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HomeMy WebLinkAbout0027 LANCASTER WAY - Health _ 27 LANCASTER WAY WEST BARNSTABLE ` A = 110 004 009 o � . r - Commonwealth of Massachusetts Title 5 Official Inspection Form iw Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y� required for every 27 Lancaster Wa West Barnstable V1 MA 02668 5/26/2020 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. Inspector Information filling out forms 2!r11m �fS3a on the computer, use only the tab Jorge Miguel Chavez key to move your Name of Inspector cursor-do not Speakman Excavating LLC use the return Company Name key. 15 Speak Way r� Company Address Harwich MA 02645 City/Town State Zip Code ,B 508-432-5565 SI 14294 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails �Z� ___ - .s/ ?. b/ ?� Inspector's Signature f Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f� 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is required for every y,27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as 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): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is Y, required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. CitylTown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass 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): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/2612 01 8 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 3 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4- 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y� required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form 11 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is 27 Lancaster Way, West Barnstable MA 02668 5/26/2020 required for every y page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y� required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 s Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y� required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 1 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 337 Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Water from a well Sump pump? ❑ Yes ® No Last date of occupancy: Current Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 7 of 18 Commonwealth of Massachusetts :. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y, required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y� required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known) and source of information: 9/19/00 per COC Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 41" 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.): Building sewer in good condition, no evidence of leakage. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form iia Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y, required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 State City/Town/Town o page. Y e Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 26" 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: 1500 Sludge depth: 41' Distance from top of sludge to bottom of outlet tee or baffle 31" Scum thickness 0" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 14" 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.): Tank is in good condition, structurally sound, liquid level at outlet invert, PVC tee on inlet and outlet in place, no evidence of leakage or backup. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Dorm Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y� required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Forums Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y� required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): i *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box in good condition, watertight, 2 outlets with speed levelers. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y� required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: (2) 500gal ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form I� i, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y�required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching chambers in good condition, with 10"of water, there is no visible stain line above it, sidewalls are clean and dry, there is no evidence of backup or failure. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is required for every 27 Lancaster Way, West Barnstable MA 02668 5/26/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of constriction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y� required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters. the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately I 14.9, 140 z Z Z2. Zo..6 • 3 3 RC 3t.1' B� S 30.1' Ut e V `• f / t Jr. I v t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form (�c Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4 ' .;, 27 Lancaster Way, West Barnstable V Property Address Paul Curley & Barbara J. Owner Owner's Name information is y, required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 73.6'+/- below the bottom of leaching 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: ❑ Checked with local excavators, installers- (attach documentation) ® Accessed USGS database -explain: You must describe how you established the high ground water elevation: Elevation at property: 90'+/- Elevation at Bottom of leaching: 6.4' Closest body of water, Mill Pond: 10, Separation: 73.6'+/- Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 n c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments t; 27 Lancaster Way, West Barnstable Property Address Paul Curley & Barbara J. Owner Owner's Name information is y, required for every 27 Lancaster Wa West Barnstable MA 02668 5/26/2020 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 TOWN OF BARNSTABLE C° LOCATION 1 u4 51W U4W SEWAGE # -OVA . bAr_M'�'"'Ie ASSESSOR'S MAP & LOT I W-ft 4-ems VII.LAG r •, INSTALLER'S NAME&PHONE NO. 8tYr+V1 o*N SEPTIC TANK CAPACITY tiseO RAI ti✓ L� A LEACHING FACILITY: (type) , S-D ecu4 (size) 1 ,?( 41? a ' NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: I 9 COMPLIANCE DATE: ©D Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet T Private Water Supply Well and Leaching Facility (If any wells exist a on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �ac.k o 1,1 h ors LF V � a (3) tgl6n 32 ?lf �'1� 2e4,, 3g' (w� 5 oNo.-------- ----------- Fee-------- -- -------- V BOARD OF HEALTH TOWN OF BARNSTABLE Zipplication-*r Veil Con0ructionpenrnit Ap licati n is hereby, made for a/permit to Construct (AV, Alter ( ), or Repair ( )an individual Well at: ----------- -- Location — Address sensors Map and Parcel Add Ow r Address ' -- --- -----''i --- ----------------------------------- ress --� Installer — Driller Address Type of Building J ad'e -1 Dwelling------------ - - ---------------------- Other - Type of Building---------------------------------- No. of Persons---------------------------------------------- Type of Well- ���- -------------------- - -- - Capacity---------------------- - - --------- -- - --- - - Purpose of --------—1------------------- ---- 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 ertifi t .of 1'a has been issued by the Board of Health. Signed i i Application Approved By date Application Disapproved for the following reason • ------- -------=---------------------------------------------------- ------------------------------ -- ---_�— --------------------------------------------- -------------------- ----------- ----------------- r _ date -- - - —----------- Permit No. -- -- ^______________ Issued _-- -- _ — -___—_ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS T Thatothe Individ 1 ell Constructed ( ), Altered ( ), or Repaired ( ) - — � - ------------- by -------------------------- at ——— — — —-- —-- - - nf"E - - AN% Inst — -— — --—-------------------------- has been installed in accordance with the provisions of the Town of a�stable B a dr-5-714/Dated t ivate Well Protection Regulation as described in the application for Well Construction Permit No. ""�' ------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ---—— --- - ----- Inspector------------------------------------------- --- � .-�".�.+-.�'',,�"+4�"."�. .-y+�c�.,-.�A°'"4.�y..�.,li-,•_+4'l �e�'f•r;—r�-y�y �,/'-�t�'�i:'`"i-�."�rr',+--�.'Tv_-=-;ji�a-r.�t'J,+t„ _ -F M00 ; 0­00 ,.. No.-------- ----------- Fee-------- -- -------- BOARD OF-HEALTH TOWN OF BARNSTABLE Z1ppCication_*0Vrll Con0ructionVermit App licati n is hereby, made for a permit to Construct (;f, Alter ( ), or Repair ( )an individual Well at: �__---�-----CSC-'r�s _ Location - Address ssessors Ma and Parcel -------------_--______- -z5caof�__5 �'� � '__ 'r i�f-1 - _--_--- Address ---- - - -------------------- Installer - Driller Address Type of Building Dwelling------------- .�!l --------------------- I Other - Type of Building -- No. of Persons------------------------------------------------- Type of Well— S�r _ -- - -— — - Capacity--------------------- - - r Purpose of Well - - -------- — - -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The fTown of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until ertifi t .of and has been issued by the Board of Health. Signed ��--- dale - ��� zZ�� Application Approved By ----- _—_- date Application Disapproved.for the following reason -_---------------=------------------------------------------------------------____-- -------------------------------------- --------- ------- ----------------------- date Permit No. - —*�--- -- -- Issued-- �— ------------ ------------------ �--— — date ,owc�a.zw...e.m.o�..,....a..-0 a.�.�..��.���.rr•..�r-.�car ac:.w...w...t..a....'.,n.v ae.�...�.A�rr..�,�.....ten.,..�s..ate.,..�..vr.,,s was.o.+�r -BOARD OF HEALTH TOWN OF BARNSTABLE - Certificate Of Compliance THIS IS TQ, R Y, Th tothe Individ I ell Constructed ( ), Altered,( ), or Repaired ( ) l - '� bY---------- - ------------------------------ ------------ ----------------- ----------------- ----- Insta le has been installed in.accordance N, } the provisions of the Town of arnstable B kard ' H th vate Well Protection Regulation as described in the application for Well Construction Permit No. ---- - Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- - - --- - Inspector--------------------------------------------- --------------— BOARD OF HEALTH TOWN OF BARNSTABLE eContruct ion Permit s No. ------- YJ Fee - — ---------� Permission is hereby grantedr� � �) - to Construct ( t r ( or Re air ^nd i idual Well a Street"' as shown o tea licati n)�o:r a Well Construction Permit O ------ - v ----------------- - Board of Health DATE— -� ------- - LOG77S FLOOD ZONE: C LOCATION MAP g/ ' LOT 8 ,000 t S.F. toe (OY1 ± AC.) ' a 106 104 S �� Mrs 102 L.P.�d�ti4 TH-1. MIN 5d 1�1�40 LE�81 f00 102 �,ycdl � 6' 171DE DIDAME RT/ 03 '' •. C � 1 .1100 tea. / - 98 A=132. 74' .196 _ - - - �; 9s. � - 94 wl ST R 4. 7 LANCAST ER pposaD W&M 91. 4 WAY d ' 0 0 PROPOM 17ZLL (LOT o ' O as PROPOSED 17JUL (,LO?' 10) M WELL , 88. 5 ► 0 'STING CONTOUR: — POSRD CONTOUR: STING SPOT ZL$VATION: 25.5 PO SPOT ELEVATION: 25 .HOLE: POLE. -O- CR LJN$; RANT: AINtNG WAt,t, nr,ti QT)-P y MAR-31-95 FRI 16 :42 ENVIROTECH LABS 598 888. 6446 P. 62 iZ ENVIR®TECH LABORATORIES, INC, � MA Cetc No.: M-MA 063 449 Rte, 130 ' Sandwich,MA 02563 (508)888-6460 ' 1-800-539-6460 FAX(508)8884446 y CLIENT: Reef Realty LOCATION: Lot 8 P.O. Box 186 Lancaster Way W. Dennis, MA 02670 W. Barnstable, MA SAMPLE DATE: 3-28-95 COLLECTED BY: Clifford Well Drilling DATE RECEIVED: 3-28-95 TIME: 4:OOPM LAB I.D. NO. : E3-419B JOB TYPE: New well SAMPLE I.D.NO. 8 WELL SPECS.: 92' RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100ml (MF Method) 0 0 PH pH units 6.0-8.5 6.13 Conductance umhos/cm 500 72 Sodium mg/L 28.0 8.0 Nitrate--N mg/L 10.0 0.12 Iron mg/L 0.3 0.12 Manganese mg/L 0.05 0.010 Volatile Organics See enclosed report. EPA 601/602 ug/L None detected. Yes No WATER IS SUITABLE FOR DRINKING R OSES FOR ARAMETERS TES ED. XXX Date � ?� Ronald J. Sa i Laboratory DYrector IT = Less Than l _MAR-31-95 FRI 16 :42 ENVIROTECH• LABS 508 888 6446 P. 03 �» - b-a1-ae �:a_ rr7 :•�r_�u_v u+rKlbK r►1vMLili Ve�1, pNV11tV 1F.n oUb iOd L GROUND � ANALYTICAL EPA EPA► METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: E34198 Lab ID: 10297-03 Batch ID: VG2-0684-N Project: Reef/Lancaster Client: Envirotech Sampled: 03-28-95 Cant/Prsv: 40mL VOA Vial/HC1 Cool Received: 03-29-95 Matrix: Aqueous Analyzed: 03-30-95 PARAMETER CONCENTRATION REPORTING LIMIT (u9/L) (u9/L) 5 Dichlorodifluoromethane BRL BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL 5 Chloroethane BRL 1 TrichlorofluoromethanWe 1 1,1 BRL-Dichloroethene 1 Methylene Chloride BRL I trans-1,2-Dichloroethene BRL. 1 1,1-Dichloroethane1 cis-1,2-Dichloroethene * BRL. 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene 1 1,?-Dichloroethane BRL 1 Trichloroethene 1 11 2-Dichloropro ane BRL 1 Bromodichloromethane BRL 5 2-Chloroethyyl Vinyl Ether BRL 1 cis-1,3-Oichloropropene BRL .Toluene 1 trans-1,3-Dichloropropene BRLBRL 1 1,1,2-Trichloroethane BRL I Tetrachloroethene I Dibromochloromethane BRLBRL 1 Chlorobenzene BRL 1 Ethylbenzene 1 meta-and Para-Xylene * BRL ORL I ortho-Xylene * BRL 1 Bromoform 1 - 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRLBRL 1 1,4-Dichlorobenzene BRL I 1,2-Dichlorobenzene QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 30 100 % 87 - 113 % 1,2-Dichloroethane-d4 30 31 103 % 83 - 117 % 8RL - oelow Reporting Limit. Non-target compound. Method References: Method 601 - Purgaable Halocarbons and Method 602 - Purgeable, Aromatics, to C.F.R. 136, Appendix A (1986). No. _ :Z� ' Fee i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zipp ication for Mi5pogar Opgtem Construction Vertnit Application for a Permit to Construct(�d)Repair( )Upgrade( )Abandon( ) O Complete System El Individual Components k Location Address or Lot No. Owner's e , s and Tel.No. LANcAS'f8n wrl W, gA�� �` �j f Assessor's Map/Parcel 1�/ _q �� v ��� ✓'�/L ll /'/'� i � l U 1 Installer' Name, ddress,and Tel.No. ./� Designer's Name,Address and Tel.No. / i / DEM,4gZ1 - /ACLk ArJ NCB 6011,9 Sox `fq WES'l oENNI f 6U-)2s Type of Building: ? Dwelling No.of Bedrooms J Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 3 7 gallons. Plan Date -a-9 5 Number of sheets Revision Date 10-1 Z-7 1 Title s l T 5t1j p w 'LA.,j Size of Septic Tank ISov Type of S.A.S. Z-- 500 C7A\, 6HA0)0fK Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 o itle 5 of the Env' on tal Code and not to place the system i o er.�until a Certifi- cate of Compliance has been issu this B and o ea Signedr Date Application Approved by Date Application Disapproved for the ollow g reasons Permit No. Date Issued No._ L11 Fee- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: � '�-�._ �• Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS �f 0(pprfcation for Ztgpogat *pgtem Con"otruction permit Application for a Permit to Construct(;K)Repair`( )Upgrade( )Abandon O Complete System ❑Individual Components Location Address or Lot No. -& Owner's Name,Ao ess and Tel.No. Lo-r g LANCA51I rL w,4'1 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. DCm/4 q51- M uk.Lp,.) c w&- �(-�-f1- �1� r' --am �/I✓/, 3OA 143 wtS-t qE tvtvl` 026-i 6 Type otBuilding: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 3 3 i gallons. y Plan Date i- i,- 9 5 Number of sheets 6 N L Revision Date Title >I TF' f !C7 v p&c PLO/- Size of Septic Tank P S 00 Type of S.A.S. Z--" 500 Glh- C H lj�h f1_S t r Description of Soil Sit N �f Nature of Repairs or Alterations(Answer when applicable) Date last inspected: �! Agreement: E The undersigned agrees,to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions o rtle 5 of the Env on t tal'Code and not to place the system in pera iron, until a Certifi- ` cate-of Com liance has-been issu � this B and o ea t Signed Date /f=� Application Approved by Date Application Disapproved for theVolow• g reasons Permit No. - 7 r/! Date Issued ------------------------------------ - -- THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERXEFY that thp On-site Sew ge Disposal System Constructed( )Repaired ( )Upgraded Abandoned( )by 92,C 710 6e 4I✓T' at l has been constructed in accordance with the provisions of Title 5 and the for Disposal Systeg Construction Permit No. a dated f ld Installer'' Designer - f f The issuance of this a •. s all not a construed as a guarantee that the s to wil fu •do as si ned. q�1 P g y �/ g- `Ib Date � Inspector No. Y U—6- Fee i THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Ofgpogar *pgtem Congtruction permit Permission is hereby granted to Construct( Repair( )Upgrade( )Abandon( ) System located at �t- j A,1 c and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: I Sf " 9q Approved by �� TOWN OF BARNSTABLE L0/� A� LOCATION G-�d�4 Tile P-4W SEWAGE # VILLAGE 6&Y-AS+4,17�- ASSESSOR'S MAP & LOT 110-O0K-6o- INSTALLER'S NAME&PHONE NO. ISLrr y Le7r7 L 'i SEPTIC TANK CAPACITY 4�oy _ 2 ! size 9 _ 1 LEACHING FACILITY: (type) �.^ �L tili C.�ir>rJh-/,-- ( ) 1 D�( d NO. OF BEDROOMS BUILDER OR OWNER e PERMTTDATE: f I� Sr 9 ,COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching"facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by F Y- t h l „-h IV �� O J -NOV 08 '99 02:08PM REEF REALTY LTD�h� atvvleev�abe, eve I P b 1 Ora:a 4i v ANALYTICAL EPA 14EYHOas 601 and 602 volatile Organics (9C/P10/ELCD) Field ID: E34198 Lab ID: 10297-03 Project: Reef/Lancaster Batch ID: V62-0394-H Client: Envirotech Sampled: 03-28-95 Cant/Prsv: 4OmL VOA Vial/HC1 Cool Received: 03-29-96 Matrix: Aqueous Analyzed: 03-30-95 PARAMETER CONCENTRATION REPORTING LIMIT (U9/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride Bromomethane BRL 5 Chloroethane BRL Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL. cis-1,2-01chloroethene * BRL 1 Chloroform BRL' 1 1,1 1-Trichloroethane BRL 1 Carbon Tetrachloride BRL I Benzene BRL I 1,2-Dichloroethane BRL i Trichloroethene BRL 1 II2-Dichloropro ane ORL 1 Bromodichloyyromethane BRL 1 BR 5 cis-1,3-DichloropropeneeM BRL 1 Toluene BRL I trans-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloreethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL Ethylbenzene BRL I meta-and Para-Xylene * BRL 1 ortho-Xylene * ORL 1 Bromoform BRL 1,1 ,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a•Trifluorotoluene 30 30 100 % 87 - 113 % 1,2-0ichloroethane-0 30 31 103 % 83 - 117 % 8RL - 9elow Reporting Limit. Ran target compound. Method References: Method 601 - Purgeable Malocarbome and method $02 - Purgeable Aromaties, 40 C.F.R. 136, Appendix A (1988). NOV 08 '99 02:01PM REEF REALTY R Pgl' YVy E A LT Y �f NnW Std LT D- REALTORS•BUILDERS REEF REALTY LTD. FACSIMrLE CONTROL SHEET Date: t �^ Time: ' 1� r� RECIPIENT: Attention: FAX#: SENDER: FAX #: 508-760-1406 TEL. #: 508-394-3090 RE: Total pages: (including This cover sheet) r MESSAGE: 24 Scho01 Street P.O. Box 186 West Dennis. Massachusetts 02670 (508)394-3090 NOV 08 '99 02:01PM REEF REALTY LTD P.2 ENVIRO .&'ECH LABORATORi-ES, INC. MA Cert.No,: M-MA 063 449 Rtc. 130 . Sandwich,MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508)888-6446 CLIENT: Reef Realty LOCATION: Lot 8 P.O. Box 186 Lancaster Way W. Dennis, MA 02670 W. Barnstable, NA SAMPLE DATE: 3-28-95 COLLECTED BY: Clifford Well Drilling DATE RECEIVED: 3-28-95 TIME: 4:OOPM LAB I.D. NO.: E3-419B JOB TYPE: New well SAMPLE I.D.NO. 8 WELL SPECS.: 92' RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100m1 (MF Method) 0 0 PH pH units 6.0-8.5 6.13 Conductance umhos/cm 500 72 Sodium mg/L 28.0 8.0 Nitrate-N mg/L 10.0 0.12 Iron mg/L 0.3 0.12 Manganese mg/L 0.05 0.010 Volatile Organics See enclosed report. EPA 601/602 ug/L None detected. Yes No WATER IS SUITABLE FOR DRINKING R OSES FOR ARAMETERS TESTED. , 1 . XXX �L v Date Rona d J. S Laboratory D ector LT = Less Than TEST HOLE LOGS (P# 9480) NOTES. ASSESSORS MAP: 110 4 9 ••' PARCEL: } r��' j 1. VERTICAL DATUM: ASSUMED FROM QUAD (NGVD +/-1 5 � ENGINEER: THOMAS McLELLAN, P.E. CURRENT ZONING: RF 2. MUNICAPAL WATER IS NOT AVAILABLE. BUILDING SETBACKS: WITNESS: JERRY DUNNING & ED BARRY 3. SCHEDULE 40 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. N1CxRF F: 30' S: 15, R: 15, DATE: 3-9-93 & 7-20-99 IN 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 6 IN PERCOLATION RATE: < 2 MIN/IN & M / LOADING SPECIFICATIONS. Locus-� FLOOD ZONE:. C TH-1 TH-•2 5. PIPE PITCH = 1 4" PER FOOT (UNLESS NOTED OTHERWISE). 106.0 105.0 6. F 2'FIRST OF PIPE OUT OF D-BOX TO BE LAID LEVEL. TOP ELF' o/A HORIZON ELF'' 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE 24" SUBSOIL f04.0 ANDY LOAM 0 10" foYR 3/3 1042 USE OF A GARBAGE DISPOSAL. SILTY tg4 , •- -fob FIN B HORraoN 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE G MEDIUM SANDY LOAM � STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL LOCATION MAP 6�,.9 96" SAND 98A so" foYR s/s foz5 HEALTH REGULATIONS. Cl ON LOT 8 , ' CLEAN LOAMOYRSAND 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR 31,000 + S.F. 108 MEDIUM 74" 2.5Y 6/4 (0.71 ± AC.) % ' `�� SAND 9e8 TO CONSTRUCTION. C2 HORIZON 10. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. MEDIUM SAND _ 144" i 944 2ZY 7/4 11. SEPTIC SYSTEM AND WE LOCATIONS HAVE BEEN MODIFIED FROM MASTER PLAN (REVISED 5-2-93) ON FILE WITH BARNSTABLE HEALTH 144" 93A j DEPT. ALL PREVIOUSLY APPROVED SETBACKS REQUIREMENTS REMAIN 106 :GROU IN EFFECT. ` N DWATER ENCOUNTERED � -f06 (GROUNDWATER ON LOT 5 AT ELEV.- 481) 104 SEPTIC SYSTEM DESIGN foz ,�, \ :. ,`• 0k' FLOW ESTIMATE: 2-- BEDROOMS AT 110 CAL/DAY/BEDROOM = 330 GAL/DAY --i' ," INc) �\ b �'y z ,poi EPTIC TANK: f6' fr 14' N E ACK 100 �� Q \, $30 GAL/DAY x 2 DAYS = 660 GAL a zx-1f" J5� LL To L ' USE 1500 GALLON SEPTIC TANK (A E 38' PROPOSED Liuw 102 3 BEDROOM 24' top LEACHING AREA: DWELLING �'p¢p USE 2- 500 GALLON CHAMBERS WITH 3 OF STONE GARAGE 5 2' 4' • c _ ALL AROUND AND 6' BETWEEN (29'_x.I0.8' .x 2'_-DEEP) 1z' z4 - _ ` 'ad 100 0� SIDE AREA: (29 + 10,8)2 x 2 159 (.70) = 118 GAL/DAY PROPOSED DWELLING yw� BOTTOM AREA: 29' x IOB' = 313 SF (70) = 219 GAL/DAY 96 = 337 GAL � �•� � CAPACITY DAY/ SEPTIC SYSTEM -SECTION A-132. 74'. ' 2" PEASTONE COVERS WITHIN 12" OF " _ 0 BE WITHIN 6" OF GRADE)FINISHED GRADE 3�4 - 1 112" 104.0 ONE INSPECTION COVER ' WASHED STONE 0• ` � � 95. z UTILITY CLUSTER TOP OF FOUNDATION 94. 7 � I i ELEV: 100.5 ,92 LANCASTER foo.35 i 91. 4 WAY o EXISTING WELL v ELEV. ® m 100.6 1500 GAL D-BOX f00.0 ® : 97.7 94- - - � a a 90 ExlsTrxc WELL (LOT s) »ELEV. SEPTIC TANK 100.1 (6" OF ELEV. s ELEV. • 101.0 `': (6 OF STONE UNDER OR ELEV. STONE 29, o BENCHMARK AT �� ' MANHOLE COVER ELEV. MECHANICALLY COMPACTED) UNDER) 2- 500 GALLON CHAMBERS WITH 3' OF 92 ¢ ELEVATION - 93.4 EXISTING WELL (LOT 10) ! 99.7 TEE SIZES: GAS BAFFLE STONE ALL AROUND AND 6' BETWEEN EXISTING WELL 90 88. 5 „» AT OUTLET TEE ELEV. ( ) INLET: 6 UP, 13 DOWN 29' x 10.8' 'x 2' DEEP (LOT 7) , , 'a4, OUTLET: 6 UP, 14 DOWN 88 �4� SITE AND SEWAGE PLAN w .r w� APPROVED BY: DATE: KEY: L OCA TION EXISTING CONTOUR: LOT 8 LANCASTER WAY PROPOSED CONTOUR: OF EXISTING SPOT ELEVATION 25.5 Irow�+a1� �FyLjH c, WEST BARNST ABLE. MA -- - PROPOSED SPOT ELEVATION: 25 � JOHN yG\y - - Z. `�` PREPARED FOR: TES T HOLE: 0 CIVL -+ MAREST,JR. `', Ida�.BdtJt `° o>ENo:36659� UTILITY POL -0- . . . . �o REEF. REALTY FENCE LINE: FESS�p HYDRANT: -� OM AND svRVEv SCALE: 1» = 30' DATE: 3-18-95 RETAINING WALL: � DaYARBST-YcLELLAN ENGINEERING C REFERENCE: PLAN BOOK 454 -PACE 96 24 SCHOOL STREET P.O..BOX 463 WEST DENNIS, MASSACHUSETTS 026�0 REVISED: f0-12-99 (NEW HOUSE & SEPTIC SYSTEM) DM # .a_ T (D3F2L8) HOMAS Mc LLAN, P.E. JOHN Z. DEMAREST JR. P.L S. REVISED: 10-13-99 NEW HOUSE