . ASSESSOR'S MAP & LOT I.2 7- 0/ INSTALLER'S NAME&PHONE NO. W d I r a in E&6 e n5o e2 `77 S M6 SEPTIC TANK CAPACITY /000 4 A I LEACHING FACILITY: (type) 3 k%071 Z trs (size) 2 ' NO.OF BEDROOMS BUILDER OR OWNERtJSS�I f PERMITDATE: �{�drl�' ' COMPLIANCE DATE: q/iip'I 9? Separation Distance Between the: Maximum Adjusted Groundwater Table and Bolton,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 . � � . . ,, r �t -�� �� 6 � �31� o . o ���� � �� ,,� TOWN OF BARNSTABLE LOCATION 1d��� �ae�s';� SEWAGE # ),e 7 VILLAGE ASSESSOR'S MAP & LOT�I�z- ,c c, INSTALLER'S NAME & PHONE NO. Qf dCal SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Flaza --(size) Xd. NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WAT BUILDER OR OWNER DATE PERMIT ISSUED: Y v� DATE .COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ... . .. , l�,,,,n� 0 ° � �. �. � f� � �� 9 �` �� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Application.is hereby made for a Permit to Construct or Repair'. an Individual Sewage Disposal System at: Owner Address Installer Address Type of Building Size Lot... feet Septic Tank—Liquid'capacity.1,0,0.0..gallons LengthJO..f:e�Width..��-.,�6... Diameter............. Depth Disposal T-zmv-+ No Z. Other Distribution box (m / Dosing tank 0.4 Test Pit minutes per inch Depth of Test Pit..... '--....... � Description of U Nature of Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions o{'LI7LZ 5 of the State Sanitary Code undersigned turther agrees not to place the system in operation until-a Certificate of Compliance has b e b t - ~ ----~—��—�m---~---~—�-----... .....—............. '--'—'---------- �� ~_ te | Application Approved l�y----. -'�_� ____-_-__-.--_._-__ ____^���'�_����_&.7__ -- Date � Application Disapproved for the following reasons:............................................................................................................ � _'.--'------------._--'--'-------_---'------_-------__----'--'---'-.---..-.-'_-----.-_-_.-_.--'--'------ Date Permit No-'��2--�-7-T-25........................ Iaooed ------------'-----------'-_ ` o^u _ ~`` - ------- --------- 362-4541 939 ma n street rt 6a yarmouth port mass 02675 down Coe eft gineefing civil engineers&land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning July 26, 1988 sewage system designs Barnstable Board of Health Town of Barnstable South Street inspections Hyannis, MA 02601 Re: Lot 51 Woodside Road, W. Barnstable permits DCE #87-420 Gentlemen: On July 26, 1988 Down Cape Engineering inspected the sewage system at Lot #51 Woodside Road. The system has been installed according to the approved plan, and as such meets the requirements of Commonwealth of Massachusetts regulation 310CMR 15 (Title V) and the Barnstable Health Regulations. Very truly yours, Arne H. Ojala, P.E. Down Cape Engineering, Inc. Inspected by: Arne H. Ojala, P.E. . AHO/amp 1AH030 1... w - FEis THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............OF...... Appliration for Disposal lVorks Toustrudion Permit Application is hereby made for a Permit to Construct ()() or Repair�( ) an Individual Sewage Disposal System at: ................--....---...................................................................... ................. .............................................................. Location.Address or Lot No. --------------- ... f..?�Z -2 .........................._........ Owner / Address W G{/t S i ._ �, STo r3G ................................... Installer Address Type of Building Size Lot.... ....Sq. feet .-, Dwelling—No. of Bedrooms..........3.............................Expansion Attic (414) Garbage Grinder WO) a`4 Other—T e of Building No. of persons............................ Showers YP g -----•--•----•-•--...--•---• P ( ) — Cafeteria ( ) QOther fixtures ------. ...-•-------•-------------------•------........ -••---------......----•-------........---••---•-------........-•---•-•-•--.........---... Design Flow.................................�`. ._._gallons per person per day. Total daily flow...............--........: b_...gallons. W , W Septic Tank—Liquid capacity.l4?n.gallons Length Z&'-:!?Width_`�'.l�?.��Diameter.....-- Depths 'e��.. x Disposal T winch`—,�No`<<3..GM, .. Width--.Z ........... Total Length...._R./ .3 � -.._.. Total leaching area.... ....sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank (�/) lS r) 1 '"' Percolation Test Results Performed by.�!?u�n._.. f�?tr f�?rr!�? L: !!?�� .'�" `Date..........9: Z'd' ............ Test Pit No. I......=n....minutes per inch Depth of Test Pit...l3a!..� Depth to ground water........................ ?�...... ••- ..................................p ,o Test Pit.•••/5!y -•-- Depth to ground water------------------------ O Test Pit No. 2----- � minutes per inch Depth of � l yy / a -•........................................ .............................. Description of �y ,r �.s�` o 1...././_..---.--/---------------------------»------.----------•;;.'•----•--------._---•---.-....� .......... ,............... ►�+ % -/3-?, G_� ar..SR'!'��1.. /fit G<P? .Di°4�r P :. �! 2 l,_:_3 l-" ! m.nv�,5u!? q - s- V / 2 „ / ,/ -- _.S _�ro c{ ...... ... �....-` _��zrn .S�fll7zP =.:. _.�..... .. ',Q2....t-./ :. Sec tD U Nature of Repairs or Alterations—Answer when applicable.>�-`� --. --�. .... .mot.-t...... -.c 0 �. .._........ Agreement: � The undersigned agrees to install the-aforedescribed Individual Sewage Disposal System in accordance with he 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•-i sue by the board f' Iealth. � Signed_. ... •-•f ("t ..... •........... .......................... .......... ................. Date Application Approved By........... ..................................... ....... Date Application Disapproved for the following reasons-----------------------------=---------------------•----•--------------------•--•-----------.............._•. ..........................................•-..-_......--•••------•--•••-•----•••••-•-----.......-••--......_.............._..•••.....---•---•••-----•-•••----••--•••-••••---••---••-•-•........._...... Date PermitNo..... �'�. d - ---- ------------------------ Issued.---•---•--•-----•------•-•--------._.................. w 1- Date v ___. ..,3 ���,-�...-««-.-•e»»••«-«'~' '-«-« ^ ^ »»»-»»9 «__.._THECOMMONWEALTH OF MASSACHUSETTS .... ., .,_ „......«...... BOARD OF HEALTH 1 Wit................OF.......f . .... .., M-... (Irrtif iratr of Tomplittnrr ; THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed �) or Repaired ( ) by...........I------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------------------- 1 ( Installer at._--•--•-••-.•-- '7 �� -•----...1.1/cs,�•.)�- f�/� .>,^..n D has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE.CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......................... .-- .................... Inspector............................ -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE•�A}.LTfH� 7- /??.0 ..............OF......... _.,irw!J t!l�i 1 .................._.................. `-7 No........ ........fa FEE--.....: ....... Disposal Works Tonutrurtion ?Permit Permissionis hereby granted.............................................................................................................................................. to Construct (�) or Repair ( ) an Individual Sewage Disposal System atNo....... .......... •l'= ......................................................... Street as shown on the application for Disposal Works Construction Permit No.V.7?_3.__. Dated.......................................... •---......... t _.. �� Board of Health DATE.................... T - BARNSTABLE 0 ' rr c� a y TOWN OF BARNSTABLE OPEN SPACE o y yy � LOCUS < M Qv 6' PLAN REF 389-44 l G�1 ASSESSORS MAP. 127-17 W� A.M. 127-16 ZONING.• "RF"' 52 LOT 52 SETBACKS.• 30� 15-15 Q _ FLOOD ZONE- PANEL O '�► ' PANEL NUMBER: 250001 0015 C Fi DATED.• 08-19-85 I-i ' B RA#N SYSTEM SAS ORAI7V PRIDN THB MEN OF BARM4PANZ 60�2 66, �M -PLAN OF LAND N DECK �' �' ISt3 LOCATED AT 81 14 WOODSIDE ROAD WEST ' ry BARNSTABLE MA. AREA F f14 PROPOSED A.M. 127-17 GARAGE 11 w LOT 51 PREPARED FOR.• ALBERT A NAZZARRO ca MARCH 12, 2004 � REV• 1I3��" ►►►►A6AA REV L-181 o oO ?' o4nlnti��� REV R=185.57 t o STEPHEN �, ► D y ► #IrO ROA : °� � ; YANKEE SURVEY CONSULTANTS OD,S'I DE UNIT 1, 40 INDUSTRY ROAD ti < P. 0. BOX 265 i o� MARSTONS MILLS,EL' 428-0055F A 48 FAX 420-SS �53 SHEET 1 JOB# 53622 JF SECTiOi't - EVw'AGc - PHIL1F' JoNES -SEPTIC TANK - - "D"BOX - - LEACH FL0w01rFdSor2 - 14°II 09 e TOP OF FON n j E24lQZ• U• 2"OF'INTO 46" (L' WfSmEDSTONE loo IDI 103 10� /0� lib l08 A97 //0 111 �— - /98P03' 1jp 1` LL6e.S91 / IN• ► TH-2 OUT- IN• OUT IN O� ! I ).jc � . � SEPTIC GQ TANK 10 4,`i ELEV. ELEV. ELEV. ELEV. t -- #51 /4 4 / ELEV. ELEV. (1.02-Ac. f) or r's7t'r:,'1L /O� .�./ of x• -1w" WASHED STONE ��' SEA POO Ao,; TEST HOLE LOG P 6 702 /ol` \ ('I,G Tr 1 .� TEST BY R V-RIMY R—r- JDu1vNiA1G- KITNESS �/ TEST DATE DESIGN --6EDROON! HOUSE /a?'' \�- c ,��`3 ' -X T.H. . 1 T.H. • Z z o e % - "�F --- ._ LOT 52 1 r \ 5GR r 1 _ ELEV. �t7�./ ELEV.-IIO.Z NO �� �CEI` r' 107 I, c DISPCSER SPOSFCti gyp, Ff E 36 �Nt ' SUB. 1 ,36 LM > SUB. PERC RATE MIN/IN. �X \ Qa ova —/05.9 107.2.:LOWRATE Z,�'O(GAL/DAY) 3 �_�� j, s z i 4$ sAn► oR SrLT :C :: Zo Nwci- R� SIL 5AND -5 SAND -10b'Z`EPTIC TANK �o�cb�)= g 5 O\ �\ s;'�ti � BLDu, 5 7BACKS $Q" €S ONE'j /O� �1 7� S ONES 104.2I REO'D SEPTIC TANK SIZE d no CC SAND CE Ui11 LEACH FACILITY 11 � J /`'�� _ �D �^ ( 44 W 5 M SIDE WALL elo f30)-R x /�7 (4; -E- 8 G/D. 3 lr� ROAR 15 f " O F /LT I � BOTTOM 3 n 1 Z 97 9 I�N�s 1 TOTAL V 3�;� :.,•� •4 Fti �. 14 9g.2 2 USE: 3 LEACHING - \ c of I Ti-{ I C.. �ToIJG 4e di r c r A� /B.SSg A/O WATER ENCOUNTERED i H. :d3 � � \ k1w Vo_9 05 NOTES: (UNLESS OTHERWISE NOTED) ` Nt tc�tM Sue. /�-� ° _ 1. DATUM (MSL)_TAKEN FROM � )/i_ r ___-..OUAORANGLE MAP T-� 107, p �''� w� 7. MUNICIPAL WATER_-_ rS — -AVAILABLE,, N• S/LTY'S/tND p •S,. ,$�rvCH M� S. IIPE PITCH: W."PER FOOT IQS,O - F�K.•-. �. OESIGN LOADING FOR ALL PRECAST UNITS:Af.�HO• //-/O �a g \ CATCH B.g51N EL. 105.S'I ` S. MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: III FT. S. PIPE JOINTS SHALL BE MADE WATER TIGHT I COARSE J _ ^ ), CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. € 6J( STATE ENVIRONMENTAL CODE TITLE S i SA'lV� F, - 1 ---' SITE PLAN i 1-1og4 OI-''-cf, � I sTokE ,`. k: - Locus: LO DSIDE 7PJAD 8t�j I fir`' Pry LI�!= ,1 r..C,: 1 S T 5/,. WOO soli stia11 al - _ - =---- -- - IW�ST) EAR/VSM- 234.E MASS. 9 " c�t�w••�-:-�e.;� J C,�I vIn r_II t-�I:IC Ir4%4 c? p� R oPorcStiOrjnl ENGINEEP T� be r^cmcvc�r wift, u� o- \ 1D f+ ZOnF eenOV1�c� I�,• 0 CiuiL //- 9-£ � ' t REF: L-I�TS/ 'Of-2S7- DC.C. — Ir�cru�j Uc nNlacccc. down cape enjinee PREPARED FOR: R Q COn�.yeLr• CIVIL ENGINEERS I LAND SURVEYORS " --- BOARD OF HEALTH REG.LAND SURV YOR CONTOURS (EXISTING)— -- APPROVED _. OA'fE MA Y>A/� !LA SCALE.J (PRoPoSEDI =---��}-- DATE #37-42o ..p,...a.W.... ,.s=.,,+w..« w..uaa..M.;w,,..,. ,:.. ..,...,.,a........x.._-,. ,..,.,+. .....,..r....._.. ..,.,_... .. -.t+.tl.�x'.m�.:nw,. x x ( / 3 . a AL F\I AZ2-A —0 I-7((STINC-i ONE F-il {IL MILL,,S MA uo wl reA"t>®.0 AbouE I I t�cxaa i P>�r�i�vw D COVEC Deer- ED - J M t; 11 QQ U z4+Q+/ 90 TWO C.vk2. GAP-AC ' r , ;' � M�d ►?Q D PRE �,,,, '��.. - „� . i, t- la < UP t if Z`� ' � - \lb:zq 0 I I 14 d' I a C)I I A 0 qA0,� S —r-tz tM.'S Y < .l4 :ia., ,......'._ r,,..,❑a,,ln i,.:nrr:..,j:.,..:..:; .ry .�,. ?,:;.I. ..;' N;Vtt)IT; 1._iAf:l .I :-f.', � - t0 nc}, r-..,. ,nullry ,h,,P L.rn ❑.-,:;;,i .. c c,�, i � ,n *�, ,liip' ' .,r....;...,:.-»..w,...:a.,.a._.,_:...:..s. .. .�..«..ww....:w..,e...,:�...wa„w.-.,.a.w.,.... ..w,...e:.....:.......m� +wpm:..,+w.,n.«.o:,u.-. wax. r,::...� .ww.,:,w::..,m,.a..os.,..�..-.. ....»«.ss...+Ww. _.......:.,,...m...�.w+....w.+,«.W.:;«a, -w..,w..,......:,..,...,.....,........>:+wr.. ..:..._.. :.....„...,.,.a :.: c,+w.w..:r,;.,. _ ,« .,._...s:...« .....a:�.w._ .. .,......,,.< d a k fa h 2" T r I" V R SK. IATF- 2-442 � r + -N } f , {} r DN f t l sri� i Z�lU 174-!k , 5rtyce-�-�d G 404 � 1.OlT/\HOgAv : I/lOT3T-HAM JJ:3W 'f3t_1QOf9 C)Lii l ASH JA,l AlVIflQ�I.1�,� ,�JViAf�aC)�1� f g v , ..,:r 11Q b,,f ' NAM413bd y ii N,(1 Al I P + l S �4 1 ll) ! P' 9 ,..z, .—....rd�+a.,.�... . . a.::..........,. ...... .-... w...:.....—, _ ..s....- ... ;.a.......,..a_www W......__b._..� .. __.. ,:....»�u..arww.we:.m.,+..w-•w..,.,.,..w+.w:.::.>.wum...<: .. ...«.„w.,+.,..,.�,w,:xin «„.w>,.u,»,__,.., ... ._s__..._.,a ...-r....,...�.:. { , DESIGN CALCULATIONS S i STEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES LEGEND G 'V MARKED WITH MAGNETIC TAPE OR PROVIDE WATERTIGHT MIN. 20" DIAM. (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. PROP. VENT 1. DATUM IS APPROX. NGVD 0k �h ��``�6' 99- EXISTING CONTOUR GARBAGE DISPOSER IS NOT ALLOWED ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE Red 2. MUNICIPAL WATER IS EXISTING X 99•1 EXIST. SPOT ELEV. DESIGN FLOW: 3 BEDROOMS © 110 GPD = 330 GPD \ TOP FOUND. EL. 112.8 FILTER FABRIC OVER STONE - �9 -- PROPOSED CONTOUR USE A 330 GPD DESIGN FLOW MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 1 10 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. eO�. cod er y PRECAST H-10 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS a 1fI 198.41 PROPOSED SPOT EL. o SEPTIC TANK: 330 GPD (2) = 660 RISERS (TrPJ BLOCKS OR TO BE AASHO H-�Q Loc ay �� Lane ..A• 2 1 10.5' PROP. TEE 4"OSCH40 PVC PRECAST RISERS �o Saddler TH1 MORTAR ALL **RE-USE EXISTING 1000 GAL. SEPTIC TANK PIPES LEVEL 1ST 2' 4 COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. 01 TEST HOLE ENDS .�'. SEES 0 BE IN ACCORDANCE WITH (n'P') I o 105.0' .• 0 6 CONSTRUCTION DETAILS T o ° 310 CMR 15.000 (TITLE 5.) 2� SLOPE OF GROUND LEACHING: TEE EXISTING "; TEE * °°°°° ®®®® ®®®® °oo°ooI I®®® -�m�� SEPTIC TANK f 109.1 o 0 0 o O o 0 0 0 0 0 0 0 0 0 0 0 I� °o 0 0 ®®®IJ®®®®®® �o°o°o°°° SIDES: 2 (30 + 9.83) 2 (.74) = 118 GPD ° ° ° ° ° ° ° ° o ' ° ° ° ° ° ° ; ° ° ° ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO m �Q> UTILITY POLE o o°o°o°o°oo�o °° o ° ° ° ®®® °o ° ° ®®®00®®(=(o(o ° ° ° o GAS BAFFLE ° °o°o°o°000°o o° �i >°o°o°o°o °°o°o° °o°o°o°o BE USED FOR LOT LINE STAKING OR ANY OTHER BOTTOM 30 x 9.83 (.74) = 218 GPD :.: 104.31' 1 000a°o ��®®®®®®®®® °g ®��®0®®��O °o°g oc a FIRE HYDRANT e °°°°°°°° °°°°°° °°°°°°°° 102.0 PURPOSE. NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING TOTAL: 454 S.F. 336 GPD s f 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. �o oc Ro e Lane H-20 500 GAL. LEACHING CHAMBER BY ACME PRECASTf OR EQUAL 3/4"-1-1/2'" DOUBLE WASHED STONE (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED o�Q USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30' X 9.83' WITHOUT INSPECTION BY BOARD OF HEALTH AND WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' COMPACTION. (15.221 [2]) PERMISSION OBTAINED FROM BOARD OF HEALTH. Shubael r BETWEEN UNITS * 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING *THE INSTALLER SHALL VERIFY THE DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATIONS OF ALL UTILITIES AND ALL LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES BUILDING SEWER OUTLETS AND 25 99.0' BOTTOM TfH-2 PRIOR TO COMMENCEMENT OF WORK. LOCUS MAP ( % SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND 1 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE NOT TO SCALE ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM MA EXIST 1 Q' LEACHING REMOVED 5' BENEATH AND AROUND THE PROPOSED APPROVED DATE BOARD OF HEALTH FOUNDATION- SEPTIC TANK D _ BOX 16 FACILITY ***INSTALLER TO CONFIRMS SUITABLE SOILS FOR 4' MIN. LEACHING FACILITY. ASSESSORS MAP 127 PARCEL 17 BELOW SAS PRIOR TO INISTALLING ANY PORTION OF SYSTEM 12• EXISTING LEACHING FACILITY SHALL BE PUMPED AND NOTE: GROUNDWATER EXPECTED AT ELEV. 41't PER TOWN MAP REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF NOT SUITABLE TEST HOLE LOGS ENGINEER: ARNE H. OJALA, PE, SE VARIANCES FOR SEPTIC SYS;TEM REPAIRS WHICH MAY BE IMMEDIATELY GRANTED BY TFHE BOARD OF HEALTH AGENT OR WITNESS: DON DESMAR;AIS, RS BY HEALTH INSPECTOR DECEMBER 14, 2012 DATE: PAPERWORK AND HEARING FREDUCTION PROPOSALS APPROVED PERC. RATE _ < 2 MIN/INCH (C2) BY THE BOARD OF HEALTH REVISED DURING A PUBLIC HEARING HELD ON AUG. 4, '2009 CLASS I SOILS p# 13817 3) FAILED SYSTEMS ONLY : SOIL ABSORPTION SYSTEM INSTALLATIONS PROPOSED MIORE THAN THREE FEET BELOW GRADE WITH PROPER VENTINIG (PIPED TO THE ATMOSPHERE) ELEV. ELEV. AND WITH H-20 LOADING, B3UT IN NO CASE SHALL THE SAS 4 BE LOCATED MORE THAN SOX FEET BELOW GRADE. 0" 109.5' p" 109.0' A N �LS 8„ FILL CDPROP. VENT WITH CHARCOAL FILTER AND 6,� 10YR 3/2 6? BUGSCREEN (FINAL PLACEMENT BY CONTRACTOR A/B WITH HOMEOWNER CONSULTATION) BW /SL ���• SL 13" 10YR 3/2 36" 10YR 5/4 APPROX LOCATION OF EXISTING SAS BW x 07 2 x 1'08.87 (AS-BUILT CARD UNCLEAR) �: c 1 9.4 /SL o� 9 x 1 - _ ° 11 64 _ SILT CLOAM ' 40 10YR .5/4./ J ° o - d 10YR 5/4 /C1 x 1 5. 5 8 LLY I I 111.42 \ x112.20 - r .. SILT LOAM 60" 104.5 69 1 OAK j \ 1 OYR 5/4 ° 111.17 1 � 4 2 9 I C2 60" 104.0' • i i PERC MCS C2 270 ^o °s 0 72" 10YR 6/4 MCS 110.88 BENCH MARK - CORNER OF - r 1 OYR 6/4 104.10 2 OAK 1'2" 0 Y G.24� �- 0.90 CONC. BULKHEAD EL. = 111.5777 ' 120" 99.5v 120 99.0' x 06. 6 x 11 1.35 - o 0 NO GROUNDWATER ENCOUNTERED 6 - x 6 0� l x 1/6.311 5' 11'1.23 x 110.456g. � �4381 x 103.67 DECK x/ 110.93 103.15 11.46 1 0 \ 177 i 11.55 i 111.47 i EXISTING DWELLING 111.18' TOP FNDN. EL. 112.8' 110.32 33 GARAGE 1 35 T I T L EE 5 1"Ipm E P L A N i OF LOT 51 1 I 44,466±SF 1 1131652 �11 14 WOODSIDE ROAD 0 �. \° 0.25 0.89 110.26 WEST BARNSTABLE 1Tn 1;912 109.99 109.94 PREPARED FOR \ 09.48 0109.11 .84 BORTOLOTTI CONSTRUCTION/ \ 108.21 NAZZARO 113•S6 / DECEMBER 17, 2012 71 .s1 Scale: 1"= 20' R=185 .57 107.30 X 10/.24 0 10 20 30 40 50 FEET �OOO A 10665 O�RO H oFM of Mgss off qO 5018-362_4541/ Cy rye q� ( fax 568-362 9880 DANIEL!o ti N � DAN9ELA. G�� downcape.com 1 OJALA OJ down ca en ineerin � o.4C3f11) CIVIL � �x'f06.22 � � � No.465 � � �, Inc ci vil engineers /ONA Ion d surveyors 1 939 Main Street ( R to 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 >2-310 � �