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HomeMy WebLinkAbout0025 JOSIAH'S PATH - Health 25 Josiah's Path West Barnstable / A= 109-015 - 011 o i) 1 TOWN OF BARNSTABLE LOCATION .�S�c/oS/�9Li '3 PrG SEWAGE # 200L-22,-!� VI1,LAGE W,455T (��r�Sll���r ASSESSOR'S MAP & LOT /0 CIS 01� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /,Sbo Ggl LEACHING FACILITY: (type) l2 'A/44 rors (size) Z 521 -Y y+NO.OF BEDROOMS -3 BUILDER OR OWNER- ,rF�r .PE .r ?3 '"05� COMPLIANCE DATE: �—�7' OS' Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility . Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist -_--.'-within 300 feet of leachi g faci 'ty) Feet Furnished by t k.Gto� y1AY sl�NisoT 0 's ' I j Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Ricky L. Wright use the return Name of Inspector key. B & B Excavation, Inc. r,b Company Name 14 Teaberry Lane Company Address Sandwich MA 02563 City/Town State Zip Code 508-477-0653 S14595 Telephone Number License Number I B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: VE ® Passes ❑ Conditionally Passes ❑ Fails! �f 4�'r ❑ Needs Further Evaluation by the Local Approving Authority 4 t 6/28/11 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. I ""This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Se ge Disposal System•Page 1 of 17 r { a Commonwealth of Massachusetts W Title 5 Official Inspection Form _ o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 'M 25 Josiahs Path Property Address Trish & Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Josiahs Path M Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Josiahs Path M Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply k ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W.Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M0 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d n/a 9 ( Y 9 (gp ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitarywaste discharged to the Title 5 system? ❑ Yes ❑ No 1 9 Y Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 25 Josiahs Path Property Address Trish & Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Lt5m. 9/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1M 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Tank is original to house leaching upgraded in 2005 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: >20feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in good shape no signs of leakage or blockage. Septic Tank(locate on site plan): 6" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 5.8x5.8x10.6 Sludge depth: 6" t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 32" Scum thickness no scum Distance from top of scum to top of outlet tee or baffle no scum Distance from bottom of scum to bottom of outlet tee or baffle no scum How were dimensions determined? scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection tank appeared to be in good shape concrete baffles present no sign of back up. Recommend pumping tank. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 10 25 Josiahs Path M Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At time of inspection d-box appeared to be in good shape no sign of leakage or carryover. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is W Barnstable MA 02668 6/28/11 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 12 infiltraters25'x18'4"x16" ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At time of inspection leaching appeared to be in good shape no sign of staining or hydraulic failure.Water level was 1 foot below invert at time of inspection. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 • Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 'M 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 . Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent.reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately geoN-r' 4 c O 0 0 A3 a 0 ' A2- $ 1 = I r7 ' t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 • Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 25 Josiahs Path Property Address Trish & Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: >12feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 25 Josiahs Path Property Address Trish &Jeffrey Neville Owner Owner's Name information is required for every W Barnstable MA 02668 6/28/11 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 No. ;u) 5 _ _ Fee / U — THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Z(ppfication for lgigool by.5tem Con5truction Permit Application for a Permit to Construct(ram Repair(e_)JUpgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. , 05 i K`J e 7 Pik y'Lj Owner's Name,Address d Te).No. cvrpl �3�gnsr� /r� ✓>�FFr�z Vf///_ Assessor's Map/Parcel y Me Installer's Name,Address and Tel No. SOS"4,'20— 47 f—18 Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 2r�S'1��o1 �j_='���/l�iCi �/= SX%�,,S— Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by thi Board of Health. Signed Date Application Approved by ` 4 A Date r tl Application Disapproved for the following reasons Permit No. 2U���2,2 S� Date Issued S d ————— — e —————————————— No. ���— o?�,S � F� .:._rr Fee /a U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS 2ppricatiori for Mi5pogar p tem Construction Permit Application for a Permit to Construct(C-Repair(4--)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Addressor Lot No. r+ •�� r�1 Ow er's Name,Address and Tel.,No. cvrsr hr` Jsr� /bar_=4,lz Assessor's Map/Parcel Installer's Name,Address and Tel No. S0�Y.y�� 'Y7� Designer's,Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other . Type of Building No. of Persons Showers( )'Cafeteria'( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. .3 Description of Soil Nature of Repairs or Alterations(Answer when applicable) �5'1 �! � r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Boar. of He th. Signed �*" °�" Date , v e � 3 ' -- Application/Approved by <--� 'M-• - Date US • Application Disapproved for the following reasons Permit No. U°5 ' a Date Issued THE COMMONWEALTH OF MASSACHUSETTS, z BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,,that the On-site Sewage Disposal System Constructed (4- ) Repaired ( Upgraded ( ) Abandoned( )by J 43 g 41 0-c o- n e*-&S at 2 3 05 t 44 s' has been constru_ct/�.d in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. . Oo S`a?r dated 3/ �oSC�`''y � /„5`�ry a� Designer Installer g �✓ � The issuance of this-permit shallgot be construed as a guarantee that the system�t R unction s designed�l�` Date `) lr.��� S Inspector No. ��� ° Fee /Jd THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Digogat *pgtem Construction Permit Permission is hereby granted to Construct( 4")Re alf(4`'),Upgrade( �bandon( ) System located at e!0,51 �/'Is _1 �`rl' L% T 4I^I7f rif4 ' / . and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to y.. comply with Title 5 and the following local provisions or special conditions. Provided:Construction-must be completed within three years of the date of t is permit! Date:_ ✓ I ��S' Approved by 0, a, t ,V Town of Barnstable , P# ° 37 of 1He row o Department of Regulatory Services Date )ARNSTAaLE. = Public Health Division y MASS. 0�` 200 Main Street,Hyannis MA 02601 03q,. 10 AlfO MA't A Date Scheduled _L_ 1h, Fee Pd. t� /� � Time . Soil Suitability Assessment for Sewage Disposal Witnessed By: Performed By: LOCATION & GENERAL INFORMATION Owner's Name p V,'Ile Location Address N Address i Engineer's Name Assessor's Map/Parcel: y l U l -0I 5--0 t I NEW CONSTRUCTION I REPAIR Telephone# I�S� y�t-�V•i "�o) Surface Stones Land Use Slopes( Distances from: Open Water Body -21C-U ft Possible Wet Area_2-J-1—0ft Drinking Water Well 7 i n ` ft Other ft Drainage Way 7 � _ft Property Line SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to.holes) , a 11 6zM.� QQ 40-Fe-z Parent material(geologic) 0-J t U-rc, Depth to Bedrock t t Weeping from Pit Face / -/rl Depth to Groundwater: Standing Water in Hole: P h Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: in. Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level— PERCOLATION TEST Date 6 CQ Oq Time (O—I ( Observation Time at 9" (5) Hole Al Depth of Perc S Z`(Qy Time at 6" �0 'L[ i U Start Pre-soak Time Q End Pre-soak LZ Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Pubic Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first no the Barnstable Conservation Division at least one(1)week prior to beginning- Q:HEALTH/WP/PERCFORM DEEP OBSERVATION HOLE LOG Hole P. Other Depth.from Soil Horizon Soil Texture Soil Color Soil Surface(In,) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Conslsttnav %flravell.. . �i S74 DEEP OBSERVATION HOLE LOCH Hole# `Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling .(Structure,Stones,Boulders. Consistency.%Gravel) C; C.S l0 y��1 3 .s(- L-0 YrL S797 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface from (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv %Gravel) DEEP OBSERVATION HOLE LOG Hole# Soil Texture Soil Color Soil Other Depth from Soil Horizon (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Surface(in.) Consistency.%Gravel Flood Insurance Rate Man: Above 500 year flood boundary No Yes Within 500 year boundary No/� Yes NM Within 100 year flood boundary No _ Yes De th of Natural) Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I cer that on 119 tify (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required trai ' ,expertise and experience described in 310 CMR 1.5.017. e. ` tplot-( Date Signature Q:HEALTH/W P/PERCFORM a Town of Barnstable . '"` Regulatory Services s Thomas F.Geiler,Director NAM Public Health Division i Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# _&V S-ZZ25!�'_Assessor's MaplParcei 10� —o L S—01 k Designer: �C�.� Cl � _ Installer: S CSea`S � SJ Address: )Z C�z 5-S- _,tw Address: VV-1� On _ was issued a permit to install a (date) (installer) septic system at 2 based on a design drawn by (address) dated (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 designer to follow. d ��P��N OF MASs9 � Oy e PETER Z WENTEE Installer's Signature) CIVIL No.35109� �O,r 9FGISTEP'° /0N okk (Designer's Signature) (Affix Designer's Stamp Here) PLEASE HETUM IQ JJ,&MSJAJ!LE PUBLIC HEALTH DIVISION, OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FQBN AND AS-BUILT CARD ARE UCEIVED BY THE BAIBNSTABLE PUBLIC UEALTH DIVISIQN, THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04-doe TOWN OF 8ARNSTABLE LOCATION VOS/�l9 '.3' P�'1�! SEWAGE # 00,S VILLAGE,ryGST ew'eSTl4�//� ASSESSOR'S MAP & LOT /oQ- INSTALLER'S NAME&PHONE NO. J'40 Y20-4�3� SEPTIC TANK CAPACITY 1119 Gil LEACHING FACILITY: (type) /'I '�-24 �� ram 1'0�� (size) NO.OF BEDROOMS 3 BUILDER OR OWNER Z/i,�'�� `BERMTTDATE: S= 3 - 05— COMPLIANCE DATE: Sly?' OS� Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching'Facility(If any wetlands exist , within 300 feet of leachi g fac ty) Feet Furnished by VON .SiylwtSor 30 � � I d N tSA AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION .ZJ V105/w`i 'S PVr SEWAGE# 7ooS— 225" VILLAGE ovGST ASSESSOR'S MAP& LOT /0 9- m/S�O J/ INSTALLER'S NAME&PHONE NO, fd$' Y20-f 7,19' SEPTIC TANK CAPACITY /,SbO G#1 LEACHING FACILITY: (type) l2 •H•2o Tir�/P�ro/'9 SX(size) Z 1J,Y 0.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: S"- .23 - OS_ COMPLIANCE DATE: Sv.27" OS' Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachi g faac�'ty) Feet Furnished by � y T G r � l a� http://issgl2/intranet/propdata/prebuilt.aspx?mappar=109015011&seq=1 6/28/2011 . Z TOWN OF BARNSTABLE LOCATION lot /�1 ��/e '`4A SEWAGE # VILLAGES lurti ��• ASSESSOR'S MAP LOT`0 D ® � INSTALLER'S NAME & PHONE NO. �9;SEPTIC TANK CAPACITY ®' LEACHING FACILITY:(type) /c'� /D� (size) X lo NO. OF BEDROOMS. 3 !PRIVATE WELDOR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No J — t • 1`P No.......!..!...r.. Fmc THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......TOWN...............OF...... .(`BA STABLE' ------------------------------------ Appliration for Disposal Murks Cnoustrurtion Vrrmit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at �_ ...............................-Josiah' s Path •14 Lp ltn-AT ess Lo �o Bull weHomes &oute 6A - #109'f.O rewster,MA 02631 ......................----- ----- ---•--••--•-•-----•-•-•--......--------.._... f _.._.._...._......-•--•---•-••-•----••-•-••--- •--...._....... ✓^ Owner ress ... . -----_..._. Installer Address Type of Building Size Lot..... 308 Sq. feet Dwelling—No. of Bedrooms............Three_-__.__ ._Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------•----------------------------------------•---------•--------...---------------------------••-----------••-•----......__••---- W Design Flow........................5.5................gallons per person per day. Total daily flow..............------------------------- 330 .....gallons. WSeptic Tank—Liquid capacity_1000gallons Length................ Width................ Diameter--.---_.-._-_.-- Depth................ x Disposal Trench—No.................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________ ------ Diameter......... Depth below inlet_._...__6_________ Total leaching area 266.4�q ft. Z Other Distribution box (g) Dosing tank ( ) . '-' Percolation Test Results Performed by.......---D oy l e Engineering Date....__6/6/91 a 1_42 minutes per inch Depth of Test Pit l ...... Depth... Depth to ground water None 4 Test Pit No. 1.......<..__. (i Test Pit No. 2....<_.-.- _minutes per inch Depth of Test Pit ...13........ Depth to ground water None _ a •-•••-•••-•-----------------••••••••••••--••-•-•----•-----•••---------....--•-•--•--....._•-•----•--•-----•-••--••--•-----•-•--••-•••----•.....•-•---....- 0 Description of Soil......._0........3A"-.Top___&_-_subsoil, 30" 156 s" _Medium and, 156" — 180" v Fine sand. ( 2) 0 30" Topsoil,30" 60" Tight-_ sand,60" 156_" Tight .. compacted sand and gravel. .................-- -------- .............................................. V Nature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------•-------------------------------------•-----------------._..............----•------------------------------------------------------.......------------------....._..-----_.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T r1x-� the provisions of 'T y:1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been • ed the board of health. Signed - _27.- / matle/� ApplicationApproved BY --� --•-•-•--••--•-•----------•----...---•-•---•--------------------- `c`.e.......------------ -- Date Application Disapproved for the following reasons:------•--------•----------------------------•----------------------------------•------------------•-•----...-••- -•..................•-•------•-----------•-..........---------•-•--.....---•------...----•--------------............---•--------------------------------......----------••-----•-•------•-••------•-•--- Date Permit No........... j �-�-� ------- Issued_....... !�� T ---......-- l — ------ No.......!.......' -. ........ D:cr� FE$...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN BARNSTABLB OF............................. ................. Allp irFatiun for Dispaii al Works Tunstrurtion "rrutit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Josiah's Path 14 ................_................................................................................ _.....••------------•---............••-----•-•--------•------••--••--•--------•---•--••-•--------- Buliitin-OlssHomea Toute 6A •- U106r11;tiie_ewster,MA 02631 ......................-- -..._..... - ...._............ .......................... ------......._..--•--•---------•-•----•---•------:..--------•---------•-•-----•---•--•--•--------- Owner Address W Installer Address 49 ©S Type of Building Size Lot______________________......Sq. feet r` aDwelling—No. of Bedrooms............Thr@e_______..........Expansion Attic ( ) Garbage Grinder ( ) p-1 Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) A4 Other fixtures ...................................................... W Design Flow.....................•_5.5.....__._._....gallons per person per day. Total daily flow............... 30.....................gallons. WSeptic Tank—Liquid capacity_POO, Rons Length................ Width_............. Diameter................ Depth................. x Disposal Trench—No..................... Width.................... Total Length.........6 ...... Total leaching area.._.. . _ .__.. q, ft. Seepage Pit No-------------l...... Diameter......_..g---•-_-• Depth below inlet_._.._............. Total leaching area..... ....`�.q, ft. Z Other Distribution box (X) Dosing tank ) Do le Engineering 6/6/91 Percolation Test Results Performed by----------- -----•......-------•-•----------- --------------- Date.---- = ►� 2 ,15; None Test Pit No. 1._...._ _____mmutes per inch Depth of Test Pit_______ _ Depth to ground water..__..._..__.____ l^• Test Pit No. 2...<--_-_---minutes per inch Depth of Test Pit_�11, ......._ Depth torgf ound tea O; u � D Description of soil........ - 30"___Top & subsoils ", 156".--Medium s nd _- 156" - 180" " 4 Fine sand. _(2) 0 30" Topsoil,3��'`� ,tb" Tight sand.60" 156" Tight Gom acted sand and ravel. W ------ ............................................. -------- ----•-. -----•--•-• •-•-g- ---------- --- U Nature of Repairs or Alterations svwo> w .n applicable-------------------------------- ---------------------------------------------- Agreement: �• The undersi e4d agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provis oii!O6 11E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operatioalintil a Certificate of Compliance has b�issuy theeb'�oaard ofheealth <ySigned_.__. L�l g-2 t— // ---- ------•-----............--------•------------------• .......................... Date Application Approved BY____.__._ �"- ...__ _..'...... _..... ----------mac. .f...-.--- Date Application Disapproved for the following reasons:................................................................................................................ -----------......................................-----.......................................................................................................................... Date Perm it1No.. ....... .......... --------- Issued........ ...................... � t T r THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH Q oF... BARNSTABLE ..................._.. . i...... ................. .. . ... ................................................. (Itrlgf V544 of ToutpliFanrr THIS IS TO CERTIFY, That the_Uiuvid, Sewage Disposal System constructed ( ) or Repaired ( } by-------••-------- Installer at.------. 1 -------S ' ,.-(� has been installed in accordance with the pro is-ieLas&bf TITIE 5 of The State Sanitary Code as described in the f application for Disposal Works Construction Permit-No.._CJ.f....as_i.............. dated---------64ANTEE �.-rt./-__---------•-•._-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED ,4 A GBJA THAT THE SYSTEM WILL FUNCTION SATISFACTORY. f DATE.......................................•---........._------.._.._.......--•---_. p"actor................................. THE COMMONWEALTH OF'MASSACHUSETTS BOARD OF HIRAJLTH11$ TOWN HAiNBTAR, E ...........................................OF........................... =� ............ ........ �J NO.................... .. FEE.... .. ........... Dig os al Works Tonstr ion rrut Permission is hereby granted... _..--.-----------------------------------=--------------------•---......... ............ .. to Construct ( ) or Repair ( ) an Ind' 1 Sewage Disposal System f� W e"P atNo.....L, y---....._aQZA.e-43_S...................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No.M .---��-,` Dated.... .... _.G�............... �---------------------------------------..---------- �� Board of Health DATE......... ........................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS \ R ... .��iriinlintrrttinrlsrsirtl!?lrlpllrr�in�rnrin�l+rnr+rnnrntrrtnnr+rrrn+rnnrrnnsnmtrrn+rrrn++rnrr+r+rnrrrrnn+rtr++n++nnrenns++rr+++n+rn+r+nrrrn ttrr+urnrr+n nrn++rrr+srr nnrrrrrr rs rrrnnn r= ENVIROTECH LABORATORIES 1 _= Mass. Cert.#:MA063 `r 449 Route 130 Sandwich,MA 02563 (508) 888-6460 F CLIENT: Built Well Homes _ LOCATION: Lot 14 Josiah's Path " ADDRESS: W. arnsta e -- _- COLLECTED BY: All Cape Well SAMPLE DATE: 8/5/91 TIME: 10 APT - DATE RECEIVED: /6T9 SAMPLE ID: r- � JOB �: New Well WELL DEPTH: 109/165 z; --- — RESULTS OF ANALYSIS: z_ Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units -- — 6.0-8 5 6.58 Conductance umhos'cm 500 313 Sodium mg/L 20.0 36.9 =� Nitrate-N mgi L 10.0 0.25 Iron mg/L 0.3 0.25 r Manganese mg/L 0.05 - Hardness mg/L as CaCO 500 3 c=: Sulfate mg/L 250 ' Potassium mg/L 20.0 Alkalinity mg/L 200 _ Chloride mg/L 250 _z Turbidity NTU 5.0 � Color APC units 15:0 - -3 Background bacteria 3 COMMENT: Sodium level is not a health hazard. c =' � =x c. _ '^ YES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. c WX DATE +il Ul iiillUllilllUlllillUUl illUlll illUlilUlUllilll Ulliilllll it lul uillilliiiiiiiiiii[iiiiii+iiiiiiiiiiiiliilifliil111iUilUlllliiiiiiliiiilid�l No. —�'+�- 1--- Fee ------ BOARD OF HEALTH TOWN OF BARNSTABLE Applitat ion-*r Veil Con5truct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel ---- � c �__ � T------------ , - __---��----, o=' ------------------------ Owner Address -- --- --— --'__-- — —----------------------—------ 5! u�Sfv� _ _ Installer — Driller Address Type of Building i DwellingS,` � W Other - Type of Building No. of Persons----Z=------------------------------------------- Type of Well— /(--_ _ _ ________-__ Capacity -- ----- - - ------ - ---------- Purpose of Well-- ---------__ _----------____-- 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. Signe� �"- —_-_- --------- - ---- j --------------------------------------------- �date / T Application Approved By----- -�-------__________ --—�__ —__-------____-- —__—__ date Application Disapproved for the following reasons:---------------- -----_—__-- _ ________________ -------------------- - - ---- --- --- _-_ - --- -- - -- ---_—-_ -- - 11 date Permit No.------li`! - - ------------------- Issued---- --—--__—_ ------- - - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS Tp CERTIFY, That the Individ 1 W 1 Constructed , Altered ( ), or Repaired ( ) n �} i staller at------ W . cz has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. - -=- -i---Dated-------5"4ZA?- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------------------------------------ Inspector------------------------ ------------------------------------------------------- No. 'p15/(— Pam— % Fee-- ---- BOARD OF HEALTH TOWN OF BARNSTABLE ZippYitat ion ifor lVell Con5trurt ion permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ,e Location — Address Assessors Map and Parcel =- - -- �_ - -d�,w= - ----------------------- Owner Address AllNkell----------------------------------------------------- ----------------------------------- w.r -- i ------------- Installer — Driller Address Type of Building Dwelling S. y��-� r�ri ---------------------- Other - Type of Building -- No. of Persons-- ------------------------- T or eof Well-- -- - - - - ------ - -Type ------------------- Capacity-----------------------____-------- Purpose of Well ��s �� ���h - - — 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. ` t 1 Signe ` - date Application Approved By ,�---- f��f-'-i _- ----' �� -- � date Application Disapproved for the following-reasons: date Permit No.- - - -y ---- -- - - Issued-------------------- --- ____ - -— ---- - -— — date .Y s BOARD OF .HEALTH TOWN OF BARNSTABLE w � Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (,,-),Al ered ( ), or Repaired ( ) by--------- r '- - -- ----------------------------------------------------------- Installer at----- --------------------------------- -- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.WCf- -- Dated--------- - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------------------------------------- ------------------ Inspector-------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Veri CongtruttionVermit No. T'`- --i- -- Feet <ax------- �. ! _ Permission Is hereby granted---------------------------------�,-- �1�_ -- ____4 _____-- �-- --------------------------------------- to Construct (__ Alter ( ), or Repair ( ) an Individua Well t: No. ---------h------ - = _ It- - -�-�-' - - 0 1 vJ5 ------------------------------------------------------------------------------------ Street as shown on the application for a Well Construction Permit 1n.)�l 1 --' �� - -------- -- - Dated----- '' !------------------------------------------------ �oard of Health �. DATE - -��- -- -- -------------------- - x :.t?ilf!Fi11!ltlifPtt!ti�tlli111?1Ttillnlr!tl}t111Tti1tTT^Tt!TflRtiltflfll!tilTtflltt+i111►iPltRltt!ltttnf!I!iliti�i4f4fiSTfflttltrTlT1(iiTlTti4R1i1TtfflRtTlitTf!t(I!T!flftlnhi!!1?!f tf!!t11f1!!!!!t11?tltt!???!!1!111111t!t!ti!li?R!l/,y ENVMOTEOCH LAWRAVORIES _ Mass. Cert.#:MA063 449 Route 130 Sandwich,MA 02563 • (508)888-6460 � _y,_. i�iilt Wel] Homes _ Lot 14 Josiah'g Path CLIENT LOCATION: -� ADDRESS! — 8/5/91 10 All COLLECTED BY; All. Cape We]_1 — SAMPLE DATE; __ TIME: _. - 420 DATE RECEIVED. SAMPLE If): New Well WELL DEPTH: Lt09/165 J JOB �: - — . RESULTS OF ANALYSIS: r Parameter Units Recommended lima Result t` Cofiform bacter.a, 100 ml (MF Method) 0 0 PH PH units 6,0 5 6.58 e Conductance umhas cm St)t) 313 Sodium mg/L 20.t} 30.9 Nitrate N mg%L 10.0 0.25 r: Iron mg/L 0 3 0.25 r. Manganese ----- — mg/L 0.05 Harness mg/L as CaCO 3 500 ' 5uifate mg7 L 250 --—- Potassium mg/L — --- — 20.0 Alkalinity mg/L. 200 Chloride ----- —-` mg/L 250 Turbidity NTU 5.0 r� Color APC units 1.5.0 Background bacteria , COMMENT: Sodium level is not a. health hazard. YES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED WAX DATE yi(llylUl;liilllUUl:1l11WIUUUIUIllilUU1ll11liililUUlUl1l1i111S1i{!!f 1111t11�!!1lflUlliifi!11111ti!l1lUUAIUiililllUUllUlUitlUlUl�llUlllUli11i1UUUUlIUIUItll;liittllUL'ii�ilii}iiilliliU!!!t!!llUlllillUt�� V i . 8- 5-91 17:46 ;GROUNDWATER ANALYTICAL r 508 759 4475;# G/ 1 GmuNMATER ANALYTICAL EPA METHOD 502.2 ; Volatile Organics (GC/PID/ELCD) Lab ID: 1758-01 Field ID: Well -Project: Lot 14 Berkshire Trails ~' Q 821 C Batch: VGA-08-0821 -91 Client: Builtwell Homes Sampled: Received: 08-01-91 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Matrix: Aqueous Analyzed: 08-05-91 PARAMETER CONCENTRATION REPORTING LIMIT (u9/L) (u9/L). ,. . 2.0 Dichlorodifluoromethane , BRL Chloromethane BRL 0.5 0.5 Vinyl Chloride BRL 2.0 t Bromomethane BRL 0.5 Chl'oroethane BRL 0.5 Trichlorofluoromethane 0.5 1,1-Dichloroethene BRL 0.5 Methylene. Chloride BRL trans-1,2-Dichloroethene BRL 0.5 1,1-Dichloroethane BRL 0.5 2,2-Dichloroppropane BRL 0.5 roethene r BRL 0.5 cis 1 2-Dich lo 0.5 ; Chloroform � } BRL 0.5 Bromochloromethane BRL 0.5 1,1,1-Trichloroethane BRL 0.5 l,l-Dichloropropene 0.5 •.. Carbon Tetrachloride BRL BRL 0°5 Benzene BRL 0.5 s ` 1,2-Dichloroethane BRL 0.5 Trichloroethane BRL 0.5 l 2-Dichloropropane C BRL 0.5 Bromodichloromethane 3.0 Dibromomethane BRL 0.5 t [ cis-1,3-Dichloropropene BRL 0.5 Toluee:' .trans -Dichloropropene z BRL 0.5 1,1, 0.5 2-Trichloroethane y BRL 0.5 3 BRL ' . Tetrachloroethene : y 0.5 g 1,3-Dichloropropane BRL 0.5 s` Dibromochloromethane BRL 2.0 1,2-Dibromoethane (EDB) 0.5 Chlorobenzene BRL s 0.5 BRL Ethylbenzene 0.5 1,1,1,2-Tetrachloroethane BRL 0.5 BRL i . r . m+ -Xyl ene ' p � , � BRL r 0.5 o-Xylene BRL 0.5 Styrene BRL 0.5 Isopropyl Benzene T BRL 2.0 Bromoform BRL 0.5 1,1,2,2-Tetrachloroethane BRL 0.5 1,2,3-Trichloropropane 0.5 n-Propylbenzene BRL Bromobenzene BRL 0.5 1_ e 1 of 2 (Continued) Pag 8- 5-91 17 :46 ;GROUNDWATER ANALYTICAL 508 '759 4475;# 3/ 4 GROLlN®1l!/ATER ANALYTICAL EPA METHOD 502.2 Continued) volatile Organics (G /PID/ELCD) Lab ID: 1758-01 Field ID: Well QC Batch: VGA-821 Project: Lot 14 Berkshire Trails Analyzed: 08-05-91 Client: Builtwell Homes PARAMETER CONCENTRATION REPORTING LIMIT ( 9 BRL 0.5 1,3,5-Trimethylbenzene BRL 0.5 2-Chlorotoluene BRL 0.5 4-Chlorotoluene BRL 0.5 tert-Butylbenzene BRL 0.5 1,2,4-Trimethylbenzene BRL 0.5 sec-Butylbenzene BRL 0.5 p Isopropyltoluene BRL 0.5 Y;3-Dichlorobenzene BRL 0.5 1,4-Dichlorobenzene BRL 0.5 n-Butylbenzene BRL 0.5 1,2-Dichlorobenzene BRL 3.0 1',2-Dibromo-3-Chloropropane (DBCP) BRL 0.5 1,2,4-Trichlorobenzene BRL 0.5. Hexachlorobutadiene BRL 0.5 Naphthalene BRL 0.5 1,2,3-Trichlorobenzene BRL = Below Reporting Limit. "Trace" indicates Compounds le inWater bybPurgeland T Trap Capillary Column Limit Method Reference: Method 502.2 - volatile organic Comp US EPA Chromatography with Photoionization and Electrolytic Conductivity Detectors in Series, EPA-600/4-88/039 (1988). Page 2 of 2 I I Cn I � I 228 Main Street CHAIN-OF-CUSTODY RECORD N° 0 910 2532 GR13U 17 TER T Telephone s (508)7 ©-"4 AND WORK ORDER I Telephone(SUBj 759-4441 � ���L B , FAX 5o8-759-a475 ANALYSIS REQUEST � TURNAROUND Project Name: Firm: i ;GTWe �� ❑ Rk Sfl!/It� O STANDARD TWO WEEK ❑ o a p ,7: w F'L ash Pro}tt.^t Number. Address:'JeO 13y �� ❑ RIORITY ONE WEEK m N c c p �, s USIi BY: ❑ o m ❑ o Rush requires Praerranoemert with Ub) f 1 3 Q � o m G I Sampler Name: City I State/zip: ,�A Please FAX l� YE5 Q NO ® p p I o l7�lJN' Al Oc��G p ❑ o Q o o ❑ H FAX Number. o W ri o ❑ a ,r ry Telephone Mo p mF N " ~ m O ❑ pro,Pct Manager: BILLING, o m a ❑ a a t ❑ ❑ o F 3 ❑ w » o O O z m 13 Purchase Order No: V4 3 ❑ o ac m Q r ❑ m " r m a o "' iJ is H I INSTRUCTIONS:Use separate line for each container(except duplicates). co ❑ ❑ Preservation Filtered o a y ¢ m m a Matrix Container(s) o u�i m a m io c> I SAMPLING ❑ o m N ❑ W v m r, LABORATORY o a o a t o U ❑ m a p r SAMPLE s < o co g N()IWidER w a co w Q r ce O_ o c IDENTIFICATION w , Q E o o d i o m w w o (l.abussontyl a p O z s i x a z w .W w w H O a� .� N J — ~ O Z > J ul I r � I g I ' I a I a I ' Z Sr—H I is o I _I I I I i CHAIN-OF-CUSTODY RECORD REMARKS/SPECIAL INSTRUCTIONS Received� Shippin9iAirbill Number. Date Time Reli by S r 03 I Date Time Received by: I finquished Custody Seal QVumber. rD V Da1 Tam R Relinquished by: 9 y/� 1.0 lyyriu . [ Cooler Serial Number: j I �Idethoti .f Shipment: ess:jail ❑ Federal Express Q UPS Band11 \ I I Q �Y.r � .� EXISTING S.A.S. . 68.9' `�r, O BE PUMPED, FILLED W/ SAND AND ABANDONED.) 4U:STY.No. 25 54.a A a �3.2- Ep. EXISTING TANK ` s > d TOP OF TANK EL.=92.G INV.(OUT) EL.=91 .25± N55021'57"W f'p S.A.S. LAYOUT 307.95' STRIPOUT SEE NOTE I I-SHEET 2 v APN 109-015-01 1 � 49,307± S.F. I DECK No 25 T.O.F. - 101 .44 \,O - M n/ \ F� C� m BIT. CONC. � TP-2 � f^ DU5T. WELL DR1VE go FLOW 15a ARC FROM EXIST. WELL `G I AT 10 JOSIAH'S PATH go Z PAVED 5WALE / 91 DRAINAGE TOP EL.-91.e 92 eOTT.EL.-90. 93 DRAINAG EA5EMENT 121 CULVERT UNDER �� g5` — 100(IN A92.3 96 p �EA5EMENT 1Nv.roun-9o.3 97 sc, `cQ ® — — 99 foo 15a ARC FROM EX15T. WELL 1p1 L 1.4 1 s AT 30 J051AH'S PATH 279.G3' 50.00' 549040'08"E LOCUS MAP N.T.S. — -- 15a ARC FROM EXI5T. WELL RO�TF BENCHMARK: " rP° ° � 6q STAKE AND TACK J OS Ah1 S PAT AT 45 JOSIAHS PATH s ELEV. = 100.00 (ASSUMED) o9os � (50' WIDE) o � o tW9�(B F9, LEGEND - e= s0 e° OF Njgs °/iR° °r a 99 PROPOSED CONTOURsq�yG LOCUS ey o PETER T. SEPTIC SYSTEM. RE _/UPGRADE Ce°p 0 99 PROPOSED SPOT GRADE o Mc TEE N 25 JOSIAH'S PATH, WEST BARNSTABLE, MA EXISTING CONTOUR CIVIL 110- No. 35109 Prepared for: Jeffrey Neville, 25 Josiah's Path, West Barnstable, MA 110 EXISTING SPOT GRADE RFGlSTE� �� Engineering by: Surveying by: SCALE DRAWN JOB. NO. ROUTE TEST PIT F LNG EngineedO gfWorksad H8OO-DRou 6ARVEY GROUP 1"-30' P.T.M. 54-04 12 West r f Forestdole, MA 02644 Sandwich, MA 02563 DATE s CHECKED SHEET NO. BENCHMARK � �.�� (508) 477-5313 (508) 888-1090 7/6/04 P.T.M. 1 of 2 _ F.G. EL: 91.Ot NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:89.1 + r FOR A DISTANCE OF 15' AROUND THE TOP OF FOUNDATION (EXISTING) (EXISTING) F.G. EL: 93.2t F.G. EL: 91.Ot PERIMETER OF THE S.A.S. *. MAINTAIN 2% MIN SLOPE OVER S.A.S. i•: �. INSTALL RISERS OVER INLET & OUTLET X.4 TO WITHIN 6" OF FINISH GRADE A L =60 L -8'(MAX) O' 4" SCH 40 PVC 4" SCH 40 PVC • 14» 0 S= 1% (MIN.) 6' ® S= 1% (MIN.).) 6" EFF.DEPTH EXISTING) EXISTING INV. ELEV.=88.83 INV. ELEV.=88.66 I I ( 1500 GALLON SEPTIC TANK D-80X INV.ELEV.=88.58 r 4 x 6.25' = 25.0' INV. ELEV.=91.25t INSTALL INLET & OUTLET TEES (EXISTING) USE 3 ROWS OF 4-STANDARD INFILTRATOR CHAMBERS (H-20) IN GAS BAFFLE TO BE INSTALLED ON SERIES SURROUNDED W/STONE TO FORM A 18.4' X 25.0' S.A.S. OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL, OR EQUAL D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE SOIL ABSORPTION SYSTEM (PROFILE) ON A MECHANICALLY COMPACTED SIX INCH CRUSHED N.T.S. STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 2" LAYER OF 1/8"-1/2" DOUBLE _ 1,I SEPTIC SYSTEM PROFILE BREAKOUT ELEV.=89.1 - WASHED STONE 1 3/4"-1 1 2" DOUBLE N.T,S. BOTTOM ELEV.=88.00 / ZWASHED STONE N 12„ 3„ 2' 2.8' 3' 2.8' T- rE87' !2' 6'1HWhdmm 5' MIN. ABOVE BOTTOM OF EFF. WIDTH = 18.4' T.P. EXCAVATION OR G.W. 7g" - 34 snll ABSORPTION SYSTEM (SECTION) UNSUITABLE "C2" HORIZON EL.=83.0 N.T.S, 1.25 Side View End View VARIABLE SOIL STRATA-SEE NOTE 4 �� OF MAsPETER T. s'��y STANDARD INFILTRATORS, H-20 LOADING SOIL LOG DESIGN CRITERIA McENT E INFILTRATOR CHAMBERS N.T.B. CIVIL N N.T.S. NUMBER OF BEDROOMS: 3 BEDROOMS No. 35109 DATE: JUNE 10, 2004 SOIL"TYPE: CLASS I qF/SZF`��o SOIL EVALUATOR: PETER T. McENTEE P.E. DESIGN PERCOLATION RATE: <2 MIN./IN. GENERAL NOTES: INSPECTOR: DAVID STANTON-BOARD OF HEALTH DAILY FLOW: 330 G.P.D. DESIGN FLOW: 330 G.P.D. 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL GARBAGE GRINDER: NO BOARD OF HEALTH AND THE DESIGN ENGINEER. Elev. TP- 1 Depth Elev. TP-2 Depth SEPTIC TANK: 1500 GALLON (EXISTING) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 91.0 0 0 LEACHING AREA REQUIRED: (330) = 445.9 S.F. LOCAL RULES AND REGULATIONS. A LOAMY SAND 89'0 A LOAMY SAND 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 10YR 3/3 10 YR 3/3 74 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 90.5 B 6" 88.5 B 6'� USE 3 ROWS OF 4-STANDARD INFILTRATOR CHAMBERS (H-20) IN DESIGN ENGINEER. SANDY LOAM 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SANDY LOAM SERIES SURROUNDED W/STONE TO FORM A 18.4' X 25.0' S:A.S, FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 10 YR 5/8 10 YR 5/8 ENGINEER BEFORE CONSTRUCTION CONTINUES. 87.0 48" 85.0 4,8� BOTTOM AREA: 18.4' x 25.0' = 460.0 S.F. LL AREA:' (NOT APPLICABLE) 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. C1 C1 BOTTOM 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF M-F SAND I PERC TOTAL AREA: 756.4 S.F. THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 2.5Y 7/3 64" DESIGN FLOW PROVIDED: 0.74(460.0) = 340.4 G.P.D. GRAVEL HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. M-F SAND 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. 0-20q 2.5Y 7/3 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. 83.0/80.7 C2 96"/124' SEPTIC SYSTEM REPAIR/UPGRADE 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED SANDY LOAM TO A CONDITION AGREED UPON BETWEEN .OWNER AND CONTRACTOR. 2.5Y 5/4 25 J OS IAH S PATH, WEST BARN STABLE, MA 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 77.0 Prepared for: Jeffrey Neville, 25 Josiah s Path, West Barnstable, MA THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 168" 79.0 120' CONSTRUCTION. Engineering by: Surveying by: SCALE DRAWN JOB. N0. SOILSEngineering Work HOOD SURVEY CROUP NTS P.T.M. 54-04 RED CONTRACTOR SHALL REMOVE ALL UNSUITABLE SO " rossfield Road 18 Route 6A 11. WHERE REQUIRED, PERC RATE <2 MIN IN. ("Cl HORIZON 12 west C IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. � �� Forestdale, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET N0. AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). NO GROUNDWATER ENCOUNTERED 6 04 (508) 477-5313 (508) 888-1090 7/ / P.T.M. 2 Of 2 TOP FOUNDATION CB FND. SEWAGE SYSTEM PROFILE NOT TO SCALE IAz•7a \ X l9Z•2 7 \ R OF 1/8/8' TO TO 1/2" \ FINISH GRADE WASHED PEASTONE \ \ l 3 •o A RONS,FINES AND OF DUST IN PLACE. MIN. 2X GRADE WITHMRK•1' COVER OVER LEACHING PIT CB FND. \�\ \•\ BASEMENT FLOOR 127•I RISERS SET TO W/IN -� V OF GRADE ♦ \ \ ♦ 4 ( PVC OR C.I. I .TEES . 0 0 0 0 . Z .. 000 , 0 Ooo .. \ \ \ GALLON . o 0 0 0 0 0 . \ ♦ \ REINFORCED j�S a : 0 0 0 0 0 0 :. I�pT�= CONCRETE DIST. BOX . o 0 0 0 . a ♦ \ .. • 0 0 .. ♦ ♦ \ �I` li4•r1 \ �LErtoyt< 1M1'E•RVIoL15 SOIL FOR la' FILL_ FIRaUNA • • 0 0 o O 0 0 . .. r b' ® t;fiGHlf t4 PIT FROM Et Iz(.�l To CL •.12 4•Li TO BE INSTALLED .. . o o O 0 0 0 ... Y LOT 4 \ 3 ON A LEVEL BASE •••o o 0 0 0 0 ... pp •• o o O O n o•. , � ,�0(� SC ft. ♦ ,\ ♦ SA9 \ \ \'\ flD RRPLFjG� WITH GLEFiN CaFIRSE %RND• o 0 0 0 ..• o SEPTIC TANK :.: 0 0 0 00 0 .:: EL. Iles ! ♦ A�• M BE INSTALLED I� 10' 0.1 \ ♦ 3p . ) �(Qa �� ON A LEVEL BASE ro3/4" TO 1/2" PERVIpUS y, ♦ ♦ 1 \ WASHED, CRUSHED 4 B 3 _ ♦ 0•M. RIM EL.= 14o•Z4 MSL S LEACHING PIT 1IRTERIRL �� ,` ��l,,.••"•`\ �� STONE FREE OF IRONS,,,FINES /> v ` /t A� 2 ♦ \. ar \ ,+r''' AND D DUST IND PLACE (1) B' DIA. x B' EFFECTIVE DEPTH dJt \ d 0 V \ R 2 1=L. k I A S ♦ �� E OFSSTO C AILL AROUND P pq, �t'_4� C y't �[• � .� ' ''V'•'� \' III tl _ s I' .i \ `"• '\ � '- � � � \ \ ♦ o� \ TEST HOLE-,1 TEST HOLE - 2 Via, I It n ay i \ TOP AND I TOP ANC 4 L!."• ° \ I \ \ 1 1 t �T \ Sub.304L SUBSOIL t L�.Rc.H plTt I L�,eo � r� � 1 1 / -- — _ \ ' \ CB FND. IZ' w ' � Izt S • t TIGHT SAND Aj R 1 MIN NCH MEDIUM SAND l 1 l�l•o `r ! � PERG RATE Q /I Syr 1'S0 / 3C \ — �. ��QV Y` / / / \ \ �I�1 ACTED SAND TIGHTAND MGRAVEL < CB FND.13s} 1 • ` i3<���' iQ\ FINE SAND �r• , \ i EL. 1LI.p K /• — I�(•' g7iiPt1c k �SpL . lay ,Y NO WATER ENCOUNTERED NO WATER ENCOUNTERED 1. ALL PIPES SHALL BE SCHEDULE 40P.V.C. SEWER PiF'' �38' \� J ` (� �^qSF I 2. ALL PIPES SHALL BE SI-OPOED 1/4's FER FOOT EXCEPT T �•yo 3 ?� q FOR THE FIRST TWO FEET OUT OF THE D/BOX WHICH SHALL �� _ \ \ \ \ \ 1 \ \ { \ 4T B LEVEL / SOIL LOGS 3E DESIGN FLOW --A-- BEDROOMS AT 110 GALDAY `PER / � \ \ � � � _ _ � � � . \ 1� \ � y � � � / 3?�. TEST DATE: 6/6/91 BEDROOM = _330_ GALDAY I'�'F \ WITNESSED BY: DOYLE ENGINEERING -- \ � aFA cL r �•� \ \ � tar. � ' / ►� c P# 7765 E.F. BARRY BARNSTABLE HEALTH DEP. \ 3a' do� DRAIN. SEPTIC TANK SIZE: —_'330 — X _ 1:�v=_•aq5-- \ O� _ _ — �4. 'r — -- — i3`'- 1coo GAL PRECAST SEPTI(. TANK :WITHOUT `� 9,5• ,; � �,F�' EAISEMENT R — 25.00� USE ------- - - GARBAGE DISPOSAL ` ` L = 39.27 LEACHING SYSTEM: USE (1) 6' DIA. PRECAST LEACHING PIT WITH 90 , 6' EFFECTIVE DEPTH AND 2' OF STONE ALL AROUND 41 SITE PLAN 'OF LAND EFFECTIVE AREA: 1 DEPICTING SIDE__2 (5) (c.) x & ---J-r1 c4R1-2RY-- LOT 14 JOSIAHS PATH - WEST BARNSTABLE BOTTOM Ir 1Rz x`►•o—w 715 4R LID pY TOTAL REQUIRED FLOW---13,a W—.*- ,. I TOTAL DESIGN FLOW__'�!i+ 0`-r_a =_s-�``_c,aL�'RY g� �N M ;it, fif '4S PREPARED FOR TOTAL RESERVE FLOW _ sat_ 3 �o=_2iq REGERVE � as�� BU I LTWELL HOMES ----- JOHN yG � � WiLMbt P. + f UftBG`iE0AA1 �. cj DOYLE,, y DATE: 'JUNE 12, 1991 SCALE: 1 = 30 No.33aefa ' y1d0. x�171 h cis ° Q �cc,s �� DOYLE ENGINEERING ASSOCIATES INCORPORATED qNo suR' ��o fss P.O.BOX 595 — 530 THOMAS B. LANDERS ROAD lo1��f9/ WEST FALMOUTH, MASSACHUSETTS 02574 TEL: 508/540-4411 FAX: 508/457-9680 • i I I I _ _ .. TOP FOUNDATION j ' LPL. 1"'.S�•� � _ _ l CB FND. SEWAGE SYSTEM PROFILE t j r NOT TO SCALE 19Z.70 x l9Z•Z7 \ /8' T R OF WASHED PEASTONE IN, FINISH GRADE ALL ROUND FREE OF IRNES AND DUST FIN PLACE. j .... CB FND. a� \ BASEMENT FLOOR I MIN• 2% GRADE WITH MRX•1' COVER OVER LEACHING PIT \ t•c�•3 tZ7•i RISERS V OF GRADE W/IN i" PVC OR C.I. .• 0 0 0 0 .. TEES I •• 000 000 •. \ \ •• o O O 0 0 0•. f \ \ I `� GALLON 1 ::o °o 00 00 °o \ \ \ REINFORCED Iz5�t /' DIST. BOX ••• Q. 0 0 0 0 0 ... h� y \ ` \ Ig.>`•+N f�1�rE: CONCRETE •• . 0 0 0 0 0 0 •.. d o E IMpE RVtoUS Solt- FoR ►o' RLL RRDUNA TO BE INSTALLED ••• o 0 0 0 0 0 ... LOT 14 \ Vsm v . . . 000 000 ... \ \ ON A LEVEL BASE • ••0 0 0 0 0 0•.. � L[(RGHINGr PIT- FfiAM Ea_• l2(.�t 'Co'fo �L•.1Z4•,� •. o o O o 0 0 •.. '\ G'\ s \ qf'p RQP,LF(GE 1(JITH GLF.Fill GoRRSE SAND- /r ••• 0 0 0 0 0 0 ... 49,308 Sq.ft. �9 \ \ sEP>7c TANK •. 0 0 0 0 o a .. •• 0 0 0 0 0 0 ..: EL. 1Ig•� 3 AQ. \ \ 3/4"TO BE INSTALLED TO 1/2" 10' ` Qua (/ y .\ ` \^ ON A LEVEL BASE WASHED, CRUSHED 4' O PERVIoL15 S�� >rs.M. RtM EL .= t4o•24 MSL STONE FREE OF IRONS, FINES LEACHING PIT MpT�RIRL it ` i`''' \ AND DUST IN PLACE (1) 6' DIA. x 6' EFFECTIVE' DEPTH ALL AROUND PIT PRECAST LEACHING PIT WITH 2' at_. tta •5 OF STONE ALL AROUND ,` AD z ' TEST HOLE 1 TEST HOLE 2 1 E f \ t \ � \ ��'Y �� '\ A \ E.L. 124.4 EL IZ.'f•� ^a \ F ��• ��,to I •.� �L/ 1 \ TOP AND TOP AND f R�#1 1 i \ \ \ ` 1 CANT \ \ SUBSOIL SUBSOIL � \ \ \ .rR7r2 / LEWG� PITI ( I� ep\' \ �- _ _ \ IZI.�I 121.•S CB FND. 1 I TIGHT SAND \ \ 1 �� R � - `\ 3'` '� \Y / / j ` _ -t� E L.. l 1`t•`j MEDIUM SAND I tot PERC RATE C2 MIN ANCH 3r" \ a 0 TIGHT COMACTED * SAND AND GRAVEL ND. �\\/134 FINE SAND CB F S� NO WATER ENCOUNTERED NO WATER ENCOUNTERED 1. ALL PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPE _ - - - 13�, 2. ALL PIPES SHALL BE SLOPOED 1/4" PER FOOT EXCEPT _ )qo, FOR THE FIRST TWO FEET OUT OF THE D/BOX WHICH SHALL BE LEVEL SOIL LOGS 3. DESIGN FLOW _3__ BEDROOMS AT 110 GALDAY PER \ \ \ / '� TEST DATE: 6 6 91 BEDROOM = _ GALDAY _ - f \ \ \ ( / �+ / N 330 \\ � gFge<< r � � � � \ \ \• I�,�, , / / WITNESSED BY: DOYLE ENGINEERING P# 7765 E.F. BAR'RY BARNSTABLE HEALTH DEP. 41 SEPTIC TANK SIZE: _ x _�_S __ �`t5 \ `�O) - _ _ v - _ ` _ 13`'_ DRAIN. r, coo _ GAL PRECAST SEPTIC TANK WITHOUT '9S• �' sF�` _ ' , EASEMENT R = 9.27' USE _ _ _ GARBAGE DISPOSAL I97-' LEACHING SYSTEM: 6 USE (1) 6' DIA. PRECAST LEACHING PIT WITH _ 90 6' EFFECTIVE DEPTH AND 2' OF STONE ALL AROUND ` 6� EFFECTIVE AREA: SITE PLAN •OF LAND DEPICTING SIDE__?+tr (5) (c_LX?_5-=-a-r► c,F+t_�a�( --- - 'RZ x 1.04RL-DRY BOTTOM LOT 14 JOSiAHS PATH WEST BARNSTABLE �-------- --=-- ------- `` TOTAL REQUIRED FLOW___33�wL�t�Y��s!'�sR� ���5 TOTAL DESIGN FLOW_a?►+�0 a-_`''�`_t 4"L'•°RY � .�'" r a�•.�+�i :a, PREPARED FOR , •- TOTAL RESERVE FLOW__54g= aao= 2�9 RESERVE ��� �F Mqs �, • V, " UI asJ- ,, B U I LTWELL HOMES o� JOHN �� 'f � WiLl14 P. L)ftWSMANl DOYLE,Ill ; _ DATE: JUNE 12, 1991 SCALE: 1 = 30 No.S"J889 0 -i- 2�71a y AECISTER�� Q 1141. S t �� DOYLE ENGINEERING ASSOCIATES INCORPORATED q�0 SUR �y0 fSS P.O.BOX 595 530 THOMAS B. LANDERS ROAD WEST FALMOUTH, MASSACHUSETTS 02574 �(/ TEL: 508/540-4411 FAX: 508/457-9680