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0041 CURRYCOMB CIRCLE - Health
41 C(1i2RyCUl'ld b BARNSTABLE 4- 151-AN i �I ;I �I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 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. A. General Information 1. Inspector: 31 95z�Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage Y disposal system at this address and that the P 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. 1 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 4-4-14 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3l13 Title 5 Official InspectioIF.rujaa ce se. ge Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 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 anyJnformation 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: System is in good working order with no sign of failure. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 I Commonwealth of Massachusetts = W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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 iinspection 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 l Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town 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 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 '/2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 41 Curry Comb Cir Property Address Sarah Horvath - Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town 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"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 41 Curry Comb Cir Property Address r Sa ah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 City/Town/Town page. Y 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: 9 Yes No ® ❑ Pumping iInformation was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? Y P ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts = Title 5 Official Inspection Form m Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town 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? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No 4`-4-14 Last date of occupancy: Date 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•3/13 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 �M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is •required for every W. Barnstable MA 02668 4-4-14 page. City/Town 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: Owner--pumped 2013 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance 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): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts = W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 41 Curry Comb Cir 7M Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. CityTTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2008 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 30"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.): Good condition. Septic Tank(locate on site plan): Depth below grade: 24"feet Material of construction: { ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) I If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal Sludge depth: 12" t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 41 Curry Comb Cir �M Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town 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 20" 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 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade:p g 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town 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: j Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 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 M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town 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.): Good condition with water at working level and no sign of back-up from field. 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.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W .Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments �F �M10 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 3-3050 infiltrators rf ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach field in good condition and empty at inspection with no sign of back-up into d-box or surrounding stone. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 L� Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form tm Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA. 02668 4-4-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate 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 LE3 6 Jr */Y%,, p t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts 91 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is required for every W. Barnstable MA 02668 4-4-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database- explain: You must describe how you established the high ground water elevation: Original design plans show no groundwater at 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 -F" Commonwealth of Massachusetts _ W Title 5 official Inspection Form w Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 41 Curry Comb Cir Property Address Sarah Horvath Owner Owner's Name information is Barnstable MA 02668 4-4-14 required for every W. page. Cityfrown 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 I t5ins-3113 Title 50fficial Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOi:ATION �/ C�j G Cal SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. ,( �yn�lj�j�i +kl�•rc�r�y y�Q ����r SEPTIC TANK CAPACITY LEACHING FACILITY:(type) , (size) NO.OF BEDROOMS OWNER t PERMIT DATE: �O-/f`-Q COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S 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 i FURNISHED BY yi y � � 5 �P/►�IUd6L" ti � urn. No. -1/ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for �Bizpoal 4pgtem Conotruction Verm' Application for a Permit to Construct( ) Repair(�pgrade( ) Abandon( ) ❑.Complete System Individual Components Location Address or Lot No. 7/ 6tvy LL°!v``/�/"�� Owner's Name,Address,and Tel.No. Assessor's Mapi?arcel f`f ..//�//& stay. -2 • J/�l�r Installer's Name,Address,and Tel.No. �+ld �^ �S ' Designer's Name,Address and Tel.No. Type of Building: / � Dwelling No.of Bedrooms 3 Lot Size / s;�90/ '�¢ sq. 8. Garbage Grinder / 6 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures // Design Flow(min.required) ✓?-7Q gpd Design flow provided 'T7® gpd Plan Date ✓,JZ7 .7o,,,Qo y Number of sheets / Revision Date Title /.)/t T,le PIZ,, o l— y/ eo!�,I,r w l -v /4I lr Size of Septic Tank e rs/4 i co® C'eL Type of S.A.S. 3� 3610 Rio L�� �7 C✓ J ti. Description of Soil J^�C 9'IJrJ Nature of Repairs or Alterations(Answer when applicable) /'ytQa�� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system it! accordance with the provisions of Title 5 of the Environmental Code and of to place the system in operation until a Certificate of Compliance has been issued by this Board o,,f Health. Signed Date Application Approved by _ Date S'—o Application Disapproved b Date for the following reasons Permit No. )01) Date Issued �d�0--a � —v -------------------------------------------- No. '. 2 ._ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPlication for Mi5po5a[ *p5tem Congtruction PermiL Application for a Permit to Construct O Repair(01,11upgrade( ) Abandon O ❑.Complete System ©Individual Components Location Address or Lot No. �� ��/�/ IOa,S l/`-4 Owner's Name,Address,and Tel.No. Xe Assessor's Map/Parcel `77G-.1�lI�- ti/ ! 414- Installer's Name,Address,and Tel.No. '^/0�/ }� �ti✓ Designer's Name,Address and Tel.No. ✓G""J�'�' �"'"r Type of Building: Dwelling No.of Bedrooms li" Lot Size 1 t, � sq. ft. Garbage Grinder (A Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33o gpd Design flow provided �/O gpd Plan Date Z17 _70"JCo y Number of sheets / /° Revision Date Title %,W-e 5- 5,le /al,7 o G y/ e,.,7 e a.) L��c �,� �-' !��s�> i�r- Size of.Septic Tank ex's/4f l/GGo CSC Type of S.A.S. 7- TC)O �w XVA, -/3 Description of Soil Nature of Repairs or Alterations(Answer when applicable) llr',0.aw 4,y/ +— AZIOI 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 a�ndfnot to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe � Date /6 tI' Application Approved by t4„t-_ �,�.� Date /6 Application Disapproved b�T_ Date for the following reasons Permit No. )00 Date Issued 0 15-0,9 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE;,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site_Sewage Disp`osal/System Constructed ( ) Repaired (' Upgraded ( ) Abandoned by)by / �/aw /f�f'rr✓ at 7l G dyi� 6-IJ �.- Lt/- � J�d f lit has been constructed in accordance 1 with the provisions of Tittle 5 and the for/Disposal System Construction Permit No. �GUIr/- /f/ dated t Installer � /d�d !`� COme � Designer /�✓.J V(�c�z' 6--0S/��^� e y S #bedrooms 5 i Approved design flow 3 kd"A AI gpd f'J The issuance of this permit shal/�not)b/econssttruefd as-a arantee that the system �ll funet bn/as dde/signe%. / 40 Date //// / /I Inspector �/ I 10.�'! 1 I v f!S -----------------------/------------------------------------------- No. 4�- 1 !I I - -----' Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS y &,5pont �§pgtem o 5truction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon // ( ) System located at Iarvll lee„"- cry � and as-described in the above Application f'or Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of tZinpe p Date ��� j/0 Approved by ,.�v4�> y� I FROM :down cape engineering inc FAX NO. :15083629880 Oct. 24 2008 01:25PM P1 Town. of Ramstable Regulatory Services Thomas F.Geiler,Diredor a ,uxrr�rnr�, Public Health Division " Thomas McKean,Director 200 Main Street,Hyannig, MA 02601 Office: 508-862A644 Fax.: $08-790-6304 Installer&Designer Certification Form Date: �0 c y Sewage Permit# a04� `�1 Assemor'g MaplParcel Dcsign.er: ov;h _e7 r rlee.j Tngtaller: 0� �r/r �n.0�►LtG�D� .Address: i1 r) .Address: , 0 . 62C a.r d� ... On 0 r ly/0 ll 1 was issued a permit to install a (date) (installer) septic system at C t't✓' co e4 Cl#'C( based on a design drawn by (address) r Q datedd Qda signer) 1 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,andlar septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than. 1.0' lateral relocation of the SAS or any vertical relocation of any compcment of the septic system) but in accordance with State &Local Regulations. Plan.revision or ce.r-ti-fied as-built by designer to follow. y�H OF 1 QANIELA. y�tr• (Installer's Signature) OJALA CIVIL w No.<502 J �s foML i (Designer's Sipiatur (Affix er's Stamp Here) PLEASE._�_RETVRN TO BAItWrA11LE PUBLIC HEALTH DIVISION CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THLS FORM AND AS-BUILT CARD ARE RECEIVED BY THE.RAIiNS"TABI,E PUBLIC HEA1,TF DIVISION. THANK YOU. Q BAaIth/Soptis/Ucsignor CortifiaationForm 3-26-04.doc V TOWN OF BARNSTABLE LOCATION "d10 i2V 6t5At h 6,& SEWAGE # VIL?LAGE 34 t AJ �- n ASSESSOR'S MAP &LOTA ©d� INSTALLER'S NAME&PHONE NO. �1 f" SEPTIC TANK CAPACITY f J� aJ �- LEACHING FACILITY: (type) -MOOy.�� AC,(size) NO.OF BEDROOMS BUILDER OR OWNER � ;� ,. �✓/ � S PERMTTDATE- j�'' �°' COMPLIANCE DATE: Separation Distance Between the: �1-- Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by tr r 673 r Pam-. 3 ` t_ :-32 RA Y® rMSI&4(Z eogAimri No. Fee THE COMMONWEALTH OF MASSACHUSETTS 2PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS o� J 01pplication for Mizpoml *pgtem Con!5trurtton Permit is hereby made for a Permit to Construct or Repair "—an On-site Sewage Disposal System at: Applicationy ( ) p (,—1 g p y Location Address or Lot No. � n Ow s N e,Address and Tel No q1 el 5 v�-e- Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 3 rn� re,P0 7 Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) 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 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions it le 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss d by is oard oSHealtjn Signe Date %2_ 7— yS Application Approved by Application Disapproved for the following reasc s Permit No. Date Issued yo No. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION 'TOWN OF BARNSTABLE, MASSACHUSETTS o application for &5*at *rgtem Congaruchon Permit Application is hereby made for a Permit to Construct or Repair -1-an On-site Sewage Disposal System at. LocationAddress or Lot No. Own N Address and Tel No qj f5 T3 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. CV)a r?I JIV '7 5 SA, (4 94 1(- '-- n d (OAK), Type of Building: r3 Dwelling No.of Bedrooms Garbage Grinder 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 Description of Soil Nature of Repairs or Alterations(Answer when applicable) ae.,O 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/Pf_T�itle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss d by qi* d of4jeal S dli7�Nll� 'rX, a Date /2- 7- igne �IM4201_ FT�4 Of Application Approved by Application Disapproved for the following reaso s Permit No. Date Issued -THE COMMONWEALTH OF MASSACHUSETTS PUBLIC AALTH DIVISION - BARNSTABLE, MASSACHUSETTS (Certificate of Compliance TH15 IS TO CER71,Y,Pat the On-site Sewage Disposal System installed or repaired/replaced(c-+on by for Z�Z it-L- /,�� ag( has-been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated 7- ;P� Use of this system is condi'm2oed' on compliance with the provisions set forth bete 4 Y/ No. Fee -moor 1 - -57 -�C�My THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETT� &5po5al *p5tem Con5truction Permit I Permission is hereby granted to J, /, &!L>,e1Aj to construct repair((.�,An On-site Sewage SXstem located at 12 V e-6 A- 3,4 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. All construction must be m �ted within two years of the date below. Date:77!;� -Approved by CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, hereby certify that the application for disposal works construction permit signed by me dated / � 7_ /g 95 , concerning the property located at / C--) ea-w,, meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED: DATE: ��' 7— �✓� LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER E (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. 006 LQ- CATION474f SEWAGE PERMIT NO. V11L!A6E INSTA LLER'S NAME i ADDRESS k. , kA r 8 U I L D E R OR OWNER DATE PERMIT ISSUED o lei / 3 _ DATE COMPLIANCE ISSUED iLk ' 1 :�9'�,�� '2 61i r Ncx.. FEB........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :TO..w►l................OF.......`#��, Appliration for Uiiipouttl Works Tonitrudion rrrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: - ................__..! LC,........................................... Loc lion- ddress , r n r t No, i e •... Owner ddress Installer Address o Type of Building Size Lot...1.5.12- .....Sq. feet .-� Dwelling—No. of Bedrooms..............�?...........................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building ................'No. of ersons........•................... Showers YP g ---------=--- P ( ) — Cafeteria ( ) Q Other fixtures ........................ .......... ..:. ..... Design 1 0.:..............gallons per person per delay. Total gilyitflow...........• .. _. ...g�llo'y W Desi Flow.............. .. . •- - - �3�._.....-•---- l ' W Se tic Tank—Liquid ca aclt -- bE gallons Len h..�..CO..--- Width! 4.... Diameter._._._. P q P -- g Depth. .�Q.... x Disposal Trench—No.................... Width.................... Total Length...............:.... Total leaching area..._................Sq. ft. 3 Seepage Pit No......L............. Diameter......-�,----........ Depth below inlet........k 1.......Total leaching area2..Q.1.tj...sq. ft. Z Other Distribution box Y) Dosing tank ( ) Percolation Test Results Performed by.... .................. Date....CQ- (� Q ..._ ` II r... ,.a Test Pit No. 1.....a......minutes per inch Depth of Test Pit.... , ._..:.. Depth to ground water...blwt.... f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---0.................... ......................... ....................._.-i••• ......•-•......................................................... O Description of Soil.......C1...._..L-PAt I-_/ �vU8�O(L- • 5#. �7_l.l�f�(:..r- 1� W .. .......... .........- t --------------------------------......... -- ------------•....... ......................... ....................................-.............................................. .............. ••-•••.................-•-• ..........-•••••......•-•...... U Nature of Repairs or Alterations—Answer when applicable. ..Z..... ... .:... P ...._._.. ................:............. ---••••••••............• -. .................................................... .............................. Agreement: �'^ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:ITU 5 of the State Sanitary Code— The undersi ned further agrees not to place the system in operation until a Certificate of Compliance has jbeen ' s eel ?t �Kbod of th. / Signed-- ..............••---.......... ----------------- Application Approved By............ ..... ..... .... ......•••........••••...• ........... ate ............. Application Disapproved for the following reasons:-•--------------------••--------...-•---------......---------------•--------........_-••••....................I.. ......:.................................•--...----...---.........................--•---.........•.•.....................................--............................................................ Date PermitNo............. ...8.G1_. •••••_.... Issued..---........._......................................................................- •---. ...... Date Nox . ... FE THE COMMONWEALTH OF MASSACHUSEfTS BOARD OF HEALTH _..TOM�Q................OF.......` ...... .........OF........ LC .......................................... kii' Tonotrurtion Permit ANPA at " for Uiiipoiial Blur Application is hereby made for a Permit to'Construct O or Repair an Individual Sewage Disposal System at: ...... C.U.Inn,volAja...cljzrwe�... .......................................... Location-Address Lot N ...... ......4 ....................... ........... ... ----------- . ............... / 3 Owner i hdd ess ----------- ---------------------------------------.. ..... ................................................. ----Installer Address Type of Building Size Lot.. -F. Sq. feet U Dwelling—No. of Bedrooms.............3..........................Expansion Attic Garbage Grinder 04 Other—Type of Building..........;.................. No. of persons............................. Showers Cafeteria Other fixtures ....................................... -----------------------*..........**.......................*....... ................... Design Flow.............. ....................gallons per per-sen per day. Total daily,flow..........:.;?;:'3�Q.................gallons. k Septic Tank—Liquid capacity..00D..gallons Length.JP_).'.SD�.... Width_--.-.'�-�.-...... Diameter................ Depth.411.0.... Disposal Trench—No.................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......I............... Diameter......-.............r Depth,below inlet........kV..... Total leaching areal-0.1t.]...sq. ft. Z Other Distribution box%(4) Dosing tank ..... Date....Percolation Test Results Performed by.... .............................. 4 Test Pit No. I.....3......minutes per inch Depth of Test Pit.... Depth to ground water...tN. ......t..... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .............. .........U................................/.........i•........................... ............I................................. 0 Description of Soil....... WAIM /......... . ........ ....................................... ..............................................................................................................17.............................................(.......................................... .............................................................I.................................................; • ......................................................... \............................. U Nature of Repairs or Alterations—Answer when applicable. :._..: ' 1A....... --------- ---- ------ ................. ----------------- ........................................................... .................. ----Agreemen : . The. undersigned agrees to install the aforedesciibed Individual Sewage Disposal System in accordance with the provisions of T I T LZ 5 of the State Sanitary Code — The dersj* hed further agrees not to place the system in a " operation until a Certificate of Compliance has been^p b t b0 0f th. 0 Signed.. ................. ....... -e Application Approved BYE........ 7_*..................... ..... y . .. ......................................... ............. at Application Disapproved for the following reasons:.................................................................................................................. ........................................................................................................................................................................................................... Date PermitNo............. ........... Issued........................................................ Date .............. THE COMMONWEALTH OF MASSACHUSETTS BOAR OFHEALTH 7� ...........................7......... ..... .......... ....................... V Trrtifiratp of font Rana THIS IS rCERTV,,,1j�',,'Rat the-4ndvid uaLSewage Disposal System constructed ®r Repaired by...............e��... ....... ... . ....... .. ......................................................................................................... ........... L staller at.. ....... 7 ......... ............ .. ........... has been installed in accordance with the provisions of T I T LE, 5 of The State Sanitary Co d application for Disposal Works Construction Permit No.._... . Sescribed in the j'd dated-.....................jQ/ ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -9 -:;�_ In s.p DATE...............;.................................................................. ector........1........................................................................... ............... ---------- .................. .............. THE COMMONWEALTH OF MASSACHUSE77S BOAR P) OF, HEALT 0 F I. ............................. .......... ...................... cs a No.... FEE........................ ..................... Disposal orkii Toni4tuliott it (S_DD0 2 y granted......... .. ......... V Pr ....................................................Permission is h�7eb anted......... to Construct an Individual Sewage i i!;�6sal_ System,,, atN 0......... ------------------------ ............. Street e" as shown on the application for Disposal Works Construction Per it_No..................... Dated.._._..-_--___............................ ............................. ...................... Board of Health DATE..................... ................................ T0'WN OF BAP' NSTABLE WAGE LOfvp:'A'ION ASSUSOWS MAP�i:LOx IT ze L Cl i ti'lE?AC1�.Tx NO ,IIJII. 29 OR 0WN�:R F. iT Saps�rae�an l~9i�tnnaa Xietvreen t�aa [VLsXln�lumA� justctlGapultdwatet'l�[�[etatlas'Battorao Lea hingl?��r;ility I lc� l�tc c Sc�l3 f+l Vl�ll iicl t�cuah[ng pappy �py vvclls a alto ac:WWilo 2t31l feat of leaching facility) 777 .ct r�s cyf w0lind adi exist ee, i+iP{ttt�'�L10 feet of nalaang�'uailsry} ---��`� ' i C ' i -D -/41'6 .8 �' 341' SECTION.",--SEWAGE ; _ ,: �V Q SEPTIC TANK— 5 —, BOX — —LEACH PAY D 5 . .TOP OF FDN _ . : WASHED STON i Y' d t } :r _ OUT e� iN. •IN- OUT r 14- eO SEPTIC AN <' T K M1r. ELEV. ,. •1 �,'t .c ELEV.. ELEV' x r ELE 40. <r STONE �/ y r .9 TE-ST•HOLE, LOG : lo�FB Rom } TEST BY WITNESS 'T'EST DATE'6117 I BEDROOM HOUSE T.H. C3ESIC�t� a. ,r �a Qh ELEV.'��7. ELEV.' J . - I44.Co DISPOSER, NO DISPOSER PERC RATE �.. MIN/IN. / . �21c 541 IL-�41�Cn :,FLOW RATE ,1�o, (GAL./DAY - ��-4O - SEPTIC`TANK: 3we� - REQ'D rSEPTIC TANK SIZE d'=; LEACH- ACI LITY ... / . —L54- - -N .SIDE WALL. �c[(o= 150 F� (2.Zi) . . 3 •G/D. BOTTOM_.. .3 I Oi�t2l _ 44 : 2 G/D. ('- - J r,: TQTA L ZO 1 , 1 :5� m 3B •.`5 . cro l USE:' 6r�1� ... .LEACHING PIT _ �Io WATER ENCOUNTERED PT I� _... _ NOTES" (UNLESS OTHERWISE NOTED) GL�1�'t�� be_v�Llop, / 1.'DATUM. MSQ TAKEN FR�►�Ipvv(LN - QUADRANGLE MAP S ET�dc-KS 77e), 2,'MUNICIPAL'WATER AVAILABLE KEC�IlC.Tlol,l 3.PIPE PITCH:'"PER FOOT N-I C7 = FRONT i �/ - _5 i '... 4.'DESIGN'LOADING FOR ALL PRECAST UNITS:AASHO- -44 y�nr S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIESi(1)FT. "'• pp I ]�CEA��0UT 4 R /� I 6.PIPE'JOINTS.SHALL BE MADE WATERTIGHTIS( -T'.SI A` ���`�� X 5V" hj 7.CONSTRUCTION DETAILS TO BE-ACCORDANCE WITH COMM.OF MASS. �f10 $ ��� STATE ENVIRONMENTAL CODE TITLE S - a. T�-i�S pi.-A+.J FOL.TiG�'i'cTS'ca , , LOCUS: r REG.PROFESSIONAL ENGINEER REF: 2� d®wn cape engi�reeriftl ...�: PREPARED FOR: LEf3EL: 6o1/L�OL�S CIVIL ENGINEERS BOARD OF HEALTH LAND SURVEYORS REG.LAND SURV OR- Cl ,I ^ x fit/ NTOURS (EXISTING)............. i-�"�1�.�T �� . ... (PROPOSED)-O-O-O-O- APPROVED GATE A Y p�i..M1► SCALE �0 d,� 15 DATE _ SYSTEM PROFILE SYsrEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROXIMATE NGVD ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 'Q TOP FOUND. EL. 151.3' PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE (SEE VENT NOTE ON PLAN) 2• MUNICIPAL WATER IS EXISTING 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. IZYJ 149.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 145.0'-147.0' on, 4. DESIGN LOADING FOR PROPOSED PRECAST DBOX a Orr PRECAST H-10 INSTALL TO BE AASHO H-M 0� RISERS (TYP.) 5 2'0 147.3'f INLET 4"s�SCH40 PVC � sae L°°U e fl OUTLET PIPES LEVEL 1ST 2' 2" DOUBLE WASHED P ASTONE 5. PIPE JOINTS TO BE MADE WATERTIGHT. �ooa5 Saddler Lon o INVERT OR GEOTEA E FABRIC *EXISTING **EXISTING 1000 GAL 142•0' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE a WITH 310 CMR 15.000 (TITLE V.) _ _ EXISTING 10" Cb SEPTIC TANK 14. *145.9't a TEE TEE 000cocoo°°° o �o GAS BAFFLE., °°o°o°o0o°a° 0 141.5 0 3 AT SIDES 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND '- NOT TO BE USED FOR LOT LINE STAKING OR ANY 142.06' 141.89' go 2' 4' AT ENDS OTHER PURPOSE. o 139.5' •r•:f '�+ °"' •`' �� 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Roc Lone DEPTH OF FLOW = 4' 9. COMPONENTS NOT TO BE BACKFILLED OR TEE SIZES: 6" CRUSHED STONE OR MECHANICAL 3/4" TO 1 1/2" DOUBCE WASHED STONE CONCEALED WITHOUT INSPECTION BY BOARD OF INLET DEPTH = 10„ COMPACTION. (15.221 [2]) HEALTH AND PERMISSION OBTAINED FROM BOARD ;n OF HEALTH. OUTLET DEPTH = 14 " 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP VERIFYING THE LOCATION OF ALL UNDERGROUND & (1 1.6% SLOPE) ( 1 % SLOPE) 130.0, BOTTOM TH-2 OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000'f NO GROUNDWATER FOUND FOUNDATION EXISTING SEPTIC TANK D BOX 39 LEACHING 33' FACILITY 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 151 PARCEL 66 SHALL BE REMOVED 5' BENEATH AND AROUND THE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF. ALL **THE INSTALLER SHALL CONFIRM MIN. PROPOSED LEACHING FACILITY. LOCUS IS WITHIN AP OVERLAY DISTRICT UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS SEPTIC TANK SIZE AT 1000 GALLONS 12. EXISTING LEACHING FACILITY SHALL BE PUMPED PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM AND ITS SUITABILITY FOR RE-USE _ AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. / VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY LEGEND Qi BE IMMEDIATELY GRANTED BY THE BOARD OF HEALTH SYSTEM DESIGN. ` r AGENT OR BY HEALTH INSPECTOR 99- EXISTING CONTOUR. PAPERWORK AND HEARING REDUCTION PROPOSALS GARBAGE DISPOSER IS NOT ALLOWED X 99.1 EXIST. SPOT ELEV. / �4� APPROVED BY THE BOARD OF HEALTH REVISED DURING -[ - PROPOSED CONTOUR �� A PUBLIC HEARING HELD ON NOVEMBER 15, 2005 DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD O� G USE A 330 GPD DESIGN FLOW 198.41 PROPOSED SPOT EL. ��� 40 TM_1 3) FAILED SYSTEMS ONLY - SOIL ABSORPTION SYSTEM .w INSTALLATIONS PROPOSED MORE THAN THREE FEET TH1 V / BELOW GRADE WITH PROPER VENTIN(, (PIPED TO THE SEPTIC TANK: 330 GPD (2) = 660 TEST HOLE 141 745 ATMOSPHERE) AND WITH H-20 LOADING, BUT IN NO **RE-USE EXISTING 1000 GAL. SEPTIC TANK z� SLOPE OF GROUND 42 CASE SHALL THE SAS BE LOCATED MORE THAN FIVE 143 FEET BELOW GRADE. CT) UTILITY POLE / 'I9)' °r LEACHING: .:L 144 746 . SIDES: 2 (29.3 + 10.3) 2 (.74) = 117 GPD FIRE HYDRANT 45 LP W: < NOT ALL SYMBOL PEAR S MY AP IN OR WM �. 1 PAVED\ ti� SEWER LINE TO BE BOTTOM 29.3 x 10.3 (.74) = 223 GPD s, ` \DRIVE 4� SLEEVED WITHIN TEST HOLE LOGS 10' OF WATERLINE ,\ 1q6�\ LP TOTAL: 459 S.F. 340 GPD ';• •_� 1 76s 4 "3050" (INFILTRATORS 9 USE3 PROVIDE VENT WITH CHARCOAL,FILTER \ 9' ( ) H-20 ENGINEER: DAVID FLAHERTY, R.S., SE2755 AND BUGSCREEN (FINAL PLACEMENT �+ �1 > WITH 4' STONE AT ENDS AND 3' AT SIDES WITH HOMEOWNER CONSULTATION) g8 WITNESS: DON DESMARAIS, R.S. �� ";:; :' 14a 1 E� CK RE1 O U LY 24 2008 ` _ 1 �O W P,0- O\ �g DATE: J 5 REMOVAL OF UNSUITABLE SOIL � � REQUIRED AROUND PERIMETER OF F MA PERC. RATE _ < 2 MIN/INCH LEACHING FACILITY, DOWN TO \ "�49 1 APPROVED DATE BOARD OF HEALTH SUITABLE SOIL LAYER. REPLACE CLASS 1 SOILS P# 12299 WITH CLEAN MED. SAND. F 150 /1 ELEV. ELEV. " 4 143.0' on 4 142.0' TITLE 5 SITE PLAN � - FAGARMGE CH ARK - CONC. PAD EXISTING 3-`BR DWELLING A A EL.= 150.9' TOP OF FNDN EL. 151.3' OF Ls i S 10YR 4/1 10YR 4/, 41 CURRYCOMB CIRCLE 12" 12" (WEST) BARNSTABLE, MA LS �iS PREPARED FOR 36" 10YR 5/6 140.0 34" 1 OYR 5/6 139 2' 15 LOT 3 SF �g2 BORTOLOTTI CONSTJ o.4f Ac. 15� SARAN GRANT-HORVATH C1 C1 �- �,L S j o� DATE: JULY 30, 2008 72„ 1OYR 6/6 137.0' 72„ 1OYR 6/6 136.0' = UNSUITABLE MATERIAL o,� 156 off 508-362-4541 fax 508-362-9880 C2 C2 /� /� downcape.com SIEVE FMS FMS 158 NO�144 s o �_I"0 U4 ' down cop! engine�ri�g, Inc. 2.5Y 6/3 2.5Y 6/3 �� D DANIEL 9�yG civil engineers oJALA -4 �� A. �, land surveyors 0� c> CIVIL `n OJAIA Cn 144" 131.0' 144" 130.0' 1 �}.P No.465020 No.40980 v 939 Main Street Rte 6A � .o Scale: 1"= 20' 0 01STE t; `a P YARMOUTHPORT MA 02575 NO GROUNDWATER ENCOUNTERED ` 3e1ot S NAL E� ��' UR BICE #0 p_ 164 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. 08-164 BORTOLOTTI_HORVATH.DWG ( DDF)