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HomeMy WebLinkAbout0060 JOSIAH'S PATH - Health 60 Josiah'S ;Road West Barnstable A= 088-006-005 TOWN OF BARNSTABLE LOCATION f�D 10� p �C t�st��"FI- SEWAGE# 11- l3� VIL: AGE tJL9.` 1Z4'-4Q , 'ASSESSOR'S MAP&PARCELdff-Q6�ppQ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY.(type) (size) NO.OF BEDROOMS p.e OWNER 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) S'—� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) . Feet FURNISHED BY Ar 30 F9„ L O �//�/(�f b '� 3= y r �_�� .. S��:,sir t 3 '1 ? 'x 5 j 1✓�` �- ---`�• � �f a5 Sty' r'S r a.� + �# ��� ,1 2 � ,`-t"Ll'r+�� w �"i � I I�y�x F', r�i .r • 1 �7#� � �I � 3 �� '� • II t 4�� Y. S� .". 1 �. .. i (+.• I�... .� .ram ,�' � f '{ ' -t 3 r ........ IZZZ i ol - :. , ', ':.; 11 i4 T � 'ti.'I T"t j.. ., j .n 'T"S rl`-r ! - I... n� �y^' - • _ ._. _. _. ....._ '- .` '. +Y! w✓•bts�"v 4{ I� x �a e 12x20 Existing deck x 4'-B%" / 7'-5°x 3'-4° 3'-3'x 3'-4" 6'-0" O Full Bath 9 Kitchen § w —------- -—--- ' Garage Y B° Exleting Flush W iOXI5 = m �^ ;� eeen�oenunoemee Existing Flush Beam 2® 1 3/4 X 9 1/2 LVL ;•----••---- Living room Dining room _T r. 2'-B%'x*-a%" Y-eae"x 4'$y" 21-5"a"x 4'-S%" ]'.S%'x 4'-S%" 4'-21,b" 61 -0 " 6'-I076" 6'-1016" 6'-O" 4'-2" 14'-0" 34-176' 48'-17b° let Floor Plan Existing Belport Building 4 Remodeling, LLC Project 60 Josiahs Path UJ. Barnstable, MA 02668 48'-144" 19'-49/b" 2'-6"x 3'$" 2'-e1i"x 4'•IY-SW x 4'4' 2'-"1 "x WAY-W x 4-41 11'-044 x Bedroom 4 Bedroom 3 11'-leYs�' 5 � r- � i11 Garage attic 2'-"' 4'.0" h Exioung Flueh Beam 2 ® 1 3/4 X 12 LVL 1O'-ro15" 4 7 v 111 x Bedroom I Bedroom 2 13'-64g a �9 " ;p. 2'-916"x 4'4" 2'•9/y"x 4'4" 2'•BNi°x 4'-I" 4'-2" 6'-011 6'-10y6" 6'-IOzb" 6'-O" 4'-2" 14'-0" 34'-j44n 48'-18JY4u 2nd Floor Plan Existing Belport Building 4 Remodeling, LLC Project 60 Josiahs Path W. Barnstable, MA 02665 4,'-illb" 14'-5 7'.BO!"x 4'•B76" 7-H"x 3'.qn 9'-0°x 9'•," p,-0n F1 i /q ICI \ i i i _ i O go i Hew 4x6 Post New Kitchen Neu1 Flush Beam 3 el9 1/2 LVL N ' _ m I e � aeeeaeeeeaeeeeaeaeeaeeee� ' Existing Flush Beam 2 0 9 1/2 LVL -------------------- Living Room Dining Room i �'-09►"x 4'-87►w ]'•B4!"x 4'-Bp6° 7-BQ6°x 4'•B7!" 4'-B9!"x 4'-BC►' 4'-218° 33'416" 4,'-Illb" Ist Floor Plan Proposed Belport Building 4 Remodeling, LLC Project ,60 Josiahs Path W. Barnstable, MA 02668 48'-144" 4'-4" g'•p3g" 6'-Il" 2-815PC° 10'-894" New Indow New wndow 2'-Bh"x 4'-I" 2'-Bh"x W-1" 2'-Bh"x 4'-W-916"x 4'-1" 21•6"x 3'-6" 7-51i"x 4'-12'•9h"x 4-1" 8��n 5'•3° O O c e Closet 0 Closet Master Bath a Ext. Bedroom 3 g 2'1" 6O13F T136O1 / \ O :T I I e I 1 m >r 2'6° — - - - - - - - - - - - - - - - -- - - - - — o Master Bedroom Existing Flush Beam r 2 6 1 3/4 X 12 LVL Ext. Bedroom I Ext. Bedroom 2 x m Y-515"x 4'•I '3h"x 4'-I'2'-3h"x 4'4' eW �ndowe 0 2'-SW x 4'•I" 7-e1i"x W-I" 2'-Sh"x 4'-1" 2'-Bh"x W-1" 2'-""x 4'-1" 2'-9" 2'-9" 3'-109b° 4'•II'4" 6'-O" 6'-10ti6'1 6'-11�Au 6'-011 2nd Floor Plan Proposed Belport Bullding 4 Remodeling, LLC Project 60 Joslahs Path lU. Barnstable, MA 02668 z4'y` (-Vo ,z -71 D E 1�I cove ri ao2 WA-/1 cx C-cx o Y h 9,u 4-,VO gyp ' -- Ceerloi J-e�d C — fe 3c Ay f � LOT 58 v Z•' f f/ 43,585 +/- s.f. • r it l VPfVi�• A ..n r3� f The � . "°• dwelling does not lie in,ailo hazes,c� pane see ed on Communit Pane i500G� 4�i � ti Date ,DULY 2, 1992 i -93a-151 PLOT PLA14 � CA T:CAM : .�0�SIA�°� ��TES W. BARN RREPARED FOR. SALE ��° HATE.: . 05/21133 � F (� �� PR 489 FIG 51 NICKULAS 14OP-ES E, E ,EIVCE I HEREBY CERT.TFY THAT THE STRUM ORE SHONN ON THIS UA PLAN IS LOCATED RM THE wnn�o}�IAM y7llSf�7� �i'YUNYr✓ Eiv ftt* ALk crown cape engineering Inc. CIVIL ENGINEERS KDAT LAND SURVEYMSRIE SA - YARMOU7K MASS. .� SURVEYOR { pp _ afwb � No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH--DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for Disposal *pstrm Construrtion j3PrMit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Lpsj S —� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �S�r�S o YVtgo-A Installer's dame, ddress,and el.Now, �-'Y)/-23gq D igner's Name,Address,and Tel,,No. � n_S3j �r bola{{-► pry t ,a.r� r"� f c e.`ar-I•G s .t,n c, S�lus It�P. rsE�,s Sr8 a �� day Type of Building: e / Dwelling No.of Bedrooms T Lot Size b704 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required Y qU gpd Design flow provided a• gpd Plan Date �I aZ0 0( Number of sheets vZ Revision Date Title (rO 0 1 6) S II �II JJ S Size of Septic Tank e-Xi `h OCR%t,61 Type of S.A.S. /6 - Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and enance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro ntal Co and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He Signe e Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued J /J7 No. / //• Fee 1 THE.COMMONWEALTH OF MASSCHUSETTS Entered in computer: PUBLIC HEAL—TR IVISION -TOWN. OF..BAR�STA�LE, MASSACHUSETTS Yes �pYication for`�isposa i�pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade 0) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �OU p 5 o- ,/-t k Owner's Name,Address,and Tel.No. Assessor's Map/Parcel, a - - C /�iw /? m.r tt1 0�v Installer's Name,Address,and Tel.No. -y-) D lgner's Name,Address,and Tel.-No, jam_y.�r�_�-^ /� reef + fGs� _nc_ ws. J its fr 2�' �r �5 ,%/� �' c�y�� /a w�� r // Wires vary Type of Building: Dwelling No.of Bedrooms 7 Lot Size S C7, A 5!a sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �7/�U gpd Design flow provided 7 gpd Plan Date Y Lo1D/I Number of sheets cZ Revision Date Title I ft►Pa d L4k� 1 ril Size of Septic Tank e_X!�H , J OW Type of S.A.S. /(p V Description of Soil L,.�12P Q �,�i/ 'T Y ! Nature of Repairs or Alterations(Answer?/when applicable)i Date last inspected: r" Agreement:The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal'systeem m accordance with the provisions of Title 5 of the Enviroonnmen�Cod�and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He lei Signe M Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. I Date Issued / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the/fi�n-site Sewage Disposal system Constructed( ) Repaired(✓) Upgraded( ) Abandoned b Q � ( ) b UttiSt !c.n TnC Y or at (aU .Sc�SiQ k i S � - li}•\t /1S�ky� has been constructed in accordance v with the provisions of Title 5 and the for Disposal System Construction Permit No. ��'/_3 dated Installer &rl ,LA,anslax TriC Designer �h�r,�Q Prm-. It u k,r� . - L nc #bedrooms 4 Approved desigmflow gpd The issuance of this permit shalb not be construed as a guarantee that the system wi 1 function Date ✓� Inspector . . . ... . . No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS Bisposal,&, pstent Construction Permit Permission is hereby granted to Construct( ) Repair(( Upgrade( ) Abandon( ) System located at &0 5Cxs I oll and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. `� Provided:Construction must be c mplet d/within three years of the date of this p rmlt. Date �® / Approved by 05/26/2011 11:20 5Oe4775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Services Thomas F. Geller,Director Public Health Division man Thomas McKean,Director 20011+,[ain Street, Hyannis,MA 02601 mice: 50&962-4644 Fax: 508-790-6304 Date: [ 1 Sewage Permit# &"I/—13 S Ass=sor's map/Pareel eJZ " CAa- d 0S' Installer.&Designer Certifies_. n Form Designer: Ems, ` �rarr.'.„. ` .+ Wa r•1As lnc , Installer: Address: I W. crb s s. ;r lal l2�#• Address: yS. d��rci �� "rw s-d a t-e _ M A- 0 Z. Cn '5-10•-010 i( was issued a permit to install a (date) (rns er HIM septic system at k 0 5-6 3'Q , S te.. based on a design drawn by ( ess) CF4>r dated 2s q (designer) I certify that the septic system referenced above was installed substantially according W the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory, l certify that the septic system referenced above was installed with major changes (i.e. greater than l 0' 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 -built by designer to follow. Stripout(if required)wa d and the soils we u satisfactory, y OFAtt�_ PETER T'.WENTEE `' , (Installer's Signature) CIVIL y NO.35109 C (Designer's Signature) (Affix Design ) i.EASE RETURN TO BARNSTABLE PIVBLIC HEALTH DIVISION, F.RTiFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS D AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLEEMW HFIALTH•DIVISION. THAN YOU. q:loffice Imsidasigurwrtific&icn fnnn.doe I SENDER: •MPLETE THIS SECTION • • ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sig item 4 if Restricted Delivery.is desired.. ❑Agent ■ Print your name and'address on the,reverse Addressee ceived by( hnt Name) so that we can return the card to you. B. Re d C. ate Deliv ■ Attach this card to the back of the mailpiece, or on the frontiif space permits. V" 11 J D. Is'delivery adcAss different from Rem 1? Yes 1. Article Addressed to: If YES,enter delivery address below: A-No iF f I Mr. &Mrs. Henry Cotthe 60 Josiah,s Path West Barnstable, MA 02668 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. i 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Numbrftm service IabeQ(Transfer from 17*008 '3230 0002 i1'5178 i 239`8 ;; ; . . PS Form 3811,February 2004 Domestic Return Receipt 102 5-o2-M-1540 UNITED$T1W5'-F-0 Paid I I • Sender: Please print your name, address, and ZIP+4 in this box • I i i I Town of Barnstable I Public Health Division , I 200 Main Street Hyannis, MA 02601 I I CD Ir rn ru E lti rq Postage $ t17 -y a0 Certified Fee U 2011 Postmark ED Return Receipt Fee Here O (Endorsement Requred) O Restricted Delivery Fee 0 (Endorsement Required) DS m M Total Postage&Fees m Sent ToCO I C � 3`treef,Apt �._ A , �. / i PO ox No. �-- B �s[� Y� 04t State,Z/P+4 ---- ._... 1 Certified Mail Provides: e A mailing receipt o A unique i4enti ier for your mailpiece to A record of delivery kept by the Postal Service for two years Important Reminders: to Certified Mail may ONLY be combined with First-Class Mail®or Priority MailQ6 o Certified Mail is not available for any class of international mail. ® NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. to For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent:Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". n If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post-office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this-receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 �oFtKE w Town of Barnstable Barnstable ` Regulatory.Services Department ►wMm;cac , R BARNSUABLE, ' - MASS. Public Health Division Ar fa M A, 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7008 323000025178 2398 April 13, 2011 Mr. & Mrs. Henry Cottlie 60 Josiah's Path West Barnstable, MA 02668 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 60 Josiah's Path,W. Barnstable, MA was last inspected on 3/25/2011, by Robert Paolini, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed s" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF TH BOARD OF HEALTH w s cKean, R. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures\TEMPLATEI.doc Commonwealth of Massachusetts , W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every 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 filling out A. General Information forms on the computer,use 1. Inspector: � r-�- 3 only the tab key Z cursor to move our not Robert Paolini a,t use the return Name of Inspector key. Capewide Enterprises,LLC. $ '� Company Name � P.O.Box 763 Company Address y fi Centerville Ma. a' 0262 reran Cityrrown State Zip Codee j s�g (508)477-8877 S14454 Telephone Number License Number 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: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority I If- 1 3/25/2011 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Se a e Dispos I S�st m•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments °,M •'° 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every page. City/Town 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments °M 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/z day flow t5ins•11/10 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 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOTdue to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department.. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every page. CitylTown 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? El ® 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): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d Well Water 9 ( Y g (gp ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 3/25/2011 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11/10 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 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every 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: Capewide Enterprises,LLC. Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1000 gallon gallons How was quantity pumped determined? Measured Reason for pumping: Maintenance Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous,inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 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 M 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every 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: Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear ti ht.No evidence of leaka e.S stem vented through the house vents. Septic Tank(locate on site plan): Depth below grade: 18"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: 1000 gallon 5" Sludge depth: t5ins•11/10 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 60 Josiah's Path GSM SV•e Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every 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 27" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of,scum to bottom of outlet tee or baffle 10" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. 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•11/10 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 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for w Barnstable Ma. 02668 3/25/2011 every 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 Yes 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.): Box is Ievel.Box has one outlet Iateral.Box was full over invert at time of inspection. 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•11/10 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 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W.Barnstable Ma. 02668 3/25/2011 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy soil.Leaching pit is in hydraulic failure.Pit was full 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ^M 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size [] El Zoom Out a Yl,s 39.9 3 5 (D 60 �!, T. . �. �v NON pap JP 4 oJ Do- ' MY it �G vmp e® ON YY � fi �i AIIAi � M Feet '. p .. Set Scale 1" = 20 I i Aerial Photos I MAP DISCLAIMER 9nnr_91)1n T,.... .,a a.r„ t.kl. nne http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=088006005&mapparback= 3/30/2011 I c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W Barnstable Ma. 02668 3/25/2011 every 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: Bottom of LP 110' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ;M 60 Josiah's Path Property Address Henery& Dolores Cottle Owner Owner's Name information is required for W.Barnstable Ma. 02668 3/25/2011 every 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 e, Aepatnelat'of Regulstazy services x . p Y 4 9.. .E 2l?0 Main Street 1'Iyunnis MA o2601 edWexl _ Time Fee Pd.. Soil Suitab ; i y As s ent fbr So l . Perharmod Byte=e./� 1" w�"' rP Witnessed Ey LOCATION GE 1W O Loealf Address •. 616 �--� r Owner's Na tiie `.Q s %a\n Address v a im. Assessors Map/Parcel: 10 $$—'Cs 010 Oz S7 Engineer's Name IF AL" N>?W GONS'IRUCTION '• REPAIR .. . C-�o Telephone# . �3 7­4.1 6 _. Land 13ses' � Slopes(96) ( Surface Stones, /Jf�" Distances-from: Open Water Body Z� ft Possible Wet•Area�73 ft Drinking Water We[l� 5E ft Drainage Way,�'3--� ft Property Line ft .Other` ft SU�'°CH5:(Street name,dimensions of lot,exact locations of twt,hoies&.perc tests,locate wetlands fin-proximity to holes) i 0.0► t;.-z S�_f k` SSA j Perent,material(geologle) wram, Depth to Bedrock Depth to':oroundwater. Standing Water In Hole: Weeping from PicRttee Estlniatedteasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLU Method Used: Depth Observed standing in obs.hole: in, Depth to s4ilan0ultis; In Depth to weeping from aide of obs.hole: In Groundwater AdJustmtatt 11. Index Well# Reading Date: in .Well level•, Observation PERCOLATION TEST Datr_,..,�.,, ThneI .�._. • Hole# i 3 Time at 91, Time-afOf POW Start Pn"oak Time® Q O Time(900•600) End Pro-soak77777777 /S ' Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed Original:Public Health Division Observation Hole Data To Be Completed on Back ---- ***If percolation test is to be.conducted within 100' of wetland,you must first'notif the Barnstable CoB nservation Division at least one (1) week prior to beginning. Y Q:\SEPTIC RCPORM.DOC 'x IIE�p OBSER�A��OI�I�dLE BOG Hole# �De tt)'fCom Soil Horizon Soil'iettur�.. So11.C61or. Soilt�� Sue(tn) tu; �;$tc3des Boulders:. (USDA) (Munsetq Mottllo a >,S 7{^ Y HEMS`AOfiTbLE LOG mole Depth from Soil Horizon. Soil Texture Soil Color Soil Other (USDA) (Munsell) Motthng (Structu[e,Stoaes,BoQldets . Suifac6(in:).. si..' BE 'flBERVATTON HOLE LOG Hole# ._ Depth from Soil'Hosizon Soil Texture. Soil Color Soil Other Surface.(in,) (USDA) (Ivlunselt) Mpttlitig (Structum,Stonss 8autders: 1a ►L'�f DE) F OBSERVA'I'YON HOLE LOG dole bepth'from : Sol Horizon Soil Texture SoiL.Color Soll ' Oth Surfa¢e:(in:) (USDA) (Munsell) Mott (Structured Stones,$ouiddrs�'. 3v3 i c s �6 y � �� Svc '64 i-ranee Ra��y1a» Ak1ov 1, bouncisty 'No �✓ittiTd SU0 e8r`lx�unda y, No Yes ..- Within 10o yeacflood boundary No 7 ra11 .Oec*u;rrfne Fersnoiis Nla er a Doesnatlt;t ftsut�fetcsf naturally'occurrtng �Oma ial exist o all'a ecl tl►rnueaprri sysm? US MaEon What is the depth of naturally occumn petvt� .(date)I have gassed the soil evaluator exarntnation approvedEM� Departtlent ofnvuonmental protection and that the above analysts was performed by ma:corisist�nt with the rutted tra�ni expertts'o and expeneice desotibed trr` 1�Ci\%IR 15.0`l . Date . Slgnatwre Q�SLI'`rtC1YBRCEORM.DQC TOWN OF BARNSTABLE LOCATION LA1— ..S"I� �T )�+•�-� fA-V1A SEWAGE # R3-.23) VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. P/UFS c-bA) - 77l -1// SEPTIC TANK CAPACITY 00- LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER UILDER R OWNER /UIC,tuL�S DATE PERMIT ISSUED: /ZI A DATE COMPLIANCE ISSUED: TO 9-7 VARIANCE GRANTED: Yes No �� IS i 4L THE COMMONWEALTH OF MASSACHUSETTS Ammon BOARD OF HEALTH [ornstable Consery OF............. . ....... "mi4jiNspnstti Works Tomitrudion ran it Applicati is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at:� ................_ ..�� .. CJ�S/� -----�/Y1� -------------- •--•--� —"1=s lr �:�`.................... / �p/ �oisddress j / �� or Lot No. ......................_`. ........................ .......... • •••-•--•---•----•--••---•-•---•........•-••••----•......................................_........ / Owner Address a1 -1-f7.: c ----------------------------- ------------------------------------------ ------------------------------------------------------ Installer Address Type of Building Size Lot-5�j..Z`-{.7-'-..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons........................ Showers a YP g ---------------•--•--------- P ---- ( ) — Cafeteria ( ) dOther fixtures ..--•-••-------•-------•----...--•....................•..----•--••--•--•----------•--------•------.....------•...... ...•-•--.............. W Design Flow.....................r`.__//.___....gallons per person per day. Total daily flow---------------�..z ...............gallon`. WSeptic Tank—Liquid capacity�i"',gallons Length. ...:. :�-.Midth...�.lo. Diameter................ Depths.... Disposal Trench—No..................... Width.._........_.-...... Total Length....... Total leaching area....................sq. ft. 3 Seepage Pit No.....Z............. DiameterA$� .� Depth below inlet...... .'Total leaching area....Z 7-sq. it. Z Other Distribution box ( ) Dosing tank ( ) ' ' nt✓,�C CASE �r 7.tom rq�-1 *200-. Percolation Test Results Performed by..._. .................................7' ....... `15ate......_._ .� Test Pit No. 1....`.r.minutes per inch Depth of Test Pit.....1��'-."Depth to ground water...._. L=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ vOx �f J'h jw<Gt `escrptonoo�... 1. * U ---•--Z .......SAS_ �B .....���v .l.3.e2 . / a� ✓� ..`........ ---------- .......-•---••.----•----• ' ---------w W .....................................-.................................................................................................................................................................. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --•--•-••--•--...--•-------••-------•....................•-•---•---•----•------------•--•-----------...........-----------------•-----------•--...-----•----........................---••••••........... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LITL: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bVzp issued by the board of health. Signed..... ...................... ....... Date Application Approved By..........- �............: .�a.q..7. �. `r -------•-•---------_.. ...... .... .... Date Application.Disapproved for the following reasons:...................................................................................... .........._.. ....................................................�............------•••......------........-1--•-•.......-------•---------------------•------.......----------......-------....- ........... Date ._ Permit No........ ••----- --------------•----_-. Issued.._.. - .................. Date Ilk Fmi ,;. .......�.... w.,a ....K. ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OFF HEALTH ........OF............./.:/,9 / %c9. _C ........ ���,���1'trtttion�for��i�n�tt1 ork� -C�on�trixrtion �rrutit ( ) or Repair an Individual Sewage Disposal is hereby made for a Permit to Construct System at: _ ..........-• _ ...`'�..,5 ............................................... jA-,�-...rS i...........LS G�Locatioi�Address or Lot No. ...................... .. ............................... TT......................... ---•-•-------------•--............._............------..............................._........ //// Owner —Address a .....v...a�'!�......... ,.;.:r�t '� ............................ ..........•----... ----•-••---•-••---.....................--- Installer Address Type of Building Size Lot ?.....`............Sq. feet t g— ...............................Expansion Attic ( ) Garbage Grinder ( )., Dwelling No. of Bedrooms................................ '4 Other—Type T e of Building No. of persons............................ Showers a YP g --------------••-----------• P ( ) — Cafeteria ( ) ',. Q Other fixtures .----•-••-------•--------------•----•-••---.._...---...---...--•-••-•-•------------•------•-••-------••-----••-•---............_...................... WW _ Design Flow.....................1C_.�.............gallons per person per day. Total daily flow............... �!...............gallons. fx Septic Tank—Liquid capacity/ gallons Len thl...4!.'.. Width:..3��2 2 Diameter................ De th.:5.1." `r Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No...../............. Diameter,,.&/�"�G} Depth below inlet....?�......... Total leaching area....1� _sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results��]j�� Performed by.._..�n..✓ .... ...�..... ......� . .!':�Date....... f1� .2...... ,al Test Pit No. l....y"1....minutes per inch Depth of Test Pit...._f r1 .. ` Depth to ground water..... �....._.. LL Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4 G Description of Soil..... :.. _.. .. ... ............ .........•-- . ............................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ..................•--•.................................•-•--•----------•-•................_.....•••........•-•----•----••••-----------•--••--------------..................._..........._.............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with --the provisions of TITUr- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. �� �Signed....... 1.�?���.-.. ..._� .. .... ................... .....: . .. :..:rt:". Application Approved BY.................A T -; ......-------� --•--.......--•-•--••-----••-------- -•---- � - y-•Date /-� •--- - Application Disapproved for the following reasons:.................................................--........................................... .. _. --..._.•-•.......... ...............•----.....C.---........................................•...•--.......................................--••-••.......••-•----••---•---•-•----.. . ......._...- Date - Permit No... d � ��---------------------- Issued..------...---......._. .............................. --. —r ......... � Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........OF..................................................................................... Trrtif ratr of Touts hattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY................ ........................•--......_.....•••..........--••----••••-•••.... •-----•-------.................•-••••••••-•---•--••---••-•----•........•••................................ / /- [� _/�-Installer at..................!e.-01�.•; ........ ..:a:�_A.r A,._ (-.. ... PP 1 r has been installed in accordance with the provisions of TI —T'p 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._....�..._. -� '�..'�=_,�..-----••---. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS.A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.DATE.-••-•..... Inspector.`� � �� J��f... .... / 7 •............ .... ........... .. THE COMMONWEALTH OF MASSACHUSETTS �f BOARD OF HEALTH ( ��•rc�,ri11.�.......OF...........-=��? . r¢U_ Gf/r/ ................................ �/'��J NO......................... FEE.... + •.............. Disposal Works Tonstrurtion Prrutit Permission Is hereby granted ..............---•--•------•---...... ... to Construct (�!) ,/o/r Repair ( fir) an Individual Sewage {Disposal System at No. .....- t �✓ Street 1 as shown on the application for Disposal Works Construction Permit Noy.—'.!:.. /....... Dated.......................................... !.',c- ... f�°..-..'....U............................................... Board of Health DATE...............:.... ....................... .... -=7•--............... {�// U ENVIROTECH LABORATORIES Mass. Cert. #:MA063 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 CLIENT: Larry Nickulas LOCATION: Lot 58 Josiah's Path ADDRESS: W. Barnstable,MA COLLECTED BY: _L. Wile SAMPLE DATE: 5/10/93 TIME: r DATE RECEIVED: 5 10 3 SAMPLE ID:Z950 JOB #: New Well WELL DEPTH: 164 ft 4" PVC 25 GAL/min RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units 6.0-8.5 7.14 Conductance umhos/cm 500 106 Sodium mg/L 20.0 11.1 Nitrate-N mg/L 10.0 0.08 Iron mg/L 0.3 1.75 Manganese mg/L 0.05 0.14 Hardness mg/L as CaCO3 500 18.4 Sulfate mg/L 250 9.1 Potassium mg/L 20.0 0.2 Alkalinity mg/L 200 16.4 Chloride mg/L 250 10.7 Turbidity NTU 5.0 33.0 Color APC units 15.0 <1.0 Background bacteria Volatile organic compounds (EPA 601/602) see attached 5.0 UG/L Chlorofor COMMENT: Iron and Manganese are not a health hazard,but may cause taste and:-staining problems. A filtering system may be considered. M NO❑ WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARA TERS TESTED. XUXDATE / GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Z950 Lab ID: 5131-01 Project: Nickulas-Lot 58 Batch ID: VHA-0143-A Client: Envirotech Sampled: 05-10-93 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 05-12-93 Matrix: Aqueous Analyzed: 05-14-93 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform 5 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m%Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1,1,2,27Tetrachloroethene BRL 1 i,3-Dichl3.robenzene BRL 1 I,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 31 103 % 83 - 117 1,2-Dichloroethane-d4 30 28 92 % 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). r No. _-- Fee- 0 . -- -- -- v 0BOARD OF HEALTH TOWN OF BARNSTABLE Application-*r Vell Con5truct ion Permit Ap lication is ereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ---------------------------------------------------— -- —__-- ------ --- Location ddress Assessors Map and Parcel , er �' ` AddresstOWh CIA ` C c -- =------------------------------- - -, /Y - ---� � Installer — Driller Address _ Type of Building .-) Dwelling -- —----------- Other - Type of Building---------------------------------- No. of Persons---------------------------------------- �p U Type of Well-T_- - VL - - a -- Capacity-------------=---------- ------_— ___ __ --- Purpose of Well-- A - greement: 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 unti Certificate of Compliance has been issued by the Board of Health. Signe — --- — --- -- date ApplicationApproved By---------------_____-------__-------------------___--____-_ ___—__—_ date Application Disapproved for the following reasons: — date Permit No. Issued----------'______— date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS I O CERT FY, Tha the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by- - - =- - -- - --- ____ -- -- -- - --- - I Installer a � ----D� � �- --© 1A - has been installed in accordance with the provisions of the Town of Barnstable Boa Hea1P vate Well Protection Regulation as described in the application for Well Construction Permit No. ------ - ated J Q-�----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-- --- - --- ------ --- _--- -- - Inspector---------_-_ ---- --— —- -- - - ------------- Fee--------------------- BOARD OF HEALTH TOWN OF BARNSTABLE ZIpplication,forlVell Con5truction3permit AP, lication is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ------------------------------------------------ --------------------------------------------------------------------------------------------- ,d Location ddress Assessors Map and Parcel @^WneI �—— -- — " Address -- --- - r - --�-- ------------ - ----------------- s Agar& fie �..u---� I5 -- - —r-- -------Y✓-- - - - �/ Installer — Driller Address Type of Building _ Dwelling r �IlG �fL - -- - Other - Type of Building ------ No. of Persons----------------------------------------------- Type of Well- - v�=---------�--t------------ YP -- --- Capacity---------------------------------------------------------------------------------- Purpose of Well --- -Q' -- !� - 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 unti Certificate of Compliance has been issued by the Board of Health. Signe 0 - — - —__—_------- date Application Approved B date Application Disapproved for the following reasons:----_______________________________________.______—_________--_—-------- ----------------------—--- --- - --- - ------------------------------ ---_ --------------------------- - date 1� _- -- PermitNo. ---.-------- - --------------- ----------------------- Issued-------------------------------------------------------------------------- date BOARD OF HEALTH • t TOWN OF BARNSTABL'E Certificate ®f (Compliance THIS I O CERT FY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) ,by ( Installer ALp /1✓al . has been installed in accordance with the provisions of the Town of Barnstable Board of Healtb Private Well Protection Regulation as described in the application for Well Construction Permit No -s= d ted- - -��--�3------ 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'. EOF�-�BARNSTABL:E , Vern Construction'Vermit No.t ,,� Fee --------------- Permission is hereby granted ---=___ __�Se_4^___ to Construct (&), Alter( ), or Repair ( ) an Individual Well at F to Q,/ Street as shown tqn�-.ew plication f, " a Well Construction Permit /W/ �(L1�'•l7� �4 ,S)P� No. V 1f %='� -- Dated(-- \----------- -- --" - -- --- - —---- 5- Board of Health DATE---------" - - '- --------------------- I � i s f"z ° N <o BENCHMARK NO.2 . s, OUTSIDE COR./SLATE LANDING EXISTING SEPTIC TANK EXISTING LEACH PIT . EL.=134.95 ASSUMED DATUM TOP OF TANK, EL.=133.15 (approximate) C,1 INV.(OUT)=131.82t TO BE PUMPED, FILLED W1 OCUS °oa a 1? 1 (FIELD VERIFY) z SAND AND ABANDONED ee ar`° �°F°�9 a A893 r �134 30.......... R=657 06`----- ---- °���d 0000o, { -----------140----------- 40 LOCUS MAP 132.16 NOT TO SCALE '133.04 �K� -------- 2--- -1 -- 98 __ EXISTING CONTOUR j fk\ '` + tr / 42 x 100.98 EXISTING SPOT GRADE r 0� 4A------------ x 143.2 134 PROPOSED CONTOUR i x 145.13 � ♦ EXISTING WELL Q, �M , I i -G EXISTING GAS SERVICE T '�_- U UNDERGROUND WIRES 137.41 ii2rJ.32' '�. �`. ^ i ��____------- -- -142 TEST PIT `` Z� ao i i ,39„ W + +• \` � � + ,` -�°` � BENCHMARK 16 + S 31 1i 1 7 ,'134.38 " edge o' learl r�g�' r'%��' ;) �_ LEGEND + '+.135.44........ R GS 140.50 --_- --___- _ x 136,57 4d Y �� �Z�...- ------- 0 .80 �\ 138.71 O x 135.00 \ -� TP-3 Wi N \ `w5,72 ' 138,�5 XJ4,95 � GARAGE - / 13t:56 3 135.14 1 137,13 1 f TP-4 -1� `� 'QF �& .. 1 00 Fo DECK ,q�F;Q 0 0 13e( EXISTING, (above) TP- J I`I N f + 7\P2 HOUSE(#60)6 --a �-- - i `r 1 s.a6 T.O.F.=138.8t Z 134.55 A t �� 131 PI KE �\JVVtl' + \ x 31.09 +130.52 Q , 137.44 `� r 135,12 ; �l , �, -F 130.52 (LOT 5 8) P4 �•, G 136.68�i i \� i 1+5.70 P 1 .39 •� \1 - 13 i5� +''135.491 �' Af��l�fi� 088 006--005 R, 35,61 J /o�\c 50,242 S.F.f 74 G 135.38�� - 135.98 138,62 G ' V 0{ +'135.85 WELL x'136. k' i --- s.3� _ 136,95 137.65 V ++ e.•' "-' 132.SSx 7-02 x 131,5 + �..1.3615_............. 50 �.��I 326.33' 135.68 x ,p 137,99 N 36°34'25" E 139.65 - co 136. - 1.=Iji.82 ENCHMARK NO. 1 _�� �tio /> �LE�BOX / 1c WELL, P OF CONCRETE SON07UBE o PETER T. lI pa, :1.384 � , ASSUMED DATUM U MCENTEE N CIVIL 8,43 138. 6• No. 35109 PROPOSED SEPTIC SYSTEM UPGRADE PLAN ' A,p �f �tt�� 138,06 PK edge S13790 100`f Fs E PSI 60 JOSIAH,S PATH, WEST - BARNSTABLE, MA 138.00 Prepared for: Henry Cottle, 60 Josiah's Path, W. Barnstable, MA 02668 P OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. - JOSIAH S PATH COTTLE, HENRY L & DOLORES J Engineering Works, Inc. 1 =30' P.T.M. 13 6 11 60 JOSIAH'S PATH 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. WEST BARNSTABLE, MA 02668 (508) 477-5313 4/20/11 P.T.M. 1 Of 2 4 I _ NOTE: TO PREVENT BREAKOUT, THE PROPOSED GENERAL NOTES: FINISH GRADE SHALL NOT BE < EL:130.3 s FOR A DISTANCE OF 15' AROUND THE 1. ALL CHANGES'TO• THIS PLAN MUST BE APPROVED BY THE LOCAL PERIMETER OF THE S.A.S. BOARD OF HEALTH AND THE DESIGN ENGINEER. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE T.O.F. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR EXISTING F.G. EL: 133.3(MAX.) TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE F.G. EL.-134.4f F.G. EL: 133.Ot DESIGN ENGINEER. MAINTAIN 2% GRADE (MIN.) OVER S.A.S. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING mm FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. L = 47' L = 8'(MAX.) INSPECTION 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. ® S=1% (MIN.) ® S=1% (MIN.) PORT 4"SCH40 PVC 4"SCH40 PVC 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 6" THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF to"I 6' 11.3" TO HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 14'• ZTING 46" LIQUID INVERT 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. LEVEL ADD 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. GAS BAFFLE INV.=130.67 PROPOSED INV.=130.50 4 ROWS OF 6 UNITS AT 6.25'/UNIT = 37.5' 9, ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS INV.=131.82t D-BOX INV.=129.94 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE EXISTING 4 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE) DIRECTED BY THE APPROVING AUTHORITIES. EXISTING SEPTIC TANK 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ESTABLISH VEGETATIVE COVER CONSTRUCTION. BACKFILL WITH CLEAN NATIVE OR 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS PERC SAND TO TOP OF CHAMBERS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). NOTES: BREAKOUT EL.=TOP EL. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP ELEV.=130.33 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. INVERTS, PRIOR TO INSTALLATION. INV. ELEV.=129.94 13. POOL SHALL BE DISMANTLED AND MOVED TO PROVIDE ACCESS TO 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE BOTTOM ELEV.=129.00 THE EXISTING SEPTIC TANK, IF NECESSARY. ON A MECHANICALLY COMPACTED SIX INCH CRUSHED 2.83' 75" STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. ABOVE BOTTOM OF - 3) INSTALL INLET & OUTLET TEES AS REQUIRED. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' 11 EXISTING SUITABLE 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM OF TP, EL=122.0 - I MATERIAL AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 4 ROWS OF 6 - 16" (H-20) ADS BIODIFFUSER UNITS WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 76 TYPICAL SECTION SEPTIC SYSTEM PROFILE N'T's PROFILE N.T.S. 1 N t 16" 11.2" DESIGN CRITERIA SOIL LOG j� -� /( c. A 34" -�{ NUMBER OF BEDROOMS: 3 BEDROOMS (ORIGINAL PERMIT) DATE: APRIL 19, 2011 (REF#13,247) SECTION END CAP PROPOSED INCREASE TO 4 BEDROOMS SOIL EVALUATOR: PETER McENTEE PE 16" HIGH CAPACITY (H-20) BIODIFFUSER UNIT SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON R.S! HEALTH AGENT MODEL 16" HICAP UNITS MUST BE STAMPED H-20 DESIGN PERCOLATION RATE: 7 MIN/IN (0.68 gpd/sf LOADING RATE) ELEV. T P- 1 DEPTH ELEV. TP-2 DEPTH ELEV. TP-3 DEPTH ELEV. TP-4 DEPTH LENGTH 76" DAILY FLOW: 440 G.P.D. 134.0 O 133.0 0 134.1 ` O 133.2 0" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DESIGN FLOW: 440 G.P.D. A A A I A EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. GARBAGE GRINDER: NO 10YR 4/2 10YR 4/2 1OYR 4/2 10YR 4/2 SIDE WALL HEIGHT 11.2" 133.7 4' 132.7 4 133.8 4' 132.9 4' OVERALL HEIGHT 16" LEACHING AREA REQUIRED: (440) = 647.1 S.F. B B B } B 4640 TRUEMAN BLVD 68 SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM OVERALL WIDTH 34" HILLIARD, OHIO 43026 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 10YR 5/8 10YR 5/8 10YR 5/8 10YR 5/8 13.6 CF Iff4m. PROPOSED D-BOX:: 1 INLET, 4 OUTLET MINIMUM), H-10 RATED 131.0 C1 36" 130.3 32"• 131.1 C1. 36" 130.7 30" CAPACITY 101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. ( PERC C1 PERC C1 USE 4 ROWS OF 6 - 16" -20) ADS SIODIFFUSER UNITS 36"/48" 36"/48" PROPOSED SEPTIC SYSTEM UPGRADE PLAN W/ NO STONE FOR AN S.A.S. WITH DIMENSIONS 11.3' x 37.5' LOAR MY A D LOAMY LOAMY A D LOAMY HIGH CAPACITY (H-20) INFILTRATORS MAY BE SUBSTITUTED 10YR 5/3 R OR 5/3 60 JOSIAH S PATH, WEST BARNSTABLE, MA BOULDERS & BOULDERS & BOULDERS & BOULDERS & SIDEWALL AREA: NOT APPLICABLE COBBLES COBBLES COBBLES COBBLES Prepared for: Henry Cottle, 60 Josiah s Path, W. Barnstable, MA 02668 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF BIODIFFUSER) SCALE DRAWN JOB. NO. 24 UNITS x 6.25 LF x 4.73 SF/LF = 709.5 SF 123.0 132" 122.0 132" 123.1 132" 122.2 132" Engineering by: � AND Engineering Works, Inc. N.T.S. P.T.M. 136-11 MIN/IN.DESIGN FLOW PROVIDED: 0.68 x 709.5 = 482.5 GPD PERC RATE 7 MIN LOAMY S / ( ) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. NOTE: NO GROUNDWATER ENCOUNTERED NOMINAL BED FOOTPRINT = 11.3' x 37.5' = 423.8 S.F. } (508) 477-5313 4/20/11 P.T.M. 2 Of 2 �Vl_I_­­-I11-� 7�,1,1­�- - - , , 4 1�­,.,,­_.;,�%,I,,1,g. �,�V,��`v- ­,�,!� ��-4,- 5,p--F,,�-�., ", " - ­� ,� , ,.­­^­ . - ,,.R ­ �� " ? N�M,,e �� � � ,.w 7 '&­ " ­," I.: i., �� �',�,,� � ,;V,� ", , , g -1�­­,,��&4�e,,�­4,,, ��,.: _ , , _,'1_'1,e ,"� ,­�� " �­ " ,,��1-?,.­,;4.,:"" , , "' 'kij " ­ .. "'. _ � ,g, . . .� -, ��... _ . , , _,_,� '. 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