HomeMy WebLinkAbout0048 FIELD STONE ROAD - Health 0
48 F STONEROAD
111-052 WEST BARNSTA►BLE
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CERTIFICATE OF ANALYSIS Page: 1
Y> Barnstable County Health Laboratory
Report Pre For: Report Dated: 9/7/2007
Frederick B.Dempsey Order No.: G0743287
48 Field Stone Rd.
West Barnstable, MA 02668
Laboratory ID#: 0743287-01 Description: Water-Drinking Water
Sample#: Sampling Location 48 Field Stone Rd.W.Barnstable,MA Collected: 9/5/2007
Collected by: F.Dempsey Received: 9/5/2007
Routine
ITEM RESULT UNITS RL MCL Method# Tested
Nitrate as Nitrogen 1.5 mg/L 0.10 10 EPA 300.0 9/5/2007
Copper ND mg/L 0.10 1.3 SM 3111B 9/6/2007
Iron ND mg/L 0.10 0.3 SM 3111 B 9/6/2007
Sodium 12 mg/L 1.0 20 SM 311113 9/6/2007
Total Coliform Absent P/A 0 0 SM9223 9/5/2007
Conductance 590 umohs/cm 2.0 EPA 120.1 9/5/2007
pH 10 pH-units 0 SM 4500 H-B 9/5/2007
Water sample meets the recommended limits for drinking water of all the above tested parameters.
Approved By. 1
(Lab D' ctor)
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ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
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CERTIFICATE OF ANALYSIS Page. 1
i
' ssn Barnstable County Health Laboratory
Report Dated: 2/10/2006
Report Prepared For:
Order No.: G0634519
Frederick B.Dempsey
48 Field Stone Rd.
West Barnstable, MA 02668 / U
Laboratory ID#: 0634519-01 Description: Water-Drinking Water
Sample#: 34519 Sampling Location 48 Field Stone Rd.West Barnstable,MA Collected: 2/8/2006
Collected by: F.D. ------ Received: 2/8/2006
Routine
ITEM RESULT UNITS RL MCL Method# Tested
LAB: Inorganics
Nitrate as Nitrogen 1.0 mg/L 0.10 10 EPA 300.0 2/8/2006
LAB: Metals
Copper 0.18 mg/L 0.10 1.3 SM 311113 2/10/2006
Iron BRL mg/L 0.10 0.3 SM 3111B 2/10/2006
Sodium 13 mg/L 1.0 20 SM 3111B 2/10/2006
LAB: Microbiology
Total Coliform Absent P/A 0 0 309 2/8/2006
I
LAB: Physical Chemistry
Conductance 120 umohs/cm 2.0 EPA 120.1 2/8/2006
pH 6.6 pH-units 0 EPA 150.1 2/8/2006
Water sample meets the recommended limits for drinking water of all the above tested parameters.
Approved By:
( Director)
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RL = Reporting Limit
MCL=Maximum Contaminant Level
Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
F HA
CERTIFICATE OF ANALYSIS Page: 1
Barnstable County Health Laboratory
Report Prepared For: Report Dated: 8/5/2003
Order Numbe : FREED
Frederick B.Dempsey
48 Field Stone Rd.
AUG 0 7 2003
West Barnstable, MA 02668
TOWN OF BARNSTABLE
HEALTH DEPT.
Laboratory ID#: 0321226-01 Description: Water-Drinking Water
Sample#: 21226 Sampling Location: 48 Field Stone Rd.,West Barnstable Collected 7/14/2003
Collected by: F.D. Received 7/14/2003
Routine
ITEM RESULT UNITS MCL Method# Tested
LAB: IC Lab
Nitrates 0.6 mg/L 10 EPA 300.0 7/15/2003
LAB: Metals
Copper 0.5 mg/L 1.3 SM 3111B 7/29/2003
Iron <0.1 mg/L 0.3 SM.3111B 7/29/2003
Sodium 14 mg/L 20 SM 3111B 7/29/2003
LAB: Microbiology
Total Coliform Absent P/A Absent 309 7/14/2003
LAB: Physical Chemistry
Conductance 122 umohs/cm EPA 120.1 7/14/2003
pH 6.8 pH-units EPA 150.1 7/14/2003
Note: Water sample meets the recommended limits for drinking water of all above tested parameters.
Approved By:
(Lab Director)
c �.` °3
Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
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Page:
CERTIFICATE OF ANALYSIS
i,,
Barnstable County Health Laboratory
Report Dated: 09/24/2002
Report Prepared For:
Order Number: G0217428
Frederick B.Dempsey
48 Field Stone Rd.
West Barnstable, MA 02668
Laboratory ID#: 0217428-01 Description: Water-Drinking Water
Sample#: 17428 Sampling Location: 48 Field Stone Rd.,West Barnstable Collected: 09/18/2002
ollected by: Fred Dempsey Lot 6 Received: 09/18/2002
Routine
ITEM RESULT UNITS MDL MCL Method# Tested
LAB:IC Lab
Nitrates 0.7 mg/L 0.1 10 EPA 300.0 09/19/2002
LAB: Metals
Copper 0.2 mg/L 0.1 1.3 SM 3111B 09/23/2002
Iron 0.1 mg/L 0.1 0.3 SM 311113 09/23/2002
Sodium 11 mg/L 1.0 20 SM 311113 09/23/2002
LAB: Microbiology
Total Coliform Absent P/A 0 Absent P/A 09/18/2002
LAB: Physical Chemistry
Conductance 115 umohs/cm 1 EPA 120.1 09/19/2002
pH 6,7 pH-units 0 EPA 150.1 09/19/2002
Note: Water sample meets the recommended limits for drinking water of all above tested parameters.
Approved By: (Lab Director)
Director)
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, 1
Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
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NOS( � 7 1999 _�
TOWN OF BARNSTABLE
c HEALTH DEPT,
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE'OF ENVIRONMENTAL AFFAIRS John Grad 1
DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector
ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119
TeaTicket,Ma.
(508)564-6813
TRUDY COXE
Secretary
ARGEO PAUL CELLUCCI DAVID B.STRUHS
Governor Commissioner
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Property Address: 48 FIELDSTONE RD.W. BARNSTABLE L.kv.
Name of Owner HEEMAN
Address of Owner: SAME
Date of Inspection: 11/9/99
Name of Inspector:(Please Print)JOHN GRACI
I am a DEP approved system inspector pursuant to Secdon 15.340 of Tge 5(310 CMR 15.000)
Company Name: n/a
Mailing Address: n/a
Telephone Number: n/a
CERTIFICATION STATEMENT
I certify that I have personalty inspected the sewage disposal system at this address and that the information reported below is true,accurate
and complete as of the time of inspection.The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems.The system:
X Passes The Inpection is based on criteria defined in Title V
_ Conditionally Passes code 310 CMR 15.303.My findings are of how the system Is
_ Needs Further Evaluation By the Local Approving Authority performing at the time of the Inspection.My inspection does
_ Fails not imply any warranty or guarantee of the longgevity of the
septic system and any of its components useful life.
Inspector's Signature: Date:11/10/99
The System Inspector sha imit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of
completing this Inspection.If the system Is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner
shall submit the report to the appropriate regional office of the Department of Environmental Protection.The original should be sent to the
system owner and copies sent to the buyer,if applicable,and the approving authority.
NOTES AND COMMENTS
THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS TO PROLONG THE SYSTEM'S
USEFULL LIFE.
revised 9/2198 Page 1 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:1119/99
INSPECTION SUMMARY: Check A, B, C, or D:
A. SYSTEM PASSES:
I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated
are indicated below.
COMMENTS:
System passes Title V inspection
B. SYSTEM CONDITIONALLY PASSES:
n(a 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.
Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not.
n& The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance(attached)Indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or
the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exFiltration,or tank
failure is imminent.The system will pass Inspection if the existing septic tank is replaced with a complying septic tank as
approved by the Board of Health.
n& Sewage backup or breakout or high static water level observed in the distribution box Is due to broken or obstructed pipe(s)
or due to a broken,settled or uneven distribution box.The system will pass Inspection If(with approval of the Board of Heath).
_ broken pipe(s)are replaced
_ obstruction is removed
_ distribution box is levelled or replaced
n& The system required pumping more than four times a year due to broken or obstructed pipe(s).The system will pass
inspection If(with approval of the Board of Health):
broken pipe(s)are replaced
_ obstruction is removed
9
revised 9098 Page 2 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:111/9/99
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 the public health,safety
and 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 ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
_ Cesspool or privy is within 50 feet of 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 AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well.
_ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well,
_ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the
well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less
than 5 ppm,Method used to determine distance W&(approximation not valid).
3) OTHER
n/a
revised 9/2/98 Page 3 of 11
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:11/9/99
D. SYSTEM FAILS:
You must indicate either"Yes"or"No"to each of the following:
I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is
identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure.
Yes No
X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
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 6"below invert or available volume is less than 112 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 n&.
X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation.
X Any portion of a 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 I 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.if the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic ompounds,
ammonia nitrogen and nitrate nitrogen.
X The liquid level in the SAS is over the invert pipe,is in Hydraulic Failure.
E. LARGE SYSTEM FAILS:
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:
The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and
safety and the environment because one or more of the following conditions exist:
Yes No
X the system is within 400 feet of a surface drinking water supply
X the system is within 200 feet of a tributary to a surface drinking water supply
X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public
water supply well)
The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the
Department for further information.
revised 9/2198 Page 4 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:111/9/99
Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following:
Yes No
X Pumping information was provided by the owner,occupant,or Board of Health.
X None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates
during that period.Large volumes of water have not been Introduced into the system recently or as part of this inspection.
X As built plans have been obtained and examined.Note if they are not available with N/A,
X The facility or dwelling was Inspected for signs of sewage back-up.
X The system does not receive non-sanitary or industrial waste flow.
X The site was inspected for signs of breakout,
X All system components,excluding the Soil Absorption System,have been located on the site.
X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles
or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption
System on the site has been determined based on:
X Existing information,For example,Plan at B4O,H,
X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)
[1 5.302(3)(b)]
X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of
Subsurface Disposal Systems.
revised 9/2/98 Page 5 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:11/9/99
FLOW CONDITIONS
RESIDENTIAL:
Design flowAM g.p.d./bedroom
Number of bedrooms(design): 3 Number of bedrooms(actual):$
Total DESIGN flow: =
Number of current residents:$
Garbage grinder(yes or no):NO
Laundry(separate system)(yes or no): NO If yes,separate inspection required
Laundry system inspected(yes or no)M
Seasonal use(yes or no):M
Water meter readings,if available(last two year's usage(gpd): nLa
Sump Pump(yes or no): NO
Last date of occupancy: nla
COM M ERCIAL/INDUSTRIAL
Type of establishment: n&
Design flow: n&gpd(Based on 15.203)
Basis of design flow: nLa
Grease trap present:(yes or no):JLQ
Industrial Waste Holding Tank present:(yes or no): NO
Non-sanitary waste discharged to the Title 5 system:(yes or no):NO
Water meter readings.if available:nla
Last date of occupancy: n&
OTHER: (Describe)
Wa
Last date of occupancy: nLa
GENERAL INFORMATION
PUMPING RECORDS and source of information:
1998
System pumped as part of inspection:(yes or no):NO
If yes,volume pumped nLa_ gallons
Reason for pumping: Wit
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)
I/A Technology etc.Attach copy of up to date operation and maintenance contract
Tight Tank Copy of DEP Approval
Other: a&
APPROXIMATE AGE of all components,date Installed(if known)and source of information:
1995
Sewage odors detected when arriving at the site:(yes or no) NQ
revised 9/2198 Page 6 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:11/9/99
BUILDING SEWER:
(Locate on site plan)
Depth below grade: ]_6_
Material of construction:_ cast iron X 40 PVC _ other(explain)
Distance from private water supply well or suction line: 100+
Diameter: WA
Comments: (condition of joints,venting,evidence of leakage,etc.)
n/a
SEPTIC TANK: X
(locate on site plan)
Depth below grade: i
Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain)
nLa
If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): MQ
n/a
Dimensions: L 10'6"H 5'7"W 5'8"
Sludge depth: Z
Distance from top of sludge to bottom of outlet tee or baffle: W
Scum thickness:V
Distance from top of scum to top of outlet tee or baffle:-C
Distance from bottom of scum to bottom of outlet tee or baffle: Jr
How dimensions were determined: MEASURED
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level In relation to outlet invert,structural integrity,evidence of leakage,
etc.)
SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND RECOMMEND PUMPING SYSTEM EVERY TWO YEARS
GREASE TRAP:
(locate on site plan)
Depth below grade:
Material of construction:_concrete_ metal_ Fiberglass _ Polyethylene_other(explain)
n1A
Dimensions: ILA
Scum thickness: WA
Distance from top of scum to top of outlet tee or baffle:iVa
Distance from bottom of scum to bottom of outlet tee or baffle nLa
Date of last pumping: nLa
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,
etc.)
WA
revised 9/2198 Page 7 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:11/9/99
TIGHT OR HOLDING TANK: NO (Tank must be pumped prior to,or at time of,inspection)
(locate on site plan)
Depth below grade: Wa
Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain)
IVA
Dimensions: n/a
Capacity: n/a gallons
Design flow: Wa gallons/day
Alarm present: NQ
Alarm level:jil& Alarm in working order:Yes_No—: NQ
Date of previous pumping: nla
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
Wa
DISTRIBUTION BOX: X
(locate on site plan)
Depth of liquid level above outlet invert:LEVEL WITH BOTTOM OF PIPE
Comments:
(note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.)
DISTRIBUTION BOX IS STRUCTURALLY SOUND
PUMP CHAMBER: NQ
(locate on site plan)
Pumps in working order:(Yes or No): NQ
Alarms in working order(Yes or No): NQ
Comments:
(note condition of pump chamber,condition of pumps and appurtenances.etc.)
nla
revised 9/2198 Page 8 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:1119/99
SOIL ABSORPTION SYSTEM(SAS): X
(locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods)
If not located,explain:
Wa
Type:
leaching pits,number: 2.1000 GALLON LEACH PITS
leaching chambers,number: ji&
leaching galleries,number: .nLa
leaching trenches,number,length: n&
leaching fields,number,dimensions: nla
overflow cesspool,number: n&
Alternative system: nLa
Name of Technology: .nla
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.)
THE LEACH PITS ARE FUNCTIONING PROPERLY.THERE IS NO SIGNS OF FAILURE..
CESSPOOLS: _
(locate on site plan)
Number and configuration: n&
Depth-top of liquid to inlet Invert: nla
Depth of solids layer: nLa
Depth of scum layer. n&
Dimensions of cesspool: n&
Materials of construction: nla
Indication of groundwater: n& inflow(cesspool must be pumped as part of inspection)nLa
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
nla
PRIVY: _
(locate on site plan)
Materials of construction:n& Dimensions:n&
Depth of solids: n&
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
n&
revised 9/2198 Page 9 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:11/9/99
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent reference landmarks or benchmarks
locate all wells within 100'(Locate where public water supply comes into house)
n/a
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revised 9/2198 Page 10 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 48 FIELDSTONE RD.W.BARNSTABLE
Owner: HEEMAN
Date of Inspection:1119/99
NRCS Report name: n/a
Soil Type: n/a
Typical depth to groundwater: nla
USGS Date website visited: nla
Observation Wells checked: NO
Groundwater depth:Shallow _ Moderate _ Deep _
SITE EXAM _ Slope
_ Surface water
_ Check Cellar
Shallow wells
Estimated Depth to Groundwater 12 Feet
Please indicate all the methods used to determine High Groundwater Elevation:
_ Obtained from Design Plans on record
Observed Site(Abutting property,observation hole,basement sump etc.)
_ Determined from local conditions
_ Checked with local Board of health
_ Checked FEMA Maps
_ Checked pumping records
_ Checked local excavators,installers
X Used USGS Data
Describe how you established the High Groundwater Elevation.(Must be completed)
USGS MAPS AND CHARTS
revised 9/2198 Page 11 of 11
FIT-
Sewer Permit No.
N. i J-/ -�`
Location
Installer's Name and Address
Auildcr's Name and Address ,
Date Permit Isiiwcd:
Date Compliance Issued:
�J
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No....� Fizz..........,f�%.'O.=
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.W.N..................OF.....
td.
NAppliratiou for Diivnsttl Works Tomitrurtiun ramit
Application is hereby made for a Permit to Construct _�/or Repair ( ) an Individual Sewage Disposal
System at:
.... .Wt..... `. .. -.'i / i'S? ---------------------------------------
...... ..-Add ss or Lot No.
------ q ........ �j ]�
a Owner e�0 J " V. L vse —7 �Addr
. . ............. ....... J
Installer Address ^
UType of Building / Size Lot-------• ................Sq. feet
Dwelling—No. of Bedrooms.__...fQ..................................Expansion Attic ( ) Garbage Grinder (i.�rt
114 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
04 Other fixtures
W Design Flow.................. gallons per person pgr a Tot al d�il 4ow-._--.�8 _.....-------------------------------------------------
.... _....__ to d
--------------
WSeptic Tank—Liquid capacity.10allons Length_tl__"' ___ Width ' __. Diameter................ Depth_"
x Disposal Trench—No. .................... Width_._.._............ Total Length..............i.... Total leaching area-------------¢sq. ft.
Seepage Pit No._..___�....___.. Diameter.___ ...___... Depth below inlet..... Total leaching rea.Ss► ._ _sq. ft.
Z Other Distribution box ( ) Dosing tank ) - t/ Q_�ZD /
aPercolation Test Results Performed by. .�i► r�!56�� � �V(�____. Date ._ � ............
a Test Pit No. I....�ir.$..minutes per inch Depth of Test Pit__--��..________ Depth to groun water_.._..`• .......
Test Pit No. 2................minutes per inch Depth of Test it__-�CZ!�... Depth to ground water..-_.._ .�.........
-- d!-�x.S-- ` ...................................... ........
xDescription o Spoil_, t, n V....CIL— � y-•�� w. ........... -........_...__
U = `�2y
---
---
W Z.-to --' 2 --------..s�.y.- arts .....
UNature of Repairs or Alterations—Answer when applicable............................._._.............__.__.......__..._..._......................_......
Agreement-.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed . ± ._s... ------------------------- ------------------..................
Dare
ApplicationApproved By .................. ... ..... --- --- ---------------------------------........_....--------------------- ..— .,.. ..
Application Disapproved for the fo lowing reasons- -------------------------------------------------------------------------------------------------------------------------------------
----------------------- --- --- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------
Permit No. ........... Issued .................. ....-..z�` .... .....
Dare
No.._. 5::
THE COMMONWEALTH OF MASSACHUSETTS
3 BOARD OF HEALTH
{ R
OF_- r-181
Appliration for Disposal Works Tonstrnrtiun rumit
Application is hereby made.for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
d: ... -• --•------------------------•--...-----...----..._... ....
r� Locatio -Address
ess
., a `.\ � �_.! /lC.+�.'GT1� ,s/ �`° _°�e? ddr ! ! 4 / J2f. 5`���
Installer dress AA_
V Type of Building �r Size Lot___ T-�_ _..Sq. feet
Dwelling—No. of Bedrooms------ra---------------------------------Expansion Attic ( ) Garbage Grinder
Other—Type of Building ______________ No. of ersons_---__:__--___--_--_-.-_---- Showers —
g ------------- P ( ), Cafeteria ( )
Other fixtures -------------------- ` ..._?..-:.. �+
W Design Flow................... gallons per person er Total ily, w-.-__ :- ____.__ _._._,.__ 1
-------------- - -
..----•------• - �gal�on ti
W Septic Tank—Li Iiid ca acity OO allons Len th_`_ �� y idth Diameter.- Depth._ .:r'
P 9 P - -• g
x Disposal Trench,—No_____________________ Width.................... Total Length...........�_....__._ Total leaching area............ k _sq. ft.
Seepage Pit No....... ..-_-_ Diameter._._. Depth below inlet_._._// � ... Total leaching �7._1 area_ s ft.
z • Other Distribution box ( ) Dosing tank
aPercolation Test Results Performed by.Q.d �rrU .............
r.�-:.
0.4 Test Pit No. 1... .minutes per inch Depth of Test,Pit 11�_ Depth•to groun wate .....................
Test Pit No. 2________________minutes per inch Del3th oL T st, ..it.__� .r_ �: Depth to ground water. ...........
---------------
O Description of Soil �,i� i , -------------
••----
W
��.= 1 = ------ s .
U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------- ...............................................
-------------------------------------------•------•----•--
Agreement:
The undersigned agrees to install the aforedescribed•Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued b the board of health.
_.- Signed ----
Date
Application Approved B _t< ....... C.. .-r.C:.--
PP PP Y ..... ..... -
Application Disapproved for the following reasons: ...... ...................................... . . ........... .. .......... ............. . .
. ................................. .. -�. .... .........---............:...............-- ................. .. ....... .................. ............................------------
Dare
Permit No. .......-..�.��. ......... .. Issued ............................
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...---..tom '"....... ...... of ..... s '^ e ...
Ter#tfirate of Toraylianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (�) or Repaired ( )
by...........................................................................................................................
{- Installer
at ......... ..�.T..1..........i".. ,P $ ._ /1�----------------------_---W----�'� 1���..--------.--------------..-.__
. .,...,�.•__. -----------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as,described in
the.application for Disposal Works Construction Permit No. ....... dated ------- .--- LC. 9*
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
.00
A
•1
Inspe--DATE.. -THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
o..��2C.- U �`j ...............OF...---- `! f??2 ............................
N FEE..._._......._r
Disposal Works Tuntrnrtion "prrmit
Permission is hereby granted........................................................*•------•--------------•------------------•......--•--•---••--•••---•-..........._....
to Construct 0� or Repair ( an, Individual Sewage Disposal System �`
at No........1.-._�.-T--•----�----••-•2 ,1<z• �-g r��.... ....................
Street pp p
as shown on the application for Disposal Works Construction Permit No./�_-6kej___.
......................................................................................................
Board of Health
DATE...............................................................................
Form 1255 H ' HOBBS&WARREN ran Publishers
\ Department of Environmental Management/Division of Water Resources
WATEA'WELL COMPLETION REPORT
WELL LOCATION GEOGRAPHIC DESCRIPTION
Address LOT-6
xd, N S E W of
peer! (circle)
City/Town di9/Pi�l(1/J .tC�(fG�
Well owner..A.., /�` � �� (road)
Address 7 N S E W of
P , _7V,_,14=44, .I w r (mi.in tenths) (circle)
Board of Health permit: . yes no ❑. intersect. w/ (road)
WELL USE WELL DATA
Domestic,] Public❑ Industrial ❑ Total well depth 9-s ft.
Monitoring❑ Other Depth to bedrock ft.
Method drilled�G'{��
Water-bearing rock/unconsolidated material:
.
Date drilled 13#%0j P.G 9•� Description
I
CASING.
Water-bearing zones:' 1) From To '
Type 1�if -4.�
�, 2) From To
Length � ft. Dia�.I.D.) —in..
3) From To
Length into bedrock ft.
Gravel pack well: dia.
Protective.well seal: Screen: '' . dia.
Grout_❑ Other Slot#length 4- from to
PUMP-TEST
Static water level below land surface ft. Date,
Drawdown ft. after pumping 41(' Iv. ''_min.of ., gpm:
How measured Recovery fI. after_.h"r., ' " -,min.
o
LOG of:FORMATIONS 'COMMENTS :' z
Materials Frorti To
DrillerC �
Mass. Re istraUon `
9
4
Firm
PUMP:CO', INC.
Address BUZZARDS'BAY, MA 02532
City/Town
"Si nature of supervising registered weft driller
Please Print firmly
BOARD 0F HEALTH COPY . :"
ENVIROTECH LABORATORIES, INC.
MA Cert. No.: M-MA 063
449 Rte. 130 . Sandwich, MA 02563
(508)888-6460 • 1-800-339-6460
FAX(508)888-6446
CLIENT: Rick Anderson LOCATION: 6 Fielstone Rd.
Barnstable, MA
SAMPLE DATE: 3-13-95
COLLECTED BY: Danny/Pioneer Pump DATE RECEIVED: 3-13-95
TIME: 8:OOAM LAB I.D. NO. : E3-138
JOB TYPE: New well SAMPLE I.D.NO. E3-138
WELL SPECS. : N/A
RESULTS OF ANALYSIS:
Parameters Units Recommended Limit Result
Coliform bacteria/100ml (MF Method) 0 0
pH pH units 6.0-8.5 5.82
Conductance umhos/cm 500 108
Sodium mg/L 28.0 11.0
Nitrate-N mg/L 10.0 0.64
Iron mg/L 0.3 LT 0.05
Manganese mg/L 0.05 0.002
Volatile Organics See enclosed report.
EPA 601/602 ug/L
Chloroform 100 2
ortho-Xylene 10,000 2
Yes No WATER IS SUITABLE FOR DRINKING PURPOSES FO PARAMETERS TESTED.
XXX
Date 3 2d
Ron ld J. S94ri
Laboratory tArector
IT = Less Than
a-t+o 11:b J AM ;v .J 11LWH1C V L li h N V I ROTECH 608 i bd -14'ib-4 ._/ 4
GROUNDWATER
ANALYTICAL
EPA METHODS 601 and 602
Volatile Organics (GC/PID/ELCO)
Field ID: E3138 Lab ID: 10187-01
Project: Anderson/6 Field Stone Batch ID: VG2-0574-W
Client: Envirotech Sampled: 03-16-95
Cont/Prsv: 40mL VOA Vial/HCl Cool Received: 03-16-95
Matrix: Aqueous Analyzed: 03-17-95
PARAMETER CONCENTRATION REPORTING LIMIT
(ug/L) (ug/L)
Dichlorodifluoromethane BRL 5
Chloromethane BRL 5
Vinyl Chloride BRL 5
Bromomethane BRL 5
Chloroethane BRL 5
Trichlorofluoromethane BRL 1
1,1-Dichloroethene BRL 1
Methylene Chloride BRL 1
trans-1,2-Dichloroethene BRL 1
1,1-Dichloroethane BRL 1
cis-1,2-Dichloroethene * BRL 1
Chloroform 2 1
1,1,1-Trichloroethane BRL 1
Carbon Tetrachloride BRL 1
Benzene BRL 1
1,2-Dichloroethane BRL 1
Trichloroethene BRL 1
1,2-Dichloropropane BRL 1
Bromodichloromethane BRL 1
2-Chloroethyl Vinyl Ether BRL 5
cis-1,3-Dichloropropene BRL 1
Toluene BRL 1
trans-1 ,3-Dichloropropene BRL 1
1,1,2-Trichloroethane BRL 1
Tetrachloroethene BRL 1
Dibromochloromethane BRL 1
Chlorobenzene BRL 1
Ethylbenzene BRL 1
meta-and Para-Xylene * BRL 1
ortho-Xylene * 2 1
Bromoform BRL 1
1,1,2,2-Tetrachloroethane BRL I
1,3-Dichlorobenzene BRL i
1,4-Dichlorobenzene BRL 1
1,2-Dichlorobenzene BRL 1
QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS
a,a,a-Trifluorotoluene 30 30 99 % 87 - 113
1,2-Dichloroethane-d4 30 31 104 % 83 - 117
BRL = Below Reporting limit. * Non-target compound. Method References: Method 601 - Purgeable
Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986).
- - ----- -.J _
, ,.,g-. -7----- ---
--------
--
No. -- ----------- F �0----
BOARD OF HEALTH ee----
TOWN OF BARNSTABLE
Application-*r Vell Cootruction Permit
Application is hereby made for a permit to CCoon�str t ( ), Alter ), o e air ( )an individual Well at:
Location — Address Assessors Map and Parcel
-t �/j]__ --------------- G'�J< /d'L/�------------ —
Owner Address
/D^//i/Z it - =°- -- f--------_- -!Z _-
Installer — Driller Address
Type of Building
Dwelling-------- —---------------------------------------------------
Other - Type of Building----------------------------------- No. of Persons-----------------------------__---
Typeof Well--------- ----12v�---.----------------------------- Capacity---------------------------------------
Purpose of Well-D-042I--- Te—
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.
�(� /(o e - - ---- Ill_' ��l'�
I sJ�ald Signed -- ----— - -- -
e d e�
Application Approved By — — —��
date
Application Disapproved for the following reasons:--- ----------—------------—---------
---- ----------
^ — date
Permit No. -- --- -----
_---— - Issued--- --1 - ---- - —— -- -
ate
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate ®f (Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( )
by--------------------------
---------
C---------------------------------------------------------------------------------------------------------------- --- —--
at-------- l— --I�� — In all — A&OY4886-------------------------------
has been installed in accordance with the provisions of the Town 0 arnstable Board It rivate Well Protection
Regulation as described in the application for Well Construction Permit No. rt1 - -
--------- Dated----------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
` DATE- --- — - --------------------—--- — -- Inspector---------------------------------------------------------------------------
I
�• _. .. _.... _ .— .... _Si .. _a _ ;-.ram .j... _ _ ;_. `..
,,t � t �{'v...n„-.-+��.-�..+lcyyt�•�ny '...�,�{,,��� ,.J'�.+'Fy'+�M.� "a. �,_,. SiYi 74�7 ,S yt,�,..ct'v
No.A -- ----------- Fee---- - -- --------
BOARD OF HEALTH
TOWN OF BARNSTABLE
CJ" •
Application ArVeil Con0ructionAermit
Application is hereby made for a permit to CCoolnstr ct�( ), Alter ), o Ref air ( )an individual Well at:
Location — Address Assessors Map and Parcel
-- �-�_/LrlZ9------------ -----------"3" i < � = ---- -
Owner Address
k A -- A v jl 7� t44ly;_
Installer — Driller Address
Type of Building
Dwelling------—------------------------------------------------
Other - T, g --a of Building --- No. of Persons-----------------------------------------
GYP --
�+
Typeof.Well--� --�------------------------------ Capacity----------------------------------------
Purpose of Well_� �.�p t17_4-----------------------
----
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.
•l�U "I 1�1`t Signed ----- � pomp
— --------
d e
Application Approved By-
-----r — — —Y ='-------
date
Application Disapproved for the following reasons:-- ---------------------------------------------------------
-----------— -- - -- _ —___—-- ----------------------
------------------------------ ---- -------- --- ------------------
date
Permit No. -- — — -- --_ -- — Issued--- -- - — ---— -------------
ate
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certifitate ®f Compliance
p
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( )
by------------ -—------------------------------------- --
191V Install
at-------- `=---------------------------------
has been installed in accordance with the provisions of the Town Aamstable Board o It rivate Well Protection
Regulation as described in the application for Well Construction Permit No. �J�-✓--- ---= Dated-----------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
i
DATE- - - __--— — —-- ----- Inspector---------------------------------------—--- ------------
I
• BOARD OF HEALTH
TOWN OF BARNSTABLE
Veil Con$truct ion permit
No.d(J-q --- Fee n—: ---
Permission is hereby granted- ���'!
to Construct ( Alt r Lpr Repair ( ) an Individual We :
street }
as shown //o''ntt the application for a Well Construction Permit
No. - V� '� -----— -- -- - Dated'^ —� -� -- - ,-- -
------
. �
Boar• of Health �y
DATE---- — - ,
----------------
aYYYVWWM,IM„GY1w,"-'._ "_- a.aYxbrc+ll wir.[wtvlhx. wes.........wa.wrna.a.....,.:.........w.,.•wc:..ra.wx.•._.•.-. .-•MN..:.-._ .. :• :.•Y.«.r.:.....nw...a -
Gf7YERAL NOTE.• -ra P 6 SUI L TEST PIT DATA
J. 1NIS PLAN IS FOR THE DESIGN AND INVERT ELEVA TIUN.z' T.P. -i T.P. -2
CONSTRUCTraV OF THE SEXAGE DISPOSAL .•�., i 3•b a r $0 ""
Gr-eI1/D. EL EV. 6R/ND. EL Ev.
FACILITY GWL Y G.IV. ELEY, ---�- 6.W. ELEV.
' INYERT AT BUILDING � �
2. ALL CONSTRUCTION METHODS AND MATERIALS INYERT IN A T SEPTIC TANK 101. 00 ,
FOR THE SEPTIC SYSTEM SHALL CONFORM t7 To Pr Stag 7-p
'7 -_ L 2 I CCESS C0101s a✓USA �F" {►'I Tt/IN �2 OF FINISH GflAC�L:
INVERT :OUT A T SEPTIC TANK � f `' _ I-S sv�s�yZ
` TO fl.4S5. D.E.O.E. TITLE 5 AND LOCAL � r,✓.OrCr; F,; 2
BOARD OF HEAL TH RE61ILATIONS, - INVERT IN AT ,GIST. BOX 1 0 -5 to
PcF>`C. BEST
3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO INVERT OUT AT DIST. BOX 10 5140 0 �
YSV=E LOADING (I.E. UNDER DAIYEWAYS, ETC.) INYERT IN AT LEACH PIT L P' 10 5 r00 10Z.0-� LV--T. ` -----�- _ — RIN, 2' OF � �v�-C
SHALL BE DESIGNED TO !✓ITHSTAND N-20 LOADING. It a�
BOTTOM OF LEACH PIT qq ,00 a1a.Oa v. _,. 4' 'MIN. `. .o ,a 1/B'-�'/c�' Dill. c�fl 5 v
�-' ,VAS1lZD STONE 1AVICA 7ES
4. ALL SEMQ? PIPE SHALL BE SCHEDULE 40 OR OBSERVED GROUNDWATER -- —•- � o LI®UID 101. 5o 03SERVF_.1�
,j �., DEPTH ` 6rt'OU/v'17r1';�JER
APPROVED EQLG4L. 1 L� DIST, r,y, �. DI
A.
GROUNDWATER —"_ .Y 3/d - ! 1/2 D_A. U L C.o g aL
_....�__ 1500 CAL. B0 Y �i3� WASHED STAVE =
5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE. •
1-800 322-4844 FOR L OCA TIDN OF SEPTIC TWV .c Ir�:910A TZ.
UNDERGROUND UTILITIES.
JEST P rT j
6• DATI.b+I IS 55lSlt�Y'i �` (H-20 IF BURIED DEEPER
7• IT 5MLL REMAIN THE CLIENT'S RESPONSIBILITY LEGEND THAN 3 FEET.J L
-- �: t2•
TO OBTAIN ALL PERMITS SPECIAL PERMITS, 1 P- C�ZO �j
VARIANX5,, ETC. FOR PHIS PROJECT. 50 --
EXISTING CONTOUR
B. IT SHALL REMAIN THE CLIENT'S RESPONSIBILITY Ca i)`'• - 23
TO HAYS THE PROPOSED DA'RL.,NO FOUNDATION ,�1,,,� - PROPOSED CONTOUR � .. T1 ST QY.• 00�L� �>,SG l�s�Fzl�G
DESIGNED TO ACCOUNT FOR THE EXISTING GRADE -tom L Vic- }-1 k IT S✓
AND SOIL CONDITIONS AT THE LOCATION OF THE
50 = PROPOSED SPOT GRADE v .�, . C� �,. TitiE:�S«7 BY.•
PROPOSED DIiELLING. .
�. wo D,E7ERMlN�4T�DN NAS 13t1 AD�,: S LE•A�'p17 .�
ro compuAuc& tivi r,� D9
Ems' R�S-t �L�" DIRECTION DF STORMWATER - �aG�'�'" P ✓/c. , �rc 8 NW,/ IN.
o R ZONl1 VG R EC UL Ii C�!$. may"' SJ4A L L �r P.1►�1�31l�!' _
RUNOFF
yl� o wNLRS Rf..SPoJ Sl��/7• 7 c : dsrA ml
E6ZUJ1? D PERMI'tS 5P9VAL PERM!rg, MRI VCE5S'Yc/v rIfIF-R.rA:
.0Eq?rCN Ff_OW-
� -. ---�: ti f` - y� __. -OEO OOR OWEL L INS ` .i./0 6AL1.94 Y PEA RE900 i'
!://ply ,,...,.__•�,,// N rr•ir • • c' ey,' nyIN '. ,
r
.r q!r e Sri Jl e y. GALS, PS9 DAw•Y.
� �•_ \ .,.• 4 �Q . �Yq,, ..
_ 4 4 0 of ;o SEPTIC AX REOUIRED.
ly
.. / �•
CAL.
NO
f j CP1J X .�50,�' ,
, STON SEPrrc TAAIA,' Pr?0vr0F a
D.� d sAL.
{ - FIEL
• r
�' " I I T Y ;U7
L,SIGN A TiC. RW T-Z' /INUTES/INCH
.,
�: •,.of 550 CALLONS` PER SAY �!
DF CONCREEUND
� vrZE Or LEACHING rACILITY PROVIDED.
N1n0 ®, e4 �� `•1 o.0 40'�y 4{ �A G/ `\ �` ice'' r 10Q-0 (ASSUMED) ,,1 wu• ! -
-
-EL
Law ti ,N �. �'a :Pr7 (51 r✓rrf� ." ST9Nf':.
91.5 1
SIDEMALL 4 ,r.F X ' •' �-' S�3 6PD
PROPOSED WELL
��r/CITY. . `F✓ . 4n, ..Y ro 1`•{G. '
a
o GPQ
,
.r . _ .. PD ,
707
. ,
k _ .,. .:..:... . .. ...., AxaUT c L ,f _
v
0 � ) R r .
4
t
a _ . . . . ,
APE
r
:
t 3
,
a, ti
OF
.I ,
,
Flan J� ,l�1LY1J.LUN- 4..
70
11 8
CF011AL-try. P Lac P�. CIVIL „1
,
s
DA TE
So
ffi
P
V
l 1J
4. -
/ Q10
g
PLAN SHORING THE DESIGN OF A PROPOSED
SUB,507FACE SEPTIC DISPOSAL • SYSTEM,
STEM
•
•~ �'p ,rS `� LOT 6, FIELD STONE ROAD, BARN.S'TABLE, MA
�-' P rc? SSIDNA L NQ SU EYOR SCALE 1 " 30 ' JANUARY 13, 1-995
L' �
6
.INC'
zy'35diii .F
EAGLE SURVEYING G ENGINEERING,
o DATE4�° ROUTE 130, SAN#ORICH, CIA
. 00 PROJECT NUMBER 94-13B
1 . .Ytq . !/ rKrn LYp.la:Yffr6•Mx{.TJ`MY41`PVL94`7V11MVYYWP4r,rxRJLMAY M/AI.YP.MVfXX,MN►i'iMYtiL4ilKiAlf..'YN/.LIYy.YY.1xwV►.tYYM9+Y.•4 .YvaaMM:M6a.'..a.ru'1+Aw:i4Mq.b'.%' +6:uR&J,fYraM s:.W..,r,.::.'W,+v.w.k.Y:a:.wltA'••••..••.,•.•••' YYwww.+its.YiM1.M.rIA.r{.tY1Jd#rl:+.Yr"I'N:t3i:Ni+w..Ftn++w.tso.b`4M1.xln..la:Xdu'C..ew.:.:Vy.alwenY.Av.wA/'fY>W mi..y:'.W.Y iiY4aiNWr41NwMiINMM.x11Jl1RI..'1PyRM( 11Ui09111M { tlp1{N/Cri91.MYyy '. ..
:
.. ..... _....:.,,.,,,,,•..,,,.,,,.,,.,, c..nra...nurmr...,.•..•.rww r...w...w..y-.._'_..__,.:...,•ci..r. .._.......Y..•..._.,.• r..w....-.... .. -- .s.:w'.s
.r ,. ,.,,y "' ^. `_L-",.►wrac,zM.urnta./•"",.,.rs,a.tiLu .wKwn..L -............,.:«.w•.rW:w.+,-..:......._.,...r.r .,s 'arW1... - .nr...r iA..- - e'Ci'lorriLlAa
ro S0rL rFsr PIT DATA
!
GENERAL NOTES• P °
T.P. -.i � �� r.P. -2
J. THIS PLAN IS FOR THE DESIGN AND .j"NVERT FLEVA TIONS' �j„ 1y3�O p El,P. ELFV. 10 , ,- 6.P. ELEV• 112 $a
CONSTRUCTION OF THE SE1dAGE DISPOSAL
FACILITY az Y, - INYERT AT BUILDING .10` G.W. ELEV. --- G.W. ELEV.
R. ALL CONSTRUCTION METHODS AND MATERIALS INVERT IN AT SEPTIC TANK 0<9, 00 _ �' ' T6P#SDBso
FOR THE' SEPTIC SYSTEM SHALL CONFORM INVERT OUT AT SEPTIC TANK 14�O ACCEss coVS9S Nos BE !✓1171IN .12" OF FINISH ORAD2� � by Ss o yL
TO NA SS. D.E.O.E. TITLE 5 AND LOCAL I�DICn T z'
BOARD OF HEALTH REGULATIONS. INVERT IN AT DIST. BOX 1 0 ��
INVERT OUT A T DIST BOX 1 o 5,40 ,1 - `��7 �'``
3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO r� y`- _ .�
VEJ�/ICLE LOADING (I•E. UNDER DRIVEWAYS, ETC.) INVERT IN AT LEACH PIT L P 10 5.0(7 td2.00� L` c MIN, 2+ of �
SHALL BE DESIGNED TO IVI THSTAM H-20 LOADING. �oI p ,� ,o �/® -f/2 DIA. 5 f..'D 5 40---p
BOT7.0M.OF LEACH PIT qq 100 q(S.00 4 MIN. hAASHED STONE INDICATES
4. ALL SEl✓EA PIPE SHALL BE SCHEDULE 40 OR ORSEAYED 6ROUNDAATER -- LIOUID p 09SEAVED
APPROVED EQl.G4L. o DEPTH GROUND;r;1%cFl
ADJUSTED 6AOUNDh'ATER �0 DIST. Q9 �-� 3/d'-1 1/2' DIA. GV L c..o g t3LS
, �n. 1500 GAL. BOX HASHED S TO,YE -
5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE `
.f-BOO 322-4844 FOR LOCATION OF SEPTIC TAN 1A-1 o it' ��,o q ,� I�•DICA TEc
11AD 9GROUND UTILITIES. 1n'► l� rEsr PIT
6, pA TLLb+I IS 55 UM 1i a x (H-20 IF BURIED DEEPER
,7. IT SHALL REMAIN THE CLIENT'S RESPONSIBILITY LEGEND -
THAN 3 FEET.) 1 P- C 2 0 3 `_'° , � uo a r �
To OBTAIN ALL PERMITS SPECIAL PERMITS,
VARIANCES, ETC. FOR PHIS PROJECT. 50 = EXISTING CONTOUR Dlf TIE 9 23� 6
B. IT SHALL REMAIN THE CLIENTS RESPONSIBILITY
To HA YE THE PROPOSED DVaLINS FOUNDA TION 1�`_. = PROPOSED CONTOUR W c rEST p Y. o 6�L E- � � L u
DESIGNED TO ACCOUNT FOR THE EXISTING GRADE
AND SOIL CONDITIONS AT THE L 00A TION OF THE 50 = PROPOSED SPOT GRADE �� 0 1 -v,e � r✓1 I',ESSED BJf• �• Ga bJ trD 1 f'
PROPGtSE17 Dl✓EYLING• RriTE L 8 l•/1/4/ IN.
7. 140 D,Ersp mwAvoN PAS 139fW A44DE A tG7 1��115 DIRECTION OF STORM{f'ATER
ra co p�.ic wr Ti.� aD u E�-rn RUNOFF
0R zolJ)ve Zr7r Sj4.4 L L
yl�fL 0wNf.g'S RfqPok6WZ/7Y 7 Cb 0570AIAl .414 �
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