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HomeMy WebLinkAbout1849 MAIN ST./RTE 6A(W.BARN.) - Health 1849 ai n'Street, West Barnstable. ,. a r A' . 216 - 0.22. r i r P P K f 1 p L CI CERTIFICATE OF ANALYSIS Page: 1 of 1 18; Mi Barnstable County Health Laboratory (M-MA009) - ysrnciiv ^! Report Prepared For: Report Dated: 10/26/2015 James Tabor Order No.: G1590806 1849 Main Street W Barnstable, MA 02668 � Laboratory ID#: 1590806-01 Description: Water-Drinking Water Sample#: Sample Location: 1849 Main Street West Barnstable, MA Collected: —170/21/2015 Collected by: Received: 10/21/2015 Routine ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 2.2 mg/L 0.10 10 EPA 300.0 LAP 10/21/2015 Copper ND mg/L 0.10 1.3 SM 3111B LAP 10/23/2015 Iron 0.10 mg/L 0.10 0.3 SM 3111B LAP 10/23/2015 pH 6,8 PH AT 25C NA 6.5-8.5 SM 4500-H-13 DCB 10/21/2015 Sodium 16 mg/L 2.5 20 SM 3111 B LAP 10/23/2015 Total Coliform Absent P/A 0 0 SM 9223 RG 10/21/2015 Conductance 230 umohs/cm 2.0 EPA 120.1 DCB 10/21/2015 Water sample meets the recommended limits for drinking water of all the above tested parameters. Attached please find the laboratory certified parameter list. Approved By:. (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3195 Main Street, P0. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 TOWN OF BARNSTABLE LOCATION 4 SEWAGE # VILLAGE ���' 17�i G►!SJ'�r� ASSESSOR'S MAP &LOT,)/U RgSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER I n�nfolltI1 I2,1I1S b'6Z)-P1J PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the:, Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by a � l •3� 'fz�` n y 10 = _ . 3 � Io i 9 to __ Title 5 Insoecti.Form bItSILO� _ L TOWN OF BARNSTABLE LOCATION 11 i 74!1 Ash�t °.�� SEWAGE# .4-090- f-74 Y?JLLAGE w. (.G_ ASSESSOR'S MAP&PARCEL 4 INSTALLER'S NAME&PHONE NO. G• I. - '•. ���.g SEPTICTANK CAPACITY i,�'0 .� . LEACHING FACILITY¢(type) �'t2 tG (size) X' rJ_PJ1ex NO.OF BEDROOMS OWNER e .tr PERMIT DATE: 116 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) Ig'b Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY I ! 4, 2 ofj � I J&3 44 � o r A-*- � i i • � ; �• � fit ` No. ;polo ^ / ?q t Fee v 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPYitation for Disposal bpstem Construction Vermit Application for a Permit to Construct Re air U pp ( ) p (� p Abandon( ) Complete System ElIndividual Components Lo�c�a�ion Address or Lot No. ���/�j �� �� A Owne;��ame,Add s,and el.No. Assessor's Map/Parcel ir,��' Installer's Name,Address,and Tel.No. Designer's Name, dress and Tel.No. a Type of Building: Dwelling No.of Bedrooms Lot Size rJ� sq.ft. Garbage Grinder(�® Other Type of Building cJ r /�L(i No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ® gpd Design flow provided gpd Plan Date & 99 Number of sheets f Revision Date Title �✓ /C a g n $ Size of Septic Tank T/' 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 Heath. Date 6 Ae Application Approved by Date �Q Application Disapproved by Date for the following reasons Permit No. 10 -7 Date Issued l9 No. �V/`� �- / y l3S� .� ,{ H Fee `� O THE COMMONWEALTH1OF MASSACHUSE�TT'S Entered in computer: PUBLIC HEALTH,DIVISION - TOWN OF BARNSTABLE, MASSA►CHUSETTS Yes APPY,ration for Vsposal *pstem Construction permit Application for a Permit to Construct( )' Repair(Y�Upgrade-( )" Abandon( ) Complete System ❑Individual Components Lofti Adds or Lot No.di 7` �f//��/ O ff we 's Name dr s and el.No. Assessor's Map/Parcel Installer's Name,Address and Tel.No. Designer's Name, dress and Tel No. 7 7/� .. y,�e Type of Building: L Dwelling No.of Bedrooms Lot Size " p .3 sq.ft. Garbage Grinder(��d Other Type of Building S/ 1fyn� No.of Persons Showers( ) Cafeteria( ) ' Other Fixtures Design Flow(min.required) , Z gpd Design flow providedy gpd Plan Date 6 /T- �!7 Number o sheets Revision Date Title Size of Septic Tank �� Type of S.A.S. Description of Soil �y G Z J!.k` Z 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 i 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 He h. Date Application Approved by Date 1 Application Disapproved by Date for the following reasons Permit No. Date Issued .. - ------ -----------=---------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compflantr THIS IS TO CE TIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )b a Per je at /���� ��/(�(�`//1 �J/ • has been constructed in accordance b�ance rn l with the provisions of Title 5 and the for Disposal System Construction Permit No. �c�G /mated Installer ,&/, Designer #bedrooms Approved des' flow �—'LI� gpd The issuance of t,is ve it shall not be construed as a guarantee that the system wV�InScii as designDate YJ � I J Inspector ------------------------ /- 7 - - - - - No. lQ ^! / Fee /� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Misposal 6pstrin Const action permit Permission is hereby granted to Const ct( /)e Repair ) Upgrade( ) Abandon( ) System located at ! / Z � f!'0> �f?/ 00, J'fl and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constrructi n must)be completed within three years of the date of thi permit. O Date Approved y 1. Town of Barnstable o¢VE Regulatory Services o„ Thomas F. Geiler, Director } BARNWABLE, Public Health Division 9`b�Ep 039. s`e� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: t y Sewage Permit# JL�®r L ssessor's Map/Parcel Installer & Designer Certification Form Designer: Installer: • A N D.aSSOC1_aTES Address: 42CANTERBURY.LANE Address: FAST FBI MO iTu 02536 508/540-2534 On7 ��� was issued a permit to install a (date) (installer) septic system at 1Ab i A V f� based on a design drawn by (address) dated cv t-L u� (designer) ' I rtify that the septic system referenced above was installed substantially according to e design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. ��a;A�AaA4A $ cP\S\i BF 10tgS. F p' ft,� ���\♦ P P Fo `s �P sq L V STEPHEN `� DAVID �y (Installer s Signature) J. N o B. DOYLE .a MASON o #37559 !� i 0�_ssy0��¢ Desi er's Signature) ����, .V signer's S r PAP PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. C FICATE 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:\office forms\designercertification form.doc Town of Barnstable P Al Department of Regulatory Services Public Health Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled LP a f;� Time Fee Pd. 1 DD Soil Suitability Assessment for Sewage Disposal Performed By: �t7Tf _ Witnessed By: �b� �1�GSti1T� \Cj LOCATION& GENERAL INFORMATION Location Address 0 6,kct Owner's Name N\j&h," t2T fo f� — ill.) . Cc tk s;;jm't'S 1.t� Address l'I k� �1 C�)V► Assessor's Map/Parcel: 21(p 'Z�,. Engineer's Name LL NEW CONSTRUCTION REPAIR _Ne!!f Telephone# �b$ — Z7 land Use Slopes M 2-'to Surface Stones rt S Distances from: Open Water Body L 19 U ft Possible Wet Area L►5 o ft Drinking Water Well )eft Drainage Way `� 4 ft Property line 5 \eft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands to proximity to holes) L r 1TS' ''t„ I Zo, Tp 4 p 4' N 0 a at a r + Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: w Weeping from Pit Face Estimated Seasonal High Groundwater DETERAHISATION FOR SEASONAL HIGH WATER TABLE ion Method Used: CN D Depth Observed standing in obs.hole: in. Depth to Soil mottles: In. Depth to weeping from side of obs.hole: In, Groundwater Adjustment fl'' Index Well# Reading Date: Index Well level, r�a Ad).faetor— Adj.Groundwate kLevel PERCOLATION TEST gate A Observation Hole# I Time at 9" 11 O t` 1' I l L Z)/ _ Depth of Perc 514 Time at 6 _ Start Pre-soak Time @ 11100 Time(9"41 jt!MjA ' r" End Pre-soak — Rate Min./Inch Z _ Site Suitability Assessment �RePass Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conseliwation Division at least one(1)week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil then Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Co i to 'vel \O>(� 3l-G t_oosvt t Lo R 4(S, Corst�t a q4 7,L1 Gl Mob.' IN c.otnl>HLY t,�� co W44 10`(K it. u6 tt S u z' Y s>• DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) r (USDA) (Mansell) Mottling (Structure,Stones,Boulders, a Co s' en AO-�ogt� �` M�z.A toY1Z. b ° `ep L DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C i te cy,%Q avell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling . (Structure,Stones;Boulders. Consistency, Leib t-YFfood Insurance Rate Map: ea . Above 500 year flood boundary No— Yes Within 500 year boundary No I Yes„ Within 100 year flood boundary No_Z Yes Depth of Naturally Occurrine Pervious Material "-,Does at least four feet of naturally occurring pervio is material,exist in all areas observed throughout the -area proposed for the soil absorption system? If not what is the depth of nat urally turally occumng pervious material? Certification I certify that on 4/ (date)I have passed the soil evaluator examination approved by the Department of Enviro mental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 310 CMR 15.017. Signature Date b --Z D -a� QAS.EPTlMBRCFORM.DOC pr rr rrr rtrr rr.I W.1l E Complete items 1,2,and 3.Also complete 77777 �.tricted Delivery is desired. ❑Agent0 Print your name and address on the reverse 13 AddresseeSo that we can return the card to you. Date of Delivery® Attach this card to the back of the mailpiece,or on the front if space permits. 1. I D. Is delivery address different from Item 1? ❑Yes 1 1. Article Addressed to: If YES,enter delivery address below; ❑No Ms Mary E. Aldridge 1849 Main Street-Rte 6A West Barnstable, MA 02668 3. Service Type 1 ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes ! { a. ArticleNumber, I 7005 1160 0000 0191 3066 (rmnsfer%turn service label) l PS Form 8811,February 2004 Domestic Return Receipt 102595-02-M-1540 rn Qom' Postage $ v - ! = 0 certified Fee •� it � 1 Postmark } C3 ( sg1�a rn; Return Receipt Fee , d h, G; (Endorsement Required) 0 Restricted Delivery Fee o, —0 (Endorsement Required) r-q 6 Total Postage&Fees trl r3 S ntTo -- ...... or PO Box No� --- iai- ZIP+a ------- ---- oaGG� :�r ro r f Town of Barnstable ' oFINE r o Regulatory Services ivsrns Thomas F. Geiler,Director BARMASS 63; .��° Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 4, 2007 Ms Mary E. Aldridge 1849 Main Street-Rte 6A West Barnstable,MA 02668 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system owned by you located at 1849 Main Street,West Barnstable, MA was last inspected March 91h,2007 by Reid C. Ellis, 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: System is in hydraulic failure y y You have 60 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 HE TH DEPARTMENT Thomas A. McKean,R.S.;C.H.O. Agent of the Board of Health �C COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION 4 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 1849 Main Street-Rte.6A,West Barnstable,MA _; s } Owner's Name:Mary E.Aldridge sr Owner's Address: 1849 Rte 6A,West Barnstable,MA Date of Inspection:03/09/2007 Name of Inspector:Reid C.Ellis cn: , Company Name: Ellis Brothers Const.Co. Mailing Address:23 Enterprise Road Yarmouth Port,MA 02675 Telephone Number:508-362-6237 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper fimction and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes nditionally Passes eeds Further Evaluation by the Local Approving Authority Fails Inspector's Signature: ... Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.Uthe system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. 9 Notes and Comments �� f�i�✓ L✓"2,ZA& � ****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. - 1 Title"5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 1849 Rte 6A,West Barnstable,MA Owner:Mary E.Aldridge Date of Inspection:03/09/2007 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: /Y r303 I have not found any information which indicates that any of the failure criteria described in 310 CMR or in 310 CMR 15.304 exist Any failure criteria not evaluated are indicated below. Comments: B. Conditions System Passes: y � One or more system oamponents as described in f te"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacemen t or repair,as approved by the Board of Health,will pass. 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 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 4 proved by the Board of Health. *A metal septic tank will pass inspection if it is stru y sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is avail e. ND explain: Observation of sewage backup or break out or hi static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven d stribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)are n placed obstruction is remo distribution box is It eled or replaced ND explain: The system required pumping more than 4 tunes 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 remov ND explain: 2 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 1849 Rte 6A,West Barnstable,MA Owner: Mary E.Aldridge Date of Inspection: 03/09/2007 n ' C. Further Evaluation is Required by the Board of H h: Conditions exist which require further evaluation b 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 determi es in accordance with 310 CMR 15303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a borded ig vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and blic Water Supplier,if any)determines that the system is functioning in a manner that protects the 1p iiblic health,safety and environment: _ The system has a septic tank and soil absorpti system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water ply. The system has a septic tank and SAS and the 3AS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the 3AS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the 3AS is less than 100 feet but 50 feet or more from a private water supply well**_Method used to detern ine distance **This system passes if the well water analysis,pej Formed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates t iat the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitro en 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 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 1849 Rte 6A,West Barnstable,MA Owner.Mary E.Aldridge Date of Inspection: 03/09/2007 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Y� yo Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or pool quid depth in cesspool is less than 6"below invert or available volume is less than%Z day flow uired pumping more than 4 times in the last year NOT due to clogged or obstructed.pipe(s).Number f ' es pumped y portion of the SAS,cesspool or privy is below high ground water elevation. Ate' rtion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface �F suPPly- _/ portion of a cesspool or privy is within a Zone I of a public well. y 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 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.] (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 necessary to correct the failure. E. Large Systems: �U To be considered a large system the system must e a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the llowing: (The following criteria apply to large systems in ad n to the criteria above) yes no the system is within 400 feet of a surface dri nldng water supply _ the system is within 200 feet of a tributary t i a surface drinking water supply the system is located in a nitrogen sensitive trea(Interim Wellhead Protection Area—IWPA)or a mapped Zone H of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.'Me owner or operator of any large system considered a significant threat under Section E or failed under Sect on D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropr ate regional office of the Department. 4 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1849 Rte 6A,West Barnstable,MA Owner:Mary E.Aldridge Date of Inspection:03/092007 Check if the followinghave been done.You must indicate es"or"no"as to each of the following: "y g Yes Ng� e information was provided by the owner,occupant,or Board of Health — —/�p� _ V Were any of the system components pumped out in the previous two weeks? 7- 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 V/ _ 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 ofthe tank inspected for the condition :7afles 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: Y n 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 unacc_eptable)[310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1849 Rte 6A,West Barnstable,MA Owner: Mary E.Aldridge Date of Inspection: 03/09/2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): — Number of current residents: _ Does residence have a garbage grinder(yes or no): A/V d] Is laundry on a separate sewage system(,y�or no)., [if yes separate inspectionrequire Laundry system inspected(yes oO o):&0 Seasonal use:(yes or no): ;.� V Water meter readings,if av ' ble(last 2 years usage(gpd)): /70 Sump Pump(yes or no): Last date of occupancy: 1— COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): d Basis of design 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 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 no): If yes,volume pumped: gallons—How was quantity pumped deternuned? Reason for pumping: /lt7 'TOF 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) —Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: _ AAW Were sewage odors detected when arriving at the site(yes or no): A10 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1849 Rte 6A,West Barnstable,MA Owner: Mary E.Aldridge Date of Inspection: 03/09/2007 BUILDING SEWER(locate on site plan) Depth below grade: �y' '°�'/ Materials of construction: - uon 40 PVC . other(explain): �. private water su pply well or suction line: ce from Y ---��--- Distan p uPP , Comments on condition of'oints,venting,evidence of leakage,etc.): Comm ( J •� ice_ � � o �.$//0� SEPTIC TANK: ocate on site plan) Depth below grade: Material of construction:_concrete metal fiberglass polyethylene _other(explain) If tank is metal list age:— is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) Dimensions: Sludge depth: 7" a> Distance from top of sludge to bottom of outlet tee or baffler Scum thickness: !,-" G� Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: nsions determined �� How were dime structural integrity,liquid levels ons inlet and outlet tee or baffle condition, Comments(on in recommen ti , pumping as related to outlet invert,evidence of leakage,etc.): _ - mi✓/1 � � GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete metal—fibet glass_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: Comments(on pumping recommendations,inlet and oui let tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1849 Rte 6A,West Barnstable,MA Owner.Mary E.Aldridge Date of Inspection: 03/09/2007 TIGHT or HOLDING TANK: (tank must be at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): I Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or o): Date of last pumping: Comments(condition of alarm and float switches,etc. DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: evidence of Comments(note if box is level and distri on to outlets equal,any evidence of solids carryover,any 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 f pumps and appurtenances,etc-): 8 ---- 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1849 Rte 6A,West Barnstable,MA Owner:Mary E.Aldridge Date of Inspection:03/09/2007 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Ty Ieachm its number:' �' 41/2- 2— �14j t, �ri> gP leaching chambers,number leaching galleries,number leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc c �-� CESSPOOLS: (cesspool must be pumped as part Df 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 or no): Comments(note condition of soil,signs of hydraulic fa lure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic fi ilure,level of ponding,condition of vegetation,etc.): 9 9 I Page 10 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1849 Rte6A,West Barnstable,MA Owner: Mary E.Aldridge Date of Inspection: 03/09/2007 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. I i 6 6 - �, �, 5 2-9 10 44 Y 5 l ry � A t B �V ` vv- i Page 11 of 11 • OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1849 Rte 6A,West Barnstable,MA Owner: Mary E.Aldridge Date of Inspection: 03/09/2007 SITE EXAM v Slope Surface water j1iv�A Co Check cellar 4— /� Shallow wells Estimated depth to ground water Vfeet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within ISO feet of SAS) C ecked with local Board of Health-explain: hecked with local excavators,installers-(attach do umentation) , Accessed USGS database-explain: ' You must describe how you established the high ground water elevation: Of '� blvl.� Go tiw v 3aJl.�vv� Qn., -� h 11 CERTIFICATE OF AN ALYSIS Pas e: l Barnstable County Health Laboratory 3 � '�°j�«iL��• Report Preaared Far- Report Dated: vttnov Kim Bamocky-Grossman Sandbar Realty,Inc. Order No.: GOfi39733 832 Main Street,Suite E 0stemille, MA 02655 Labaratorr TD>'t: 0739733-01 -- ----•---- ... __--_-- - _ . Description: Water-Drinking Water Samplc><: Sampling Location: 1949 <2Ain St.Nest t3arnstabte,M17A Collected by: R.L.Ellis Cotkxted: "12007 Map 216 Parce1022 Rotaine Received: 3I9!20U7 ITl?M RESULT L`1yITS RL MCL Wiedwd>K oa t Tested f' 'Nitrate as Nitrogen NU - �--ma's. Not mVL 0.i.0 10 EPA 300.0 LAP 3%9.Z007 I Copper 0.26 mg;L 0.10 1.3 S61311JB Iron LAP 3ii3•-2007 i Sodium 3.ND ingiL 0.10 0.3 SM 311 IA LAP e t32007 14 m&JL 1.0 20 SM31118 LAP 3,13=?007 Z'utal Caliform 0 CFU IOomL o 0 MF-SM 9223.8 AF 3,9,2007 Conductance ISO umobs/un 20 EPA 120.1 DC8 3i9.-7W7 pH 6.2 pH-unhs 0 tt'aier sample rrrpetS the necoarmended/iatiLc for dri�tkiitg water ojatl t/re above rerta4 EPA 150.1 DCB 31'k2007 Approved By -07 ND-NOW DtteclMd RL=ltepmdngl-itnit MCL-MaximumCoitfami Superior Court House, PO. Box 427, Barnstable, NIA 02630 Pb:508-375.6605 nanl Level F If, ' CERTIFICATE OF ANALYSIS Page: 1 i •�� r��! ' Barnstable County Health Laboratory Report Prepared For: Report Dated: 3/14/2007 Kim Barnocky-Grossman Sandbar Realty, Inc. Order No.: G0739733 832 Main Street, Suite E Osterville, MA 02655 Laboratory ID#: 0739733-01 Description: Water-Drinking Water Sample#: Sampling Location: �849 Main St.West Barnstable,MA 1 —�. __..,i Collected: 3/9/2007 Collected by: R.L.Ellis Map 216 Parcel 022 Received: 3/9/2007 Routine i ITEM RESULT UNITS RL MCL Method# Analyst Tested Note I. Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 LAP 3/9/2007 j Copper 0,26 mg/L 0.10 1.3 SM 3111 B LAP 3/13/2007 i Iron ND mg[L 0.10 0.3 SM3111B LAP 3/13/2007 Sodium 14 mg/L 1.0 20 SM3111B LAP 3/13/2007 i Total Coliform 0 CFU/l00mL 0 0 MF-SM 9222B AF 3/9/2007 Conductance 150 umohs/cm 2.0 EPA 120.1 DCB 3/9/2007 pH 6,2 pH-units 0 EPA 150.1 DCB 3/9/2007 I Water sdvtple ineets-the reconunendec"limits for drnrkitig water-of all the above tested parameters.—P Approved By- (L irector) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 N O� BARNSTABLE LO.^�A.'T :: d SEWAGE # VLLA4" ,�� ,r�' 1,� ASSESSOR'S MAP 6r LOT INSTALLER'S NAME PHONE NO. wGC SEPTIC TANK CAPACITY v --Q LEACHING FACILITY:(tyPe) (size) NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER P BUILDER OR OWNER_ � � y DATE PERMIT ISSUED: a -i L( DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No O _ s ti zs 3y 2-3 y� Fpm 7.5 ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD -OF HEALTH 2-Z- 6�1 ------ 0..................................... JWAppliratiou for Uh4pasal Murkii Tumitrurt' rnmit Application is hereby made for a Permit to Construct or Repair (k0j an Individual Sewage Disposal System at: ... .................................................................................................. I L t' Address JAM CW./ ........ ...4 o.:;; ...owd................... ddress .................................................�. .- -14: .w------------------- _Aj�CJS". slafler Address C, C61 Type of Building Size Lot-- ....Sq. feet Dwelling—No. of Bedrooms; ....................Expansion Attic WA Garbage Grinder (A," ................. No. of persons............................ Showers Cafeteria Other—Type of Building Otherfixtures ------------------------------------------------------------------------------------------------------------------------------------------------ ------ Design Flow..... F�W. .......'JI-5...........gallons per person per day. Total dil flow............... Liquid'capac ........ C 330..................gallons. 1:4 Septic Tank ity/060.gallons Length.-J.7.6.... Width... Diameter................ Depth.........._... Disposal Trench—No. .................... Width.._............_._.. Total Length......._............ Total leaching area....................sq. ft. Seepage Pit No____________________ Diameter.... . ....... Depth below inlet............._...... Total leaching arealof.!Z..sq. ft. Z Other Distribution box Dosing tank 0-4 '�-M A Date.....P�71.1 10?.......... 1.4 Percolation Test Results Performed by.100kiN JP24AIY, 41A ,4 Test Pit No. .....minutes per inch Depth of Test Depth to ground water... W F__E.A- C i ile Test Pit No. 2.,&/__Z—..minutes per inch Depth of Test Pit.1A_._0... Depth to ground water./Vwe._,5 � SvrL ....................;1C ..... &--------- 0 .........4------------------- ................ Ot Z4a, Description of So ................................................... ................ ...N�W4 . .........,........ --------------------------- ----------- ----- ----------------- -------------- am' --­------------------------ -- gk* ....;t*.*.... . ............................W U N tur of Re airs or Alterations—Answer when apT)ljC4ble.--------------_-- ............!�r_45X!7 15V4 �^ 0. ";.. ..................................... Tey ................................................ Agreement: The undersigned agrees to install the aforedescribed Indi ideal Sewage Disposal System in accordance with In di provisions of'TTIL- 5 of the State Sanitary Code— The dersigned further agrees not to place the system in operation until a Certificate of Compliance has bbeen yd by e board of health. s Signed- .. .............................................................. Dat Application Approved By................. ......... . ...... ........... ...in_? Date Application Disapproved for the following reasons:. .... ............................................................................ ......................................................................................................................................................................................................... Date PermitNo.---._.... ..................... Issued-------------------------------------------------------- Date Fss.......,7. ....._...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...w' o F... •�� . -------------------•---.._..__...._.. v .:. Allp iratiou for Uhipoiittl Marks Tomittr r i Urrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: Locatio Address Lot,NCI -- Address a - ••.....---•--.••--••----_.... � 1 r4�I .................. Installer Address Type of Building Size Lot....� �... 'o__..Sq. feet ��I•—I Dwelling—No. of Bedrooms__.--�.............................:......Expansion Attic :(�t'!� Garbage Grinder �V4 Other—T a ype of Building __� _________________ No. of persons............................ Showers ( ) - Cafeteria ( ) Otherfixtures ------------------------------------------------------------------------------------------------------------------------- Design = . W Design Flow...____--_�11.�..�'.............gallons per person per day. Total daily flow------_........330..... ..--__gallons. WSeptic Tank—Liquid capacity/.qq .gallons Length_8__�®.... Width__V"_:&_..�_ Diameter........:....... Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter----la': ..... Depth below inlet.................... Total.leaching areasaj.._3...sq. ft. Z Other Distribution box Dosing tank ( ). '-' Percolation Test Results Performed byelMACAP /f ll?: t1� '� !v�d j .a i,,,�id - --- Date-----�---� --•-•`-/---------------•� Test Pit No. 1--4.2-.....minutes per inch Depth of Test Pit• Z--e.-.... Depth to ground water...l/�t-�0�•�C, (_, Test Pit No. 2../:�r^..minutes per inch Depth of Test Pit../b..-- .. Depth to ground water-Nome. o. 0 0 Z CAM �Si��s�s�__:.: .Salt 20 Description of So ----••.... � _ x Z / .S Ai fQ�L....S S i�t (41 U W ------- - - " / . Cr-14�f�.!.... ##1 f C UNature of Repairs or Alterations—Answer when ap 1' le...............:...................................................... ... l�_..`.?t4 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in. accordance with the provisions of'TT:..% 5 of the State Sanitary Code—The ndersigned further agrees not to place the system`in operation until a Certificate of Compliance has been ' u d by e board of healtfi. Signed. 1 e . Application Approved BY ...---••-•• -- •* -x ....................... I Date Application Disapproved for the following reasons:---C ----------------------------=----------------•------------------........_..._. ---------••----------------•-----------------------------•--•-......------•------•-----.......--•----------•----------••----------------------------•------------•----•------------------- :..... GG Date I PermitNo.--------.f ---------------------- Issued-------------------------------------------------------tt< Da_.- THE COMMONWEALTH OF�MASSACHUSETTS BOARD O'F HEALTH X.;f/.L/..:......:....oF............ f................................ Tatifiratr of Toutpliattrr ( ) (X) THIS TO .CERTIFY That the Individual Sewage Dis by ---•--_ -rt t-.........................................................osal System constructed or Repaired Install r at-----------�..0....--J----P.,sr-�� ....... w ------- _l:.�� '� ................................................... has been installed in accordance with the provisions of TI T E 5'of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-------1(_7__--__((L_-------------- dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................... -...... .:..:.. •................. Inspector,----------------- ­7------- THE.COMMONWEALTH OF MASSACHUSETTS BOARD OF ' HEALTH �j J OF.............. .. No..619:...C C. FEE.-7 ............ ork� �ott��riott �er�ti# Permissionis hereby granted............Vzle �...... ---•----•--•-------•------------•----------------•--•-•-•---------.............L;...---•--. to Construct ( ) or Repair an Individual Sevtra e Disposal /�i�,, at No. l"Lr G sue- - S ? .. 1�'•---•-------•--•------•-•----•-•-•-•................ Street as shown on the application for Disposal Works Construction Permit No.�..=_ft)-... Dated.......................................... ........................ .............. -•--................................................. Board of Health DATE........................ ................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ' Town of Barnstable P# l� $ . Department of Regulatory Services•. ? Public Hdalth Division: Date =o- - 3 U -©� ._..:, •6Jq �� 200<<Main,Street,Hyanots;MA 02601 Date- ed ` / Time Fee Pd°. 1 -D �- Soil Suitability Assessment for Sewage Disposal 9 W. PerformedEy: �tu Witnesses By. �O� TJr�S.1r �\Cj LOCATION.& GENERAL INFORMATION,r Location Address, •,1;; � c. Owner's Name �.�rph,�; ALtr�ttJ►0(.tt� r �-�. ..1 DS: Iy�► ap.ti s,�c.� Address pp 1 �}`1^l1 N �V► �l Assessors Map/Parcel. 2 k.(p Z.�i., Engineers Name NEW,CONSTRUCTION REPAIR Telephone# �(,`$ ZS ' Land Uset� S Slopes( ) 2 Surface Stones V t�S . Dicta T c,. nces from: Open Water Body 4 1 S 1 ft Possible Wet.Area J_1�o ft Drinking Water Well )eft Drainage;Way 40 ft Property Une > \o ft Other ft SKETCH:(Street name;.dimensions of lot,exact,locauons,q tes[holes,&pare tests;locate wetiands in proxrnuty to holes) 4- r L _ 1T5' `4' o Z.o 1`. �P _ OD 44 LA o ..>n4 4 z. N �3; , + f Pareet material(geologic) Depth t0 Bedrock Depth to Groundwater standing Water in Hole r w 4PU Weeping from Pit Pace 3q At�., Estimated Seasonal°High Groundwater'- DETERMINATION FOR SEASONAL HIGH WATER TABLE` Method Used: Depth Observed standing in obs.hole: in., Depth to soli tubttias In Depth to weeping from side of obs.hole: in `'.:Groundwater AdJusttneat Index Well# Reading Date: Index Well level ..,^Add faeti r.�.�AcQ:Cl tiU6,w:nte$Uvei ' e. PERCOLATION TEST Date 4 Hole#ationJ TStne at 9" 7/fin In at 6" Depth of Pere a i, Start Pre-soak Time® 11,00 End Pre-soak. Rate Min/inch" . Site Suitability Assessment: de Pass Site Failed: Additional Test ng,Needed(YIN) Data To Be l H iObservaton oe Comply Original: Public Health Division eted on BaCIC ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conseirvation Division at least one(1)week prior to beginning:., QmEPTICIPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole��ther NPlhfi'DSoil Horizon Soil Texture Sdil Color' Soil• (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Co ' to % ravel 5 ;R41s C.t� - 1014 K.C. ev' r.i Y),) �. b'+ G o1s s�► s.-t„� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil r Surface(in.) (USDA) (Mansell) Mottling . g (Structure,Stones,Boulders. a duo AID 105 5n11r AaAtc`4. -.e� sly Sti DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) .(USDA) (Munscll) Mottling (Structure.Stones,Boulders. Con i to c O e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell Mottlin g (Structure.Stones;Boulders. Consistency, Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within.500 year boundary Nol yes Within 100 year flood boundary No—Z .Yes�M Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? CertiScation I certify that on Sr (date)I have passed the soil evaluator examination approved by the Department of Enviro mental Protection and that the above analysis was performed by the consistent with . the required training,expertise and experience described in 310 CMR 15.017. Signature Date ON —Z D-o Q:\.EMC ERCFORM.DOC Vj 1 \Y e 7 . S. GEOTEXTILE FABRIC 4" PVC vent Pipe IIx O with Screened Ope.2ing O I1- T.O.F. EL. 15. 7 L` w II O.P. WITH SCREW TYPE CAP TO WITHIN p 3" OF FINISHED GRADE (2 TYP.) SEE PLAN VIEW. _ 36 ' � W Q � FIN. GRADE EL. 115.3'f FIN. GRADE = 116'f' a_ � FIN. GRADE EL. i 15'f FIN. GRADE = 116'f' Ld � U Q 6" 6„ llllllllll/////// 6" l/llllllllllllllllllll! lllllllllllll, O Die. Dia. �` OBSERVATION / l4 INV. , t;. EL. 112.55' EL un Q U PORT EL. 1.12.05 4 :..�.,f .Y:r YY: �gz (TWO-SEE PLAN VIEW) �:-;; '` '' : , �-, 3/4" TO 1 1/2" DOUBLE WASHED Q Z INV. EL. _L 11 r3 STONE AT SIDES AND ENDS 2.55 0 �: : ^ �'r:_ O t, 113.50' :.• : :fi .: � Q W O 10" min. 14" Ain. INV. EL. INV. EL. 112.05 ; / INV. El /� '�,- ..A. Belot►Flo Line .' -- { w Ljj 112.70' INV. EL s„m INV. -__ _ / 51" •2r Q U) Jlin 6 :f ,-• LE WA HED N 112.95 r _ - STONE T Li uid Level 4B" ' li P "`''=`- =:'` .'''' } NE AT SIDES AND ENDS q 112.45 � 3/4 TO 1 1/2' DOUBLE WASHED •�.... . •�':� _ _�;'': _ Z 112.25 ' '�•' �• ' - OC)122 N O Z .. l Q • � Lj STONE AT SIDES AND ENDS •`�.�.:-`�� � 6" Stone � __ :•. .:' . . . •. .: . EL 110 05' � � m 4 HOLE DISTRIBUTION BOX 3.0' 28' 3.0' USE: (�4) HIGH CAPACITY 3050 (H20) INFILTRATOR CHAMBERS - GALLERY CONFIGURATION PROPOSED 1500 GALLON SEPTIC TANK THREE FEET OF DOUBLE WASHED STONE AT ENDS � W � FOUR FEET OF DOUBLE WASHED STONE AT SIDES W USE: (4) HIGH CAPACITY 3050 (H20) INFILTRATOR CHAMBERS - GALLERY CONFIGURATION N TOTAL WIDTH = 12.25' THREE FEET OF DOUBLE WASHED STONE AT ENDS TOTAL LENGTH = 34' SEPTIC TANK SIZE: FOUR FEET OF DOUBLE WASHED STONE AT SIDES 440 GPD @ 200% = 880 GPD TOTAL WIDTH = 12.25' USE 1500 GALLON TANK TOTAL LENGTH = 34' Aa BOTTOM OF SOIL PIT = EL. 102.8' PRECAST DISTRIBUTION BOX NOTES: BOTTOM OF SOIL PIT = EL. 102.8' 6 NO GROUND WATER OR Z SEPTIC TANK NOTES: EXISTING WELL NO GROUND WATER OR \ REDOXIMORPHIC FEATURES OBSERVED TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND SHALL EXTEND A MINIv1UM WALL THICKNESS = 2" REDOXIMORPHIC FEATURES OBSERVED MINIMUM OF 6" ABOVE THE FLOW LINE OF THE SEPTIC TANK AND BE ON MINIVIUM INSIDE DIM. = 12" W/WATERTIGHT COVER THE CENTERLINE OF THE SEPTIC TANK LOCATED DIRECTLY UNDER THE OUT-ET INVERTS SHALL BE EQUAL TO EACH OTHER AND AT ST CLEAN-OUT MANHOLE. 2" MINIMUM BELOW INLET INVERT. THE INLET PIPE ELEVATION SHALL BE NO LESS THAN 2" NOR MORE THAN 3" THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX SHALL ABOVE THE INVERT ELEVATION OF THE OUTLET PIPE. ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODING THE THE SEPTIC TANK SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL, DISTRIBUTION BOX TO THE HEIGHT OF THE DISTRIBUTION LINE STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON WHICH INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. 6" OF CRUSHED STONE HAS BEEN PLACED TO ENSURE STABILITY AND INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH TO PREVENT SETTLING. DURABLE AND NONDEFORMABLE MATERIAL PERMANENTLY ' THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 12", WITH TWO FASTENED TO THE LINE OR RECONSTRUCTING THE LINES 20" MANHOLES HAVING READILY REMOVABLE IMPERMEABLE COVERS UNTL ALL INVERTS ARE OF EQUAL ELEVATION. in OF DURABLE MATERIAL AND SHALL BE PROVIDED WITH ACCESS PORTS. DIS1/BOX SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON NOTE: THE TANK OUTLET TEE SHALL BE EQUIPPED WITH A GAS BAFFLE. A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED REMovE ALL UNSUITABLE MATERIAL 5' AROUND THE S.A.S. �`' o;;'r DOWN TO THE Cl HORIZON AND REPLACE WITH CLEAN l- / WEST BARNSTABLE cn AND ONTO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PLACED GRANULAR SAND PER 310 CMR 15.255 y, �`��'G'a'� I zo TO MINIMIZE UNEVEN SETTLING OR ON A CONCRETE PAD WHICH IS . / BUTTONWOOD LANE (n AT -EAST SIX INCHES IN THICKNESS AND 1.5 TIMES THE BOTTOM 08 1os ��Q _ .,.:�., j w Lli GENERAL NOTES: SUR=ACE AREA OF THE DISTRIBUTION BOX. �� -� o-< i7 j 1. ALL THE WORKMANSHIP AND MATERIALS SHALL CONFORM TO THE ` r ` 70 � 6i i r o /a� z TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE RELocATF. DISPOSAL OF SEWAGE. , Q`ti j o� O i SHED ;_•: ..;;;:/ PROPOSED /`' '•ir t�` 6A ..�11.4.' v Tp 1500 GALLON i .:<;:;'' 6A SrROO1E w 2. ACCESS PORTS OVER TANK TEES SHALL BE ACCESSIBLE WITHIN 6" 0 ''" l ' ' .;. I SEPTIC TANK V r :.;,::;�/ Mp\t1 LLl I- �'' •... i //::.: '. r SPRUCE ST LOCUS LLJ OF FINISHED GRADE. ,r t:,.`- ::.:,-'-;;' -� 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS OTHERWISE NOTED. Q 4. THE INSTALLER SHALL CALL "DIG SAFE" AND/OR VERIFY THE LOCATION '; ,,6 ,?S Qp %:ie�"'„r`�, GARRETTS pG'� OF SITE UTILITIES AND WATER LINES PRIOR TO ANY EXCAVATION, AND SHALL BE t t,• o, F Q, x �;- POND oz � , �•+.J � RESPONSIBLE FOR ALL MATTERS RELATING TO ELECTRIC AND/OR GAS EASEMENTS. t l PROPOSED S.A.S. o p '1•:� `� 5. SEWER PIPES SHALL BE SCHEDULE 40 PVC. (4" DIA. UNLESS OTHERWISE NOTED) I 1 INFILTRATOR TRENCH 6. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE I t; _ i , i c \ ,, ,• ;. MORTARED IN PLACE. 7. FINISH GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FT. PER FOOT. I RzE VENT a ,' 8. EXISTING SYSTEM COMPONENTS - IF ANY - SHALL BE ABANDONED PER TITLE 5 REQUIREMENTS. I '> 9. THE EXCAVATOR/CONTRACTOR SHALL BE RESPONSIBLE TO CONTACT DOYLE i �S ' ','j ASSESSORS DATA: AND ASSOCIATES 24 HOURS PRIOR TO ANY REQUIRED INSPECTIONS. tt, 50, NO MAP 216 PARCEL 22 TP 10. ALL COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR I\\ if _ _ ST�tiF RAP R e .� DRIAVED + l COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED. REFERENCE DEED.- 21360170 11. ANY AT-GRADE COVERS SHALL BE SECURED TO UNAUTHORIZED ACCESS. \ PUMP AND `� ' '`' 12. ALL SEWER LINES AND SYSTEM COMPONENTS SHALL BE LOCATED A MIN. OF TEN \ REMOVE EXIST. BM: TOP FOUNDATION \ \ i REFERENCE PLAN 151 - 133 FEET FROM WELL SUCTION LINE OR SUCTION LINE SHALL BE CASED IN SCHEDULE 40 PVC. ",,SEPTIC SYSTEM ELEV. 115.T \ \ 1 \ \ DATUM: ASSIGNED \ \ �� •�'a 6' ZONING DISTRICT RF REPOR/ � \ O TTE'RLA Y DISTRICT. AP & RPOD 00 DESIGN DATA: \ ` WATER NE \ (00 EXISTING FOUR BEDROOMS - NO INCREASED FLOW I \ a� \ o 4 x 110 = 440 GPD REQUIRED FLOW N 0 � ` \ • W % 1649 MAIN ST.LOCUS ADDRESS., WEST BARNSTABLE � w � � USE INFILTRATOR TRENCH 34'L x 12.25'W x 2' EFF. DEPTH U 0 / \\\\ ," / / 1 124 ,I �� / 0 w m [34 +34 +12.25 +12.251 x 2 = 185 S.F. `� (�� 2s ' yf J I / , - FEMA DATA: ZONE 'C" Q Q 34' x 12.25' = 416 S.F. (� - 122 r PANEL 250001 0003 D z 601 x 0.74 - 444 GPD TOTAL DESIGN FLO W 124 y MAP REV JULY 2, 1992 z w w z Q Q � _ ..'z! �. uj GARBAGE DISPOSAL NOT ALLOWED �� �' o m h i :r•a� 1 Ld W / EXISTING WELL CID N Health Agent: Mr. Desmarais RS ,2s PARCEL 22 � O Test Date: �04-20-07 �\ \ \ 51 ,663±SF L Soil Evaluator- Stephen Doyle 128 � o \ 1 .18 ACRES �N OF M Q SE approved 3115195 \ \ \ ( zy'�P� DAVIDAss9�y\, O O @ B. O cn \ \ G I— L \ MASON m � P 11735 130 - \ \ \ \ \ v 9 No.1066 a �~ Q w Z TH #1 EL. 113.7' TH #1 EL. 122.2' PERC <2 MIN/INCH PERC <2 MIN/INCH \ \ \ 1 132 \ \ \ \ \ \ \ GRAPHIC SCALE Q Q \ \ \ \ w MQN 0" 0.. � \ \ \ \ \ so 0 1s 3o so 120 m � � A SL 10YR 3/2 A SL 10YR 3/2 i \ \ \ \ \ \ \ \ J W I \ \ t-r:. 122 120 0 z O B LS 10YR 4/6 4,rJ B LS 1OYR 4/6 \ r?j \ 126 t28 ( ) ��r� ,�_aa� 0 Q IN FEET Lt7 EL. 109. ' 46" EL. 118.8' 40" 00 MED.-FINE -PERC 54" MED.-FINE >>j 8j 1 inch = 30 ft. = ��P��S EqFo�yGr� N O Q 71' ��A OF 1,1, U C� COMP. 1OYR 4/4 C� COMP. 1OYR 4/4 P � ® � � tn SAND 72" SAND 108" i Z S ErHEN � s� z 4 o J, 1 " DOYLE LLJ Li Ld MED. MED. 559 C TO FINE 2.5Y 5/4 C TO FINE 2.5Y 5/4 2 2 SAND SAND <, !37 J e. �JFr �,o�o� �° I- O 0" 4" W Q NO WATER ENCOUNTERED NO WATER ENCOUNTERED OO � Li.l � �► q�'G F�� a_ EL. 102.87' EL. 108.54' J Li f f �r Q r I-OG uS ate. IV VI 4niuLF � � 33 �• PX I t � f \ TE=T FY; V. F/1I F-3A!4 t� P,E- � DATE' I oa J.- � -�8 N I NCB 13H.�D. rEZL PATr- MitijlN ij -T �H -01 '7 E.LEY ELe/ 1 Z4" I AA -tI -7 24 LOAM 8 43 -7 �I L:TY s Nc I �,, ems qZ.7 9�' �cGL'IC`7 SS7 SILTY 1 SAND, j t -LEAIQ 1 SANC 84" 1 �,fL^Y 4z•z i WITH T�� GLII.1 I SANb ; `�►LT ' 1-4IrH T VAC.E , .OF 51 LT i 3►� ►ZI - 3S•6 '� No WATt F-N CL t�TE>✓�b _ e S t�T L TAti G i LOT ti I ' - - LoT�I �x1511U� GE55Pc�L To \� I i LSE D 15 C.�-�►J►J£-cT Eb _'_- , ^4- u�EQ_ A iF PF30TC5r- I GAL 4Z'� i SEPT� -TANK (� / zo�� - TttiC $r 1 , 1 QTQPo�Ep LEActl PIT --� ��;, '-'��- — �44 �V1 3,e�+ ` \\ < (5r c-rA.ILTHIS SHEET) , r I O.L. �I"I rtT st AS - �-� �� , �*t,.t � \� ((� wr 3Z � � O ,, \ N / v —o— 1 ! 1 E � t I iI t i 3 F3t.D 11 C> (�a/�L � [m ' E?E.0 CeX--M = -3 30 G-r AL k t '�;EPTIG Tp�K 1 3 30 (:�A L I D/,Y h 1.':-7 SAY ^ 4 9 5 ' LE-AGH I tJ (--:r AUCA ' PI T Cl2' EF I~ C>I AN{ US C o NE_ LEI- h I EY)TTO VI ` Coe Tr = 113. ( �F c?.-71 �J = _ 30 -� C"r r = j TT TAL. CAFACATY = t • i I � -z' PEASTONE ` PLN ' ELEv 4 \ 4, �� at.t3 - nF LAWD ► N El-LIV. 1000 GaL E EY t€ a v — ` f'F-F-PA{z.EC Fofz 3 - 3�• 8�� 3' ' I Z' --- AM E.5 K E 1 L-LY L-EACH' l~I T _ (12' EFF. t-IAM �` nEET'" �GaLC ` I�+ Z� DATE' IZ- l S - 6ZF �IOT£S� �G?cwJ/! cci� e.►ryir�cc.,i'i ��! ir�G_ I pATum = A554'MF,- QuAr:, f-1-',1EET Z. ()5�, s��t-tEr ULE 40 PVC FIFE TH&X)G2+-t Cx.)T st-fT►G S1rSTEti! 3. F'I PE f I TCH = Ye;' f'ER (-GY�T. -F e. c„P. - Ys►,e.+�vuT ti nn�,s S a� . Ov 4, 5EPT IL TANK TEES To SE I kJSTAI.LED '5( : AS TO BE Di e.&-rLY FE�-n N1A1,j I*-)LE G, NF-$'�; • �3�' `�°�' _ S. SEPTIC TANK TEE Z,ES. INLET - 14orr fir, VP I�" rowN1 LET - Z5'' 4; L)Pi 19" C--OWQ . r LA � .. wit t .. _. :+.a. ... .. :.r .. of .. ..e. „ .. ,. < .. : , ..,. .. _ .:. .. 5+' ,:i.:. a 'e.:. c.- _...( - { .- .... ,... '... ..- .n«-. f .kr:Q:•. ,<x r r s et , it -. ... :r.-.rn- ' <�. -,.ds _. ;. :,.. c,'- -.' .. ... -. ,. .. .. •+L;. ,. :' 3i e... � R. tC° ..i�:,. 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