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HomeMy WebLinkAbout0024 HOLLYHOCK DRIVE - Health , 24 Hollyhock D--ve : West Barnstable ' <° �4 A— 195 028 004 b ��, i...v..s i, d :�--.-,. _-r`-'� �-�Sw sue... 4 ..y��'a*� �aii...'i y...v.._.:'iGT.w.y'w.•. 1, r ,. , � - �s4'.,.a,;.-..31•,.=-�.�Sis.e:-�:�:.+E.,,s...:--�:i`i�.a`.,�..,.�zy.:�s-. -...:�_ -�...�•-.rya-v . 0 9 4 o • �t d w i ii .i N a i .. • ,. li • . ,l '• ..l� tip. 9 i , ` e -w� t� u Commonwealth of Massachusetts N Jr_ 0,198 -1 Title 5 Official Inspection Form f. • P ? �a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments !^ f ll 7 24 Holly Hock Dr. r ,t Property Address f� Chris Snow _ ' Owner. Owner's Name information is required for every West Barnstable y Ma. 02668 10-7-20 page.- City/Town State Zip Code Date of Inspection ' .,t Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information :51# H99- on the computer; use only the tab Michael Sears key to move your Name of Inspector cursor-do not Jim The Inspector Man use the return Company Name key. P.O.Box 784 Company Address West Yarmouth Ma. 02674 City/Town State Zip Code ienan 508-364-4398 S114430 Telephone Number License Number B. Certification .l certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (3'10 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was,performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes � H OF rMgs1,i/ �i ?�� ' 2. ❑ Conditionally Passes S9oy o: MICHAEL '•;�: 3. El Needs Further Evaluation by the Local Approving Authority _o; SEARS =" No.S114430 y= 4. ❑ Fails *'r'cF!PrIF�`���o •f N S •I 10-7-20 Inspector's Sipildre Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 — I l c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments l«� 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information is west Barnstable Ma. 02668 10-7-20 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.1 1) 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: 2) 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 appoved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 <N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments >r 24 Holly Hock Dr. V� Property Address Chris Snow Owner Owner's Name information is west Barnstable Ma. 02668 10-7-20 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): , ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 iinspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of!18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form � I, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ems ! 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information is required for every West Barnstable Ma. 02668 10-7-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more.from a private-water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/2er2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information is West Barnstable Ma. 02668 10-7-20 required for every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No a ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑ ®, 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 water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section CA. 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 l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 0*18 y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information is required for every West Barnstable Ma. 02668 10-7-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for al/inspections: 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: ® ❑ Existing information. For example, a plan at the Board of Health. Determined in the field (if any of the failure criteria related to Part C is at issue ❑ ® approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form.Subsurface Sewage Disposal System-Page 6 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name, information is required for every West Barnstable Ma. 02668 10-7-20 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Description: Number of.current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage NA 9 ( Y 9 (gpd))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts IE Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information is required for every West Barnstable Ma. 02668 10-7-20 page. City/Town State. Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203). Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? El Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date I Other(describe below): 3. Pumping Records: J Source of information: August 2020 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: - t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 cf 18 I - Commonwealth of Massachusetts Q. Title 5 Official Inspection Form io Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Y� 24 Holly Hock Dr. V Property Address Chris Snow Owner Owner's Name information is required for every. West Barnstable Ma, 02668 10-7-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system El Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. Other(describe): Approximate age of all components, date`installed (if known)and source of information: 9-13-05 #2005-453 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Buildino Sewer(locate on site plan): Depth below grade: 54" feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of'i8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .�. 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information is required for every West Barnstable Ma. 02668 10-7-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 44"feet. Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 1500 gal If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal _ Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 0 Distance from top of scum to top of outlet tee or,baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? , Sludge judge, tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500 gal tank with in and out tees in place, inlet cover is 8" below grade with outlet cover 30" below grade t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts IF Title 5 Official Inspection Form `1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name required for is every West Barnstable re uiretl for eve Ma. 02668 10-7-20 page. �. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee'or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑.other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 o!18 c , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments I 24 Holly Hock Dr. u- Property Address Chris Snow Owner Owner's Name information is required for every West Barnstable Ma. 02668 10-7-20 page. City/Town State Zip Code Date-of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working;order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 16x16 H2O with 1 outlet pipe, box is at 6' with cover 8" below grade t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts �. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments • 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information is every West Barnstable z required for eve Ma: 02668 10-7-20 - page. City/Toivn State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: - ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): y * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 5 leaching galleries number: ❑ leaching trenches number, length: leaching fields number,-dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments V 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information ati is ,required for every West Barnstable Ma. 02668 10-7-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) F Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS is 5 plastic leach in =chambers in a trench pattern SAS is clean and dry with no sign of failure 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 I Commonwealth of Massachusetts �� ip Title 5 Official Inspection Form l� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •J 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information is required for every West Barnstable Ma. 02668 10-7-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 l Commonwealth of Massachusetts - Title 5 Official Inspection. Form Subsurface Disposal Sewage Dis g p System Form Not for Voluntary Assessments 24 Holly Hock Dr. Property Address Chris Snow _ Owner Owner's Name information. is West Barnstable Ma. 02668 10-7-20 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately D A rmrzh L _ G O O 3 �/� + , `�' �N 3 MICHAEL tip: w: o` SEARS No.SI14430 •FRTIF�� ' IN IIP��G\\\\\\` t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal,System Form-Not for Voluntary Assessments 24 Holly Hock Dr. u- y Property Address Chris Snow Owner Owner's Name information is every West Barnstable required for eve Ma. 02668 10-7-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 138" feet Please indicate all methods used to determine the high ground water elevation: j ® Obtained from system design plans on record If checked, date of design plan reviewed: 7-12-05 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: No ground water per plan r Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15insp.coc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 I � �� Commonwealth of Massachusetts R Title 5 Official Inspection Form I. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments / J 'v 24 Holly Hock Dr. Property Address Chris Snow Owner Owner's Name information isequire or every West Barnstable Ma. 02668 10-7-20 page. City/Town State Zip Code Date of Inspection i E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed I ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included A 8 /t/O C?eNO tP4 w9�.4- t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 0 P �19*k TOWN OF BARNSTABLE �! LOCATION R !f JO&Ae SEWAGE#�_ @� 763_ VILLAGE A) f 4AIS'162ff ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. 0-a ro SEPTIC TANK CAPACITY LEACHING FACILITY:(type) R J - FP_�;(size) �:35 f NO. OF BEDROOMS OWNERAl dioO PERMIT DATE: 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 leaching facili ) Feet FURNISHED BY `% 1' A- f - z�, o 2- - zi L -306q,o - f 97ob c 5 -q&, o -N iN� %P , 0 � 5 No. Fee, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye ' of UBLIC HEALTH DIVISION "70A OF BARNSTABLE., MASSACHUSETTS U) application for Mt ogar otem Cougtructiou Vennit Application for a Permit to Construct( V/ Repair( )Upgrade( )Abandon( ) 26omplete System O Individual Components Location Address or Lot No. Ay f f 0LjY QG Owner's Name,Address and Tel.No. 7 7 cv . *3+`li2.U�tACi[.J� "MALE- SNOW Assessor's Map/Parcel 95/ Oaf- Liar Installer's Name,Address,and Tel.No. Des* ne 's Name Address and Tel N . N�v H4 0e Na 1 s ���� �0�Al 6� ,�f/ C0.✓sT2 UGT�Q,v 491 ?13 / Type of Building: ,, Dwelling No.of Bedrooms Lot Size L/ ? sq.ft. Garbage Grinder(NO Other Type of Building W100D r',P,AaL• No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow yZ d gallons per day. Calculated daily flow �I gallons. Plan Date �"o� 0 S Number of sheets / Revision Date Title 2V tIOLG YffaC,C -Pit Vf— tl- fMiLA/3 7d,*6E Size of Septic Tank 1500 Pif1 GL6/L/ Type of S.A.S. tG t"tx-�i-G h*A91Z`c�`' Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: 'The undersigned agrees•to-ensure the constr do d n me ance of the afore described on-site sewage disposal syste in accordance with the provision's of Title 5 o r e tal ode and not to place the system in operation until appt- cate of Compliance ' I is Boar ealth Sign t Date /,,A/V e Application Approved by Date Application Disapproved or the following reaso6� IF Permit No. Date Issued ;7r.... No. �t Fee THE COMMONWEALTH OF MASSACHUSETTS a Entered in computer: Ye"s UBLIC HEALTH DIVISION=t-TOWN OF BARNSTABLE,. MASSACHUSETTS ZIpprication for MiopozaY (t�potem notruction Permit,A0 Application for a Permit to Construct( V�Repair( )Upgrade(' )Abandon( ) ©C plete System ❑Individual Components ' -Location Address or Lot No._ Owner's Name,fiAddress and Tel.No. 7 7 w� Assessor'sMap/Parcel g5/ fob o67 •. Installer's Name,Address,and Tel.No. Designer's Name Address and Tel.No. fl <Un/Sit U COS- V 3 / Type of Building: ��/1�7 ' Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder(AJcj Oilier Type of Building 4t Vd 0 o:1,4 ni r No.of Persons Showers( ) Cafeteria( ) Other Fixtures _ &8ign.Flow gallons per day. Calculated daily flow y gallons. Plan Date ' r `0 S Number of sheets I Revision Date Title 2V tl014 Y#0Ce PI)I V,6�- /V 5 7r1d1 T Size of Septic Tank / )U fi 0141 t.G Type of S.A.S.I'tA S IC Description of Soil / 7 ?l /-. 1 ENature.,of Repairs or Alterations(Answer when applicable) *� Date last inspected: Agreement: f 'lie undersigned agrees to=ensure the cons ctio -and maintenance of the afore described on-site sewage disposal syste in accordance with the provisions of Title 5 o r}e 'ronmental(bode and not to place the system in operation until a Cert 1- Cate of Compliance has beenssued"b this Boaz o 'ealth Si Date Application Approved by _ _ J Date Application Disapproved 4f tYhe following reaso ?ermit No. 11V Date Issued I 13 ` ---- oe---- 1 = ------- ------ r 1------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(✓)Repaired( )Upgraded( ) 4kbandoned( )by ?,t)/V lQ`/ H j K nJ G / at `f 116)L L `l H 0 C D/� IV aJ. ?/91< ✓5 7 LW has b ,`constructed in accordance with the provisions of Title 5 and Mr r Di s a al System Construction Permit No. "5_- .J ,dated _ 1 Installer Designer C�"10 lr The issuance of this permit shall'nat be cons ued as a guarantee that thelsyste wi f n,tion�as designed. �-- Date Inspector NO. -----;,=�-------- -------------- Fee —�4 ",1 — r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS -Migpo.5al p5tem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) If and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special condition's. r Provided:Construction mus 6e c pleted within three years of the d\�of this pe Date:_ �l7 o <. Approved'b . 3 .. ...... .. . . .. Town of Barnstable Regulatory Services ox g rY Thomas F.Geiler,Director g Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4.644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# ZOOS- Y 53 Assessor's Map\Parcel We'4' �9 S mac/ L&-oo y Designer: 5kr,� A. Lj A soy� PE. Installer: R t H Address: 132xkr 0 c Address: 10.o . G ow 5// 7Q 5hyte!- , McIts pn 6 y. Za0-6 Canstrvc/Z-7-1 was issued a permit to install a (date) (installer) septic system at Z`/ A-o c-A 0,11 4)`�,f- 46M based on a design drawn by (address) f `3t-LohmH A i Lwm _ I=E- dated 8/2/Z-oo r. (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by desi er to follow. �LI�OF 6TEPHEN ' Al.LYN (Ins ler' Si a e) v WKSOM I f�., :. No.30218 c�a Ado fi ��� SS�WjAL� \ UriM esigner's Signature) (Affix Designer's Stamp Here) . PLEASE RETURN TO BARNSTABLE PUBLIC. HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04_doc C�2003^ oO Co , ask 21:3251 Ps216 -INIF 63610 09-13-21= 05 & 1 0 % 30a DEED RESTRICTION WHEREAS, of (owners name) / tlU/1Y/fC1GG 1��. &1E_5-r MA11 s?-9/9& MA (address) is the owner of oZy 110aYHOOV 2y2; ly. Mg"z1 &P located (address) at MA (hereinafter referred to as 2J)A19R � t95 L.o7 3 ti and being show on a plan entitled "Subdivision of Land in 061 67-- �jt'�T►���� MA, Pqqmw4=a# tat �fifi9F,5 ff• �O�i �27Y �7R, et- 4; duly recorded in Barnstable County Registry of �D Q 17 Deeds in Plan Book _, Page Or on Land Court Plan Number WHEREAS, `1ffiN -5w GCS as the owner of said lot has (owner's name) agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface,Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, dee& NOW, THEREFORE, J1116- d- 3 A/00-1 does hereby place the (owner's name) following restriction on his above referenced land in accordance with his agree ent.wAb the_Tip..ogarpstable-gsard-o# eafth-whieh-restriction-shall run with the land and be binding upon all.successors in title: 1 /101-[y flOC4 PR 69AW5913Cf may have constructed (address) upon the lot a house containing no more than rdtlt (y/) bedrooms. R.. ,51VV IU agrees that this shall be permanent deed (owner's name) 1n��yr restriction affecting L07 3 located and#Nu�Yffzg aQ uls r 41� MA, and . being shown on the plan recorded in Plan Book VO , Paged r. Or on Land Court Plan For title of see the following deed: Book Id qa a Page r231 . Or Land Court Certificate of Title Number Executed a se..7 nment ,;Zt4 day of 00 S Owner's sign ure ` Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS , ss , 20_ Then personally appeared the above-named known to me to be the person who executed the foregoing instrument and acknowledged the same to be free act and deed, before me, Notary Public _._.My commission.expires: (date) deedr �- ENVIROTECHLABORATORIES,INC. MA CERT.NO.:M-MA 063 8Jan Sebastian Dr-Unit#12 Sandwich, MA 02963 (508)888-6460 1-800-339-6460 FAX(508)888-6446 CLIENT: Bayside Builders LOCATION: 24 Hollyhock ADDRESS: PO Box 95 W Barnstable MA Centerville MA COLLECTED BY: D Pennini/DA Scannell SAMPLE DATE: 9/6/2005 SAMPLE TIME: 5:00 WATER SAMPLE TYPE: New Well DATE RECEIVED: 9/7/2005 LAB I.D. #: 0509070 WELL SPECS.: 97' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria 1100ml 0 0 9222 B 9/7/2005 pH pH units 6.5-8.5 6.16 4500 H+ 9/7/2005 Conductance umhos/cm 500 107 120.1 9/7/2005 Nitrate-N mg/L 10.0 0.04 300.0 9/7/2005 Nitrite-N mg/L 1.00 <0.004 300.0 9/7/2005 Sodium mg/L 20.0 12.9 200.7 9/7/2005 Iron mg/L 0.3 0.1 200.7 9/7/2005 Manganese mg/L 0.05 0.012 200.7 9/7/2005 Volatile Organics Bromodichlorometane ug/L * 0.9 EPA 524.2 9/8/2005 2-Butanone ug/L 350 161 EPA 524.2 9/8/2005 Chloroform ug/L * 3 EPA 524.2 9/8/2005 Dibromochloromethane ug/L 1 EPA 524.2 9/8/2005 Toluene ug/L 1,000 0.9 EPA 524.2 9/8/2005 COMMENTS: pH is below recommended limit and may have corrosive characteristics. 2-Butanone and acetone are found in the PVC glue used for well construction. Levels should dissipate after use and flushing. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. ND= None Detected. <=less than >=greater than TNTC=too numerous to count Date dj� Wald J. Sa r Laboratory . ector 0„/08/2005 13:37 2069842474 NEC PAGE 07/09 New fng'tand-ChromaCherrt -- -- .6 Nichols Street Sa�lern, M-A 01970 978-744-6600 Sample Information _ EPA Method 524.2 Volatile Or anic compounds in Water Client: Envirotech Laboratory, Inc. Lab ID: 509023 Client ID: 0509070 Ba side Builders 24 Hollyhock Barnstable State: Liquid Date Received: 09/08/05 Date Analyzed: 09/08/05 Date Sampled: 09/06/05 Analytical Results Parameter Results(ug/L) Parameter Results(ug/L) Acetone ND Trans-1,2-dichloroethene ND Benzene ND 1,2-Dichloropropene ND Bromobenzene ND 1,3-Dichloro ro ane ND Bromochloromethane ND 2,2-Dichloropropane ND Bromodichloromethane 0.9 1,1-Dichloro ropene ND Bromoform ND Ethylbenzene ND Bromomethane NO Hexachlorobutadiene ND 2-Butanone 161 Isopropylbenzene ND N-Butylbenzene NO P-Iso ro ltoluene ND Sec-Butylbenzene ND Methylene Chloride NO Tert-Butylbenzene ND Methyl-tert-butyl ether ND Carbon Tetrachloride ND Naphthalene ND Chlorobenzene ND N-Propylbenzene ND Chloroethans ND Styrene ND Chloroform 3 1,1,1,2-Tetrachloroethane NO Chloromethane ND 1,1,22-Tetrachloroethane ND 2-Chlorotoluene ND Tetrachloroethene NO 4-Chlorotoluene ND Toluene 0.9 Dbromochloromethane 1 1,2,3-Trichlorobenzene ND 1,2-Dlbromo-3-chloropropane ND 1,2,4-Trichlorobenzene NO 1,2-Dibromoethane ND 1,1,1-Trichloroethane ND Dibromomethane ND 1,1,2-Trichloroethane ND 1,2-Dichlorobenzene ND Trichloroethene ND 1,,3-Dichlorobenzene ND Trichlorofluoromethene ND 1,4-Dichlorobenzene ND 1,2,3-Trichloro ro ane ND pdchlorodifluoromethane ND 1,2,4-Trimethylbenzene ND 1,1-Dichloroethene ND 1,3,5-Trimethylbenzene ND 1,2-Dichloroethane ND Vinyl Chloride ND 1,1-Dichloroethene ND M&P-Xylene IND Cis-1,2-dichloroethene ND O-Xylene IND Recoveries of internal Standards % Fluorobenzene 95 -Bromofluorobenzene 104 1,2-Dichlorobenzene-d4 1102 Method Detection Limit=0.5 u /L Electronically signed and approved by Mr, Bruce A. Bornstein, Lab Director Date:9/8/2005 Fee--4--`-�------- BOARD OF HEALTH e TOWN OF BARNSTABLE 0pptication jorVe[I Congtruction Application is hereby rpade for a permit to Constru t ( , Alter ), or R pair ( )an individual Well at: jLocation — Address Assessors Map and Parcel Owner / Ad Installer — Driller ---- —--------- ----------- -------- --Address — — ---- — — s��►1 Type of Building p� D Dwelling Other - Type of Building----------—- No. of Persons------------------------------- Type of Well— �-�e --------- Capacity--- - - — --——--- - —-- Purpose of Well---- t — -�— --- 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. S' -- -- _ /a�F —- �i date Application Approved By — --— ———— o �rD-al B - date Application Disapproved for the following reasons: ---------- — -- -- - ---- -------- --- -- ��—\\----- ---- date Permit No._��� a � — Issued—�.�-L --- -- — -- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individu I Well Con truuccted (Altered ( ), or Repaired ( ) by p In4ZI er has been installed i 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. ------------------Dated---- ------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DA TE—--- -- --- — Inspector------- - --- ------ -- '6 J' No.---------------- I � Fee-----=- --- BOARD OF HEALTH TOWN' , OF BARNSTABLE Application-*rVer[ Congtructionp.ex-M' v' Application is hereby made for a permit to Construct (dI, Alter )„or Repau ( )an indi idua1 Well at: Location — Address ` Assessors Map and Par � cel Owner v Address Installer — Driller Address Type of Building / Dwelling 4a h' 0rig/------ Other - Type of Building---- ------ No. of Persons--- --- ----- TYPe of Well— 4 - Capacity-------- ------- --- Purpose of Well---- -� f�-- ------ 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. s n -� �%---- -- — date Application Approved By — —-— <R r ' L5---- date Application Disapproved for the following reasons:-------- - - --- - ---------- date _ ��- Issued— Y - Permit No. ------ -- "date---- ------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f COMP UM F THIS IS TO CERTIFY, That the Individu I Well Constructed (,r, Altered ( ), or Repaired ( ) In tQler has been installed i 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. --------------Dated----- ----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. 1 DATE----------- - - Inspector----=-------- — -- .,l 1 ' BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Congtruct ion permit F a - No. -�--, =�- l Fee Permission is hereby granted - ----------- to Construct Alter ( ), or Repair ( ) an Individual Well at: No. —�_,�,ll A�c rr �✓'i v r /cJ �'S% � -�° J --- - - - - Street as shown on the application for a Well Construction Permit �aS No. -- ---- Dated---- -_-- -------------------------------- i , ( \ t Q�, Board of Health DATE o 201-0' �i+l' Icy (Q n � Ilnlf p(iy o ' B _pF��c in 4)) x IIIIJ ll(U) of CD :� ((5) PT•D •a9 9n BEAK ABODE rltCyl 29-V ex59 4' (l37 {f 7 ————— — -- K(OAK� I, Ir C 'o a �REAKi=AST11�) Pro 2964 PANTRY — �� (OAK) I, FAMILI' 19 C I 1(� 29 3/4°x69 3/4' (TILE) OPfl1 T I� (OAK) 6 AE'OVEMUMB LAUNDR7 �.- 4'-3• 5 5* I 23'-10 I I D. III W. 11 ROO A R)) JLL_=_JJ (TILE) ILL 7 k m I� I� r PTD 29FA 2A v CRY 24 3/4x69 4' i 1 ' PTO 29B9 -—-- (4 29 3/4'xB9 3/4' LVL FuxAi wL furN m I o 22 I i — Aib: cw � z '`LLWW (TILE) 11 �• - j ( �i o ININi 2Q I 11 4 (OAK) 10 PPD 2959 LU 4'-4- 1 1 _ 04-O•_� 2'-4_' . Ill-0' 201 3/4'xS01 4' �� I FJU- 2 � n PrD 298a I UP > U) 29 3/4'x59 4' I -- 2Q - � Z o DCYVN9TAIR5 22 MASTER ® l9 Q- A BEDRGCM .� A Z __ (OAK) 10 owm I an m n `� 8' 8• m PTV 29SR 29 3/4'xB9 --- -- --- --g --- _ 22 4-O' b-o' a-o' 0'-0' b'-o' 3'-e• la-o• 10'-0' 2'-4' 35'-(• h x 20'-0' A'-O° n 4 A5 B 0507 FIRST "FLOOR -PLANS RAWN BY: KW SCALE: I/4' I'-O' DATE: 7/2— T(ii) rK T-2' 14'-0' 14'-4' 10'-01 10'-0" Q ll eAL n Q — [ --- — r- Mill -- - -- - Ilk r o r� il ( � PTD 2969 29 3/4"X59 9/4" ZD � 2 I—JI OR T( BEDROOM #3 LOFT toI_1 (CARPET)t (Out) PTV =I (0) l_J) _ UPSTAIRS (�r� 29 3/4• 4• C�1 n� (YE], ISM } MASTER —I oo l PTO 29" BEDROOM �o v • _ 24 $ 3'-Ib 3'-8' (OAK) �o n CGI� raii' (�) 4Scs93tn 2 — ® 'o p� :,rr� L3'-10' �� .v.An. Heave PTD ('4 0 tu v D - --- LIN ' 29W 4' LIN .. � 2II �-- _ 2Q. . ._2¢1 _ - rABL pie q PTD b BEDROOM #2 ;714 2A 26 t{D_ 7 (CARPET) .. o o T_q• 1 5r-4• T-4• Z PTD 291 l j 14'-O' y UP 8'-O" Y 3 '-8' ( Q 2Q V 29 3/4Sc6q 3/4' J c4 3. Q 1�YZ 1u in 3 (�K) (TILE)I a~ tu _ — MASTER �' N � BATH -- __ (TILE) o Qe! ® Z `9 SPAMIIIIIIIH _ (� \ \ m in Q m - iti= Q m c mo Q v t o 4'-O' m 6'-0' 3'-8' 3'_8• 6'-O• m 3'-6" 10r_p. ' IOr_p• ..>3+,s' .,a ar_e. ..-,a L9'-z' -.� �� SHEs:7 35'-6 SECOND FLOOR PLAN_ M° H007 AWN KW0/0 5SCALE- 1/4" a V-0" DATE: 7/2 r 0 �� Cola ! IlIII] Ise -ME=— [_ll dill 4� r 1 (Q lT"� RECCAROOM 1 u"u lIl 2A PN n PH f wDR RWM 0 0 ��� LL RAIL k s'-o' KMM wau_ W-o' KNEE KALL �t3. Q o - Z o _ � Q 111 --- — a uj tu 0 51-IEET A7 ATTIC FLOOR PLAN JOB: aea� SCALE: 114" I'-O' DRAwN Br: Kw DATE: WrOI 5 s i' O 41'-10' t 1 r ------- ---- --------------- ------------ -- ----------------------------- P) ' ' V9 _i 1 4x4 P.T. POST '"GALV.-MTALPCST'ANCHOR -DECK 1 • 10' 'SCNO TUBE' PIER bV/ ABOVE 13'-8' Is'-O• 6'-10' 201-O' ' 4'-0' jIIIIIT f1�� 0 p 7'-1' b'-7' 4'-8' 5'-8' 4'-8' 10'-0' 10'-0' mo CJ4NTILEVER JOISTS ABOVE o � U {- r iv ' j 2 t& STUDWALL m m { io �% AT WALK-OUT -�-�-STMI!L AM � -�-- 1 'x9-9 CL7AfGRETg 4�64LLLOMI - { �� AT WALK-OUT DROP WALL TO 12'x4-9' CONCRETE WALL / o Y/ III>l wALx-out FOOTINGS UNDER 5EAMIN4 BASEMENT ''4Bx 12 CONTINUOUS o //. POINT LOAD FCOTINGS TTP� BASE MIT _ �1 (Cr� 3b•x56'xl2' #4 REBAR b'O.C. EW L--��/ M//_ZL -- v �, 0 EEL BEAM ABOVEttF) cir � -- 13'-1' f/ / 21'=10• io ✓/// / M'-6' I � /�4' 3' I 4 1/2' 1-.JOISTS � /��//r/STEEL BEAM A C_ 1D- �'T-2' 7'-5' 7' 2' i 0 3-CAR 4' C T01T'c SLAB PITC44 N TCWARD DOORS Q I 1 I I Z STEEL BEAM ABOVE---- / i'{ POINT LOAD FOOTINGS TYP. ��. : 36"x36"x12' 194 REEAR 6'O.C. EW I Y/��//� - _ -Z"Z.3. i IOSt9'�1' COIICRE7'E WALL . �! i2hc�i'y9r CONCRETE wALI.BELOW jej Lu o o cr Z ... = 1 CANTILEVER .JOISTS ABOVE Y_ � L------------------- �r ff I I O ItL o g0'x1Nl s F TING CONTI OO —_— ------ ------I I U �12'x9'-9' CONCRETE WALL BELOK -------------------------------- DROP WALL TO BLAB 77 35`-b AB GROUND FLOOR PLAN JOB: 0507 I SCALE: 1/4" 1'-0" DRAWN BY: KW DATE: 7/20/05 1 STK FND LEGEND/ABBREVIATIONS �o Leaching Area Requirements _ G DESIGN SCHEDULE ELEVATION - UTILITY POLE R D. $ 4 BEDROOMS AT 110 GPD/BEDROOM = 440 GPD = TREE TOP OF FOUNDATION 126.E p P� 6A a� BASEMENT FLOOR EL. 117.2 ADOMONAL 50X FOR GARBAGE DISPOSAL _NA_GPD - = CONTOURS GARRETTS _` a PERK RATE _ MIN. / INCH (CLASS 1 ) x 70.0 = SPOT GRADES GARAGE FLOOR EL 116.8 POND �O IP D SEWER INVERT AT FOUNDATION 144.0 LTAI = 0.74 GPD/S.F. CB = LAND COURT BOUND SEWER INVERT INTO SEPTIC TANK 113.5 FND FO U N D G� MIN. LEACHING AREA OF SAS. SEWER INVERT OUT OF SEPTIC TANK 113.2 T.O.F. = TOP OF FOUNDATION <v 440 GPD/ 0.74 GPD/S.F.= 545 S.F. MIN. ,`�' �� ,� `•� g SEWER INVERT INTO DISTRIBUTION BOX `.110.0 EOP = ED" OF PAVEMENT RD. \ so SEWER INVERT OUT OF DISTRIBUTION BOX 109.8 PROP©SED SYSTEM: SIDEWALL (12'+25') x 2 x � = 148 S.F. �.� SEWER INVERT INTO LEACHING CHAMBER +07.6 09.6 BOTTOM 12 x 25 300 S.F. EXISTING WELL BOTTOM OF LEACHING CHAMBER 448 S.F. HOLLYHOCK D R. 92 WATER TABLE NONE OBSERVED AT ELEV. 93.7 6 MAXIMUM FLOW ALLOWABLE (311 CMR 15.214(2)) (2)) 44,474 S.F. X 1 ACRE X 440 GPDGPD 40,000 S.F. ACRE 94 --' GENERAL NOTES : LOCUS MAP Scale: 1' = 2000' P�pPosm wEh�. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH \ g6 TITLE V OF THE STATE SANITARY CODE DATED MARCH 31, 1995 ANY LOCAL RULES APPLICABLE \• �'� ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING j LOCUS AREA IS COMPRISED OF: `� _- BY DESIGNING ENGINEER 1 -_____ LOT 3 0 PLAN BOOK 408 PAGE 97 goo - - WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFIWNG, ASSESSORS MAP 195 PARCEL 028-004 - \ NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT DEED BOOK 10,722 PAGE 231 FOR INSPECTION. OWNERS/APPLICANTS: JANE E. SNOW ` \\ "� ,J 102 ---- LOT 2 THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN 18 HOLLYHOCK DRIVE .� -- APPROVAL BY DESIGNING ENGINEER W. BARNSTABL.E, MA 02668 ` \ '� N/F CHRP S BOOK H. PAGE E. SNOW ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 PVC., SCH 40 ZONING INFORMATION: ---,• �._ .o =1 o ZONING DISTRICT : RF ~�� ° EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING AP - AQUIFER PROTECTION OVERLAY DISTRICT \ '�`~� --" SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5, PER Q ' RPOD - RESOURCE PROTECTION OVERLAY DISTRICT 310 CMR 15.255. CURRENT MINIMUM ZONING REQUIREMENTS - _ `;, j ,�' �'�►� PRIMARY BENCHMARK : ASSUMED MIN. LOT AREA = 2 ACRES (RPOD) '1 { __-'' �� �? / TOPOGRAPHY SHOWN HEREON WAS DIGITIZED FROM MIN. LOT FRONTAGE = 150' MIN. LOT WIDTH o \ �, F •. TOPOGRAPHIC PLAN OF LAND IN (VEST) BARNSTABLE FRONT YARD - 30 SIDE YARD 15 REAR YARD - 15 ` \1 PREPARED FOR JAMES H. DOHERTY, JR. BY ARNE ` \ 7o MAXIMUM BUILDING HEIGHT - 30 \ •• H. OJALA, RLS. SIGNED & SEALED 10-4-1985, \ \ t / • COMMUNIII' PANEL NUMBER: 250001 0015 C M `� �\ � `\\• / AND DOES NOT REFLECT ANY CHANGES IN THE TOPOGRAPHY THE FLOOD INSURANCE RATE MAP DEFINES THIS - i, \\ DUE TO THE CONSTRUCTION 4F THE ROAD. AREA AS ZONE C. AN AREA OF MINIMAL FLOODING. s8 f A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE IF DETERMINED BE PERFORMED BY OTHERS. T BE NECESSARY A 11 SEARCH SHALL 1 THE PROPERTY LINE INFORMATION SHOWN IS BASED ,moo° ON CURRENT AVAILABLE RECORD INFORMATION \\ CONSISTING OF PLANS AND DEEDS. P 800 404 PAGE �7 a --V 112 THE EXISTING MONUMENTS SHOWN HEREON WERE N/F STEPHEN H. ROWLAND 1 TAL t�ARCEL\AREA , , ; �T'- OBTAINED FROM AN ON THE GROUND FIELD SURVEY DEED BOOK 11.410 PAGE 160 $4,474t SO. FT. , • / p�• q. \ • . ti �c• PERFORMED BY BAXTER, NYE & HOLMGREN, INC. (NO WELLS OR SEPTIC ` `1.02�ACRES °% / �° . / WITHIN 150 FEET) �' 174 - . »� JANUARY 2003, AND UPDATED JULY 8, 2005. OleEXISTING SEPTIC TANK PLAN REFERENCE: t =---- I -/� • 05 -- PLAN BOOK 408 PAGE 97 1PROPOSED IAIf:-�Ql/�ITI�AF'Cl•1�(AIA� LLCR� LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND MUST 1 BE VERIFIED IN FIELD BY THE CONTRACTOR AND APPROPRIATE UTILITY EXISTING LEACH PITS f \ � 6.4 ' `� ( \O COMPANIES PRIOR TO ANY CONSTRUCTION. - - Zr. • ♦ . r fff r. NDATION t \ kx-. :: r: , .. ,'��.� � l ' 0 I CERTIFY THAT T(0 THE BEST OF MY KNOWLEDGE THE FOU \ \ r= 4 r_= �f _ ; $.:.. . . <_ r EXISTING SEPTIC SYSTEM LOCATION IS APPROXIMATE AR STABLE \ ► .�,��,�..,..�f� � . �� ;�. ., �_ �� �F. : r r L«t 1 I COMPLIANCE WITH THE APPLICABLE B N � . , �;��, �� ..� .,r,�,; ..n: -� � 3.07 SHOWN HEREON IS I N C U CE l ib \\ •� a3 I j / I , PER INSTALLER'S CARD PERMIT #86-440 ON RECORD AT THE BARNSTABL.E � �� ZONING DISTRICT SIDEUNE AND SETBACK REQUIREMENTS, IS #f F" r I `� 0000, LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS NOT BOARD OF HEALTH. ' \ LOCATED (THIN A SPECIAL FLOOD HAZARD AREA. PROPOSEIr _,�• 7} { PAVED �' \ t �t .ti PROPERTY LINES. �-r��" �� _ THIS PLAN IS NOT TO BE RECORDED NOR :IS IS IT 70 BE USED TO ESTABLISH PR � r >:���,r,� • _{ r � r r ` { CB FND �c t r _Q . .v +► - 2- 2ar�s ABOVEJQ 2 ss I REGI ED ROFESSIONIAL LAND SURVEYOR DATE I to SOIL LOGS DATE: JULY 1 ,2005 EOP P#=P 11,034 r f t 1 i 1 6.4 1 6.4 1 i i CB FND \ SS�ONAL SOIL EVALUATOR: STEPHEN A. WILSON, P.E. TEST PIT 1 `r r r 1✓ BOARD OF HEALTH AGENT. DON DESMARAIS PR �� ;�. ' ' r ' t � ,� 24 Hollyhock Drive TEST PIT 1 TEST PIT 2 G.S.E. = 105.2't G.S.E. = 107.2t M °,' 60.55 , CB FND L�6.89. ,I W. Barnstable, Massachusetts 0 A 0 AP \ N 74'4943" Iw Rsi �� ' SANDY LOAM SANDY LOAM i r r , a - 1, , so.po oo PREPARED FOR i r t 1 4 r t C R0• 1 - Christopher & Jane Snow 6" 10 YR 3/2 7" 10 YR 6/2 �� rr , !, ; �` tt li Z,,S, .0' \ CB FND p B B �� ,' ,' I ' , , 1 .�, t !"� 1AIN•i � EDP �r l SILTY LOAM SILTY LOAM ,� ' r' � � r� • 0�� ��,1► � � ► � ' � - I i 5 18" 10 YR 6/5 20" 10 YR 4/1 �� �'r ri j �•' / ` E 1 II i,�. \, „� TITLE w C 1 HOLLYHOCK DRI VE "• A. 1 1 % r / ,•� - I tt ti� EOP 50' HIDE PUBLIC WAY /�' �► �G Septic System Plan STONY TILL STONY TILL r, I I �,• tt It I 32" 10 YR 6/6 30" 10 YR 6/4 ��/ �' % t\ ��..�• i tl t 4 TBM: TOP OF CB o C2 COMPACT MEDIUM C2 COMPACT MEDIUM ' /r t \ , / o '� i J ' EL- 124.33' SAND W/ STONES SAND W/ STONES ,,, , r' FND �y J.K. HOLMGREN ENGINEERING, INC. / t t ,/ / �> % ; ' S 74 49 43 E 138.33 CB FND 2 0 " 10 YR 6 4 126" 10 YR 6/4 / i l t / i' i ,' 0 138 DH FND 341.09 79.22 N No WATER aacolx�raREo No WATER ENCOUNTERED ^�; ,, ' ,moo � 43' W CB FND BA►��TER,NYE&HOLMGREN N 7�C54 07•,W N 74'49' PERC o 56 PERK o 5s• o Registered Professional Engineers and Land Surveyors Go RATE- <2 MW/W RATE- <2 WN/IN ���----1� / %' ,� : .� N/F TOWN of Eil1RNSTABLE CONSERVATION 812 Main Street, Osterville,Massachusetts 02655 DEED BOOK 7.082 PAGE 97 Phone- (508)428-9131 Fax - (508)428-3750 CONSTRUCT ACCESS TYPICAL SYSTEM PROFILE 0 PROPOSED TOP TO ANK TO�EART INLET NOT TO SCALE - •e F.G.- 124t - F.G. 116t OF FOUNQAl10N WITHIN 6 FINISH GRADE 20 0 20 40 0 126.E INSTALL ONE INSPECTION PORT TO 6 BELOW GRADE 12' , N0 ~- FINISHED GUM OVER TANK = 116t FWSIED GRADE OWN D. BOX - 112t SCALE IN FEET i �•.•- .. FI / NISHED-� . . GRADE OVER LEACWNG 1ROVCH � 1 f Ot 112f cn '.. 8'Ii1W. . ' , -• 3 ( " _ \ FNISHED GRADE SCALE. 1" = 20' I _ XI COMPACTED FILL 0 4" SCH. 40 PVC - 4' SCH. 40 PVC FIRST 2' (10 BE LEYEL) 9" (min) Cover 36 MAX.-9 MIN. \ / / \ N \ \� j ICAL) - 0 2.01G then O 2.07r 36 (max) Cover 32' DATE: 8/2/05 - •e•(Iprl. 2 OF P� - min - O 2.Ox 10 > , - 0 BAFFLE _ 6' SUL,IP „ 4" SCH. 40 PVC Pea�stone/8"to1/2" tEAG�ING 3/4" TO 1 1/2 " -�:` a;<i "'-:3/4"-1.5" WASHED•STONE-,, - ,.. Un 117.2 ;. %-: �,_ 24. DOUBLE 12' ,.� -rr •• EFFECTIVE WASHED STONE ;':' ,_;• =_' =_'- . C- /.d.CHED /� DEPTH 1 1 .•►- ..S• .I Nr�+yi•1 w'♦ 1• f•�Y l:w .4 •\ • •. I I 1 0 J. REINFORKV '! STONE L 4� PVC a. ••-I...�:•.a• z ♦ti-. t� �� :i\ •;. �1•.•ti'j�y1 •t:.f•iy J FOOTING - . s ..• . ..f.. 0 . s•:-; •;L, ,.s :.,..... •- .N• ;t•.r ,--� 35 NO. BY DATE REMARKS o -_= NO SCALE. DRAWING NUMBER N 0 1500 GALLON SEPTIC TANK DISTRIBUTION BOX 5' MIN PLASTIC LEACHNG CHAMBER DETAIL PLAN OF LEACH CHAMBERS o: 2003 03-oos suRv wrksnt 20o3-ooswS.dW oN TO BE WALLED ON A LEVEL STABLE BASE TO BE WALLED ON A LEVEL STABLE BILSE No Groundwater Observed O Sev. 93.7 I NO SCALE 2003-006 i 1 - _ tea. e 1 • �O STK FND Leaching Area Requirements LEGEND/ABBREVIATIONS G DESIGN SCHEDULE ELEVATION � = UTILITY POLE D. $ o, TOP OF FOUNDATION � 126.6 4 BEDROOMS AT 110 GPD/BEDROOM = 440 GPD = TREE P P 6A BASEMENT FLOOR EL 117.2 ADDITIONAL 50X FOR GARBAGE DISPOSAL _NA.-_GPD ,o� — = CONTOURS GAR R ETTS — x 10.0 = SPOT GRADES �- GJIRAGE FLOOR EL 116,8 PERC RATE _ � MIN. / INCH (CLASS 1 ) POND �O IP D SEWER INVERT, AT FOUNDATION 114.0 LIAR = OJ4 GPD/S.F. CB = LAND COURT BOUND G�� SEWER INVERT INTO SEPTIC TANK 113.5 FND = FOUND MIN. LEACHING AREA OF SAS. g SEWER INVERT OUT OF SEPTIC TANK 113.2 440 GPD/ 0.74 GPD/S.F.= 545 S.F. MIN. T.O.F. = TOP OF FOUNDATION SEWER INVERT INTO DISTRIBUTION BOX 110.0 EOP = EDGE OF PAVEMENT SEWER INVERT OUT OF DISTRIBUTION BOX 109.8 PROPOSED SYSTEM: SIDEWALL (12 +25) x 2 x 2 = 148 S.F. F?D. �' 9 0 _ _ SEWER INVERT INTO LEACHING CHAMBER 109.6 BOTTOM 12 x 25' = 300 S.F. O� �`•`� moo- ExIsnNG wEl� BOTTOM OF,LEACHING CHAMBER 107.6 448 S.F. HOLLYHOCK D R. - WATER TABLE: NONE OBSERVED AT ELEV. 93.7 92 __ MAXIMUM FLOW ALLOWABLE (311 CMR 15.214(2)) 44,474 S.F. X 1 ACRE X 440 GPD = 498 GPD �� 94 ��� I ;1,, „I I ,, ,,�, � ,. ,! 1 1 f I 1,. 4ID,D00 S.F. ACRE I , . I GENERAL NOTES : PRQPOSELOCUS MAP Scale: 1 = 2000� ° " ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH \ g6 TITLE V OF THE STATE SANITARY ANY LOCAL RULES APPLICABLE. CODE DATED MARCH 31, 1995 LOCUS AREA IS COMPRISED OF: �� \� - 98, l�� - ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING _-" �`' BY DESIGNING ENGINEER LOT 3 O PLAN BOOK 408 PAGE 97 \ - '� goo WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFlWNG, ASSESSOR'S MAP 195 PARCEL 028-004 - NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT DEED BOOK 10,722 PAGE 231 ` \�, \ `�• FOR INSPECTION. OWNERS/APPLICANTS: JANE E. SNOW ��\ 102 LOT 2 THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN 18 HOLLYHOCK DRIVE W. BARNSTABLE; MA 02668 �� _ PLAN BOOK 408 PAGE 97 APPROVAL BY DESIGNING ENGINEER N/F CHRISTOPHER H. do 44NE E. SNOW ZONING INFORMATION: __ '. �'. -- .o ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC., SCH 40 ZONING DISTRICT : RF •��\\ _ \\ C_` -� EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING AP AQUIFER PROTECTION OVERLAY DISTRICT SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5', PER RPOD - RESOURCE PROTECTION OVERLAY DISTRICT It j J0? ��' 310 CMR 15.255. CURRENT MINIMUM ZONING REQUIREMENTS - ; % /' r'� PRIMARY BENCHMARK : ASSUMED MIN. LOT AREA = 2 ACRES (RPOD) h TOPOGRAPHY SHOWN HEREON WAS DIGITIZED FROM MIN. LOT FRONTAGE = 150' MIN. LOT WIDTH = - a `� �� / '�� ?�• T OAVRAPHIC PLAAr OF LAND IN (IrES'T) BARAWTABLE FRONT YARD = 30' SIDE YARD -= 15' REAR YARD = 15' °' \ �� + �� � •' PREPARED FOR JAMES H. DOHERTY JR. BY ARNE MAXIMUM BUILDING HEIGHT = 30' ' 700 H. OJALA, RLS. SIGNED & SEALED 10-4-1985, �\ \ \� l\ • • ' •• AND DOES NOT REFLECT ANY CHANGES IN THE TOPOGRAPHY COMMUNITY PANEL NUMBER: 250001 0015 C DUE TO THE CONSTRUCTION ..OF THE ROAD. THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, AN AREA OF MINIMAL FLOODING. g to N \ \ �` • M \ s8 � �/ A TITLE SEARCH HAS NOT BEEN-PERFORMED FOR THIS SITE. IF DETERMINED TO BE NECESSARY A TITLE SEARCH SHALL BE PERFORMED BY OTHERS. / THE PROPERTY LINE INFORMATION SHOWN IS BASED �\ ON CURRENT AVAILABLE RECORD INFORMATION \ ` ��• • s' ` CONSISTING OF PLANS AND DEEDS. 112 ----� P BOO 40'$ PAGE 'R7 �� l � a N/F STEPHEN H. ROWLAND \ TAL F�ARCEL� AREA ` • •'• p ao, �ti�• THE EXISTING MONUMENTS SHOWN HEREON WERE �. • .° / ~ OBTAINED FROM AN ON THE GROUND DEED BOOK 11,410 PAGE 160 �4 474t SQ. E?. / of• � A. � FIELD SURVEY NO WELLS OR SEPTIC ` 1.02 ACRES\. ' • o`� ,�o� • ,� • • �g PERFORMED BY BAXTER, NYE & HOLMGREN, INC. WITHIN 150 >14 _ \ \ tax JANUARY 2003, AND UPDATED JULY 8, 2005. FEET) � E10STING SEPTIC TANK ` /_ /, , ► -2 - 05 PLAN REFERENCE: ` \ \` , �- -- ---- / PLAN BOOK 408 PAGE 97 776 �� \ \ \ \ I PROPOSED / `1 ° I' , / -- _ •_ - UTILITY INFORMATION SHOWN HEREON: r. ,� • \ ,� ABOVE/ LOCATION OF UNDERGROUND UTIU77ES ARE APPROXIMATE AND MUST BE VERIFIED IN FIELD BY THE CONTRACTOR AND APPROPRIATE UTILITY un3?�,�k '` zFr I EXISTING LEACHI PITS O \ \ ` �47f1 `. .+,{...'`- tFtSa;d y�.'ss =,-V �r ,n' " 3t aY.� / 11�6.4 r O ;. � COMPANIES PRIOR TO ANY CONSTRUCTION. � ��,�- '� ����..�, .. �,.. ,, �, ,,- ��,,.,, , , ,`i � 1 CERTIFY THAT TO THE BAST OF MY'KNOWLEDGE THE FOUNDATION _a. <, , EXISTING SEPTIC SYSTEM LOCATION IS APPROXIMATE #�{ � � L.�113.0 SHOWN.HEREON IS IN COMPWANCE WITH THE APPLICABLE BARNSTABLE OXIMATE ry�-tG�F 4�,f .�. �3..,.- ,'�4�,_., �.. .:�r.. sx-3 , �' ' �^ l f I ' PER INSTALLERS CARD PERMIT 440 ON RECORD AT THE BARNSTABLE ��� � ZONING DISTRICT SIDEWNE AND SETBACK REQUIREMENTS, IS _ �- �`� • \ � '"" LOCATED IN RELATION TO) THE MONUMENTS SHOWN, AND IS NOT BOARD OF HEALTH. � ', t ;t R.*���� i r / i i \ LOCATED WITHIN A4 SPECIAL FLOOD HAZARD AREA. � .k, .. rr PROPOSED PAVED E \ F 1 1 `° THIS PLAN IS NOT TO BE RECORDED N(DR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. \ III � -•T-- CS FND \1 � \\ � .. ,; � �•4� � �. 1��.= i I / ' , � it'ti' i3- 2- �S o� o ABCIV€ i °t � z i r , Ike F�ID pry JQ SOIL LOGS DATE: DULY 12,2005 RE q ED, ROFESSIONAL LAND;-SURVEYOR,_ DATE EOP P#=P 11,034 l 1 i ; , ' 4 \ �� �ck'P'cASTty% SOIL EVALUATOR: STEPHEN A. WILSON, P.E. i TEST PIT 1 r .4 1 8.4 1 r i CB FND \ FSS�ONAL ► � T AGENT: DON DESMARAIS ► ' ' 8 BOARD ,OF HEALTH , , , Q TEST PIT 1 TEST PIT 2 2 3 _ 24 Hollyhock Drive G.S.E. = 105.2't G.S.E. = 107.2f " • / r tr:. i \ p f. D CB FND o A o AP , I : �r , 1 1 V410111111111, -�6.89• W. Barnstable, Massachusetts ti N 74 49.43" W R=130, L.3 9 SANDY LOAM SANDY LOAM / � � � , , � � 1, \ 00 pp PREPARED FOR 6" 10 YR 312 7" 10 YR 6/2 % + 1 t� •A 11 �, ` f.3 CB FND 1t p• B e f 1 x , ►-��,,,•; E0P �c,�, Christopher & Jane Snow SILTY LOAM SILTY LOAM I 18" 10 YR 6/5 20" 10 YR 4/1 �,,�� �� r' j / 1 ;�/ / i , i ��. � , � / �=-1 i 1 I � 4 �p � TIRE —�� ��4 `; EaP HOLLYHOCK DRIVE o 4� • �, Septic System Plan STONY TILL STONY TILL f - ��`� 10 � � r I � � , 1 - ! \ �, 50 HIDE PUBLIC WAY n 10YR66 " 10YR614 32 / 30 N �'`°c �\ i I IBM: TOP OF CB • � 0 2 COMPACT MEDIUM 2 COMPACT MEDIUM / �p SAND W/ STONES SAND W/ STONES ,,� ; �� .�-� oe / .; % r ; CB FND '' t$ J.K. HOLMGREN ENGINEERING, ,� , �.� , ; S 744943 E 138.33 Ca FND 2 O GINEERING, INC. C 138' 10 YR s/4 126" 10 YR 6/4 ,' DH FND ; ' ; .' ,� �' 341.09• �' 70.22• BAXTER NYE&HOLMGREN N N NO WATER ENCOUNTERED NO WATER ENCOUNiEtiED �� �o ��/ N 74'84'O7",,MI I N 7,9449*430 W CB FND ' � PERC o 5s PERC o 5s ., o � Registered Professional Engineers and Land Surveyors 00 RATE- <2 MWIN RATE- <2 MINIIN 812 Main Street, Osterville,Massachusetts 02655 3 ' -''----���' N/F TOWN OF BARNSTABLE CONSERVATION DEED BOOK 7,082 PAGE 97 Phone- (508)428-9131 Fax - (508)428-3750 CONSTRUCT ACCESS TYPICAL SYSTEM PROFILE MANHOLE OVER INLET o� •e F.G. 124t - F.G. 11 sf TO TANK TO AT LEAST NOT TO SCALE INSTALL ON INSPECTION OF FOUNDATION WITHIN 6 FINISH GRADE o = t26s _ 2b 0 20 40 t_ PORT TO 6� BELOW GRADE o - F>wusflED GRADE ovER TANK = 11st FINISHED GRADE OVER 0. BOX = 112t 12, SCALE IN FEET FINISHED GRADE OVER LE40M TRENCH = 110ff112* FINISHED GRADE ._ �_ \\ .r 8'MIN. 3• m� SCALE. 1" = 20' 0 4" SCH. 40 PVC - C - - - - ) 36"MAX.-9"MIN. / / _ 9 min Cover COMPACTED FILL 3 ;. 4 SCH. 40 PVC FIRST 2 (TO BE LEVEL) (TYPICAL) �, 0 2.07i then 0 2.0>< 36" (max) Cover 32 DATE: 8/2/05 - , L2 min - 2 OIF P� 1 --- - -- --- - - - f O 2.Ox - py� > =~ 10" q 11� s• SU� 2"Layer 1/s"tot/2" _ 4" SCH. 40 PVC + 3/4` TO 1 1/2 " ..,. ,•�<., BAFFLE . . ,,� y Y Peastone `: 3/4"-1.5' WASHED STONE,:- j17 f- .-: ,-•: 24" DOUBLE *. '• ' cn '- �r •- EFFECTIVE :.. 12 s. CRUSIED WASHED STONE ..' . 0 REWFORCED L /yyy� III � FOOTWG �. L a. s= J1vnc --�i..s... :..-:; ... : :..�r.,•=C. f '•-+'•y'.:..a�• N0. BY DATE REMARKS DRAWING NUMBER -,:- 0 - NO SCALE N 15W GALLON SEPTIC TANK DISTRIBUTION I3Ox �• MIN PLASTIC LEACHING CHAMBER DETAIL PLAN OF LEACH CHAMBERS o: 2003 03-006 SURV wr-ksht 2003-006ws.dw j TO 8E WSTALLED ON A LEVEL STABLE BASE TO BE WSTALLED ON A LEVEL STABLE BASE No Groundwater Observed O Elev. 93.7 No SCALE 2003-006 o i