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HomeMy WebLinkAbout0134 LOTHROP'S LANE - Health 134 Lothrop's Lane ; A= 110-042 W. Barnstable TOWN OF BARNSTABLE LOCATION Go P rS 6t%-,3 SEWAGE# VU.,LAGE ASSESSOR'S MAP&PARCEL 'of\AW c i INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY d O O 6 LEACHING FACILITY: (type) -J-00 C /tl n (size) 1 3 X 6)5- NO.OF BEDROOMS 3 OWNER 3 h C- M PERMIT DATE: t',6':) COMPLIANCE DATE: g?' 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 - ® ©c,,. �= � � �l �. ., iy � � f ��� p �. a � �� ,� ���� . ��\� �� 1 . ' J 'i No. o Fee l_1 , e THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pprication for 3igpozar *paem Construction permit Application for a Permit to Construct( ) Repair( "p—grade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ffi6 V 6QW& w _Z;D&-- - O ,JN"_ 7S-L/ Type of Build g: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( Other Type of Building No.of Person Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 � gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sig Date — — Application Approved by Date Application Disapproved y: Date for the following reasons Permit No. Date Issued No. r� Fee ((/ V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Tipplication for &5pooar *pgtem Congtruction Permit Application for a Permit to Construct( ) Repair( grade( ) Abandon( ) ❑ Complete System ❑Individual Components 4' Location Address or Lot No. IjJTh v Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer'S,Name,Address and Tel.No. Type of Build ng: Dwelling No.of Bedrooms Lot Size sq.ft.'Garbage Grinder ( � Other Type of Building No.of Perso s Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.,required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title. Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si � Date .t—3(_ r Application Approved by Date Application Disapproved y: / Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (V,/) Upgraded ( ) Abandoned,( )by 0'a at Lb-t\­-o.p S, l f t.J� has bee constructed in cordance with the provisions of Title 5 and the for Disposal System Construction Permit No d �' dated Installer- �"� ��4� (I0.a ye"" Designer #bedrooms _ Approved design flow 3 `a/ gpd The issuance of this permit shall not/be construed as a guarantee that the system wil=1 functio, agd°esigned. Date / Inspector ---,—.------(-4-------------.---- *— --`----- — No. � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Dis;p0al *pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construct n m t b mpleted within three years of the date of thi Date Approved by c � Y a Town of Barnstable Regulatory Services Thomas F. Geiler,Director RAWSTA. M Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel Designer. • „�,�,,. Installer: C- Address: 7J Address: - 8Z On — c"-Z-7 �� (�o� was issued a permit to install a ��taller (date) ( ) / based on a design drawn by septic system at (adder s) dated (des' er) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic syste_n referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. 3, �II A OF 14ASc9C ARNE H u yGs OJALA (Installer's Signature) CIVIL N No. 30792 0_ Fc/S T FSS ONA�NG (Desi er s i ) (Affix Designer's Stamp Here) .r PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc f BARNSTABLE COUNTY REGISTRY OF DEEDS JOIN F. MEADE REGISTER OF DEEDS A MESSAGE OF INTEREST THE ENCLOSED ORIGINAL DOCUMENT HAS BEEN INDEXED,OPTICALLY SCANNED, MICROFILMED AND COPIED INTO THE PERMANENT LAND RECORDS OF THE BARNSTABLE COUNTY REGISTRY OF DEEDS. IT IS BEING RETURNED TO YOU WITH THE . SUGGESTION THAT YOU KEEP IT IN A SAFE PLACE WITH YOUR OTHER IMPORTANT PAPERS. THE RECORD COPY OF THIS DOCUMENT MAY BE EXAMINED OR COPIED AT YOUR CONVENIENCE.IT CAN BE IDENTIFIED AND LOCATED IN THE REGISTRY OF DEEDS BY THE BOOK AND PAGE NUMBERS WHICH ARE STAMPED AT THE TOP OF THE FACE PAGE. , THE REGISTRY IS PLEASED TO HAVE BEEN OF SERVICE TO YOU IN THIS MATTER. JOHN F.MEADE REGISTER OF DEEDS " DEED REST - C 1 WHEREAS,_ �DCAFq Sh I V" of (address) is the owner of a CcA no if L a n e, located (address) at MA (hereinafter referred to as and being shown on a plan entitled Subdivision of Land in �r jIsTa 116 MA, Property of _Q o , et al, duly recorded in Barnstable County Registry Of Deeds in Plan Book , Page ; Or on Land Court Plan Number WHEREAS, _ I-a2 as the owner of said lot has (whmeis name) agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to.obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to _ granting"a disposal works-construction permit for a septic-system-inL compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements Lfor the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, deed, � s NOW, THEREFORE, Yl 1VL Mg does hereby place the � J (owner's name) T following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall ` run with the land and be binding upon all successors in title: may have constructed (add ess) upon the lot a house ntaining no more than _ ( )bedrooms rti • Lhmwn agrees that this shall be 7— (owners name) g permanent deed restriction affecting Qlocated on ;�. ����� and be�rtg sh©wn on the pl_ n rscordec# �n P#an Book Paged Or on Land Court Plan. For title of see the following deed Book L Page . Or Land Court Certificate of Title Number nrn Executed as a sealed ' strument day of U!r-__ O er's ignature Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS ss Then personally appea th above-na known to me t6 be the person who executed the foregoing instrument and acknowled ed the same to be free It and deed, befo me, c;u r Nota Public My commission expires: �r MIR 96 (date) N �9YP,OI�N:` 13 2W dee& BARNSTABLE REGISTRY OF DEEDS F, TOWN OF BA.,RNNSTABLE LOCATION N'1� P v -S 45�'L SEWAGE # !hLLAGE liJ �� o" — ASSESSOR'S MAP & LOTZ/49 I SEPTIC TANK CAPACITY LEACFBNG FACILITY: (type) _ (size) NO.OF BEDROOMS BUU,DER OR OWNER PERMITDATE: rCOMPLIANCE DATE: Separation Distance Between the: r- Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welland 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 Town of Barnstable FtHE Tp�� o Regulatory Services Thomas F. Geiler,Director 9�* :BAJWSTABLE,1 MASS. . Public Health Division A , Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 October 4, 2006 Mr Gary Shramek 134 Lothrops Lane West Barnstable,MA 02668 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,.Title 5 The septic system owned by you located 134 Lothrops Lane,West Barnstable, MA was last inspected September 5th 2006 by Robert J. Bortolotti, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Backup of sewage into system due to overloaded SAS. Liquid depth in cesspool.less than 6"below invert You have 90 days from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health -\_ COMB/IO-NffEALTH"OFAMASSACHUSETTS x EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS. DEPARTMENT-O:F NVIRONMENTAL PROTECTION V=_� TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION .aA�` O Property"Address: Owners Name Owner's Address: Date of inspection: KID Name of Inspecto plea print). f eh\. C z✓ Company Name Mailing Address: O G Telephone Number: CERTIFICATION STATEMENT I certify that I have personally instiected 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 functionan_d maintenance"of onsite sewage disposal systems. I am a DEP .approved system inspector pursu2n- t to Section 15.340 of Title 5(310 CMR 15:000). The system:"' Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Iuspector'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 comp.1,eting 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 authorI'ty. Notes and Comments ***This report only describes.conditions at the time of inspection:and under the conditions of use at that time..This inspertion does not address how the.system will perform'in the future under the same or different conditions of use. Title„5 Inspection Form 6/15/2000 page l Page 2 of 11 ,4 s. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE'DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner:. fd , Date of Inspecti t Inspection Summary: Check A,B,C,D or E/ALWAYS compl6ve all of Section A. System.Passes: I have not found any information which.indi'cates 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 approves by the Board.of Health;�!ilFpass. Answer yes, no or not determined.(Y,N;ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and'over 2.0 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. . ND explain: 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 obstruction is removed distribution box is leveled or replaced , ND explain: 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 obstruction.is removed ND explain: Paae 3 of I I ` OFFICIAL. INSPECTION FORM -.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWA'GE.D7SPOSAL-SYSTEM INSPECTION'FORM PART:A - CERTIFICATION(continued) Property Ad ress. .1 . 0_6Gu' �` Date of'Inspectio C. Turther.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,funrtionma,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 priv;.,is within 50 feet of a borderins vegetated wetland or a salt marsh 2. `. System will fail unless the Board of-Eealth.(and.Public,Water Supplier,if any)determines that the system is functioning in 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 l of a..public water supply. The system has a'septic tank and SAS and the SAS is within 50 feet of a private-water supply well.. _ The system.has a septic tank and SAS and the ;SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance "This system.passes if the well water analysis,performed at a DEP certified laboratory, for coliform, bacteria and volatile organic compounds indicates that the well is..free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided.that-no other failure criteria.are triggered. A copy of the analysis must be attached to this.form. 3. Other: 3. j Page 4 of.I 1 OFFICIAL INSPECTION FORM.=NOT FOR VOLUNTARYASSESSMENTS SUBSURFACE SENVAGE DISPOSAI1 SYSTEM INSPECTI ON:FOR.7YI PART A CERTIFLCATION(continued):,. Property Address: lwtzllbe A ,4LC_ Owner:Date o Inspect' n. '� "�sC✓ 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 7 Discharge or pondina 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 tox 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 %day flow . Required pumping more.than 4 times in.the last year NOT.due to clogged or obstructed pipe(s)..Nu.mber of times pumped _ Any portion of.the.SAS,cesspool or privy is.below high ground water elevation. Anyportion of cesspool or`privy is_within 100•feet oia 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 Anyportion of:a cesspool or•privyis: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, per.formed at:.a DEP certified.]aboratory, fo.r coliform bacteria and'volatile organiccompounds indicates that the.well is free from pollution from that.facility and the-presence.of ammonia' nitrogen and nitrate nitrogen is-equal.taor less'tl an 5 ppm,;provided-.that no.,other failure criteria are triggered.A.copy.of the analysis.must be attached to this.form.) (Yes/No.)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 necessarv.to correct the.failure. F. Large..Systems: To.be considered a large system the system must serve a.facility-with a design flow of 10;000 gpq to 15;000 apd You must indicate either"yes" or"no"to each ofthe following: (The following criteria apply to large systems.in addition to the criteria above) 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 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 3.10 CMR 15.3.04.The system owner should_contact.the appropriate regional office of the Department. Pase 5 of I OFFICIAL INSPECTION FORIM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM, PART B CHECKLIST Property Address: eyj Owner: Date o nspectio Check if the followini 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 Gf 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? jZHave large volumes of water been introduced to the system recently or as par 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 ? ' V — 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 b ies or tees, material of constitction, dimensions, depth•of liquid,.depth of sludge and.depth ofscum ? . Was the facility owner(and occupants if different from owner)provided with informatio:in'n-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: Yes no Existing information. For example, a plan at the Board of Health. _ Deteimined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CyIR 15.302(3)(b)1 5 Page of.1:l O.F*FICIAL,I3tiSPECTyION FO.RiM. NOT FOB;YOfL;UTvT:ARY:ASSESSMENTS .SUBS URFACE SEWAGE:DISP.OSA.L SYSTEM iNSPEC:TIOti FORM. PART'.:C, SYSTEM INF:ORMAI'IOi+i Property Address- r 0 ' . CA Owner; Date,of Inspectio FLOW CONDITIONS RESIDENTIAL Number of bedrooms.(design):ia . Number of bedrooms (acrual): DESIGN flow based on 310. 1 15.203 (for example: 11.0 gpd x r of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on.a separate sewage system (yes or no): if yes separate inspection required]. Laundry system inspected(xe .or no):/ O Seasonal use: (yes or no):A/d J Water meter.reading if av lable(]ast2 years usaoe.(gpd)): Sump pump (yes Last date of occupancy: C O M NIER CIALAND USTRIAL.W6 Type of establishment:. Design flow(based on310 CMR 15.203): Qpd Basis ordesign flow(seats/persons/sgft,etc.):' - Grease trap present(yes or.no); Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no); Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or n / If yes, volume pumped: gallons--How was it quantity roped determine Reason for pumping: TYP F SYSTEM.-:. eptic 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) Tight tank _Attach a copy:of the.DEP approval `.Other(describe): AFproximate age of all components, date instilled(if "own) nd.s urc of ir", tion Were sewage odors:detected when arri,Ving at the site(yes or no):/ / Page 7of] 1 OFFICIAL INSPECTION FORM —NOT FOR'VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION (continued) Property Address: �E� .�, . Owner: Date of Inspectio BUILDING SEWER(locatz on site plan)�® Depth below grade: Materials of construction:_cast iron _40 PVC_other(explain): _ Distance from private water supply well or suction line:. Comments (on'condition`ofjoints. venting, evidence of leakage, etc.): SEPTIC TANK: (locate on site plan) Depth.below grade: Material of construction: oncrete_petal_fiberglass polyethylene -other(explain) If tank is metal list aae:_ Is aae confirmed by a Certificate of Compliance (yes or no):_(attach a copy of certificate) i Dimensions: , S1udae depth: Distance from top of sludge to bottom of outlet tee or baffle: Z 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: How were dimensions determined: ° Comments (on pumping recommendOations, i et and outlet tee or baffle condition, structural integrity, liquid levels related To outl ,et invert,evidence of leakage, etc.): -/�/y[( 9 617 / r VT GREASE TRAP (Ibcate on siteplan) lee)) Depth`below grade:_ Material of construction:_concrete_metal fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance frorri top of scum to top of outlet tee or baffle: Distance from bottom'of scum to bottom of outlet tee or baffle: Date of 11ast.pLmping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,-evidence of leakage, etc,): 7. Page 8 of I Ox F'ICIAL.II'dSPEC'IIQN FOiVi—NOS FOTTA 'ASSESSMENTS: SUBSURFA:CE SEWAGE DISPOSAL; 5YSTE INSPECTION FORM PART C SYSTEM INFORMATION(continued); Property Address: ,C. I��/ f - Ownerr _- Date of Inspectio ) TIGHT or HOLDING TANK: (tank,rust be pumped at time or inspection)(locate.ori.site plan)- Depth below grade: Material of construction: concrete metal fbergiass polyethylene other(explain):. Dimensions: Capacity: gallons Design Flow: gallons/day Alain present.(yes or no): Alarm level: Alarm in working.order(yes.or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: /,/ (ii present must.be opened)(locate on siteplan) Depth of liquid level above outlet invert: Comments (note if box is.level.and distribution-to outlets equal,.any evidence of solids carryover, any e.vidence.or. _eakage into or out of b x,etc.): PUMP CHAMBER:. .(locate on site plan): Pumps in working order(yes or no): Alarms in working order(yes or no)`. Comments(note condition of.pump chamber, condition of pumps and appurtenancesi etc.): Paae:9 of 11 OFFICIAL INSPECT-ION FORA.—NOT FOR VOL-NTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART'C SYSTEM INFORIMMTION(continued) Property Address Y b . � Owner: Date of nsP ecti egg. SOIL:ABSORPTION SYSTEM (SAS):�ocate on site.plan, excavation.not required) If SAS'not located explain why: _� eaching pits,number: "leaching chambers,number: Teaching.Galleries, number: leaching trenches, number; length: leaching fields,-number, dimensions: overflow cesspool,number: innovative/alternati-ve system. Type/name of technology: Comments:(note condition of soil, signs of hydraulic failure, level of ponding, damn soil, condition of vegetation, "w yr � CESSPOOLS:/(cesspool must be pumped as part of inspection)(locate on site plan) Number and con 2uration: Depth=too of liquid to inlet invert: Depth"of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction:. Indication of:Groundwater inflow(yes or no): . Comments (note condition-of soil_, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): PRIVY: (locate or,-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.)- 9 Y Page 10 of 11 OFFICIAL INSPECTION-FORM=--NOT FOR VOLUNTARY ASSESSMENTS . SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORINI PAINT C. SYSTEM NFORMATION(cont nued). Property Address: j 7F Owner: Date of nspecti6'gZ . SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two' 'ermanent reference landmarks or p y � benchmarks. Locate all,wells within. 100 feet.Locate:where public water supply enters the building. Wo u w yea 9 I LI �l? E7 u44o Nn Page 1 l of I 1 OFFIC.LAL- ITISPE.CTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C S s'STEM-INFORMATION (continued) Property Address: -- Al Owner:bate of frispectio . S+ 1 � SITE EXAM Slope Surface water Check cellar 'Shallow wells Estimated:depth to Lround wafer Z-Ifeet Please indicate(check)all methods used to detennine the high ground water elevation: Obtained from.system design plans on record -If checked, date of design plan ieviewed: ObserYed site.(abuttitia property/observation hole within 150 feet of SAS) Checked with.local Board of Health-explain: Checked with.local excavators; instaflers- (attach documentation) ' Accessed USGS database-explain: You must describe how you established the high ground water elevation: • Permit Number: Date: (��Completed by: y/ A HIGH GROUND-WATER LEVEL COMPUTATION Site.Location: l "� e j ZO1W Lot No. Owner: bt?Q j, ,9 Address: Contractor: Address: Notes .._ .-- ..-.....__..._-,-.- STEP 1 Measure depth to water table - — to nearest 1/1 0 ft. ............................ ........ .Date month/day/year STEP 2 Using'Water=Level Range Zone and..Index.:WeII Map locate site_,ancl determine: OA Appropriate index well............... ��............. OWater level range zone ..................................................... STEP 3 Using monthly report"Current Water`Resources Conditions" determine current depth to water-level for index well ........................... tJ month/year _..-._._..._ STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 213) determine water-level adjustment .......................................................................................... STEP 5 - Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from, measured depth to water _. � r I level at site (STEP 1) Figure 13.—Reproducible computation form. 15 i . r leoo L-J ILL,- j jq4q TOWN OF BARNSTABLE LOCATION 4.Pi71-,(01S SEWAGE # 1 ®_®4Z 'VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.,C�44E E 0,0�' SEPTIC TANK CAPACITY /az�p tEg�O bpy LEACHING FACILITY:(type); �l (size) l OG y��O� -1,9 NO. OF BEDROOMS �N��%W ELL OR PUBLIC WATER BUILDER OR OWNER //d? � � �b3ddn DATE PERMIT ISSUED: DATE .COLiPLIANCE ISSUED: to VARIANCE GRANTED: Yes No C/ f s .90 33 I� No Fmc. THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH ��,�� .d..D...'AIAI........ ...OF....... .51. ��Ptf ft G� Appliration for 0toposal Work Tnnotrurtiun J.ermit Application is hereby made for a Permit to Construct ( <r Repair ( ) an Individual Sewage Disposal Syst a e / l3j`.... T � .. . . ............. ....... ......................................... ovation•Add ._ or Lot No. .................................. .........................---- ------------------------..............._.---- Owner --------•---••----•--•----•-----Address a -.. �F<..--- -..... ---------------------- Installer Address Type of Building Size Lot .r��1�y.....Sq. feet v Dwelling—No. of Bedrooms___ ._. .....__.__._ .Expansion Attic (i� Garbage Grinder A 04 Other—Type of Building ../4.�-5.......... No. of persons............................ Showers ( ) — Cafeteria ( ) <, Other fi es •---------------•-----........... . W Design Flow......._c5� ............................gallons per person per ay. Total dajly//flow_.__.�_���......................gallons. WSeptic Tank—Liquid'capacit}��..gallons Lengthg� ....... Width...__!Jr.... Diameter................ Depth....._. x Disposal Trench—N ................ Width.................... Total Length___.._....... Total leaching area ..- ..r.�...P. ._sq. ft. Seepage Pit No..O _._.__.. iameter._ � ._._. Depth below inlet.. ....._... Total leaching area....__.._.7.__....sq. ft. Z Other Distribution box (✓) Dosing n �� O� s / Percolation Test Res ul s Performed b .__. .. .......................................................... Datef.._.Z.7.._... b-_..__.._._. t Y a ;Test Pit No. 1................minutes per.inch Depth of Test Pit. Y......_.. Depth to ground water...v............. Test.Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ........... .......•-••---------..........------......----------.....--------------------------...------.......------------....---....-----------------•---- Descriptionof Soil........................................................................................................................................................................ x W -----•-•------•-- -------------•--•-•------•--•....••---------------.._...•••--•----•--•.............----------------•-----------------•-•----------------------......•----............._......-----••-- UNature of Repairs or Alterations—Answer when applicable............................................................................................... -••---......--•-------•-----•--•-------•--•-•-•......-•--•-•--•---•-----•--•---••--•------•------...-•-----------•-•••-----------•---•-•----•-•-•.............•--•--•----------.._.......•----........_. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'LlTLE4 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h b issued the board of health. / J Sie . -• .....................•-- ... ...`{--•--..._ Date/ Application Approved BY -•---------------• -- � Y ��� Date Application Disapproved for the f o owi.g reasons-----------------------•--..........--•••-----------.._........------------------•------•---•-•----.....•••--.._ -•........--•-----•-.....----•..........................•--------•---•----•----------------............_.--••-•-----•--•-•-..............--•---••---•-•-----•-----•......._.....----------------•••-•--- 12L ate Permit ......._.._ Issued........ ------------------ " Date NO. THE COMMONWEALTH OF MASSACHUSETTS BOARD Q F HEALTH "IA-1..............OF.......�,�%. � °� °t 4 :. ' d....L.. . .. ...... ........ Appliration for .Disposal Works Tonutrudion "prruti# Application is hereby made for a Permit to Construct ( `�or Repair ( ) an Individual Sewage Disposal System at i .... 2L�: !^,� --Z '''................ .......!. ocation-AddWss or Lot No. Owner Address � / Installer Address Type of Building Size Lotse_p__�...:...:........Sq. feet V Dwelling—No. of Bedrooms_._-...;, ..............................Expansion Attic ( Garbage Grinder 44 Other—Type of Building Z� <, ___._.... No. of ersons____________________________ Showers — Cafeteria a yP g =_---- ---- P ( ) ( ) QI Other fixtures ____________________________ _ W Design Flow_,_..___* ............................gallons per person per day. Total daily flow._._... . r_?........................gallons. W Septic Tank—Liquid capacity✓%' ' ..gal gt �=.......___ 1'�____ Diameter________________ Depth___ Total Length Disposal Trench—No..................... Width_s Len h _ Width._._-' `° Total leaching area........ _____. ..._sq. ft. Seepage Pit No......... .....___.__ , iameter__ _ ...... Depth below inlet_.:ct_' .__..... Total leaching area_eT.�__V.-.sq. ft. Z Other Distribution box ( Dosing t nk ( ) ~' Percolation Test Results Performed by.. a_? ....` ___ ____________________________________ _ ______ DateZfl _ _7 ._�� aTest Pit No. I________________minutes per inch Depth of Test Pit_tr?�`'':_....._... Depth to ground water_/!? .............. Test Pit No. 2_...............minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------------------------------------•-----•------........-••-__--•••------•-••-----•--......................................................... . 0 Description of Soil........................................................................................................................................................................ x ,. W V _--................ •--------------------------- •---•------------•-••---- -••-•-•---•---•--•-------••------------------ •------------- •...... -••-------------.... -------- ••--------------- ----------------------•----.._..-----•••-•-••---•--•-•-----•--•-•----•--•-••---•-------------••--••---•---•----•--•..._..........._.....__.......•--•-•--------•-•-----.._......-•••-•----••---- UNature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ __.------•------•=---•-•....................•--------....--••----------•--•-.._.....•-•-••-••••••--•-------------•--------••---•----•-------•-•-----------•-•--•-•--••--•-------------•----•......_. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance h b issued Wilie board of health. `Ie Si ne . ................................................................. ...._.... Application Approve .......... .. Application Disapproved for the f o owi reasons_________________________________________•------..._..____________•________________:________....______....._.._ ----•_..._............................................................................................................................................................................................ Dat- Permit No. ,_.D.....:&__ -- � - ---•------------------- Issued..-----�--/= --------------------- t f ' THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ci we ....................OF.... _ T.rrtifiratr of Toutplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) -Y_.-, �f by - f Install ...................................................................................... -•------------------•-----•--------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.<if5-r:F....Lf_R.;e�.......... dated__.._C_Zz.q_JJ..�__________________ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .. Inspector -- ---•=•• ..._...... - THE COMMONWEALTH OF MASSACHUSETTS �// BOARD OF HEALTH N 0:. ........d.�r Z ..... .f""'�'' '�.. ..........OF..�^�..�:N1_d, !. I�:�. R-.....-..._.. FEE / . . f•. Disposal Works Twonutrudion rrutit Permission is hereby granted--- "�"� 3� .. }cyst..---------•--._...---•............................................................._.... to Construct ( ) or Repair ( ) in individual Sewage Disposal System at No...... . .1 ...---- � .�� ,, ire, =� F. .:r---••--•--- t `�� ----•----•• Street v�- as shown on the application for Disposal Works Construction Permit c __r.:>_ __._ Dated ' -&f L+" Board-of Heat DATE........ - ..... �'� _�....... . -•-----•- FORM 1255 A. M. SULKIN, INC., BOSTON J - Fee --�------ BOARD OF HEALTH TOWN OF BARNSTABLE Applitatioll forWell Con0rutt ion joermit Application is hereby made for a permit to Construct .Alter ( ), or Repair:(�individual Well at: ��_�'-° / - � -- ------ -- - - - JJJ - - ------------------------- ��r 6410� ocation — Address � Assessors Map and Parcel — ------------- --- -- - ----------------- --- `, ner 0)�q�L Address n �1 ---------- -------''- --- - --------------------------------------------- Installer — Driller 3��/ Address Type of Building 7 Dwelling -�1`D--Yl- — ----------------- Other - Type of Building----------------- -—- No. of Persons-----�-------------------------------------------- . �� /�Type of Well — Capacity Y--- -- — -- -- --- ----- -- - Purpose of Well— Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation ntil a Certificate of Compliance has been issued by the Board of Health. Signed _ 3f_� - - -—- -- t z_ C date tfl Application Approved By---- "� VZ_3__( __ — ---- = —— date --— Application Disapproved for the following reasons:-----____________________—_—-----_------------__—__-------------_---------_______---_------- ------------------------------------------------------------- date Permit No.-- '� �' ------------ Issued--------------- -Z= `3 7-- — -- --- - -------=---------- - date BOARD OF HEALTH Ole-, TOWN OF BARNSTABLE 1Nf�l.� LO CG N- e-k C ertif irate ®f COMPliante THIS IS TO CERTIFY, That the In ividual Well Constructed Altered ( ), or Repaired ( ) ---- -- -�_<<A - -=--------------------------------------------------------------------------------------------------- by - - �lti Installer at-------- -------- ' ' -� - � - ^; ----------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit 1•?�'`a�-+-��------Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-----------------------------------------------------------— - -- Inspector- --—- -- ---- - -- — -- - — r No.- '"_ f_ --" _ ' Fee— BOARD OF HEALTH TOWN OF BARNSTABLE Applitation-*rVell ConotructionPermit Application is hereby made for a�permiit to Construct (Vf,"Alter ( ), or Repair;49-1n individual Well at: ocation — Address ,�` Assessors Map and Parcel --------------------- ---_�r -- -----------------_ - __ _--------- ----__ _ _ ____�______ Oa ner (V`7 X- Address Installer — Driller V;t/ - Address Type of Building d i?4 ;{. �.• 'Dwelling------: -----__`�---- �----------------- Other - Type of Building =---- = ----- No. of Persons------ Type of Well--- ----�- � �-----..--- ----------- Capacity----------------- ---_________-------------- Purpose of Well------ -d.�� =' Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Ile e Signed4_ - _ date —__— -- —-- _3APPlication Approved By------ datedate — Application Disapproved for the following reasons:--- ---------- ---- — ---- ,� .. date �� i- - -7-——---- Issued------ /? —`�3—t Permit No.-------------- date BOARD OF HEALTH TOWN OF BARNSTABLE 1C- rj pl < Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( `)Altered ( ), or Repaired ( ) Installer at—-------l _4�4------- ��---------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection 1 Regulation as described in the application for Well Construction Permit No. -`�--' I'--) --Dated---`r-{.11'S 1�l 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 Veil Construct ion Permit No. _`L'1 ----1 0 ) Fee— - 1G O I- 'S Permission is hereby granted------",�-�--t-- .�� /�_`',�___-----------:-------- -- ----------------------------------------------------------------------- to Construct ( ''Alter ( ), or Repair ( ) an Individual Well at: No. ---------L —. ----------- ----------------------------------- Street as shown on the application for a Well Construction Permit Nl P�9 ---- - -—— -- -- Dated--- `� 1-? a - - ---- -- — — - _ tJ ._ r Board of Health DATE------------- Z 41lq- - --------------- _ Z� �1. _ ,.....tifttf[tfii(tfifftltl#tttltfittfiftlfttfitmttinnftiiilittitlittrifimtfittttt))Sf1t{�t#ii1R(ItftittittttfifiRtittti(ttttH{itfitttittit((fttti[t[tftfffittit(ii[((titfiitiitTt►Ji��, ENVIROTECH ILAB®RA' ORRES 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 CLIENT: Gary Shnack LOCATION: Lot 19 Lothrup Rd ADDRESS: W. Barnstable,MA COLLECTED BY: N. Kapolis SAMPLE DATE: 8/21/89 TIME: 1:30 PM DATE RECEIVED: 8/21/89 SAMPLE ID: ET 512 c JOB : New Well WELL DEPTH: 110 ft c c RESULTS OF ANALYSIS: c Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units 6.0-8.5 6.74 BE: Conductance umhos/cm 500 78 Sodium mg/L 20.0 7.9 ;r Nitrate-N mg/L 10.0 .07 c c Iron mg/L 0.3 .09 Manganese mg/L 0.05 cHardness mg/L as CaCO 3 500 Sulfate mg/L 250 20.0 Potassium mg/L 3 Alkalinity mg/L 200 c: Chloride mg/L 250 e. Turbidity NTU 5.0 _ Color APC units 15.0 r Background bacteria F COMMENT: c YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS STED. E XR �.PG�. DATE �Z 2 i SYSTEM PROFILE LEGEND TOP FNDN. AT EL. 95.2' NOTES ACCESS COVER TO WITHIN 6" OF FIN. GRADE SNOT TO S ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD LOCUS x ACCESS COVER (WATERTIGHT) TO 100.0 PROPOSED SPOT ELEVATION WITHIN 6" OF FIN. GRADE Gov 94.0' MINIMUM .75' OF COVER OVER PRECAST 2. MUNICIPAL WATER IS NOT AVAILABLE 1OOXO 27G SLOPE REQUIRED OVER SYSTEM 93.T EXISTING SPOT ELEVATION s. , RUN PIPE LEVEL 2" DOUBLE WASHED NE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. '4 \100 PROPOSED CONTOUR *91.4 FOR FIRST 2' OR GEOTEXTiLE FABRIC *-EXISTING 1000 ` 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO _ f 100 EXISTING CONTOUR GALLON SEPTIC TANK 90.63' 90.88' H- 10 (TO BE RE-LOCATED) GAS 6 '`SUMP 90.7' I_ BAFFLE 89'.98' 5. PIPE JOINTS TO BE MADE WATERTIGHT. 90.15 oa � o O a000 r�� ' c O 4' C 6" CRUSHED STONE OR MECHANICAL � p � � 0 � !� � 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 5� 89.90 pa ® 0 � � OC] O DEPTH OF FLOW COMPACTION. (15.221 [2]) 2' 0 � � 0 0 � 0 0 0 MASS. ENVIRONMENTAL CODE .TITLE V. �e TEE SIZES: c 87.90 o Wiilo� •• Street INLET DEPTH = 10 3 4" TO 1 1! 2" DOUBLE WASHED STONE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO / / _ BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. OUTLET DEPTH - 14 f'oGf� ( 4.3 x SLOPE) ( 1 x SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. s SLOPE) I s� FOUNDATION- 12' SEPTIC TANK 48' D' LEACHING 10.2' 9. COMPONENITS NOT TO BE BACKFILLED OR CONCEALED ON BOX t0 FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. LOCUS MAP SCALE: 1 = 2,000 f *THE INSTALLER SHALL VERIFY THE **THE INSTALLER SMALL CONFIRM MIN. 10. CONTRACITOR SHALL BE RESPONSIBLE FOR CALLING LOCATIONS OF ALL UTILITIES AND ALL SEPTIC TANK SIZE AT 1000 GALLONS AND - DIGSAFE (1-8388-344-7233) AND VERIFYING THE LOCATION ASSESSORS MAP 110 PARCEL 42 BUILDING SEWER OUTLETS AND ELEVATIONS ITS SUITABILITY FOR RE-USE BOTTOM TH 1 EL. 77.7 OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO PRIOR TO INSTALLING ANY PORTION OF COMMENCEMEINT OF WORK. LOCUS IS WITHIN AP OVERLAY DISTRICT SEPTIC SYSTEM 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE TEST HOLE LOGS REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. DAVID FLAHERTY, R.S. ENGINEER. 13. A 1500 GALLON SEPTIC TANK SHALL BE INSTALLED AT WITNESS: DON DESMARAIS, R.S. ELEVATIONS PER PLAN IF EXISTING TANK IS FOUND NOT TO OCTOBER 23, 2006 BE EITHER SUITABLE OR WATERTIGHT AFTER RE-LOCATION. DATE: PERC. RATE _ < 2 MIN/INCH CLASS I SOILS P# 11473 Sfj way ELEV. ELEV. O" 4 9 1.0' 0" `�% 91.0' L=35 . Q6 ' SYSTEM DESIGN: LOCUS WELL I FILL - - R- 75 EXISTING I WELL 15" 89.7' 14" FILL 89.8' / . 00 _ _ GARBAGE DISPOSER IS NOT ALLOWED DESIGN FLOW: 3 BEDROOMS 0 110 GPD = 330 GPD A/E A/E N IFLOW /LS /LS LOT 9 USE A 330 GPD DESIGI 1 " 10YR 3/1 89,4, " 10YR 3/1 89 3' / 30,545 SF SEPTIC TANK: 330 GPD (2) = 660 9 20 O� U� **RE-USE EXISTING 10100 GAL. SEPTIC TANK UNSUITABLE SOIL B B O O / LS �� �O u' I_EP,.CHaNG: 36" 10YR 6/6 $8.0' 38" 10YR 6/6 87.8' O SLUES: 2 (25 + 12.83;) 2 (.74) = 112 GPD ' LO , BOTTOM 25 x 12..83 (.74) = 237 GPD C 1 C 1 430 v / rn 6' o TOTAL: 472 S.F. 349 GPD " LS LS / r 9 , , " 2.5Y 6/4 2.5Y 6/4 v / S JSE_ (2') -500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) 84 84.0 72" 85.0' / ,�o� WITH 4' STONE ALL AROUND / ( � ( _ C2 C2 J PERC OQ / FS FS ' / BRICK MA 160" 2.5Y 6/5 77.7' 132" 2.5Y 6/5 80.0' PATIO �,� �°, ,o� � APPROVED DATE BOARD OF HEALTH EXISTING 3 BR NO GROUNDWATER ENCOUNTERED DWELLING TOP OF FNDN s '� = 95.2 fig• O`RE-L Ai'S.T O I(SEE NODE #613) v h`y PAVED DRIVE TITLE 5. SITE PLAN C' 1 70, PROPOSM OF 0/ SCAB ADDITION GAMW ( / 134 LOTHROFS LANE EXISTING I WEL // N 93 ' P 3 (WEST) BARNSTABLE MA o 0 PREPARED FOR / SWALE / c) ,1E RVE s . f; 1g� 9594 TH . . {�.�. CARP SHRAMEK 9 7 E A L - / � sW � BENCH MARK. CORNER CONC. DATE. NOVEMBER 7, 2006 /ry BULKHEAD ELEV. = 94.5 REVISED DATE: JANUARY 2, 2007 (TITLE, RELOCATE SAS, REDUCE GRADING) / 93 232.36 W UT 94 X--__ Scale:1"= 20' 0 V / XII 0 10 20 30 40 50 FEET O m 5' REMOVAL OF UNSUITABLE SOIL r REQUIRED AROUND PERIMETER OF r LEACHING FACILITY, DOWN TO off 508-362-4541 SUITABLE SOIL LAYER. REPLACE fax 508 362-9880 WITH CLEAN MEDIUM SAND'. POOL ����H OF�s�� �yyk�'�''CN OF I.�qS 9c J �/ �o� ARNE H �G ARNE yG� v (.../O Wn CGp e ergg il-7 e erin , Inc. © OJALA H. CIVIL . ALk CONC. APRON oJ6 No.. s07ops �No.2 48 Cl 1/lL ENGINEERS � � o o FG spa ST � LAND SURVEYORS ORS l DA ARNE H. OJALA, .E., P.L.S. 9J9 Main Street - YARMOU THPOR T, MASS. DCE 06-23 06-231 SCHRAMEK.DWG (DDF) gL Top cor ro"04 MIN � 2 COAr.4 E7s' COVE7P! COACRE ff GONER S1 TE IE'L A N OF L A AID 4" •cAo" 40 PVC13A RNS TA HLE • Aar _ A►raN v 4 r�f f-T ,ti! 31 h vet" / r'77rn"wv 0 1 V IF I I-if— ,•; sraw d NVERT Awn INVERT js j f'lmrAsT 4?' -r Q 3 < <�. m S�EPnC tAW EL A 7,0 b°dllM Ay c I1IYE7PT ,�o o �, PREPARE Q •• sty ID rA P1 So, A Y H�f 4 � f C PROFILE OF W Q?0lW wA rM T.a" SEPTIC SYSTEM GRAPHIC S C ALE 30 0 ,s 30 00 SOIL L OG XR A4„�- '�- 7-vim GENERAL- NO TES o / 2y a ( � ) tart'f+ac r i�I,� `-f—r C 1 bnch s 30 !i I DA TE MA Y 28, 1989 ,��-A� T� fit' Z Svc!.;its .. DESIGN DA TA ti0PEA1 SPA Cr L IIKALi5ER OF SEVOAItS ' 3 MA D i tl H rOrAL FLOW CPO MOM LEA C.f�1A0' AREA - 1 � i S4i f7. � pSO Fr. D&VVS4L _ OJ n�.l SOX #wow* ,� TOFAL LEAAh� AREA 2 J S 09' 45 E PfAu"TION RA Tr �q 59-171.*06 _do wA raw wwownulaw :. ., � ' . T ,• :. �. r?T, =° '/�'o un .�sF1r-ate-+ lx ?r /.,'�-�a ?-.Z z t; 3 f7 1..._ O / 5 7 » Li � 'S G i�S F/DA C�s L 0 T C� e Gpti GAS ° -� s l ✓ c 34,, st. 5' F< •' `�- c,2 II� 4 65 EXISTING CON TOUR 5 • —PROPOSED CONTOUR i3oaEt�CXi9 . � RES. ly ArcVE f � �6 -PLAN REF: 418/55 -LJOB NUMBER .96 06 r t jr4/2�'7 xev. '7/2 - Z gL . o S1 TE PLAN ' OF , LAND cot1cwrr"co A" COACIAM COIAM EL �� 1"•QA0drTr 40 PVCcar { Mcm ve AQ ITT !; fti�• 3VI'Apsraw S TA HLIE vl" .j IVVJETPTIN Wo 6A N r-7 NI�L"R T 4 fi • ' PfRTE"sr JVVIE7PT ..• 4 i �,� SOMC rAW EL 0 3 O � :�; ba l�� PREPARED FOR ; 2 rw>Exr r w, EL Q". •� SrA IF ID 50 EL ?' U A K'Y H R.Vk f PROFIL E OF ---- E<. a s W GRO" WA M? r.4" S GRAPHIC SCALE EP TIC SYSTEM 3 C 1 3 so ,m SOIL L OG aorF: 10-2 7-ate _ - 204 GENERAL NO TES 1 tach - 30 it _# I tZ. EZ. MR sz f' TIM ' " ' DA TE MA Y 28 1989 TFF DESIGN DA TA ' 1 MA1 MR TGIF DaWOOM 3 11DEA1 Sl:'A CL: -_,7�, M D i U F1 rOrAL FLOW 60 MM LEA Ch" AREA GP>D ( � S41 FT. /71E'LEACtiNf� AREA I SO Fr. S cARaa GE VISPOSAL TOTAL LEACH" ARF-4 so Fr. �./� S Qg•58 45 E ,2. ' r� .Z�� s) PERCuc.A 774V RA rE2 F a,k roc , �q 1,71- 06 y/^ 59 r a a WA fix oIAG,O�mma - --- - r ._.,_ CAL CGCA T1101ARs', i 3 6t,L . • Tr 7 �' SS \ �- � ��, -ra7A r, 4 y 5 53 �0 •� 101111, �� 5z L 0 A���� _—�:--� _ 3 1 Y 'plc) l 47 50 • !y � 51 52 53 5`� EXISTING CONTOUR 5 � • —P ROPOSE D CONTOUR ce O 1s o �J o, » RES. ZONE.' Rom"' FZ.0OD ZONE C s6 PLAN REF: 418155 L� JOB NUMBER 17.96 06 T 6//412M 7/2 //0