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HomeMy WebLinkAbout0215 PARKER ROAD - Health 215 Parker Road 216 A= 148 - III. A I f li II � r-+prs a.ca�e N S._.sy EADO No.2153LBE UPC 12034 amaad.com • Made In USA i TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE CIO. 6Aq/V jTA 62 ASSESSOR'S MAP&PARCEL 'O INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -E)(1 (size) NO.OF BEDROOMS (3 CA`Tt!�/✓ ` C��/� l OWNER TL `�i PERMIT'DATE: a b 20 COMPLIANCE-DATE:. I 2 Separation Distance Between the: f Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility f G Feet Private Water Supply Well and Leaching Facility(If any wells exist on `site or within 200 feet of leaching facility) _/V ' Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY djvll '7 d„ ✓� Ul Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I Yes PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS 2ppliLation for 11isposal *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System 2 Individual Components Location Address or Lot No. 215 I7w(L Owner's Name,Address,and Tel.No. ��AUiA uCg Assessors Map/Parcel 7 ( (g r 0 j-7 v l Installer's Name,Address,and Tel.No. T.AUV G E%L ( POj)5f, Designer's Name,Address,and Tel.No. 2 3 S`r P Type of Building: �a�" 7-7 g753 Dwelling No.of Bedrooms jZ S Lot Size 2 60 0 sq.ft. Garbage Grinder( ) IVO Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd DesigrLpow provided gpd Plan Date `y/2,9 7..D Number of sheets Revision Date Title Size of Septic Tank .56 O Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) d 6 ,41 O 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 Healt 16 Signed At Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued p-- - ---------- ----- - - - - -- -� �---� F s r + fa ) - r , Fee- Or` ,x X. THE COMMONWEALTH'OF MASSACHUSETTS Entered in Ye r PUBLIC HEALTH DIVISION - TOWN-D BARNSTABLE, MASSACHUSETTS , apptiCation for Disposal 6 tent Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System o/ Individual Components } Location Address or Lot No. �''�+ i3 Owner's Name,Address,and Tel.No. P S A i?/4TAlast# Assessor's Map/Parcel A'? j _ 0/-? Installer's Name,Address,and Tel.No. 12 A#(, f4- Cf1,rt,l51,, Designer's Name,Address,and Tel.No. Z 5 Wjj 5,r P y Type of Building: Dwelling No.of Bedrooms Lot Size 2 4, boo sq.ft. Garbage Grinder 0 Other Type of Building No.of Persons Showers( ) Cafeteria(' ) Other Fixtures Design Flow(min.required) gpd Desiig�n`flow provided gpd Plan Date t 17 6 2-Q Number of sheets l J Revision Date Title Size of Septic Tank 5�6 C> Type of S.A.S. ( -./ll('/I Description of Soil w Nature of Repairs or Alterations(Answer when applicable) V¢%./0 a I/C- o t V S-;c AAf .O f (5 AA-TAII At er 1-4 lo- 5o T*fA, 4 f) '�X Date last inspected: Agreement: t ; 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 Healthle Signed Date Application Approved by b - 1�`� Date Application Disapproved by Date for the following reasons Jr Permit No. ~- Date Issued / tip THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate Of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) ` Repaired'( ) Upgraded Abandoned( )by !! s ,A]l�s ,,r, I J� U C/l1 / �1f l,.- ,1 a �. at f } i - � has been constructed in accordance W y l with the provisions of Title 5 and the for Disposal System Construction Permit N:O dated Installer I Al C '`l`1_;/,&'• J' Designer L #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will(function as designed. Date III h I Inspector - - - ----------- - -------- --------- ------ ----- -------- . --------------- No1 ---------------------------------Fee_ THE COMMONWEALTH OF MASSACHUSETTS UBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS - misposal ,6pstem Cons tructiDn-3PPrmit Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon ":7 ( ) System located at 1 ` .� �,^�,. Jlg 1Z-- V�. and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must becompleted within three years of the date of this,permit. Date Approved bye L c 4 Commonwealth of Massachusetts �Z�-��'� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' M '( 215 Parker Rd Property Address p, Barnard " Owner's Name C" West Barnstable MA 02668 6/24/16 Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in an pl- way. A. General Information S� /R 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 City/Town State Zip Code 508.272.6433 Telephone Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority aAAff--' 6124/16 Inspector ignatur Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 215 Parker Rd•C3/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Pumping suggested every 3 yrs to prolong the life of the system B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. 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 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: n/a ❑ 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 215 Parker Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: n/a ❑ 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: n/a C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 215 Parker Rd•C3l08 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form 1. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 215 Parker Rd Property Address Barnard Owners Name West Barnstable MA 02668 6/24/16 City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: n/a D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow El ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 215 Parker Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 215 Parker Rd-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' M '( 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6124/16 City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 215 Parker Rd-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 1 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d well water 9 ( Y 9 (gP ))� Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date Commercial/Industrial Flow Conditions: Type of Establishment: n/a Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): n/a 215 Parker Rd•0-1/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Pumped last fall per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1988 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No 215 Parker Rd•03!08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 f Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ,a 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 18"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10'feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 12"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) very good condition If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 1000g Sludge depth: trace-1" Distance from top of sludge to bottom of outlet tee or baffle >12 Scum thickness trace >2" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle >211 How were dimensiorls determined? Measured 215 Parker Rd•03l08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping suggested every 3 yrs to prolong the life of the system Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): n/a Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): n/a Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): n/a 215 Parker Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts �., Title 5 Official Inspection Form to Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 215 Parker Rd Property Address Barnard Owner's Name 'West Barnstable MA 02668 6/24/16 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): n/a *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box is 2' below grade and in excellent condition Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 215 Parker Rd-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 1 approx. 50' ❑ 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.): Perf pipe trench was video inspected and is damp at this time, it is approximately 50' long and 2' below grade, no indication of past backup 215 Parker Rd-03i08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 215 Parker Rd Property Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): n/a 215 Parker Rd-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form 'Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 215 Parker Rd Propdity Address Barnard Owner's Name West Barnstable MA 02668 6/24/16 CityrFown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. t� C r� 215 Parker Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 215 Parker Rd Property Address Barnard Owner's Name `Nest Barnstable MA 02668 6/24/16 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 114" feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 1987 GW at 114" Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: see above 215 Parker Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 AsBuilt Page 1 of 1 N. A55)L 5UK'S MAP NU. ! ! S� rr►r<�t� v� � 0 T ON 5 E >lY A C E PELT . WILL Al L I FRAwk 'KI rrn .s�gAle VISTA LLER'S NAIRE A ADDRES !j'��!h y7 ✓f _ 2 UiLDE `R 0R OWNER _.1L/..�,rar DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 3 00, 1 � .� g- grAer AOC(4, http://issgl2/intranet/propdata/prebuilt.aspx?mappar=176017&seq=1 3/25/2013 ASSESSOR'S MAP NO. //�� PARCEL 0/ 0 IG i (1 SEWAGE PE RMI,T 0. 299 Y I L L GE_ - VA �h f �� I S T A LLE 'R'S NAME ADDRESS 2 UILDE R OR 0 WHER DATE PERMIT 15SUED DATE C0MPEIANCE ISSUED�� � �� - e 7 l r� .� 76 - No.... w..17..7_ A � t F�s...:.l....6t.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF --fH--/EALTH ...... ta/`i................OF... . . ee?. ..............1.................................................... �! AmI iration for Dhip sal 10ork.6 Tonstrur#inn prruti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................-_..J_—c...C1.Z7�- ``'r/r'�` �c�C............... ..................... = ...._.. ..- •-- .............................. ................ _..... a 1O�/GlL oca-To/n b�dd rrae ...._...._ .........................................................S o Lotr Nso Own n Add -.........-•---•..---- - •....-- s Installer Address Type of Building Size Lot............................Sq. feet �--� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aa Other—Type T e of Building ............... No. of ersons............_............._. Showers - YP g ------------- P ( ) — Cafeteria ( ) aOther fixtures ------------------------•-•-•--•-------.........--•-•-----....._.......-----------•--------•-----•....•--•-..........................---------•--•••. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width;..... Diameter................ Depth............... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area-.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water".............. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•----....--•------------------------------•-.......------•--•........._...---...... ---------....................-•-••••............ ... ODescription of Soil..................................................•----•--------...---.....----•-----------------------••-----••---•-•--•--.....----.....----........................... x M ..................----•----••------------------•-----------------------------------------------------------.. ---------------------------------•------•- .-- ...... ----------- Z •------•--••--------- -------------•-------•--•-----------------...--------------------•----•--.....----••------------------......-----------...----•-----•------............-----...................... U Nature of Repairs or Alterations—Answer when applicable...........M.4.... /........%ar��,�,,�....................................... ..-------- •- ---------- ----------•....--------••----•--•-----........................ Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:IT:L: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n ' sue by the board of health. Signed.......... . ............ .._.......... ..... .............••. ••• - Date Application Approved By.............. . . •. ....... = ........7. ... .P-.C. .- Ws5. ------------------------------- Date Application Disapproved for the following reasons:............................................................................................................ ..--•-•.............................................•---..........---•-----•--•--............------...................--•-----•--•-••---.......---.......-•--•-.............---•......................... Date Permit No......0 - ?- -- ------------------ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................0F�... t..h.f..ti..... .e-.------........._..------.................. Applirtttion for Diopuottl Worku Tonotrnrtion Itrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ._.. --- -•-••---...l..................... .•-•--------..........—...-------•--..... ---•---......................... J LocationC-�ddress e� Lot No. ••�•IO!!�Gt......==='..-'-.SI h ,�,_ ©/,/o� v� Sci� Gr f a/............ ......... _...... . .�. .. .. .........�.7........--•-..... ..._.......-••-•...--- --..�._................. ..............�::_...... G Owner Address w ...................... a r.. :��./.r,....._.. isvw.�I�. .S -•----��! ....... Installer Address Type of Building Size Lot............................Sq. feet -flo, .-� Dwelling—, No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder `4 Other—Type of Building No. of persons............................ Showers a - YP ng ............................ p ( ) — Cafeteria ( ) a' Other fixtures ---------------------•-•-•---••---•....._----- W' ,Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width:............... Diameter................ Depth............:.. x Disposal Trench—No..................... Width..................... Total Length..................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area........ .......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ II, Lr. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........'........7...... a, ....•-•.....------•..............................••---•-•-•-...................-----.......-•---••---------...........--••-------•---- ..... -.------•------- 0 Description of Soil............................................................•---•-------...----------------------------•------------•-•-•-•--------•-------.................•-----...... W V ................. ......•---..-.-----_------------------------------------------------------ ------- ........------------------ -------- --.----------- ... ._... ............ ---•-..... ......... •------------------------------------------------------------------------------------------------------•---•--------------......----...----------------••-----•---•---------•--•----•-----•-------..... U Nature of Repairs or Alterations—Answer when applicable...........rn-,d....ir"g-ee..... ........................................... .. ••- --------------------•-----•---•-----•--.............................. 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 has bed-ssu by the boardof health. Y Signed......... .....--•-.....f. ... ............ .........................../8 ... ` Dat APPlication Approved By.............. ............................................. a.�_/_.&_.-....:5 Date Application Disapproved for the following reasons:.......................••--•-•--•--•------------------------........-----------.....••-••••............•-•..-.. ................•---...----..........----••-•----•-•••---._.....----•••..............••-•••------........................._..........•---•---••-•-----•------•-•-•--•---••----•-•-••-............•-•-_.� © Date Permit No......1,1-g.--•-3.2_�. - --- ........................ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. .......oF............,v . .: v..... ................................... Trrtif irtttr of Tontplittnrr r, THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.............................����-!�! ...... ��- ..............•-.................................................... .. Installer at.................y-7`'`! 1.? f� -•--•----�1��rY,2�'------ -L-------------J ...... .......................... 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...JK.55_r)1 ?.......... dated................................................ ` THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE'— SYSTEM WILL FUNCTION SATISFACTORY. DATE............................... &=........................................ inspector........................... ---••-------......---- w..�r. - .....-.....----..-.......-.....-_n._..-------......r...-r..1-------m ......--. -.._.....- ------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ 7� G ... .......OF......... -r+' �`b: '`� N o..9..5-3......... FEE.....��,..... Disposal Worho Tonot utWit rrrntit S Permission is hereby granted------...... - ....... _.... % ..........................................•-•----------•----•---..............-- tv Construct ( ) or Repair ( ) an .Individual Sewage Disposal System at No..........lam-Z.....-Z 7. ....I .........._......V!, ...... Street as shown on the application for Disposal Works Construction Permit No.GT5_3 a...... Dated.......................................... t I ___ .......................................................... _ U Board of Health \ DATE... .-..j 1`S--. ................................... F?MET TOWN OF BARNSTABLE OFFICE OF BARISTAK r�uR BOARD OF HEALTH � pp s63q. i0)�p 39. 367 MAIN STREET HYANNIS, MASS. 02601 December 8, 1987 Ms. Gloria Armstrong 25 Oriole Avenue P.O. Box 1185 Saugus, Ma 01906 Dear Ms. Armstrong: You are granted a variance to install an onsite sewage disposal system 110 feet from your private water supply well in lieu of the required 150 feet, at Parker Road, West Barnstable. This property is listed on Assessor's Map 176, Parcel 17. The following conditions must be strictly adhered to: (1) The septic system must be installed in strict accordance to the submitted plan. (2) The designing engineer must be onsite to supervise construction of the onsite sewage disposal system and he must certify in writing to the. Board of Health that his design has been strictly adhered to prior to the issuance of a Certificate of Compliance. (3) The dwelling cannot have more than three (3) bedrooms. Sewing rooms, dens, lofts, mudrooms, enclosed porches, finished cellars, and similar type rooms are considered bedrooms according to the Department of Environmental Quality Engineering. (4) It shall be recorded on the deed that the onsite sewage disposal system shall be pumped every three (3) years, and written certification submitted to the Board by a licensed septage hauler. (5) The well must be installed, and a well completion report submitted prior to the issuance of a building permit. (6) This variance expires December 15, 1988. This variance is granted because the existing dwelling is not connected to an onsite sewage disposal system or connected to an approved public or private water source. Stephen Wilson, designing engineer for Down Cape Engineering, stated that you have been obtaining your water from an onsite spring. In addition, he stated that you have been using an "outhouse" as a toilet facility, which is a violation of the State Sanitary Code 11 and is listed as a condition deemed to endanger or impair the health or safety of the occupants. In addition the. Board is of the opinion that this variance should be granted because a Title 5 onsite sewage system would present less of a health risk to occupants than the present "outhouse" and spring facilities. . V truly yours, Grover C. M. Farrish, M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE GF/bs Page: 1 of 1 f '5 CERTIFICATE OF ANALYSIS MII Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 7/10/2015 Jennifer L. Barnard Order No.: G1588328 215 Parker Rd. ' W Barnstable, MA 02668 Laboratory ID#: 1588.328-01 Description: Water- Drinking Water Sample M Sample Location: 215 Parker Rd.W. Barnstable, MA, Collected: 07/09/2015 Collected by: Received: 07/09/2015 Routine ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 LAP 7/9/2015 Copper ND mg/L 0.10 1.3 SM 3111B LAP 7/10/2015 Iron 0.40 mg/L 0.10 0.3 SM 3111E LAP 7/10/2015 j pH 6.6 PH AT 25C NA 6.5-8.5 SM 4500-H-13 DCB 7/9/2015 - Sodium 8.9 mg/L 2.5 20 SM 3111E LAP 7/10/2015 Total Coliform Absent P/A 0 0 SM 9223 RG 7/9/2015 Conductance 110 umohs/cm 2.0 EPA 120.1 DCB 7/9/2015 Based on the results of the parameters tested, the water is suitable for drinking, but may present aesthetic problems (taste, odor, staining)due to Iron. Attached please find the laboratory certified parameter list. Approved By: (Lab Director ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 - Y \ .. - M`. Y/r 1' sO / 'rYO�• :B• aY.-. . � � y�x-°V1 a .J e w— ��w —al .otl �,—�a„w -- —.--°N ,r", ' �` �*.. ,.ram � �• • •.r�,. �4.'?::c ""d Rca I Public Way) cNiL / r- — `•� o p o• . o`So$'Mr � Pavemen ' l Width �I' Street 4`1o"E i� " ✓" � a , N(variabe Know n As Sandy Formerly / $ N � , ewall ��' ,,` �• / �/ jNEj sr,�•- t 9� ( �! �; \ f e: ark r Co a�mant Ed98IR Qom. s �. 7- - 27 N� j / 4� 3P a \a`y a l£f�f 'G�4� ° \��?y �Parc 1 Area '" " je ggy, `� �.. -^-•.O� — ..`... ... 5,: �o � 'th�4'"t'`'•#'"xrkr,'.�i�3 '` "7}�Jt's�Ye��. ei. 9 :r 4,605±SF Upland 1 �y �,, T ,4pprox 6.800fSF 'Wetland/ LOCATION MAp 30.6 �_ 'i Sept- 30— : " :.� \ ' i L ,.O P. Lawn v 29.7' o� system �;' 1 L:` 31,405f SF� TQTA / Scale: 1 = 2000 f .... w o' tion ASSESSORS REF: o \Tank& -Box ` ra {# �` 2 ' \ Lawn ! 1 F.T\ /•„ \ � Map 176, Parcel 017 o \ ' { �` '\ i / r Wetland .Limit i As Flagged By ZONE: Brad Hall RF Deck to Areo`(mr ( PQ ) replaced by Step ''\ 4 \ Sep 19 ) N 1 a e t 20 •n.) 87,120 SF R D iss' � r N �� i / Fron f a e (min) 150' ,' i Width min) • va i Setbac s: Lawn �: \.. ....�.f 1 i `oc Front 30' . . \ o, Side 15 1 t,� ;:` ` \� ` ' °N ' ?0 Rear 15' •Z 9 Lawn 1 ! q+ FLOW 1 :' lNr 6� � i �, Zone X (not.a flood zone) Y v � �/� N r�° As per Map #25001 C0553,1 Proposed Addition t, a + �u July 16, 2014 Sao r �'/, / tY & Porch ti4, Z1, o OVERLAY DISTRICT: ••-;Qonoa��ire o /li0 �Qic AP - Aquifer Protection District 04 �e�ty bra LEGEND: RICHARD R. • Deciduous Tree L'HEUREUX N . o 34312 0 °' o ^ � Well GISI� Qr' 4 Utility-Pole bJ — 25- — Elevation Contour i =pHW— Overhead Wire 0 15 30 45 .6o FEET p Wetland Flag Titles r, :` Prepared.For. - -s/R °' •Pr red- .Note evsions: Plan Showing Proposed Additions Scale 1 1.) The property line information shown was C a e f r.0 ry 1m=30, � } ,t ..Michael &Sarah Butler compiled from available record information. Dote: K >. at 215-Parker Road in 23 West,'Boy Rd, Suite;�G,' , l ,. ` '`. 2.) The topographic,information was obtained C376,2G1 sp2 r�; �' - Osterville MA 02655 ,.q f � from an on the,ground survey performed on Barnstable West•Barnstable Mass' Dwg• 28�:AUG 20 o7he Been :' used p1 and 06/JUN '8 . ( ) (508)420-3884 (508)420-3895 fck' / / 3.) The datum' used approximoterNAVD 88. capesurvecapecod.net ; . r - - _ t ' ,. _. .-. ''•-- .. it t75?A3ti F. Xu.;7AU 3H PROJECT TITLE E s` -16 1777 ..2�:�_--. ..a�.: .eta..�iZ..►�. . _ F �� r � ` ..�zM xrcex.•x, Ye.� ( La NZrJ 1 - kw f � i �.; v. -. leSS3._�L�e'Co•, ti I �a,srS (�—e r s PREPARED FOR 04 � r ! t____`fit_____-• r , q { _ "The ExcitmenjisAm3$ding a. att�f,,. Cotilf3,MA a &420-1:;4Q a , { i - j �DyyA TE N rY... .JS...... 4 A/.,.—....w-,s..waw�..+,m.:••" W"YY •V %v�i`Y-s, f C4 Fmcr EL, l DRAWS PROJECT rt rf_E: . ..... ...... . ... 2k 3 t 0 L4 } 4. s ®V;6 ; { S ot _..._._.._..Z- 310 PFRL=PAR V ROR IV — - .-l" ,Steve Lh.--vlipa•Presidoit .820 MOIA S3TeSt Cottait.AAA►50 8-42Q,-4 40 SCALF DAT , DE;irr��� � - 1 C HE _ Lj A. DRAWN _ _ PROJECT TITLE ,z . 4��7 �OJyl.10K4ffltp �A f� ��ia��:_...._.._ ��..._ �L•{r^ I i 5,4 A a 2{ ,v s L, � .. FIREPARfr? FOR IL .. Steve Devim resident r f _ 82f) ' OIn Street a Cotuit.MA»SM42 t-1.s 0--MB11:� Asir a:�a a it�actiors:r rn�lt.ca a SCALE CHECX DR AWN e is FFT fn SECTION - SEWAGE y�,al�c>✓s Tzc�csTE,� c� T _ "PL AL-6-6 4EtilT O'F A S6PTIL S�.S re A /7' -SEPTIC TANK - 17 / -"D"BOX - -LEACH 2,'FLA-C SOT or a sEPTiL 5 s'(SNl (MSL)• f 1..OF Il$TO Vt" �Vactz I a)�1C 1✓ D�" L�j > ` 1 yl `V WASHED STONE C24 t1u�M 4 SWE OUT• IN• OUT• IN-- SEPTIC _ 2Q,8 9 4 rr l ( z� ELEV. Z� TANK �L ELEV. ELEV. ELEV. 4ivi 1rT�F�W' 4- FT , ELEV. ELEV. Sx�0• �5 #4 1Gj}j��/ 1►11�T'CE�' 1�`� ��uP IoGaWrt) _ x�����u0� 14' u �(e�-r 2 •PIPE ast 3'. y o(�Tt,l;rTEE 20 I mow) sd a{.(.R .:aF>w".iub�• l,AIc C Fi�ICi L.• 1�� WASHED STONE TEST H OLE LOG 1,�-' I U '` . TEST BY�''�9/iJGm /i!'���. 7l��ef iJ�SS�ff69.y_ B.O.f1. �.;. /'1 1 TEST DATE �� -3��'o ol WITNESS DESIGN 3 BEDROOM HOUSE T.H. � 1 T.H z T.H. � -3. ELEV. NO � = �.`- -........._ ---- �X sT. •.1 ]1t PERC RATE MIN/IN. DISPOSER �•` OSER �'— L¢ FLOW RATE //O (GAL./DAY _.__•— _ � � `�•.�,f7 ✓, to / �. ___s_-�� CS 5/ SEPTIC TANK ,ajd (•.5)= Q �' ' � REQ'D SEPTIC TANK SIZE N t , 4, _Vv LEACH FACIL - ��SIDE WALL �=2 v�►:z5) - ZCIz •S G/D.BOTTOM ,_3 D .4 0:63 Via. O G/D.TOTAL USE: nmE F LEACHING s.-d — ¢ •� WATER ENCOUNTERED ' zcw� q rFsrs7 t 2Z4 c-.� NOT ES: (UNLESS OTHERWISE NOTED) I. DATUM(MSL)!.TAKEN FROM _____.QUADRANGLE MAP , e, 2.MUNICIPAL WATER_ /,,,,S i(/Ol AVAILABLE �--- v �" � 3.PIPE PITCH:W'•PER FOOT' t \t OF � Eu 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO- 'yS/� -44 S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1) FT. ARNE H. t'a 6. Pt PE JOINTS SHALL BE MADE WATER TIGHT �` OJALA rn.•., .> 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. CIVIL "' - S PLAN STATE ENVIRONMENTAL CODE TITLES ��pp No ;ivl%l 1, /�� N 8 K Crr BE U—�- PROPERttr LI EA IJCT e:s 9FC E / i Of LOCUS: .�- . x � . �� 6Y/STillC SXST �C�I Oi✓ �.�iF.L -- AL 9 ------- /���� �'� !�Y �✓STI��L� REG.P AL E14GINE ARNE yGs �a / JQ, �) REF: 'g' /^ �'9O/7luQ�'A��'� /7 lv p z V;,E5 I i7 �n/G/��T,� H•! �. GCJr C/ 1 t 1 • • i C` 1 — — `j—.2���/q �'//„✓�L•i/ ANI�ZS, �D� /D /�eajND �Gff(/JG +down cape engineering OJALA o' PREPARED FOR: T��PLAGE W/TN GCE�7i1/ -t1�. CIVIL ENGINEERS =�i �_. ° LAND SURVEYORS BOARD OF HEALTH VEYOR RQ✓ I/ // BrC CONTOURS (EXISTING)• ---••-•••-- �/✓ry-. /'� 87 (PROPOSED)-O-O-O�- APPROVED DATE y� MA elm Y� SCALE__. _ GATE SECTION SEWAGE ��o _ �/,e.�►dI.1GES - �T -F(,A,�_e MI✓►.lT OF A. TEM , oN o. Pa�EL_ LG9 THAt t. 9}d,c� sF. /7 -SEPTIC TANK - /7 -"D"BOX - -LEACH `_M45h16 � ), �T oT= b. SEP71G S �T�NI -a� �\ ST F�. (MSL)• "2"OFUSTOlb" I i LVGcIZIA(�LC-� O�� 40 WASHED STONE f' '• J�✓ �/!/I//%//�l(//1-/ / Coo' � `/" � , C2711 /Or>OG OUT- IN• OUT• IN- ell ! Z� 41 SEPTIC 'r LZ _ , 1 ELEV. TANK 3 r(.6�.Z�.G}Q // q (v)✓ ��F' ELEV. ELEV. ELEV. t/f[l0u_l�T-RAC 'i �T FT t ELEV. ELEV. S �O tt, ' ZC;/y1L� '_ $ /.. l \ �. -L .DF PIPE oat L r ►��'� �1': T Ti,E;TTEE' 20�(a U�114GbWu� OF D�3gc4At-IP�E -•�, 4 WASHEO,STONE LAIC L6VBL-• `�1,.--- ZgiZ TEST HOLE LOG i TEST BY�'�9/9B9N/l,P.�. 717-y ilfS`f69N_ B.O./1• _ .� A�.lj,) - ''�~ TEST DATE WITNESS 3 �o �/ t DESIGN BEDROOM HOUSE T.H. r 1 T.fi! Z T.H. +� 3. � ' `J� ,�l'' �_�--roo -•;t'! _ A, _ _� 9— <./' ELEV. 3310 , \ Y NO Q '/ ��Y. - �- �__- ---- � GXIsT. PERC RATE 8 MIN/IN. cQOiSPOSER Cj!''�o� SER ' l / `^I�LI' \ t i" ` 0 4s3 FLOW RATE //O (GA DAY a�D �' SEPTIC TANK REO'O SEPTIC TANK SIZE /l3�d `I / M ��, r33 - R• LEACH FACI L TY > SIDE WALL ) G/D. O% _Z�t.Z ,s .yo _ / SU BOTTOM ="3 D O o;63) G'.g'. O G/D. 11 ( Y TOTAL 3,4Z:o _moo S ic> 10* /30' USE: ntiF LEACHING t-L-) W 1 yE x 3 329g P WATER ENCOUNTERED NOTES: (UNLESS OTHERWISE NOTED) 1. DATUM(MSL)+TAKEN FROM __ UADRANGLE MAP k �-� � J ���, �/ \ v� Z_4j f- 2.MUNICIPAL WATER /-5 if/07".. AVAILABLE ){ OF 3.PIPE PITCH:Va"PER FOOT �����- 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO• y-5/0 -44 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1) FT. ARNE H. 6.PIPE JOINTS SHALL BE MADE WATER TIGHT � OJALA !.cur4s'v*Auc i wN DETAILS TO BE ACCORDANCE WITH COMM.OF MASS: CIVIL QfTI• �L A Al STATE ENVIRONMENTAL CODE TITLE S rn. /) SITE 111�I No. 30792 a-fHI5 PLAID FAR PRORmwD Wow p JL41-Pt.1D�I-btJl�v 9Ec � ' ►' � LOCUS: ►ICYr BE lip FOR LI►le 4s;s.KI (�l E , ;`t of AL t't�i ��M�� �• REG.P AL ENGINEER o AR�MFi f� g� OJALA . REF: E t��s��ram - N1�i�,� r� v' � I A/vl �,T down cape. engiaeeling 6 0; PREPARED FOR: CIVIL ENGINEERS LAND SURVEYORS BOARD OF HEALTH 1 GSLANtY -iVEYOR qq ry (EXISTING).............. c• ( o" Main �. f --- J, '¢ U7 R2✓ // // C CON TOU-RS (PROPOSEO),-9-0 17 APPROVED OATf ' �f�/=/yam MA l ���r SCALE__='