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Home My WebLink About0028 PERCIVAL DRIVE - Health 28 Percival Drive West Barnstable A= 141-046 s Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information I on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael Kellett use ke the return Name of Inspector y Aardvark Environmental Inspections �y Company Name P.O. Box 896 Company Address East Dennis MA 02641 City/Town State Zip Code 508-385-7608 SI 3742 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate-and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340-o-f Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails f _.j ❑ Needs Further Evaluation by the Local Approving Authority 3 ro _ 04/14/11 N Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N. ❑ ND (Explain below): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. CityfTown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. CityrFown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y day flow Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name requir required is West Barnstable MA 02668 04/12/11 required for every page. 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes Z No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) I 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: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 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): I j Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 25 years Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3.5 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: ee Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal Sludge depth: 41 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29,. Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was sound and tight with tees in place and liquid at outlet invert. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 28 Percival Drive Property Address John Lucaszek Owner Owner's Name requir required is West Barnstable MA 02668 04/12/11 required for every pace. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): `Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owners Name information is required for every west Barnstable MA 02668 04/12/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Even 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.): The box was level and tight with no sign of carryover. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type,: ❑ leaching pits number: ® leaching chambers number: 2 ❑ 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.): This system has two chambers surrounded by three feet of stone. There was no sign of ponding or failure in the stones. 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name required is west Barnstable MA 02668 04/12/11 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont,) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 3$ � �l Commonwealth of Massachusetts Nam F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. 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: 20.0 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS maps show an elevation of over 20.0 feet. Before filing this Inspection Report, please see Report Completeness Checklist on next page. i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Percival Drive Property Address John Lucaszek Owner Owner's Name information is required for every West Barnstable MA 02668 04/12/11 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file No. ��r�—b D Fee 5 n _ n V ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitatton for Migpogat *pgtem Congtruction i3ertutt Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. 28 Percival Dr Owner's Name,Address and Tel.No. W Barnstable Paul Reveliotis Assessor's Nall_--8 Installer's Name,-IAd Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W.E. Robinson Septic Eco Tech Box 1089 43 Triangle Circle Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( no Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 90 6 C Description of Soil: sand Title 5 leach system Nature of Repairs or Alterations(Answer when applicable) to plans of Eco Tech ETE-1272 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 Certifi- cate of Compliance has been issuo by this B o ealth. Signed Date i/"1J e Application Approved by Date L2-2 7li-o a Application Disapproved for the following reasons Permit No. a Dd : - (o d/ �� Date Issued / A?t/L°')_ No. aov; - 6 0 j Fee S y Entered in computer: THE COMMONWEALTH OF MASSACI�`IUSET.T'S Yes PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLEs MASSACHUSETTS 2ppYication for loizpooal *pMem Congtructfon Permit Application for a Permit to Construct( )Repair( )Upgrade( • )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 28 Percival Dr Owner's Name,Address and Tel.No. W Barnstable ' Paul Reveliotis Assessor's MlapfMarc l 8 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 5 Designer's Name,Address and Tel.No. W.E. Robinson Septic Eco Tech ,Box 1089 43 Triangle Circle Sandwich r 1 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( np Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. �� U 6 /�,_� �� rc• Description of Soil sand a; Title 5 leach system Nature of Repairs or Alterations(Answer when applicable) to plans of Eco Tech ETE-1272 �a Date last inspected: ' a 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 Certifi-, cate of Compliance has been is by this Bo • of ealth. Signed Application Approved by Date Application Disapproved for the following reasons Permit No. a Od 2 - C d I Date Issued a_ THE COMMONWEALTH OF MASSACHUSETTS Reveliotis BARNSTABLE, MASSACHUSETTS Certificate of Compliance x THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandon-,' �byr W.E. Robinson Septic Service at e civa r W. Barnstabe has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. d vi dated �� o i Installer Designer �'�� The issuance of'this permit shall not be construed as a guarantee that the system�'1 functi6n as esigZed. Date 1 �� ' Inspector ..0 . /''. \ G`�- i v No. aU0 2- 6, aI -- --- Fee50.00 Reveliotis THE COMMONWEALTH OF MASSACHUSETTS 1 PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS t Of6po,of *potepi Congtruction Permit Permission is hereby granted _ogsyc]Cvafeyr( Upgarerist)abineon( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: J a '.2 d z Approved by 1 TOWN OF BARNSTABLE _ LOCATION "� 1 4-1 C i V ASEWAGE # O, --O(� / VILLAGE_ 1-1s �•� ti _ASSESSOR'S MAP & LOT —U ST INSTALLER'S NAME&PHONE NO. 6�, 7�S—> SEPTIC TANK CAPACITY 166— LEACHING FACILITY: (type) 5,<:2- (size) `—NO. OF BEDROOMS A BUILDER OR OWNER z Y i 5 PERMIT DATE: COMPLIANCE DATE: J 0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet _ Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i t e j . 6.. " f TOWN OF BARNSTABLE r tf LOCATION ''�� ' ,' C i V A 4 01� SEWAGE # VMLAGE Ls�' �I'� ^— g ASSESSOR'S MAP & LOT/111-0,17 INSTALLER'S NAME&PHONE NO. 0 Z-5 s z, SEPTIC TANK CAPACITY LEACHING FACILITY: (type) c/ (size) NO. OF BEDROOMS BUILDER OR OWNER /V/L. 74 v C/1 o 1 t s 'PERMIT DATE: /;2"—,;7- n COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet ._ Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1�� {� __ � s ;� - ,, y ��, �s \Z �z �I _� o _� �� 1 ASSESSORSMApNO: PARCEL NO,- 0 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiou for Diripwml Vnrk,i Towitrur#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ....1-8-t iZ 1�2C�v.��. t i�........................ S C.�� -5m.. ....±........._ �n.c,�....-- �.o............ Location-Address or Lot No. '!�SE ....... o _c.n� s ..�D_:�o...--15�.., S .c� tt .�_ _. .?. - 7`-' O n Address - ..... ------------------------------------ n .-- Installer Adcriess d Type of Building Size Lot___ ....Sq. feet U Dwelling— No. of Bedrooms--- _Expansion Attic ( ) Garbage Grinder ( ) ►-� A4 Other—Type of Building, No. of ersons____________________________ Showers — Cafeteria QOther fixtures S-------------------------------------------------------------------------------- ----------------------------------•-------------------------- W Design Flow............5.5.........:...............gallons per person �r day. Total daily flow............................................gallons. W6 Septic Tank—Liquid capacity. Pb..gallons Length._ _�--__ Width_. y"L_. Diameter................ Depth.. � F Disposal Trench--No. .................... Width.................... Total Length..................--- Total leaching area....-...............sq. ft. `3 Seepage Pit No----- Diameter......0!........ Depth below inlet...y............. Total leaching area.`"--- �?v.sl4t. Z Other Distribution box ( ) Dosing tank ''' Percolation Test Results Performed by..__ ` - [�..... !. I� E'Z! ... Date..... ............ 4 Test Pit No. I_...`".Z.._minutes per inch Depth of Test Pit------ Depth to ground water__N•ON.7_,_.... GX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__,..................... P4 ......................... ..............................•---------•-------------------.....................---------------...............----- 0 Description of Soil---- 3�� TOi� ....505o�-S-- 3.1_--1-` .q-----.Gl�i�l`� ..� '��V�1 SA�.�-----------• x W --------•---------------••--............------•-----•--•----------•••---.....---....-•----•••-•-•••-----•.....•-----•-•--•---•••------•----•--••...-------•--••-•••----••--..._.._........-------------- UNature of Repairs or Alterations—Answer when applicable............._.................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Entpn al Cope—The un i ned further agrees not to place the system in operation until a Certificate of Co b n ' sued by t e bo rd of I h. Signe ..�.'...$.Dace ApplicationApproved B -........... :..................._..- ................................................. ...1 Dace Application Disapproved for the following reasons: .... ....... ....... ............... . .......................................................---................... .......... . . ................ .. ............................. ... . .................. . ............................................... Permit No. �. " � Issued ........... ......." Dace � NOJ.11� '_ 0:56 F i c THE'COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN�OF BARNSTABLE Applirativit for Diripmml Works Tonmrurtion "amit Application is hereby made for a Permit to Coiist-'uct or Repair an Individual S6age Disposal System at: it 2-& ........................ A.55.E55 PAQf_F_�_ 5 1.11......................................a............. Location-Address or Lot N c'12� I( -D. 2'o 3( or -Z' 7. o.tsw��,Q_ ' ............. ...................... .. Owner r Address .............. . . � . P....fe.ir.ic ... .1...... r . .. ........ .. . .................... Installer Address Type of Building Size Lot---a j�i_.40-----Sq. feet U Dwelling— No. of Bedrooms...........3.............................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ............................... ... ...................... ............................................................................ Design Flow............5.5.........................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.0.0 0-zal Ions Length__P:��.'Width_.t+ft,___ Diameter................ Depth....4,..t F F Disposal Trench--No. .................... Width..........._._____._ Total Length_...._.............. Total leaching area....................sq. ft. Seepage Pit No.... ----- Diameter......f Z Depth below inlet_.. ............ Total leaching area. G/U.SEf. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------f_:�.1-JAJc: ..... Date.....1-3_ _K............ Test Pit No. 1.... ---minutes per inch Depth of Test Pit----- Depth to ground water---N.!2Nt ....... Git Test, Pit No. 2................minutes per inch Depth of Test Pit._.........._...__.. Depth to ground water___..................... .........................I................................................................................................................................... 0 Description of Soil...--. 5.0-Souc.......... -------GlQA 'A . ............ U ........................................................................................................................................................................................................ W .............................................. ........................................................................................................................................................ = U Nature of Repairs or Alterations—Answer when applicable------- ........................................................................................ *,--"-,*,**-------------- --------*------------------------ ---------------------------------------------I--------------- ---------I------ Agreement: The undersigned agrees to-install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Enviro mental Co8e—The undersigned further agrees not to place the system in operation until a Certificate`f Co p fiance has bden by &-b-6ard of health. II , ..... y Signe ....... ..........IL-------- IVf.....V. ................D L Application Approved B . ..... bme Application Disapproved for the following reajonj: ............................................. .......................................................................... .........................................................................................................................................................................................---------------------- ........................................ Permit No. ------ ...... ............. Issued ........... ...........Dare ———————————————————————_———— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fertifirate of (gompliance THIS IS TO CERTIFY, That the Individual Sewage D, posal System constructed�' or Repaired I ..... d _t_ ....ffp/.... - by .......... D ............I e144.......... ' at ---------- ....... iva4 -P)"Jjf--------------- . .. . .....................L...... - -- --- has been installed in accordance with the provisions of TITI,E,5)of The tate Environmental Code as described in the application for Disposal Works Construction-Permit No. IXI ........ dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .. . .... ------ lnspectoe _�;; _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH N TOWN OF BARNSTABLE FEE.................... Bispofial Workii Tuni5trurtion "jerntit Permission is hereby granted------.. rJ4---------------------------------------------------------------------------------- to Construct ( ) or Repair an Individual Sewage Disposal System atNo: 4- ------ .......D .............................. ---------------- --------------------------------------------------------------------- Stree9t as shown on the application for Disposal Works Construction Permit _. -t-j#�ated---- .4�� ......................... Y. Board of Health DATE................ ).......�7( ........................ FORM 36508 HOBBS&WARREN,INC..PUBLISHERS ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 . Sandwich, MA 02563 (508) 888-6460 • 1-800-339-6460 FAX(508)888-6446 CLIENT: Reef Realty LOCATION: Lot 12 ADDRESS: 24 School St. Percival St. W. Dennis, MA W. Barnstable, MA 02670 SAMPLE DATE: 10-24-94 COLLECTED BY: F. Clifford/Clifford Wells DATE RECEIVED: 10-24-94 TIME: 3:OOPM SAMPLE I.D.: L24 JOB TYPE: New Well WELL DEPTH: 107' RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/101ml (MF Method) 0 0 pH pH units 6.0-8.5 5.63 Conductance umhos/cm 500 80 Sodium mg/L 28.0 8.9 Nitrate-N mg/L 10.0 0.11 Iron mg/L 0.3 0.05 Manganese mg/L 0.05 0.007 Volatile Organic Compounds EPA Method 601/602 ug/L See attached report None detected COMMENTS: Low pH indicates high corrosive characteristics. Yes No WATER IS SUITABLE FOR DRIWINGPUYPOSES FO PARAMETERS TESTED. XXX - Date t ona d J. Sa ri Laboratory rector LT = Less Than • ti; GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: L24 Lab ID: 9073-01 Project: Reef/12 Percival Batch ID: M-04844 Client: Envirotech Sampled: 10-24-94 Cont/Prsv: 40mL VOA Vial/HC1 Cool Received: 10-25-94, Matrix: Aqueous Analyzed:nal zed: 10-26-94 PARAMETER CONCENTRATION REPORTING LIMIT (u9/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL 5 Chloroethane BRL 5 Trichlorofluoromethane BRL I 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL BRL 1 1,1-Dichloroethane cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1,1, 1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1;2-Dichloroethane BRL Trichloroethene BRLBRL 1 1,2-Dichloropropene BRA 1 Bromodichloromethane 5 2-Chloroethyl Vinyl Ether BRL cis-1,3-Dichloropropene BRL 1 Toluene BRL 1 trans-1 ,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL I Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 BRL 1 Ethylbenzene meta-and para-Xylene * BRL 1 ortho=Xylene * BRL 1 Bromoform BRLBRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene 1 1,2-Dichlorobenzene BRL QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 28 93 % 87 - 113 % 1,2-Dichlorogthane-d4 30 29 97 % 83 - 117 % BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). - - ---------------- ---- - ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 • Sandwich, MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508)888-6446 CLIENT: Reef Realty LOCATION: Lot 12 ADDRESS: 24 School St. Percival St. W. Dennis, MA W. Barnstable, MA 02670 SAMPLE DATE: 10-24-94 COLLECTED BY: F. Clifford/Clifford Wells DATE RECEIVED: 10-24-94 TIME: 3:OOPM SAMPLE I.D. : L24 JOB TYPE: New Well WELL DEPTH: 107' RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/10' mi (MF Method) 0 0 pH pH units 6.0-8.5 5.63 Conductance umhos/cm 500 80 Sodium mg/L 28.0 8.9 Nitrate-N mg/L 10.0 0.11 Iron mg/L 0.3 0.05 Manganese mg/L 0.05 0.007 Volatile Organic Compounds EPA Method 601/602 ug/L See attached report None detected COMMENTS: Low pH indicates high corrosive characteristics. Yes No WATER IS SUITABLE FOR DRINKINGPCYPOSES FO PARAMETERS TESTED. Xxx Date l� ona d J. Sa ri Laboratory I rector LT = Less Than d GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: L24 Lab ID: 9073-01 Project: Reef/12 Percival Batch ID: V62-0484-W Client: Envirotech Sampled: 10-24-94 Cont/Prsv: 40mL VOA Vial/HCl Cool Received: 10-25-94 Matrix: Aqueous Analyzed: 10-26-94 - PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL 5 Chloroethane BRL 5 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1, 1-Trichloroethane BRL 1 Carbon Tetrachloride BRL Benzene BRL .1 1,2-Dichloroethane BRL Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL I 2-Chloroethyl Vinyl Ether BRL cis-1,3-Dichloropropene, BRL 1 Toluene BRL 1 trans-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethane BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 BRL 1 Ethylbenzene 1 meta-and para-Xylene * BRL 1 ortho-Xylene * BRL 1 Bromoform BRLBRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 28 93 % 87 - 113 % 1,2-Dichlorogthane-d4 30 29 97 % 83 - 117 % BRL - Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). No.-- - =- Fee-----c�= -�----- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rlVei[ Cootructionpermit A ,pli ation is hereby made for a permit to Construct Vl\), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel �e �5� - - -- ----- -- - - - s'f �u� - - -_--------- Owner Address -------------------------------------- o---- — Installer — Driller Addarss Type of Building ;�_-j� Dwelling -------dam---------------- -------------------------- Other - Type of Building----------------------------------- No. of Persons-----------------------------— --- Type of Well- �ds ------ Capacity--- Purpose of Well---- -- ---- .Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation unt' er ific .o Co iance has been issued by the Board of Health. Signed - - - -- -- - -------- - date/ Application Approved By- ----- -------------- -— — QL.2�-1 L date Application Disapproved for the following reasons:--------------------------------------------------------------------------------- ------------ -- -------------- — --- - ------------------------------------------------- date Permit No. — -- ---- Issued------------------------ --- ---—---------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY- --- Z�� ---------------------------------------------------------------------------------- --- --- - --------- Installer at- -- f_� � �_-s�.Q� _ Y► - ------------------------------------------ -- has been installed in-accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ..-...�q-36 Dated------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. --- -- Inspector--------------------------------------------------------- � - Fee---- _- --=-: - BOARD OF HEALTH - TOWN * OF BARNSTABLE _ ZIpplication for IVPit Con0ructionpertnit - Application is herebyMade for a�permit toConstruct �), Alter-(- )�or Repair )an individualWell at: Location Address Assessors Map and Parcel r - e - -----.----- ------� _ Owner -Address " - ------------------------ - Installer - Driller Add ss -- Type of Building Dwelling - ' g Other - Type of Building ------ No. of Persons--_-------------------------------------- Type of Well— - ��r'—'� =- - -------- Capacity-- -/d - — --— — Purpose of Well--- - -- --- -------- - t. Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the Well in operation unp Cer ifica o Co iance has been issued by the Board of Health. Signed date - Application Approved By -1� date Application Disapproved for the following reasons:---------------------- - -------------------- t —-- - ---— _--^---- --------------------------------------------------------— - - ------------------------------- date Permit No.-- �-��------�—�--------------- Issued----------------_------------------------------------- date �s`o+-a�oi Leo.w.�v.�s®cor ao or..�-..®san.-a:ms Ae��+..mr.�.�.�..s.v.o�r....�sew oeo.es�,�Im<a.r�4.�e.mr.sue 4.�r.P..�• ---" BOARD OF HEALTH TOWN OF 'BARNSTABLE Certificate Of Compliance s THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by-------------- --------- Installerat v i — -has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction.Permit No. ��--(H-ae:p Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ------ --- --- -- Inspector--- - -- - - --- --- BOARD OF HEALTH TOWN OF BARNSTABLE lVell Conoruct ion Permit Nollr'-Cf------— �o Fee Permission is hereby granted--- --------— --__-- ----------- ----- - -- -- _ to Construct , Alter ( ), or Repair ( ) an Individual Well at: No. -------- -- — — -- - -- - ---— street as shown on the application for a Well Construction Permit o.N � Dated q �----------------------- --------- • I — — ---�� — ------------------------- --. - �and of Health DATE -- FLOW PROFILE "ENT PIPE TOP OF FOUNDATION RAISE COVERS TO WITHIN in EL - 102.65 6 RAISEDI COVERNON GAL ER�DE ��p�� 2- LAYER OF 1/8- /YBLa 1/2- STONE /3- DROP f o� FLOW LINE 10- - 14- H-20 _ 48' GAS�� ` PRECAST 3/ STONE 4 BAFFLE 6 in t: DRYWELL a BOTTOM OF 98.21 STONE SOIL ABSORPTION EXISTING" EXISTING BASE 96.25 LEACHING SYSTEM r EXISTING EXISTING 96.42. 96.00 GALLERY 94.00 5.00 it + 1000 GALLON (END VIEW) EXISTING SEPTIC TANK f o) S fl 12.5 fl b) 14 fl P ESTIMATED SEASONAL MGH GROUNDWATER nq d m� m LNG/� r oD Z000 d D Ng 771oz � o wy 004 � N rrl m T r co y r cnUD\ oo z \ w7K m -n \ o>trl m :V (=D m +592ao �1 g a, m Z M4 0 n \� 9N�1�9 �� fit a m o � �.10 9N11SI)( /N . .n 4 n coo '° q j y G) 0 r N b 6 •� a O trl=x y n \ �Cox > D i O ti 1 0 \ A� z C G) (of) T� n= m A m ►v -o cn , rm o �� m o � s,sA3: � C m W� WvuiG) m > �` mo m;gym m O 'm n � ' m -zan 0 00 o = o my N (W o IM m z X O� x -1 To ''m z$ N m Z z <n y o T� FELOSTo i=rnm> 0 A N CT m Z Y� a k ' l l Z Q Z R0.10 m��,0 N O Z T' W 70 ) �� ro o rp' O b�� > m u o rTl -R C PERCN.1, iT1 — Z Z < `z —� 0 4R/� ti seTz m y r- r 3I n i Z�m DZ r Z -� r � i z m \ p Fn f m ino2�' N a m �� > Z y i DATE OF TEST: DECEMBER 18, 2002 SOIL TEST LOG SOIL EVALUATOR: DAVID D. COUGHANOWR. RS DESIGN CALCULATIONS- WITNESSED REQUIREMENT WAIVED NO GROUNDWATER E ROGLACIALDOUTWASH DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330P GPD TEST PIT I PARENT MATERIAL: PERC AT 68 in 2 MIN/INCH IN C SOILS SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS ELEVATION DEPTH SOL USDA SOL SOIL COLOR SOIL OTHER USE EXISTING 1000 GALLON SEPTIC TANK IF IS SOUND STRUCTURAL (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING CONDITION. IF NOT, INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) 10025 0-10 FILL DISTRIBUTION BOX: USE 3 OUTLET D-BOX. 10-12 0 WOOD LOAM 10 YR 2A NONE FRIABLE I2-16 A SANDY LOAM 10 YR 3/3 NONE FRIABLE SOIL ABSORBTION SYSTEM: A 24 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH 16-50 B LOAMY SAND 10 YR 5/4 NONE FRIABLE A 6 o t - ( 24 x 12.5 ) - 300 s f 96.08 Asdw - ( 24 + 24 { 12.5 - 12.5 ) x 2 - 146 sf 50-148 C MEDIUM SAND 2.5 Y 6/3 NONE LOOSE A t o t - 446 s f 87.92 Vt 0.74 x 446 - 330.04 GPD BARNSTABLE GIS OFFICE RECORDS SHOW EXISTING GROUNDWATER USE A 24 ft x 12.5 ft x 2 ft GALLERY. V t - 330.04 GPD > 330 GPD R E O U I R E D TO BE AT ELEVATION 15.00 fl MSL. GROUNDWATER ADJUSTMENT LEACHING GALLERY OBSERVED GW: 15.00 INDEX WELL: SDW-252 CONSTRUCTION DETAIL ZONE: A READING: NOV 2002 DRYWELL UNIT - USE H-20 UNITS LEVEL: 47.8 8'-6"x 4'-10"x 2'-9" ADJUSTMENT: 1.9 ft 2 f, EFF. DEPTH STONE ADJUSTED GW: 16.7 24.0 ft o o_ NO ES N O i 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 2.5' 8.5' 2 ft 8.5' 2.5' 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS 24.0 ft NOT To SCALE OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND REMOVED. CONTAMINATED SOILS TO BE REMOVED AND REPLACED WITH CLEAN MEDIUM SAND AS PER TITLE 5. 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0- BEFORE .PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE.'INSTALLATION OF LOW FLOW FIXTURES AND APPLIANCES. AND BIANNUAL PUMPING,-OF THE SEP.,PC- .TANK -TO SERVE EXISTING DWELLING 9) SYSTEM IS NOT DESIGNED TO WITHSTAND.``VEHICULAR LOADING. DO NOT PAUL & ANNE REVELIOTIS PARK OR DRIVE VEHICLES OVER SEPTIC'-SYSTEM. 10) INSTALLER TO OBTAIN DISPOSAL WORKS%,.PERMIT BEFORE STARTING WORK. 28 PERCIVAL DRIVE W. BARNSTABLE. MA 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH ECO-TECH ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED 43 TRIANGLE CIRCLE SANDWICH MA 02563 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. ETE-1272 I DEC 19. 2002 2/2 .. s N • ASSESSORS MAP. III T T . _58 T iST HOLE LOGS NOTES: PARCEL.� a r l<'n FROM QUAD (NGVD � 1. VERTICAL DATUM. ASS�,IL ,�. CURRENT ZONING: RE ING ENGIN R. DOYLE ENGINEER 2; MUNICAPAL WATERO?'AVAILABLE BUILDING SETBACKS: OUT SEPTIC SYSTEM. 9WITNE ._ THOMAS MCKEAN - 3, SCHEDULE 40 4 PVC PIPE TO BE USED THROUGH ' S TO 0 F �0_. S•'_L�.�R:.�5_ DATE.`.�0-86 4. ALL PRECAST UNITS TO CONFORM WITH AA H H 10 � H 2 R� PERCOLITION RATE: < 2 MIN/IN LOADING SPECIFICATIONS. FLOOD ZONE: C = LESS NOTED OTHERWISE). TH ` TK-2 5 PIPE PITCH 1�4 PER FORT ,(UN � 5 85.0 6. FIRST 2 OF PIPE OUT OF D-BOX TO BE LAID LEVEL. EL�'v COMODATE THE TOP 7.`THE SEPTIC SYSTEM HAS NOT BEEN TO AC LOCUS SUB. IL 82D k USE OF A GARBAGE DISPOSAL. / r 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE cLE ENVIRONMENTAL CODE TITLE FIVE AND LOCAL LOCATION MAP MED.UY .STATE OF MASS. ENVIRONM ( � SANI HEALTH REGULATIONS. UTILITY ALL UTILITIES PRIOR LOT 12 r CLUSTER 9. CONTRACTOR TO VERIFY LOCATIONS OF 36,467 f S.F. _ TO CONSTRUCTION. 0.84 + AC. i 1 WITH MASTER PROPOSED SEPTIC SYSTEM LOCATION 7S IN ACCORDANCE I H PROPOSED 4 / PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. PROPOSED WELL WELL, LOT 11 4 / t 144" 73.0 LOCATION HAS BEEN REVISED FROM MASTER PLAN BUT STILL MEETS ALL SETBACK REQUIREMENTS. W 96 9611. DESIGN ENGINEER TO INSPECT AND CERTIFY SUITABLE SOIL CONDITIONS / No GROUNDWATER ENCOUNTERED TO A DEPTH OF 4';BELOW LEACH PIT AT TIME OF CONSTRUCTION. { ._94 b / 96. 8 o -92 SEPTIC SYSTEM_ DESIGN - 90 LOT_ 11 i f FLOW ESTIMATE. BEDROOMS AT 110 G AL/DAY BEDROOM =_32Q GAL/DAY 88- } I DECH / 4 90 SEPTIC TANK: PORCH I 56' / GAL DAY * 1.5 DAYS = .495 GAL 24 ' C'` 94 USE 1000 GALLON SEPTIC TANK PROPOSED f D0. 5 I } ._ / / l 3 BEDRNr 24 / I / 96 DWELLING 100 \ i TH,�— - ? 98 - - LEACING AREA: GAR / 14 14 USE ONE LEACH PIT 6' x 49 WITH 3' OF STONE 100 1 z L za• _ 12' EFFECTIVE DIAMETER x 4' DEEP) I 1 - 104 10 . 106 f PROPOSED DWELLING SIDE AREA: 12 x 4 x PI = 151 SF (2.5) 377 GAL/DAY -1.0 GAL DAY ` .... — 108 :$OTTOM AREA. 6 x 6 x PI 113`SF ( � 113 / .-•�... .�... .. _.._ems..-. .. - -. �_ ._, +.—�...- , 10 - � TOTAL CAPACITY = 49U,GAL/DAY 104. 6 LP / 110 �04 SEPTIC SYSTEM SECTION- 2 PEASTONE ti COVERS WITHIN f2 OF3 4" - 1 1 2" " / / --J 108.0 OF FINISHED GRADE WASHED STONE I - / TOP OF .F'OU D TION �r id8 0 / ry �1_01-55 \. 101.8 ELEV. JD-BOX nPOSED 1000 GALrPRO �� 00.94 WELL ELEV. 93.0 rho / SEPTIC THINK 0 . ELEV. 102.0 .--s s ELEV. / - ELEV. 4 3, 3. - .- ELEV. 97.0 1�O \ TEE SIZES: INLET: 6" UP 10" DOWN E 12 BENCHMARK : 1 T: 6" UP 19" DOWN ONE LEACH PIT (6' x 4 WITH AT CATCH BASIN 62, �0 OUTLET: )) ELEVATION 106.4 .••� � / 3' OF .STONE (12 EFF. DIAM. x 4 .DEEP) (H-20) / BREAKOUT CALC.: (97.5 - 84) / 87 x:150 = 23' LOT 13 EXISTING SITE AND SEWAGE PLAN WELL, LOT 13 171' FROM PROPOSED �s LEACH PIT, LOT 12) KEY. LOCATION• .. ^w . EXISTING CO NTOUR: TOUR.N LOT 12 PERCIVAL DRIVE PROPOSED CONTOUR. . ........................... y+ EXISTING SPOT ELEVATION. 25.5 � W B R ST ABLE� MA E r . .. ( _ , EST A N . PROP OSED SED SPOT ELEVATION. 25 ' `. _;, .:. d.. • ,....._1. .-. ,.. PREPARED FOR. TEST HOLE.... u # . ,f. .. d. UTILITY POLE. •-0- :. . c.. _. R EF REALTY FENCE LINE....--- t1 III . 'SCALE. - 30' DATE. - - . .�}. DE3lAREST-YcLELLAN ENGINEERING � ��,1'�'j'; 1 1" 5 23 94 HYDRANT 24 SCHOOL STREET P.O. BOX 463 �, REFERENCE:. PLAN BOOK 413 PAGE 99 REV: 11-15-94 WEST DENNIS, MASSACHUSETTS 02670 ' DM # B¢-039-1,2 THOMAS McLELLAN P•E. J'OHN Z. DEMAREST JR„ P.L.S. a I