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HomeMy WebLinkAbout0008 DEER JUMP HILL - Health Lot 12 8 Deer Jump Hill, West Barns able A=133 - 44 t 1 D O -_ o ESearch�for Map/Parcel 133044 i � r � owr�of Barnstable � �3 For PwpwpqpmacelWNumbec 133044 t#entaPrperty(ffi3 tN) Business Name won of C utt'o �)ont Numbed , o,tarn�nan eY/N)� Pho a gV 000 0000000 i Fue[Sforage-Tank ermlt °t --, ' mir �aCtl� � #le' �a , Dts s blacks A��� Percfest41e1 P rrntfonstructton File/�e mrt No= P3273 -�j, 5 x 9 720 ' 8 Issuance Uafe" ® y 11/10/1998 Completion Date A W Size f Septi Type/Size a# 'A'S`1-4 Tank ,'c774-51 r , Comore s ' VAR. 1500 ST DBOX 2-500 CHAM W/4'STONE a� ppa 133044 10 ij AMES DAVID L&PATRICIA E pro (aC 8 DEER JUMP HILL tic i�y '� '- " `•ff v - '� �c z -`•'az: x MW � innpvative/Altertlattve Tech 01656y SeptiAd c Systems ' Singled �u C.1�usteC@d rya TYR _ I/ASenrtceTY{�e - x � add y deietexrecorc�s , ,.y r July 24, 2007 Mr. Thomas McKean, Director -- Town Of Barnstable Public Health Division l a 200 Main Street Hyannis, MA 02601 Ln Re: Order to Comply- 8 Deer Jump Hill Road, West Barnstable 1 Dear Mr. McKean: cc r- N fn Please find enclosed a copy of the Title V inspection form that was submitted to yo r department on December 4, 2005 by inspector James Ford for our property located at 8 Deer Jump Hill Road, West Barnstable. The report indicates that our system is functioning properly. At your direction this second inspection was done after we had corrected the problem which caused high water level in the leaching field After an initial inspection of our septic system on April 17, 2004 indicated that the water level in the leaching system was high I consulted with you and Don Desmarais about the situation. As you may recall the system was a new Title V installed in 1999 when our house was built. It is-a 3 bedroom home in which only myself and my husband live. After the initial inspection indicated a high water level we had our plumber go through the house to evaluate what may have caused the problem. He found a toilet in the second floor bathroom that had been running continuously. At that time you had advised me to wait for 4-6 months after the problem had been diagnosed and corrected before having a second system inspection done. You told me at that if the subsequent inspection indicated that the system was in proper working order there would be no additional remedy necessary. Please let us know if there-is any further information that you require. Sincerely, Cale-t4rykk--�- Patricia& David Ames . I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 8 Deer Jump Hill West Barnstable, MA 02668 Owner's Name: Patricia&David Aines Owner's Address: Date of Inspection: November 15, 2005 Name of Inspector: (Please Print) James M. Ford Company Name: James M.Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508)862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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 1 Needs Further Evaluation by the Local Approving Authority N Fails t �_n Inspector's Signature: Date: DecemberZbOff A 'Z I NO The system inspector shall s it a copy of this inspection report to the Approving Authority(B�! of HeafRor DEP)within 30 days of completing this inspection. If the system is a shared system or has a desigR ow of WOO gpd or greater,the inspector and the system owner shall submit the report to the appropriate regiona office ofthe DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,a d the ap�bvin co authority. ) r- rn Notes and Comments NOTE:Failed septic on file dated Apri117104. Owner found water leaking in bathroom (toilet running), and was told to reinspect by the Board of Health. ****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. Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 8 Deer Jump Hill West Barnstable, MA Owner: Patricia&David Ames Date of Inspection: November 15, 2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existnig tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 r Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 51 Biltinore Place West Barnstable. MA Owner: Susan Teixera Date of Inspection: Noveniber 18, 2005 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and.,the environment: Cesspool or privy is within 50 feet of a surface water ,Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I 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_f the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 i Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 8 Deer Jump Hill West Barnstable, MA Owner: Patricia&David Ames Date of Inspection: November 15, 2005 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)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 System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. 4 r Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: u Deer Jump Hill West Barnstable, MA Owner: Patricia&DavidAmes Date of Inspection: November 15, 2005 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? ✓ _ Has the system received normal flows in the previous two week period? ✓ 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: Yes No ✓ _ 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(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 8 Deer Jump Hill West Barnstable, MA Owner: Patricia&David Ames Date of Inspection: November 15, 2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203.(for example: I10 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): nla [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Well water Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped in March 2004-per owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box, soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed on 314199-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 8 Deer Jump Hill best Barnstable. MA Owner: Patricia&David Ames Date of Inspection: November 15, 2005 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 12" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimer_sions: 1500 Qal. Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: I" Distance from top of scum to top of outlet tee or baffle: -- Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert There did not appear to be any signs of leakage GREASE TRAP: None (locate on site plan) Depth below grade: 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 I , Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 8 Deer Jump Hill West Barnstable, AM Owner: Patricia&David Alnes Date of Inspection: November 15, 2005 TIGHT or HOLDING TANK: None (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: eallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above out-et invert: Even Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.). The D-box was normal. No solids were present. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 8 Deer Jump Hill West Barnstable, MA Owner: Patricia&David Ames Date of Inspection: November 15, 2005 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 2-500 gal. drvwells w/4'stone(25'x 13'x 2')-per as built card leaching galleries,number: leaching trenches,number, length: leaching fields,nutr_ber,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation etc.): The drvwells had 6"of liquid on the bottom. The interior was clean There was a slight water line up to the bottom of the pipe but the interior and the stone was clean. The drvwells were flooded from a toilet running(per owner) No distinct scum line was on the cement walls on the interior of the drvwells. The cover was 2'below grade CESSPOOLS: None (cessnool 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 or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (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.): 9 I Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 8 Deer Jumn Hill West Barnstable. MA Owner: Patricia&David Ames Date of Inspection: November 15. 2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or ben zhmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 1"rp�Cf' A �lSars- �, a,3 1 1 39 a ■ o a a(o s6` 3 Y3& y 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 8 Deer Jump Hill .West Barnstable, MA Owner: Patricia&David Antes Date of Inspection: November 15, 2005 SITE EXAM Slope Su_face water Check cellar Shallow wells Estimated depth to ground water 20+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: Topographic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how g you established the high round water elevation: Y g Using Barnstable topographic and water contours maps, the maps were showing approximately 20'+1-to ground water at this site. This report has been prepared and the systent inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed,written or implied,relating to the system, the inspection and/or this report. 11 r Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July-16, 2007 Mr. &Mrs. David Ames 8 Deer Jump Hill Road West Barnstable,MA 02668 ORDER TO COMPLY WITH STATE ENVIROMENTAL CODE, TITLE 5 The septic system located at 8 Deer Jump Road,West Barnstable MA, was last inspected on April 17th, 2004,by Patrick M. O'Connell, a certified inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: The liquid level in leaching chambers was above inlet pipe. Our records indicate that the necessary repairs and upgrades were not done in the two(2) years given you at the time of the Health Departments order, (April 171h, 2004). You were asked to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacements of septic system component(s). This plan was to be submitted to the Town of Barnstable Public Health Division Office(regulatory Services) within ninety (90) days of receipt of that letter. If you can provide a compliance certificate showing that this work was done; so that we may update our records we would be grateful; if not you have 60 days from the date of this letter 7/16/07 to bring the system into compliance. l I Any person who shall fail to comply shall be fined not less than $10.00 nor more than $500.00. Each day's failure to comply with an order shall constitute a separate violation. 4 BARNSTABLE HEALTH DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health l p t �fT 2®� � COMMONWEALTH OF MASSACHUSETTS N W EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION Y FAILED INSPECTION 10AP PARCEL r)T i Z TITLE 5 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 8 Deerjump mill Road West Barnstable MA 02668 Owner's Name: David Ames Owner's Address: Same RECEIVED Date of Inspection: April 17,2004 MAY 13 2004 Name of Inspector: PATRICK M.O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. TOWN OF BARNSTABLE Mailing Address: 189 CAMMPTT ROAD HEALTH DEPT. MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 CERTIFICATION STATEMENT i certify that i have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on m training and experience in the proper function and maintenance of on site sewage disposal systems. I am a vpt OFtu� aF e approved system inspector pursuant to Section 15,340 of Title 5(310 CMR 15.000). The system: ........M Passes —— TR! co Conditionally Passes •rn Needs Further Evaluation by the Local Approving Authority ' NNELL 'C,?ZZ X Fails Inspector's Signature; 1 Date. —04/17/04 INSP� eee�e — �i��leltullllee 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 DER The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments: Liquid level in leaching chambers above inlet pipe, ****This report only describes conditions at the tittle of inspection and tender 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. Title 5 Inspection Fonn 6/15/2000 page 1 Page 2 of I I OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 8 Deer.jump Hill Road,West Barnstable Owner: (David Ames Date of Inspection: April 17,2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: _ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired.The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass. Answer yes, no or not determined (Y,N,ND)in the for the following statements, if"not determined"please explain, _ The septic tank is metal and over 20 years old* or the septic tank (whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System wil I pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced _. obstruction is removed ND explain: Page 3 of 1 I OFFICIAL INSPECTION FORM T NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM FART A CERTIFICATION (continued) Property Address: 8 Deerjump Hill Road,West Barnstable Owner: David Ames Date of inspection: April l7,2004 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(i)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any)determines that the system is functioning in a manner that protects the public health,safety and environment: __ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a.Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this fornI. 3. Other: Page 4 of I I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. CERTIFICATION(continued) Property Address: g Deerjump Hill Road,West [Barnstable Owner: David Ames Date of Inspection: April 17,2004 D. System Failure Criteria applicable to all systems,- You must indicate"yes"or"no"to each of the following,for all inspections: Yes No _X _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool T _X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _ _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X Liquid depth in cesspool is less than E"below invert or available volume is less than %day flow _....... _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped„_. _X Any portion of the SAS,cesspool or privy is below high ground water elevation. _ _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X Any portion of a cesspool or privy is within a Zone 1 of a public well. _X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_ 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. IThis system passes if the well water analysis, performed at a Dl! P certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] __Yes_(Yes/No)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 th:�e 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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ ^ the system is within 400 feet of a surface drinking watensupply 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— 1WPA) or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section F_.the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or oporator 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. i Page 5 of t I OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 8 Deerjump Hall Road,West Barnstable Owner: David Ames Date of Inspeetion: April 17,2004 Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No _X_ V Pumping information was provided by the owner, occupant,or Board of Health _— _X_ Were any of the system components pumped out in the previous two weeks _X _ Has the system received normal flows in the previous two week period '? _ _X__ Have large volumes of water been introduced to the system recently or as part of this inspection`? _X_ _ Were as built plans of the system obtained and examined?(if they were not available note as NIA) X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out '? _X_ Were all system components., excluding the SAS, located on site _X _ 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 '? X _ 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 detennined based on: Yes no __X_ _ Existing information. for example,a plan at the Board of Health. X_ i 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(3)(b)] i Page 6 of 1 I OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 8 Deerjump Hill Road,West Barnstable Owner: David Ames Date of Inspection: April' 17,2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203(tor example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected (yes or no): Seasonal use: (yes or no): No Water meter readings, if available(last 2 years usage (gpd)): N/A well water Sump pump(yes or no): No Last date of occupancy: Currently Occupied COMMERCIAL/INDUSTRIAL Type of establishment:Design flow(based on 310 CMR 15.203):_________gpd i__gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: , OTHER(describe): GENERAL INFORMATION Pumping Records: Pumped one month prior to inspection Source of information: Owner Was system pumped as part of the inspection(yes or no): No If yes, volume pumped: or gallons- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ...X 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) _ 1.1novative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _ Tight tank __Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: Compliance date: 3/4/99 Were sewage odors detected when an•iving at the site(yes or no): No Page 7 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 8 Deerjump Dill Road,West Barnstable Owner: David Ames Date of Inspection: April 17,2004 BUILDING SEWER: X (locate on site plan) Depth below grade: 16" Materials of construction: -_-cast iron X_40 PVC _other(explain): Distance fi•om private water supply well or suction line: 50' Comments(on condition of joints,venting,evidence of leakage..etc.): SEPTIC TANK: X (locate on site plan) Depth below grade: 1' Material of construction:—X—concrete__-_metal —fiberglass_polyethylene __other(explain) ___ � If tank is metal list age:_.._ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a cony of certificate) Dimensions: 10.5' long x 5.8'wide-1500 gal. Sludge depth: 0" Distance from top of sludge to bottom of outlet tee or baffle: - Scum thickness: 0" Distance from top of scum to top of outlet tee or baffle: - Distance from bottom of scum to bottom of outlet tee or baffle: - How were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 'fees intact and clear,no scum or sludge lavers vet CREASE TRAP: No (locate on site plan) Depth below grade:_-__ Material of construction:__concrete_ metal fiberglass_.polyethylene_other (exh lain): ____ Dimensions: -� - ------ Scum thickness: -_ Distance frorn top of scum to top of outlet tee or baffle: _ffl_ _ Distance from bottom of scum to bottom of outlet tee or bae: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc,): Page 8 of 1 I OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE IDISPOSAL SYSTEM INSPECTION FORM PAIN C SYSTEM INFORMATION(continued) Property Address: 8 Deerjump Bill Road,West Barnstable Owner: David Ames Date of Inspection: April 17,2004 TIGHT or HOLDING TALK: No (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: Alarm present(yes or no): _ Alarm level: __ Alarm in working order(yes or no): Date of last pumping: _ _- Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: X (if present must be opened) (locate on site plan) Depth of liquid level above o-.jtlet 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.): No solids or high stains one outlet pipe PUMP CHAMBER; No tlocate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): Page 9 of 11 OFFICIAL INSPECTION FORK[ —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 8 Deerjump Hill Road,West Barnstable Owner: David Agnes Date of Inspection: April 17,2004 ,SOIL,ABSORPTION SYSTEM (SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type _ leaching pits,number: X___leaching chambers, number: Two 500 gal. Drywells. _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.): L.iauid level above inlet invert. CESSPOOLS: No (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 or no): Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.).- PRIVY- No (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.): Page 10 of l I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 8 DeerJump Hill Road,West Barnstable Owner: David Ames Date of Inspection: April 17,2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 1 Page I I of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 8 Deerjump Hill Road,West Barnstable Owner: David Ames Date of Inspection: April 17,2004 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water: More than 20 feet F lease indicate(check)all methods used to determine the high ground water elevation: _ Obtained from system design plans on record- If checked,date of design plan reviewed: X_Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of F-lealth-explain: _Checked with local excavators, installers-(attach documentation) _Accessed USGS database-explain: You must describe how you established the high ground water elevation: Front and rear of property considerably lower than SAS. „ • II FIME?, Town of Barnstable O,^ Board of Health 9gjpT 1639 p10� P.O. Box 534, Hyannis MA 02601 ED MA'S Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman M.S.P.H, March 4, 1999 David and Patricia Ames P.O. Box 638 West Barnstable, MA 02668 Dear Mr. and Mrs. Ames: You are granted a variance from 310 CMR 15.221(7), to construct onsite sewage disposal system components more than 36 inches below grade at Lot#12, 8 Deer Jump Hill Road, West Barnstable. This variance is granted with one condition: • The system components shall be installed at the designed elevations shown on the submitted plan dated July 29, 1998. If any of the system components need to be installed at a deeper elevation, the owner is required to first submit revised plans designed by a professional engineer or registered sanitarian to the Board of Health.. This variance is granted because the applicant testified rainwater would pool over the top of the septic system if the system is required to be installed less than 36 inches below grade. The applicant prefers to place approximately 48 inches of soil over the components to raise the elevation of the ground in order to allow the rainwater to drain away from the septic system. Sincerely yours, Susan G. Ras , R.S. Chairman ames/wp/q l OF SHE Tp� DATE: '-74-/'7 1�- 9 O r a FEE: a • BARNSfABLE, + Town of Barnstable REC. BY Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 4 12 JtA '�> PA LL Assessor's Map and Parcel Number: 13�,) — y k Size of Lot: a7 AC Z. Wetlands Within 300 Ft. Yes Subdivision Name: bgiR ,'Turn`? 1A1`L. No Business Name: APPLICANT CONTACT PERSON Name: MY t ?ATZlGt A AY-IC7Z> Name: Address: - Ow bA (k� •I,uw STA&LF— Address: Phone: � >—rib— (p'7n I Phone: FAX: FAX: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 6)Tug Tb ) F--Au gusr wm ON nMf n[on 75 . • r .5a A LL &E SEX N i'l t7l✓1"1511 C 9AbF. UNA CJ?r= Smr— CV �t 4�E Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or locale ulation variances only) Full menu submitted(for grease trap variances o 9� Variance request application fee collected(no fe or and modification renewals, ap variance renewals[same owner/leasee only],outside dining variance renewals[same owner/lessee only],and variances to re it H sewage dis sal s , s[only if p Sion to the building proposed]) Variance request submitted at least 15 days ' r to mee -Wrr VARIANCE APPROVED 1 1 Sus Rask,R.S.,Chairman NOT APPROVED 41%,, '4? Sus aufman,M.S.P.H. REASON FOR DISAPPROVAL Ral Murphy,M.D. Q:/WP/VARIREQ SOy February 11, 1999 We are requesting to be permitted to install the leaching facility components such that the top of the components are at a depth of 48"-60"inches below finish grade. This would require a variance from the State Environmental Code Title V,and from local Board of Health Regulation which requires that the top of all system components shall be installed no more than 36"below finish grade. This request is based on the findings of our excavation/septic contractor. He has informed us that,due to the limited area in which we were able to locate the system on the lot,that a proper grade which would shed water away from the house and also not allow standing water to collect on top of the system cannot be achieved without being able to put the system somewhat deeper into the ground. Your consideration in this matter would be appreciated. Sincerely Yours, David&Patti Ames i F 310 C, IR: DEPARTMENT OF EN-VIRONTNIENTAL PROTECTION' 15.221: continued (2) Septic tanks, grease traps, dosing chambers and distribution boxes shall be constructed r s: or set level and true to grade on a level stable base which has been mechanically compacted. If the component is placed in fill, proper compaction is required to ensure stability and to prevent settling; native ground with a six inch stone base is otherwise adequate. k (3) Septic tanks, grease traps and dosing chambers shall be equipped with a watertight M' access manhole(s)with a minimum diameter of 20 inches and constructed of durable material. tiY (4) All system components shall be constructed of corrosion resistant materials. ri (5) All piping shall be a minimum of Schedule 20 PVC in areas not subject to automobile :• : �` or heavy equipment traffic. In areas where such traffic exists or is anticipated, Schedule 40 PVC shall be used. x (6) All pressurized pipes shall be designed and installed to meet the following requirements: (a) to prevent freezing by being installed below the frost line, by being adequately x°a insulated if installed above the frost line, or be self-draining; (b) to specify the appropriate class or schedule of pipe to withstand maximum pressure and/or anticipated vehicular loads; and (c) to specify appropriate thrust blockin at all angles, bends, branches, plugs and � P Yg g p g r functioning of the line. (7) The top of all system components, including7theseptic]ta�nk,distribution box or dosingchamber and soil absorption system, shall be instahan 36" below finish grade.Where site restrictions prevent compliance with t variance may be sought.(8) Where any portion of any component is to be placed atow oun -water table, all system tankage,including the septic tank,distribution box,dosing chamber or Y g g P g grease trap, shall be designed with counter weights, anchors or ballast and a buoyancy calculation for the =s entire volume of each component, when empty, shall be performed and submitted with the ors' system plans and specifications. D,s (9) Recirculating sand filters or equivalent technology shall be used in accordance with the provisions of 310 CMR 15.202 and Department guidance. 15.222: Building Sewers (1) The building sewer shall be sufficient to serve the connected fixtures. In no case shall the building sewer be less than four inches in diameter. (2) The minimum distance between a building sewer, and a private water supply well or suction line shall be ten feet. (3) The building sewer shall be constructed of corrosion resistant material and equipped with water tight joints; cast-iron, schedule 40 PVC pipe or the equivalent. (4) All pipe joints of the building sewer shall be made water-tight and protected against damage by roots. Poured-type joints shall be properly wiped on the inside to eliminate obstruction of flow. (5) The building sewer shall be laid on a compacted firm base. (6) The building sewer shall be designed to provide a minimum velocity of sewage flow of two feet per second when flowing full. This requirement is met when a four-inch building sewer is laid at a slope of not less than 0.01 ('/a inch per foot). A slope of 0.02 ('/4 inch per foot) is preferable. (7) The building sewer shall be laid on a continuous grade and as nearly as possible in a straight line in accordance with accepted engineering practice. j 31724/95 (Effective 3131/95) 310 CMR - 517 THE TOWN OF BARNSTABLE `} Cf Taw 4,� .` OFFICE OF Bsa &B7,HASR i BOARD OF HEALTH y MAS0 00 1639' `e0 O 367 MAIN STREET CE MAY k' HYANNIS, MASS.02601 August 14, 1998 Tris Weller P. O. Box 417 Centerville, MA 02632 RE: Lot 12 Deer Jump Hill Road, West Barnstable Dear Ms. Weller: You are granted variances on behalf of your clients, David and Patti Ames to construct an onsite sewage disposal system at Lot 12 Deer Jump Hill Road, West Barnstable, Massachusetts. The variances granted are as follows: Part VIII, Section 10.00: To construct a soil absorption system 95 feet away from a wetland, in lieu of the 100 feet minimum separation distance requirement. Part V11L Section 10.00: To place a primary reserve area only 82 feet away from a wetland in lieu of the 100 feet separation distance requirement. These variances are granted with the following conditions: (1) The wetland delineation location shown on the engineered plan dated July 7, 1998 shall be verified by an agent of the Town of Barnstable Conservation Commission prior to obtaining a well construction permit and a disposal works construction permit. If the wetland delineation shown on the plan is incorrect according to the Conservation Commission agent, the plan shall be revised and re- submitted to the Board of Health for review at a future public meeting. welter I 1 (2) The designing engineer shall supervise the construction of the septic system and shall certify in writing to the Board that the system was installed in strict accordance with the submitted plans. These variances are granted because the physical constraints of this sit prevent the applicant from meeting these particular provisions of the local Board of Health Regulations. The proposed septic system will meet all of the provisions of the State Environmental Code,Title V. It is the opinion of this Board that the installation of this septic system on this lot as designed would not significantly alter the quality of the groundwater in the area. Sincerely yours, Susan G. Rask, R.S. Chairperson Board of Health Town of Barnstable weller Jul -02-98 02 : 11 BPszNSTABLE HEALTH DEPT 5087606304 P .02 g� 4 Frat t m►tttvsrastt j .,NAM Town of Barnstable REC. BY Board of Health 1999 367 Main Street,Hyannis MA 02601 Office: 503-790.6265 Susan 0.Rmk.R.S. FAX: 509-790-6304 Sumner Kauflnan,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 11- -qU V 4 t lJ - `GAR-)STAB Lt Assessor's Map and Parcel Number: 4+ Size of Lot: 2. i-7 4c.fzf--'S Wetlands Within 300 Ft. Yes Y Subdivision Name: No Business Name: APPLICANT CONTACT PERSON Name: i Name: JAjV Address: SI tAJ4QI S112CA LAAA Inl.%�,Address: 1 �. �>`- 44'7 Ck±n LWILLL Phone: 0569) 74-40 — 3113 Phone: C`�o�l -Ms, 0-3� FAX: FAX: CSOB) ?-75— 075+' VARIANCE FROM REGULATION(uat Reg.) REASON FOR VARIANCE(May aflach If mon:space needed) s � EczV� sA5 Tb 8�� 13"/v3 too' lS ZEGTt�ii��® Checkliar(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(For Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(ne ree far rrigrard moidirrcalnn Feneweb,g eut bv ve ianee nmemla Ieeme oa+w/leeee onlyl,amide dining verience renreals femme owmerAemee only(,and veriance as repair failed aewage dbpmel eyvie (only ireo eepueim to rbe building pegaeedn Variance request submitted at least IS days prior to meeting date VARIANCE APPROVED Susan 0.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy.M.D. Q:/wp/vMiRsO E 07/02/98 THU 13:17 [T%/RX NO 50901 I February 11, 1999 Mr.&Mrs.Edward Gibbons 81 Indian Spring Road W.Barnstable, MA 02668 Dear Mr.&Mrs.Gibbons: We are writing to inform you of our request for a variance from the State Environmental.Code Title V,and from local Board of Health Regulation which requires that the top of all system components shall be installed no more that 36"below finish grade. The Board of Health meeting will be held on Tuesday,February 23,.1999 at 7:00 p.m.,or as soon thereafter as practicable at the Second Floor Hearing Room,New Town Hall,367 Main Street,Hyannis, MA. This letter is to serve as an official notification to abutters. Sincerely Yours, &J yjey 4 �M- David&Patti Ames 310 CMR 10.99 ` Form 5 DEOEf+ieko. SE3-3401 '..► oFtt+aro (Tb be provioeo by DIEM Barnstable Commonwealth City Town Ames of Massachusetts t ZAMS = ApplicantNABL 74p 1639. ON •is Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 131, §40 TOWN OP BARNSTABLE ORDINANCES, ARTICLE 7IXVII From Barnstable Conservation CommiggiOn David & Patti Ames same To (Name of Applicant) (Name of property owner) Address 8 Deer Jump Hill, W. Barnstahl.Q Address MA 02668 Map Number 133 Parcel Number 44 This Order is issued and delivered as follows: 0 by hand delivery to applicant or representative on (date) 6 by certified mail. return receipt requested on 10/23/98 (date) This project is located at 8 Deer Jump Hill W. Barnstablp The property is recorded at the Registry of Deeds in Barnstable Book Page Certificate(it registered) #107520 The Notice of Intent for this project was filed on 7/23/98 (date) The public hearing was closed on 10/20/98 (date) Findings The Barnstable Conservation r•ommisgi nn has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project.Based on the information available to the Commission at this time.the Commission has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act(check as appropriate): ❑ Public water supply Flood control ❑ land containing shellfish ❑ Private water supply Ga' Storm damage prevention ❑ Fisheries ❑ . around water supply Ga- Prevention of pollution C Protection of wildlife habitat Total Filing Fee Submitted $250. State Share $112.50 `I( City/Town Share 137.50 (th fee in excess of S25) Total Refund Due S City/Town Portion S State Portion S ARTICLE 27 Only: rh total) ('/z total) V ❑ Public Trust Rights ❑ Agriculture Er zrosio Control Recrea❑ onal Aquaculture ❑ ❑ Historic ❑ Aesthetic 1 ` �SE3-3401 -Ames Approved Plan=July 6, 1998 Site Plan by D.Braman,RPE Special Conditions of Approval: 1. General Conditions 1-12 on the preceeding page are binding,and demand both your attention and compliance. 2. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition number 8(preceding page)shall be complied with. 3. The applicant shall pay for their legal advertisement as invoiced. 4. This permit is valid for 3 years from the date of issuance, unless extended at the request of the applicant. y 5. The applicant shall provide project contractors with copies of the Order of Conditions and approved plans prior to the start of their work. 6. The work limit shown on the approved plan shall be strictly observed. 7. The work limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer prior to the start of work. 8. Prior to the start of work, staked haybales backed by trenched-in siltation fencing shall be set along the approved work limit line. Effective sediment controls shall remain until the site is stabilized with vegetation. 9. There shall be no disturbance of the site, including cutting of vegetation, beyond the work limit. This restriction shall continue over time. 10. Upon completion of the foundation(s)for the house and garage,the project surveyor or engineer shall provide in writing to the Commission verification of the approved siting of the foundation(s),and of the approved location and condition of the sediment controls (haybales)deployed at the site. Once the foundation(s)are laid,no further work on the project shall occur until the verification is signed off in writing by the Conservation Commission. 11. All areas disturbed during construction shall be revegetated immediately following completion of work at the site. No areas shall be left unvegetated or unmulched for more than 30 days. 12. All proposed lawn areas shall be underlain with a minimum of 6 inches of organic loam. 13. Drywells or gravelled trenches along the drip lines shall be installed to accommodate roof runoff. 14. It is the responsibility of the applicant, owner and/or successor(s) to ensure that all conditions of this Order are complied with. The project engineer and contractors are to be provided with a copy of this Order and referenced documents before the commencement of construction. The foregoing condition shall not be construed'to exempt project contractors from responsibility for any work performed in deviation with provisions of the Order of Conditions or with the detail of the plans of record. 15. The Conservation Commission, its employees,and its agents shall have a right of entry to inspect for compliance with the provisions of this Order of Conditions. 16. At the completion of work, or by the expiration of the present permit,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Where a project has been completed in accordance with plans stamped by a registered professional engineer, architect, landscape architect or land surveyor;a written statement by such a professional person certifying substantial compliance with the plans and setting forth what deviation, if any, exists with the record plans approved in the Order shall accompany the request for a Certificate of Compliance. Therefore, the Barnstable Conservation Commission hereby finds that the 'n conditions are necessary, in accordance with the Performance -'following ndit g �Y Standards set forth in the regulations, to protect these interests checked above. The Commission orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced . above. To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control.. General Conditions: 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. This order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a) The work is a maintenance dredging project as provided for in the Act; or }4 b) The time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance and both that date and the special circumstances warranting the extended time period are set forth in this order. 5. This order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior .to the expiration date of the order. 6. Any fill used in connection with this project shall be clean fill, containing.no trash, refuse, rubbish or debris, including but not limited to lumber, bricks, plaster, wise, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts of any of the foregoing. 7. No work shall be undertaken until all administrative appeal periods from this order have elapsed or, if such an appeal has been filed, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Final order has been recorded in the. Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. in the case of recorded land, the Final Order shall also be noted in the Registry's Grantor index under the name of the owner of the land upon which the proposed work is to be done. The recording information shall be submitted to the commission on the form at the end of this order prior to commencement of the work. 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words, „Massachusetts Department of Environmental Protection, File Number SE3-3401 .~ 10. where the Department of Environmental Protection is requested to make a determination and to issue a superseding order, the Conservation commission shall be a party to all agency-proceedings and hearings before the Department. 11. Upon completion of the work described herein, the applicant shall forthwith request in writing that a Certificate of compliance be issued stating that the work has been satisfactorily completed. 12. The work shall conform to the following plans and special conditions. M Issuers By Barnstable _ Cow C sl • This Order must be signed by a majority of the Conservation Capon' 23rd October lg 98 . before me of personally orally appeared day; A TDREY A. OLMSTEAD . to me imown to be the P� that helshe eaeaued the same person described in and who amted the foregoing instrument and acimoWied8ed as hisrher free act and deed. Notary Public My cs�=ssmn The applicant.the owner.any person aggri eved by this Order.any owner of land abutting the land upon which the proposed work is to be dose or any tea residents of the city or town is which such laud is located are hereby notified of their ' t to issue a Superseding Order.providing the request u to request the Department of Environmental Quality Engineering from the date of issuance of this Order.A copY made by certified mail or hand delivery to the Department Within tea days of the request s at the same time be sent by certified marl or hand delivery to the Conservation Commission the applicant- hall Detach on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of Work- To Barnstable Conservation Commission Ilssuing Authority) PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT AT 8 Deer Jump H111s W. Barnstable FII.E NUMBER SE3-3401 , HAS BEEN RECORDED AT TIC REGISTRY OF Deeds in Barnstable ON 1DATE1 If recorded land. the instrument number which identifies this transaction is If registered land. the document number Which identifies this transaction is Sped Applicant a&zeo mar "3s (9, N 1-'o 7- � 5 t W A I F I R M IJ Off 0 H,LL HilL 98, <?s CIO INSTA L L -t R'S NAME ADDRESS UILDE R OR, OWNER 0 A T E PERMIT ISSUED �D A T E CD te, P L I A ti C E ISSUED 'o ,��W RCrg 1���ng.►� w �- ex71--6w # �,�n Rd Co ATO �1Ou f. 0 - . e Q'10 i TOWN OF BARNSTABLE "A1IO?Z bek _ Hill R� SEWAGE # 7a6 _ tl LAGE�.W:_ rAS'r4VX- ASSESSOR'S MAP & LOT 133 y Ed i'ALT.ER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 0D s R(:HING:FACILITY: (type) 1JrtiWf.J "a- (size) y' tea, afA c3X NO. OF BFDROC)MS— ':k __ BUULDER OR OWNER mats PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply.Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of-Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachi g facility) Feet Furmshed by �/1.T yn ^ FD l —T A Rtstrs- �, a,3 1 1� 139 a ■ o 3 q3� `. --- TOWN OF BARNSTABLE 11 LOCATION SEER �oAip 64 l LC Cam'lZ1 SEWAGE# `7 Zo VII.I.AGE 10, '5AP-4S779 54.6 ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. H-, 0- - e�I-V Ze 0S-94-o SEPTIC TANK CAPACITY I fLO® 1541- LEACHING FACILITY: (type) LLS(z ��¢' (si 13 Dc L NO.OF BEDROOMS J l� BUILDER OR OWNER DRUID Am6 6 PERMITDATE: d# 'I L 9,8 COMPLIANCE DATE: 3 -4- 9 1 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 010kp�',Cc)AJ Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) 1 JCS 4' Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ► �' 14 ' IL?'PP C GA2. = �0 A , o' Z 3 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF....\ c�'C'►�S l�1.-�.................................... Appliratiun for•Disposal Works Tonstrur#iun jkrmi# Application is hereby made for a Permit to Construct ( s at: or Repair ( ) an Individual Sewage Disposal y tem - ��.x- �v NA ►t1 1 ,� Lit " ..L=c.P �go�� /s l r .-Lof anon-Addres � --------•-----------------------------------•------- ....?./..---- :`4 -- ...._ Owner � Address • a - r'-'l)...1................................... ....................................................-............................................. Installer Address- Type �- of Building 3 Size.Lots9.'4!� Sq. feet �-� Dwelling—No. of Bedrooms____________________________________________Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building p., yp g ____________________________ No. of ersons.......-•-----__---_---•---• Showers — Cafeteria 04 Other fixtures WW Design Flow................�........................gallons per person day. Total4A jY >ow. _---_:-,....... ?---___-•--•---••--- all WSeptic Tank—Liquid ca.pacitylf?O gallons Length:__......2-__ Width:_._ ___Z... Diameter_____________ _ Depth__�. .. x Disposal Trench—No. ......... ......... Widt ... ....._....Total Length_.__....t_... Total leaching area........... ft. 3 Seepage Pit No._!;�!n!gr....... DiameterY......f_. ___:. Depth below inlet. .........:. Total`leaching area5!Y :S.sq-4t G Z Other Distribution box (X) Dosin to Percolation Test Results Performed bY.. .. .......................... ...1—V........_.._......... Date..... 2..��......_... ,.1 Test Pit No. 1________ ___minutes per inch Depth of Test Pit..l�6�� Depth to ground water...YPn e..-.-.. Test.,Pit No. 2................minutes per inch Depth of Test Pit... ..... Depth to ground water........................ ....................4--••-•------ W G the I-�Ve —2 ' VISG e�aw, vo . �escv,pti o _ 2......® Z-a••,b 0.L .................. AY! c . 2• . 4....................................... ._- ....... _...--Q,.......... ... 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 L I L LZ 5 of the State.Sanitary Code.— The undersignedfupd,%r agrees not to place the system in �,� poperation un it a rtihcate of Compliance has bee ed t h. p Hl9-L- - -X Signed.. .. .................................. .. 4 lication A roved B P PP Y... ..�.... .-•• ...--_.. ate Application Disapproved for the following reasons:...:........................................................................................................... --•----••---•-••---......--•-•-•-----•--"...............................................................•'---=---•--•------.._..--•---.._..--•--•--......-------......-----...._-••-••...__.......-•-•-- Permit No.... - - �-- --......... Issued..- -- �� Q.g�...Dace...... t , Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A I m / L DATA THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH owh..................OF... cr�S- b1 ..... ........._............. Allpliratijan for Disposal Marks Tonstradion Frruti# Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal S tin at: ����...�1..:,�t• �l, �r3���� t,.ot 3 �Q8 -• •. :••• - .................................................._�.. . ......--•........._. Location•Address�, 0 7/ &�,4t/Y ^r-or �A, � ./��Qlf 411,4 14 W ) a � er Addres s..--- l ........-•--Installer Address Type of Building •� Size Lot��` ..4Sq. feet a Dwelling—No. of Bedrooms-____--.J................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ............................... ._.... = ..... W Design Flow..........-`5S........................gallons per perso � ay. Total daily flow___......._��0__-_••-•-•---•---._folon& WSeptic Tank—Liquid capacityl______._._gallons y Length,. Width:4___I_. Diameter................ Depthl_e . f x Disposal Trench—No..................... Width_...:.-..._...... Total Length._...._.;...-.=--.- Total leaching area....................sq. ft. Seepage Pit No..Pnf':_...... Diameter, .Q :- Depth below inlet. .. :. Total leaching area_J99:a sq-fc G jJ Z Other Distribution box (X) Dosin tank (, ) 0­4Percolation Test Results Performed by.. :_ air '^k ` �• 8"2_$'� a Date............... Test Pit No. l.C-........minutes per,inch Depth of Test Pit._ ��6�.___.. Depth to ground water_.hon^,.._.__. rs. Test Pit No. 2...........:....minutes per inch Depth of Test Pit__�' 6 Depth to ground water...t.1!�COV'/��`�� O Description of Soil -T:,': .�.--•. — o�°••\- -;5u........................... ©:-• 1 �0 G,��a►� 1Mec�. ----- ----- W _ .... ►n�. Sc'`a'.c� .-- C �e Q- �hced .......... ..... 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.:ITLL 5 of the State Sanitary Code— The undersignedJurtl:er agrees not to place the system in ` operation un 1 a rtificate of Compliance has been,i u d by the:board'of�liealth. � aV am x Signed............. : � D t Application Approved By. __-______:_ __.___ --•--.. _._.... �. --••--•------------ ........ Application Disapproved for the following reasons:......................••___.._.._-_-......_.._._.._-__...._.__.....____-____-__.____...._.. ........ _-- --------••---------•-----------------------•---•--•---- •--•--...-•- 22 Permit No... .- S , s� Issued..-----•••. g ----.... ---------------- ._ ...Date- f S° Date i ,j `( 0 ` THE COMMONWEALTH OF MASSACHUSETTS 7 ply {��'�{�1 BOARD OF HEALTH ..........................................OF.............._ . ... ....................._......... (9rrtif rate of Tnutplittnrr THIS I,1j TO CgRTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ....�_ .:.. :............ by .....................•- •-•-•--. . taller at.... ...1J!9�1�_....._.._ � a:�_.."�°:�............................................. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code s described in the application for Dis�osal Works Construction Permit`:No.____ _ _ ._ PP 1 � �-d....----•--. dated-----:�..: ._". .Q.�................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA AN EE THAT THE SYSTEM WILL FUN TION SATISFACTORY. - DATE.. . '` g 2. inspector..' THE COMMONWEALTH OF MASSACHU ETTS P vvr C(i-Q0 AVA BOARD OF ' HEALTH5i ......................... ...........OFM .�.�......... �.. ,. -FEE•�� ` laiapjas 1` Works Tonstrur#iott rrrntit , Permissio"n is hereb ranted__._.._._.,. f_4 7` Y g � J. .........:.............. ................. to Constructs O4or Repair ).an In Jvidual Sewage Disposal System at No.e�-•- N. / as shown on the applicationAr Disposal.Works Construction Permit __ bated.___'_� 5 S..AA... . �..,..>.... ... ................ :n ! ...... .V,R. ! B i of oare Health . DATE. _. 8...? _ _ Log Number: � 4768� Bottle # A003 Date: 3/27/85 gAR'�'sa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE J BARNSTABLE. MASSACHUSETTS 02630 o • ASS DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511 d EXT. 331 Client: B.W.C. Ellis Collector: R. R. Clough Mailing Address: Barnstable, MA 02630 Affiliation: Clough & Cahoon Well- Drilling Time & Date of f Collection: 3/26/85, 9:30 a.m. Telephone: ~". " Type of Supply: well water Sample Location: Lot 2 Deer Jump Hill Rd". .'- Well Depth: 45' W. Barnstable, MA Date of Analysis: 3/26/85 PARAMETER SAMPLE RESULT RECOMMENDED LIMITS - Total Coliform Bacteria/100 ml' 0 0 H Conductivity (micromhos/cm) 500.0 Iron ( m) 0.3 = Nitrate-Nitrogen ( m) 30610.0 Sodium ( m) -- 20.0 I . xx Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results of the parameters tested for this sample, 'the water is suitable for drinking but may present the problems checked below: A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D.- Water sample has high levels$"of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. High Nitrates The Barnstable County Health and Environme,'il REMARKS: I _4 �S, -t� ure-Q� � "eparrment Shull �UI 11­; e interpretations or conclusions made by L50' , ' else concerning these results without written consent, CC: Barnstable Board of Health CC: Clough & Cahoon Well Drilling 117185 Laboratory aborator Director 74 Explanation of Test Results:., x = _11�f Total.Coliform.Bacteria Coliform bacteria are an indicator of the sanitary quality of-a water supply. Water supplies may become contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and,approved for human consumption. A,total•coliform count of greater than zero is most often the result of accidental contamination of,the sample bottle-through-improper sampling methods. For this reason;it would be advisable to retest any well water`that is not approved-- <�� pH • . pH is the measure of acidity or alkahnityof the water. On the pH scale,the number 7 is neutral,less than 7 is acidic and more than 7 is alkaline. The pH'of water on Cape Cod tends to be acidic in the`range of 5.0-to 6.5. Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally considered unacceptable and may have a laxative effect upon users. m Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of-laundry and porcelain. The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removab system. Nitrate-nitrogen The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes. al ,r Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish-green stain on porcelain fixtures. Sodium A concentration 11 of sodium over 20'ppm is only of concern to people who are on a low sodium diet. If the water supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking water or contact their doctor to determine if consuming the water on advisable. Concentrations exceeding 50 ppm ` indicate that there may be ocean water or road salt runoff water getting into the well. r a It UP � 00 v 22,f __ L.DCAI,auJ C/Sol aoi- CohC. fh 2_ 2 52.00, \ 4 82-098A LOG/4'T/O/CJ: L-�T Z �EETZ JUMP �-Ett-� In). A2ry g-t-ti'�t-E NI P� SO Dg7'4 P2EPn2ED Fa2. � t3 C. ELLt5 2 HE.eEBY CEeT/FY TNgT THE BlJ/L.l�/.V6r SNOiVV ON TN/S PLAN /S LOCgTEU O.t/ TL/E �.BO!/.t/D AS KNOWN HEeEO.t/. Of MgSfq� ARNE yG� wn Ga�� �n9�/TCer/h9 o H. O ALA I 634 07 LF7ND SC/QVBYOBS 2ZlI/OS /y(/�T ICI 20<JTE 6�q^-YA'7.eMOUTi�,/, A-1FaS3, aq�—�. ,ems, L ✓o.e I hereby certify that the above measurements for leaching and well location are as I measured on the on the siot ' third day of December, 1985 . B.W.C. Ellis X 362.4541 926 main street yarmouth mass. 02675 down cope eftf4eeiing civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning March 28, 1985 sewage system John Kelley designs Barnstable Board of Health South Street inspections Hyannis, Massachusetts 02601 Re: Site Plan #82-098A, Lot #2 Deer Jump Hill, W. Barnstable permits Dear Mr. Kelley: With reference to Lot #2, I personally examined the soil conditions during the foundation excavation which has been com- pleted this week; and I certify that the soil conditions are uniform in nature in the area of the lot being considered for building and subsurface sewage disposal, as shown on my plan #82-098A2, and that the test holes shown on the plan are representa- tive of the soils at the location of the proposed leach pit. Water elevation is not a factor. Therefore, I respectfully request that you waive the requirement of a test hole in the exact location of the leaching area. To con- duct a new test at this time would cause undue hardship in time and expense to my client, Mr. B. W. C. Ellis. Thank you, I an Very truly yours, Arne H. 0 a, P. E. AHO/r cc: B.W.C. Ellis Encl. - copy plan 362.4541 926 main street yarmouth mass. 02675 down cope en�ineeiing civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court March 14, 1985 Richard R.Fairbank P.E. surveys site planning John Kelley Barnstable Board of Health South Street sewage system Hyannis, MA 02601 designs Re: Site Plan #82098A2, Deer Jump Hill, W. Barnstable inspections Ref: "Master Plan" Well/Sewage location on file Barnstable Board of Health permits Dear Mr. Kelley: Persuant to our telephone conversation, today I am preparing the following certification: 1. I have personally examined the soil condition at the Indian Trail subdivion at West Barnstable and I can certify that the soil conditions at that location are clean medium sands and gravel. With reference to lot #2, I certify that the soil conditions are uniform in nature in the area of the..-lot being considered for building and subsurface sewage disposal, as shown on my plan #82-098A2, and that the test holes shown on the plan are representative of the soils at the location of the proposed leach pit. Water elevation is not a factor. At the time of construction I will have a test hole dug to verify the above stated conditions and certify the results to the board at that time. Therefore I respectfully request that you waive the requirement of a test hole in the exact location of the leaching area. To conduct a new test at this time would cause undue hardship in time and expense , to my client Mr. B.W.C. Ellis. Thank you, Arne H. Ojals, P.E. AHO:rh xc: B.W.C. Ellis 2071 Main St. , West Barnstable 1-12 -- BOARD OF HEALTH TOWN OF BARNSTABLE Zipprication1brVerr Cootructionpermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: 8 Deer Jump Hill, W.Barnstable Location — Address Assessors Map and Parcel Steve Cantella Same Owner Address Meehan Well Drilling, Inc. 0.0.Box 800,Forestdale, MA 02644 - --------------------------------------------------- -------------------------------------------------------------------------------- Installer — Driller Address Type of Building Dwelling Other - Type of Building----------------------------------- No. of Persons-----------------------------__—___— Type of Well Capacity---------------------------------------------_---- --- Purpose of Well—D-tiI1killg--------------------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed �L� �� =-= -- date Application Approved — -- date Application Disapproved for the following reasons:--------------------------------___________________—_______—__— _— ----------------------------------------------------------------------------------------- ------------------- BB date Permit No. Issued---------------------------- --- —- ---— date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired € - -� —-------- Inst er _ at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.V/- - 7__Dated------- ___ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------------------------- ---— —_— - -- Inspector—----------------------------- —---- --—--- Fee-- -�---- BOARD OF HEALTH TOWN OF BARNSTABLE Zipprication-for Vell Conotructionpermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: 8 Deer Jump Hill, W.Barnstable , --Location — Address t,. Assessors Map and Parcel Steve Cantella Same ' .�. Owner Address Meehan Well Drilling, Inc. B.O.Box 800,Forestdale, MA 02644 ---------------------------------------------------------- ---------------- - Installer — Driller Address Type of Building Dwelling Other - Type of Building -------- No. of Persons----------- ---- Type of Well--Water =_6" Replacement Capacity— Purpose of Well= Drinking__ --— :. Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a!Certificate of Compliance has been issued by the Board of Health. Signed r��i� •��6 �� :_�^� ' _______ — , ( — date -------- A lication Approved B _-_ _ � �_____________ 4' / 1 PP PP Y-----�____�(� ) — _ date Application Disapproved for the following reasons:------------- -------------------------------------------- date Permit No.-- -- _' ? -- ---— Issued ----— ---—— - _ date BOARD' OF'HEALTH, TOWN OF BARNSTABLE, Certificate Of Compliance ai THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired) - 1 -- --------�--- --- Insta er at— ——— — — a•�..t --------- — has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.Vl-f9-=--L-2----Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-•__- -- — —- _--_—'_ ---- —= - == Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Melt Con5tructioni3ermit -7 No. ---------------------- Fee- ----------- Permission is hereby granted-------- - ' -'l �?------- -___ �_�___ ° to Constru t ( ), Alter ( ), or Repair*O an Individual Well at: ---------- --- --------------- m Street as shown on the application for a Well Construction Permit No.---------- - Dated - -- -- rl-�-- - --- - — - 1Board of Health ``�, DATE --- —--- —- ---- -- ----- ----- PLOT PLAN Indicate location of �araoc er accessory building Additions with disked line- -------------•-- Sewcra c disrosa) (cesspool) Q tti'e ll C y i C I I (Lot. .. ... . .. ...........ft. rear) ,��s— -- -- ------- ----------------•:��— — ----- - ,A.b u r.t err's — ` r au c I { Rear Y acd Lot a i .................ft. I 1 U i.1 + A06- a 11 th is is a yT ppp y WI Comer-- j write to of name of itrer:' 4. Sideyard HOUSE Sid ey2rd ; ocher. sL-yet. ' ft. ft. 3 I S-3 set Back V, (Lot... ........ . ........fL frontage) -------------------- of meet) t 4a if Y. NfE: P11 r,l, .. 1� i tt t I I Town of Barnstable P# C? Z O Z_ Department of Health,Safety,and Environmental Services Inv Public Health Division Date_212 367 Main Street,Hyannis MA 02601 MIRNSTAUX RUM Date Scheduled Time FeePd. Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: .....................I....................I...... ..........- ......................... ......................*...*...*......*...*........................................-.....................I.................................. ........................................... ......... C. A......*... EN E..R........A........L.... IN INFORMATION * .... . Location Address OwneCsNameZA4c /0 -)a4 7/ /4/.. C,5....... Address �_/V , ^.)_i; Assessor's Map/Parcel: Engineer's Name NEW CONSTRUCTION REPAIR Telephone# 2257- v 1-2 Land Use Slopes(%) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other It SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) �A X61 Xe Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: /J 0/J� Weeping from Pit Face Estimated Seasonal High Groundwater ........................................................................................................................................................................................... ... ................ ........................... ...................... ........................ ...................... S WWATIERTT-V MNATIONTOR EASONALMGM. ................ DETE .................... ......... .. . ..... ................. ............................................. ......................... ... ........................... ....................................................................%.................. ...................................................... ....................... .............. Method Used: Depth Obstried standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# -Reading Date: Index Well level.. Adj.factor_ Adj.Groundwater Level ................ ..... ........................................... .... L ........................... .......... RCO AX .............................. ........... ........... ....... ....... .......... ............. .................... ................................................................................... ............. �W.:: ............ ................................ Observation Hole# Z_ Time at 9" ti Depth of Perc Bb Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant . DEEP 08SERMTOl t TTO T�C1G TTo7e Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % f ti Z a S2 4 C� �.9ti o�D� ZI Sy 21 ti 4 iy cO.- 0•o1�T' 2 ,D tf"L L /CJ- zL (_ 7 ..3.4Nz5 G DEEP OBSERVATION HOLE LT7G`:;.'' Aol #:`':`::. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.. % u `' r Z3 N Y DEEP OHSERVATTO N.1IOI E YJb l le# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistengy-° DEEP OBSERVATION HOLE LOG Hole# . ..:. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency. I Flood Insurance Rate Map. Above 500 year flood boundary' 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 material exist in all areas observed throughout the area proposed for the soil absorption system? VZ1---5 If not,what is the depth of naturally occurring pervious material? Certification I certify that on -) a� (date)1 have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. a�Signature o + Date ��1 M� TEST HOLE LOG DATE:__ 8 — z - SSl P 3223 SOIL EVALUATOR— •� ^` \ WITNESS: \ �\ PERC RATE: 71Za 9-moo z 4 N s�aso,c .S 4 `� for�/ 35►9 V .L1�O/vy � �0 � � 3A•v a S2,. Z. — i vE C_ v C3E Ss.•4o I 000 �Vj j3 j 10 01 a ° 1 � _ -r�o7G::_....�/s z C/z.opa� � 'r � � � '� �v/7.••----;�--p�,,..>.✓...�ter'-. - _,OEWC 24 7-W DESIGN DATA 1 v � ), 1 Q � 1 � V @ $� I DAILY FLOW:(3)BDRMS.z 110 GPD 33o GPD 11 &0' � O J I Q SEPTIC TANK:33o GPD z 200%= 66 o GPD 1 01-U I (� USE:/So o GALLON PRECAST SEPTIC TANK LEACHING FACILITY: 4 USE:._Lz) 57 x B.5' Z,u Soorq- 2 4` /Si o� 5To.vC, W a r' _1 CAPACITY: SIDEWALL:.7(v / Z '4 o, 7 - //Z. 5' BOTTOM: /3'X z Sx o. �t Zyo .S i . � f TOTAL:. 353,.o *Pa 14 PIZ Q I w� `�pc u5 M OF Mq� 1 L =y �f 11 3� 3y �/ 8 / ___�� O&IL GcJEGC, civil ' NOTE$: �?j S� 7' No.aaccsc N f,IP 2a 1. ALL PIPE TO BE 4"DMSCH 40 PVC. ,o 'pF \ rZlJ?,3� titi O 2. PIPE BOX.TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION 3-" 20 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. / r 71.2 8/798 3�•� 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A / O O GARBAGE DISPOSAL v S 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED y¢ y , ON A 6"LAYER OF STONE. Io y 8w L.S 6. INSTALL GAS BAFFLE IN OUTLET TEE. 2•LAYER OF Ni'PEASTONE OVER Y4'•1 112'WASHED STONE ALL Z3 AROUND Gl Hem: yau0 TOP OF FOUND. Files �Qi `S 10' 14" —3�•7 Y5 ,SsMTC� 3Z.Z ` 32. y) ` 3 Z,3o 5�` ioy2 l� ,cc.. 3t/ 32.0 7 r �3p� 3S oo 3Y,-5 z 3 zSo /5�~ L�•G SEPTIC SYSTEM PROFILE C�Go�.�17EIZ4e a SITE ^r SEWAGE PLAN GENERAL NOTES FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR TO ANY EXCAVATION OR CONSTRUCTION. L SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR 1S.00:TITLE V. /4��77 e=s 3, THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. DATE:- V//o �j /9y� SCALE; / s p' 4• ALL DISTURBED AREAS TO LOANED AND SEEDED. �/v�•y Z CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS WELLER & ASSOCIATES 1645 FALMOUTH ROAD CENTERVILLE, MA. 02632 TEL: (508)775-0735 FAX: (508)775-0754 ' APPROVED BY: TEST HOLE LOG DATE:. 8 - Z - 35l 'o- 3Z73 SOIL EVALUATOR:Dow,J WITNESS: �/, PERC RATE: Z Mi c%//r✓Gf� IV „ 000vj - fC�o GJh'yC-,lz C.UCo u�J T��ED o t DESIGN DATA J c • I �. DAILY FLOW: (3)BDRMS.z 110 GPD=33o GPD 4„ i�p' w O J I Q ,, ti SEPTIC TANK:33- GPD z 200%_ �6 o GPD Q 1 rlit (� ' h ; ' ` USE:/So o GALLON PRECAST SEPTIC TANK LEACHING FACILITY: USE:-LZ) S�c 8.Sxz Socerg. oc�i'u��c-s 3 IW CAPACITY: i I SH)EWALL:.7(a w Z _1 O. 7 f - //Z. S BOTTOM: /3'X ZSx o, �5/a 2yo .S TOTAL: 353, =� �P2� Div re _ w J 1 3Z (2 A OF M NOTES: ?J o�' DANIEL IL pyG 2 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. BRAMAy ,n y`{ I 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION o CIVR 3a3.3� �� �0 BOX. 0 No,32606C y 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A S 0 A GARBAGE DISPOSAL 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED �� ? k ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEL 2•LAYER OF 318'PEASTONE OVER 314'-1 1/2'WASHED STONE ALL AROUND TOP OF FOUND. u� Utv Ss--fTc_R 3Z.737 `Z9 Zo v� Z7 00 .�o.So 30,o0 zf.75' Z90 a P'/c7<—s- �x��s SEPTIC SYSTEM PROFILE SITE SEWAGE PLAN GENERAL NOTES FOR I. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR Gd 7 Z L G jQ 3��Qg TO ANY EXCAVATION OR CONSTRUCTION. DEFT ✓v,�� f��G Cl �'`J• 'g�'��`�T�'�� 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR 1S.00:TITLE V. ,Q,0;4 (//.41D J' lz;�9 re Z5,. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE / DETERMINATION. DATE:- /9gdR SCALE: / sC_s 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. 5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS. VVELLER & ASSOCIATES F FALMOUTH ROAD CENTERVELLE, MA. 02632 TEL: (508) 775-0735 FAX: (508) 775-0754 APPROVED BY: ��( - I I h��a ��,���,. �i�� ���� �� :5-� R ,� �� �>>` . � . ,I 1 �• �4 T' I L `� 4 N M. TEST HOLE LOG M� DATE:-_ 8.— z - SSl 3273 SOIL EVALUATOR-,d2O c4P4r \ \ ` WITNESS: ,/ ✓r''i r_c>a 7� \ \\ PERC RATE: viz$ �8 s 1 'Q a" V, .. 3�q 1 \ 4 0 si-f S S •� ? b V CL.a egnl Zy �/ - ` Fin+ — cZ�o.SVtSE.a..eo.— �Y3 G1zpuEL22,Y b G3 Mom. \ JO �• I � f i° �'� o /SIDT�::.. .�/s Z C7�Z8//9d� t I ' DESIGN DATA & DAILY FLOW:(3)BDRMS.z 110 GPD=33o GPD SEPTIC TANK:33a GPD z 200% o GPD USE:/So o GALLON PRECAST SEPTIC TANK LEACHING FACILITY: Q �A I USE:--�Z) S', .9 5, z-- 52,0'r, DP'r cc-5 Iw I ► n CAPACITY: 4 SIDEWALL: 7(,ip ,e Z >'4 o.7y= //Z..s' I 1 � BOTTOM: /3'x Z ZVo'.S TOTAL k1J aka are Q Q P�IH OF Af p CI'n! NOTE$: j STN� GcJEG�. i7 No.32(&SC M �/ 0 ` 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION o, � O p� 7 v BOX. s r J 2 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN ` 7¢ 6"OF FINISH GRADE O r 7�2 A�98 3 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A [ I O � p GARBAGE DISPOSAL L, S.r S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED iv r� /ON A 6"LAYER OF STONE. Y v i•LAYER OF 3/Y•PEASTONE OVER 6AV 6. INSTALL GAS BAFFLE IN OUTLET TEE. Y4*_1112.WASHED STONE ALL Z3� AROUND R��+F � .t4@D. y0N0 TOP OF FOUND. /.z, z 5 (A�EL. �O..S to» u, —3 ,7 y. ,NF.P, Y � 3 z�i 3Z /.•7 ` ,Sswfr�3z,7 \ ,30 .eG. ,1 M p 3�/Z5' 3Z,o j 1 e3 .Nra, oo11�CE1�_�sa �� .��;, Z7.G AUG 14__199.8 SEPTIC SYSTEM PROFILE •a1 _ . . ._ Na Gv/97CE/� TOWN OF BARNSTABLE HFALTHDEPT. SITE " SEWAGE PLAN GENERAL NOTES FOR I. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR TO ANY EXCAVATION OR CONSTRUCTION. 2, SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR 1&00:TITLE V. / ,D,,q -w OL 1 r( 3, THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. I DATE:- ✓v�-T'� �j /9 SCALE: / r ® '. ALL DISTURBED AREAS TO LOAMED AND SEEDED. A /3 / 5& 5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS. �`'=.J Zo.�-! .�i I/!ti! .�4�►A �CS�clZU�i4YLc-.4. 75 JZl!>�i2CQI=% WELLER & ASSOCIATES 1645 FALMOUTH ROAD CENTERVILLE, MA. 02632 TEL: (508)775-0735 FAX: (508)775-0754 ' APPROVED BY: ,.> vow ------- SECTION - SEWAGE - f-- Zr� -SEPTIC TANK= 1 i - .,DFF BOX - `-1 - LEACH PIT A w TOP OF FDN a (MSL)* .2n OF 1/8TO 4z" WASHED STONE C-{_ ,- , r � x.,'�� .a� "��"`r. a��+,".- '` _ ��0�: �1/•. ,taP4:.At:aC7 O' \ _ is �'� - IN+ OUT-,. IN• '` u�r'^t+"� OUT- xr L 7, , y, M1IN , y J C `ti.e .. •, �rK1' .N •s+.: :.,. ,.. ..%., M .: :f'- -t:> > SEPTIC ,. , '„, , ..,. � -..e • r >. ,. .a TANK „ a .,,.. _• ..±+.. t :, -.:��>r�d -,: •1 -,d. ,-: +-I 1 �.:.'• „.. ..,.: x�,P�` ELEV. � ..<«. H. .r.� ^ ... -., �•., , F . :,. _„i, ,. �"-ice-.� �+,¢}�tal++r x.• ;,,j ELEV., ELEV. x ELEV. �^. # •5 *fir .$. ^i.% . � �.". gyp, ,". • '>. .^,. :. - :. a ,,:i':: y•z..�.yy'�a f f' ,. ..: F• „-:' :';: � �:F of .per_ y._ - ELEV. ELEV. . f., ... .� -- ..y., f .. .. ::<. �� :- s.+,' °y J+;r�- •fiJ' N. 1.I1! :z^. Ser1.. �• A• .,.'�". titT. �.- •,:ens ,�y� �. -,+. "":OF `_. r j' ;ti � �::.p., •-���. �q.. ::_e.:_. >i:l %3'- +f" •%r. . .. ,v .. -s- "+�.+..! :L:: WASHED:STONE � �u...,. � { - .t..!"h'. , -: -.- ,. ... r... _+�, ...x ',.. F-..,.'�..y,s. ..3 .R r ..._. �.4 f,,,, , .... ��A•'t Sr 8 { k dp Y TEST HOLELOG - j .TEST BY In 8/2 841 WITNESS -� t 4 + r`t` --►\ "�,;+� TEST DATE BEDROOM HOUSE i ---= l DESIGN T.H. # 1 T.H. 5 ELEV.3& ELEV.SZ.:�jNO - 1�• IaG C Z DISPOSER DISPOSER 1 r _fir y tit i t +_ PERC RATE MIN/IN. 4g ,..• Pt: - ``' S bs'o \ t � � '�°��, 1 S-,�( .�,' Q �*3•a:,� '�• � pE,:- JJ. P .•,e.+ - ., aa.> s«. -5 FLOW RATE 3 GAL./DAY), 33c� tea: SEPTIC TANK 330 (L�_ qQ lea - REQ'D SEPTIC..TANK SIZE \aaca r,d LEACH' FACILITY 5•f „ .," �,?we,�S• 4 Q�• SIDE WALL - ( 2 S) G/D.. T,ti .-7 `^ BOTTOM Ttl1L7 /q = '18.�( . 1 �\s.S G/D. z TOTAL - �, d�. ` Z�oCo.9 5 �. _ :54'j.�p.. G/p 52.3,---r y^. a. �l USE: C�N� LEACHING s. .�..... 1 • WATER ENCOUNTERED '.tt� e:L,: ,•4„�>' .. 'ct'` a ,ftt.5;' TV NOTES: (UNLESS OTHERWISE NOTED) ,�ryE.s. •�i, � ar `'s, , °� ";;. °yL * 4`• �{ \ 1.DATUM(MSL)+TAKEN FROM.--_�__—______~_____QUADRANGLE MAP �v T� �-�� �:•,e) V' I t. r '`" �_ 2.MUNI CI PAL WATER --_�S_tvo�----------AVAILABLE -�l •�� 'fir:' C q. I� ' .p. v;'-- ARN 'r-,'�� «� ARNE H. 3.PIPE PITCH:44"PER FOOT '1 ''� G- � � 4.OESIGN LOADING FOR ALL PRE CAST UNITS:AASHO- 44 OJA� i- AGr dS�SuEh ALL F" 4 :h 5.'MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. n,Irtl A' ai'I's, Qv CIVIL r4 y —O—'DISTANCE AS CERTIFIED'. 6.PIPE JOINTS SHALL BE MADE WATER TIGHT #LV i�-? y 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. �, No..'3079Z SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 /STE �k�` LOCUS: o`>_-� \(-#i L_L_ = w`sT' i�A�ts�Ti�:�l.r� /�P► REG.PROFESSIONAL ENGINEER ��.�, c- P 3�S6g A II/ REF: QOW�I Cope eIIglIIeEIIIIg PREPARED FOR p•�s .G. .G1.�_t•-a- CIVIL ENGINEERS yG2 LAND SURVEYORS ------------ BOARD OF HEALTH ��"�Ttl REG.LAND SURVEYOR R ' CONTOURS (EXISTING)------------- SCALE (PROPOSED)—O-0—O—O— APPROVED DATE MA i Y ��'w. DATE - Z V O U) cn cV V) O 14 -O' 46 _�� -- - -- -- ---- --- —, q rg ` U Z co --i 3'--3 1/2' 3'-5 1/2, 3'-8 1/2' 3' 3 1/2" p O v AND. GN15 AND. CW15-2 AND. UN15v I ,v AND, C12** AND. CW12*1b AND. C12** I AND. GW12•+ ?4'-0' x 12'-0• j � ! *+ TNf SE WINDOW i DECK j TO BE ORDERED STATIONAP `+ I) 7 -O 3 -O ci ----- Gi A W/ 8• GOLUMN5 4'-4' 4 -G 1/2' 4"-6 1/2' 9 -2' 4'-G 1/2' 4•-G 1/2' 4 -4' _ 1-----3-2 X 8 .tfEAgER 50AK TU8 ' ANT). CW35 AND. F'WG 6UGBR AND. CW15 AND. CW15 AND. FWG GOGBR AND. CW15 I j I x MASTER 9 L C'J1 CH 5 --0' BRICK FIREPLACE BATH � h KITEN -2 x G • 1G' O.G. 17 --4' X 10 --4' " BEARING WALL 7 ---, ! 17 -10 1/4 OG W l 18 -?' i----- 15 -8 1/2' !;.� i 2 5-S i I Z p Q + _ _ _ — _ —__ —..------�_ I �' GREAT RM. ( MASTER I - �� T 15'-2* X 17'-4' i - iV N \ f7 BEDROOM _ _ _ ., o t I / 17-1' X 15 -4' I G 2 1/2.' ° { f 1/4'� -6 1 2' —� uoi `� ��`''WALK-IN ! ___ "_l a I { uj cv _ CL — -- OL I i 2868 9 LITE MALL t ; --- _ __- ----- - _ __ - _ c1� �_ ( LJH t ! Q b i i 8*-11 1/4, 2 -4 1/2' Gl G 1 f 12 _8 3/4'. W 0 2 GG 8 t�fl I l------I -----fi r- - HALL r(puz, I 1 -1C� 5' 4 1/2' t r j ,/� ! 60fo8 SL.i j — —J. 1 1 i /' / . . -e co j ram__ _ _ tr V I -T- r---- --� - ___- _ 3 FOYER i 1 40Gb F. ' �OG8 5L,DER I —_� x �S SOLID B _ i l.9 1 4'�C' 1 :�lQQj� PGaT Q -- ---� y i 8'-G 1/4' I ( g u BcARING WALL r ti ° STUDY ° � BEDROOM � a- O G i2'-10' X 10'-11' � I 13 -?O' X 13'-4' C� '---4070 OVERHEAD DOOR � ! iLL 6 Y' OWNER `` 13'-G 1/4' 14 -5 3/4' . i�I 2 x 10 5 GARAGE I i r 5TORAGE AND. 244C--2 i I AND, 244fo-2 I © ■� T W 1.2 x 45 1 �:— _.. 4' CONCRE I E 5LA S-rEl 8f AM A50v�. ! PORCH r - 9070 OvER"EAD DOOR -4• I ,2•,. _g 3_-O' 3 nL____, _. �' i � (I I I jt —_ G x 8 SOLID AND. 24AG WOOD P05t I44ro � 1 ----- - r DATE: CHECKED BY: `4 U o/12/g8 T.S. ! -\: DATE: REVISIONS �• t. �4 O _ STORAGE L I FLOOR FLAN �c �s ,�'^ "_O•___ FLE NAME: 9805A 3 r LIVING ,PAC ;964.5rJ SQ.-T, _ SHEET NO. BONU5 ROOM, 33j.00 `�Q.FT. TOTAL LIVING 2351.50 GARAGE, G50.00 SCt.f TA 3 TOTAL 3001..5C> 5Q.FT.