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0129 PERCIVAL DRIVE - Health
129 PERCIVAL DR. WEST BARNSTABLE A = 110 001 016 o ; a �e TOWN OF BARNSTABLE LOCATION 1.9 ' ZX_t tfAL �oZ_ SEWAGE# 1-- i S VILLAGE tX�PAk121s ASSESSOR'S MAP&PARCEL i -Ot l, INSTALLER'S NAME&PHONE NO. C. O• .ja "7-71-��Q� SEPTIC TANK CAPACITY tF_k 1 (!4—t mA t S2Xo-6.4-f_ LEACHING FACILITY:(type) i tZUZJ�tG t-�— (size) NO.OF BEDROOMS 4- -30 SO C+v:-tJei q OWNER PERMIT DATE: . COMPLIANCE DATE: O 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 0A i e o p 3 y— 73' lt F No. �y ' Fee - -� THE COMMONWEALTH OF MASSACHUSETTS Entered ui computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpYication for Misposal 6pstern Construction permit . Application for a Permit to Construct( ) Repair 06 Upgrade( ) Abandon( ) ❑Complete System e1Individual Components Location Address or Lot No/_7 9 r�xt Dr;Ve Owner's Name,Address,and Tel.No. J j'o6-3Ga �rb� QO(" Q 161 w,i3urN5 Asse sor's p/Parcel (o r Ul d f 4 b 6; Installer's Name,Address,and Tel.No. t5b8-y08-69P& Designer's Name,Address,and Tel.No. PQbi6ti C'an5ira -kr `-rnc afskrn o O Type of Building: Dwelling No.of Bedrooms Lot Size `, l7 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 9 CCU gpd Design flow provided y� gpd Plan Date aal 21 Number of sheets j Revision Date Title T� I' ' Size of Septic Tank e-K;661!j 1$Gi my Type of S.A.S. - 33,61)(0.81&) Description of Soil Nature of Repairs or Alterations(Answer when applicable) h4/ ' _ t® s . . d�Qanh C ryl .!"� in a 33, 'e- X /o`r 8'u) ' S�,nn �ot► 1nps gyp tN1Ui'+, / +.12p1n� . `�0 nnC,_ a�v�i s�1 S ��r ems. two Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintena e of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental''Cod d not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health.a Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. w Date Issued -----------------------_—_—_—__—_—_—_—_—____—_—___— No. 1 Fee iR THE COMMONWEALTH OF MASSACHUSETTS Entered incomput— PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 9pptiration for Zispo$al *pstem Construction Permit Application for a Permit to Construct( ) Repair(66 Upgrade( ) Abandon( ) ❑Complete.Syst" em e1ndividual Comments 2/ 4r�al Dry Owrier's Name,Address,and Tel.No. job Location Address or Lot No./ • t.� /� r C(� CSC' it C7V-sa& rag ,�.01 Assessor's ap/Parcel (� uJ / t►"tAS f ,4md4.44 A4A O.-Gkf Installer's Name,Address,and Tel.No. 568-11,P8-85 PP& Designer's Name,Address,and Tel.No. �Tfo�ts�c.CanSfrurc-�jCJr'l,�'n� Type of Building: Dwelling No.of Bedrooms Lot Size . ,17�- sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures - Design Flow(min.required) 9 90 gpd Design flow provided gpd Plan Date �l hG1 I Number of sheets / " Revision Date I' Title,%,Re a 1a4 o I),-& l/ i Size of Septic Tank f'KiS9ne, 1J"4 1 AP Type of S.A.S. 9 X069" (ltct A C�n ylt 33►b'L x)a-�tv J Description of Soil 51, _L_o�A AL,L. r r Nature of Repairs or Alterations(Answer when applicable) Yjalar d In S La X /r.�,8 1.r.1 S•�rn ���.Ayu.»c a natx. _ t,UCYi�.t,a.tg �os1L ✓�1.1 �.Q � ,1�.G.rOGv+� 5ca.,t�' . �Ui1IL�x-t' "ryi�(rtller J.P. �7�/y1f"-r r^ !' .. Date last inspected: yam„ �i Agreement: The undersigned agrees to ensure the construction andnte Rice of the afore described on-site sewage disposal system in. accordance with the provisions of Title 5 of the Enviro e t nun n ai`Code,and not to P lace the system in operation until a Certificate of P Y Compliance has been issued by this Board of Health. reed Dated/ Application Approved by Date�►'" ' Application Disapproved by y Date for the following reasons .► Permit No. ��Z—I �� 'Date Issued THE COMMONWEALTH OF MASSACHUSETTS - BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site SewageDisposal system Constructed( ) Repaired Upgraded( ) ..:,.Abandoned(�by 86r 4tc,� o ns 4,,c 1//it Nl . L re< at /�,� �. i'Vr�. ,Q('�t;'p W.1Brt jM has been constructed in accordance with the((provisions of Title 5 and the for Disposal System Construction Permit rN-o�. ���t`}�5 dated 6 - 1 Z•�-� Installer&�� ` �©t�S�(t C k�1C11'�.,�,ix,G Designer f 11.I1 ��e }x�ewntOJar�tnC. -rtn C- #bedrooms, Approved design flow / A gpd The issuance of this //permit shall not be construed as a guarantee that the system will f�u'ncction armed signed. F 3 Date E� J 4 Inspector ti No. �•Oif 1 ��.� �3, ! Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair(*) Upgrade ( ) Abandon /( ) Systemlocatedat / � J�pI' t'tJ(J�� /`,'tJF' /(,,f�")rf✓1,�` Z7�•P 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. .y Provided:Construction must be completed within three years of the date of this permit. _. Date (0, 1` ;L Approved by f JUL-0272021 03:42 From: To:15087906304 Pa9e:1/1 Town of Barnstable Inspectional Services � � wwerHe�,•$ Public Health Division - KOSThomas McKean,Director c ° 200 Main Street,Hyannis,MA 02601 Office: 509-962-4644 Fax: 506-790-6304 Installer&Designer Certification Form Date: I ZI Sewage Permit# ao'd(` �9S Assessor's Map\Parcel I(o - Designer:. Dogn . e, hL�,lil,VlA Installer: .(0f1 CO►1 UCI I Address: a39 QOQ4e, 6W Address: yS ..lrnllAJO�,a �v �61YIKOUW PW�o MA 1 L4 nn ` as issued a permit to install a On fi I . l7oc b (date) (installer) septic system.at 1201 96K�VOA 1)V, •W t Kiyn!;Webased on a design drawn by (address) n a 1)aYu'e) , 0 G�).Gl dated i �`V. �O.3 0'7-1 (designer) ZJ certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify. that-the septic systein referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of-the septic system)-but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils i were found satisfactory. I certify that the s stern referenced above was constructed in with the terms of the AA a e3tt (if applicable) t►+-OF&„s ��• c DANIE4 qIL _ O ALJ.A CIVIL N, nstaller's Signature) a No.4.6502 "': (Designee's Signature Affix Designer's ' ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH IIVISION. CERTIFICATE -•OF COMPLYANCE WILL N BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTAB&A PUBLIC HEALTH DIVISION. THANK Y O U. \\tadWepIMEALTMEWERconnecNEP71COesignerConirication Form Roy 11•14-13.130C �r Town of Barnstable Inspectional Services Department ' B"MXAMA`"BM ' Public Health Division 1639. 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 8142 March 16, 2021 CASALI, ERNEST J & DEANNA E 129 PERCIVAL DR WEST BARNSTABLE, MA 02668 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 129 Percival Drive,West Barnstable, MA was inspected on 03/09/2021 by Frank Nunes III, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH s cKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\129 Percival Drive West Bamstable.doc Town of Barnstable �; Hg Inspectional Services Department s67q• ♦0 p�fDN1°�A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: .508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well ❑ A portion of the cesspool is located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation IIa driveway due to H-10 components, etc) eaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER El Repair deadline: WSEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts r ,ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 129 Percival Drive Property Address Casali Owner Owner's Name information is required for every West Barnstable V MA 02668 3/9/21 page. Cityrrown 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. A. Inspector Information 15► 1 X 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 13010 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and eomplete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 3/9/21 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 has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins .doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts ,IF Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 129 Percival Drive Property Address Casali Owner Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. CityTrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.coc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � 129 Percival Drive Property Address Casali Owner Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The Y q P P 9 Y PP system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts rp Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .�o 129 Percival Drive Property Address Casali Owner Owners Name in.ormation is required for every West Barnstable MA 02668 3/9/21 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged.SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts ,P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 129 Percival Drive Property Address Casali Owner Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.) ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 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 CA. Yes No \ ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well -5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Q Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �e 129 Percival Drive Property Address Casali Owier Owner's Name information is required for every West Barnstable MA 02668 I 3/9/21 page. CitylTown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for aH inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts �e Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 129 Percival Drive Property Address Casali Owner Owners Name information is required for every West Barnstable MA 02668 3/9/21 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Description: 4 bedroom plan and permit on file at BOH Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Well water Sump pump? ❑ Yes ® No Last date of occupancy: occupied Date t5insp.Joc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments a.� 129 Percival Drive Property Address Casali Owner Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Pumped May 2019 per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: i gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts ,5 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 129 Percival Drive Property Address Casali Owner Owner's Name information is required.for every West Barnstable MA 02668 3/9/21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) r ❑ 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: 1998 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ❑ No 5. Building Sewer(locate on site plan): 4' Depth below grade: 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.): t5insp:doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts �. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �e� 129 Percival Drive Property Address Casali Owier Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 3'6" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) H-10 tank appears to be structurally sound, inlet and outlet covers raised If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500g Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle >12" Scum thickness 1" >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 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.): Pumping suggested every 3yrs to prolong the life of the system t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts ,,o Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 129 Percival Drive Property Address Casali Owner owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp,doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �e 129 Percival Drive Property Address Casali Owner Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" � Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box was video inspected and appears to be structurally sound t5insp doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 129 Percival Drive Property Address Casali Owner Owner's Name info.-mation is required for every West Barnstable MA 02668 3/9/21 page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 5 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 i Commonwealth of Massachusetts ,ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �o 129 Percival Drive Property Address Casali Owner Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The chambers were video inspected, about 5'after the D-box the line to the chambers was charged, the effluent level is above the inlet invert, the chambers are in hydraulic failure, top of chambers is approximately 5'6" below grade 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 129 Percival Drive Property Address Casali Owner Owners Name iniormation is required for every West Barnstable MA 02668 3/9/21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments o 129 Percival Drive Property Address Casali Owner Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 3s gyp, fo 40 q9 C iq 6 5-( -7 c) � c — —' A i3 RC;Z�N- T 5(s, t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 r Commonwealth of Massachusetts ,ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 129 Percival Drive Property Address Casali Owner Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: >144" 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: 1998 NGW 144" 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 Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .�e 129 Percival Drive Property Address P Casali Owner Owner's Name information is required for every West Barnstable MA 02668 3/9/21 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 TOWN OF BA`RNSTABLE � LOCATION or J 5 ®W SEWAGE# Z„ ,icy /T VILLAGE W 9 A40///9, 60, ASSESSOR'S MAP&LOT4f6 m ca L-o� 0 INSTALLER'S NAME&PHONE NO. l®l t®Cd�1 4 o05, `4, SEPTIC TANK CAPACITY �s✓��® + LEACHING FACILITY: (type) Coxct--c.-� c:..k/%..�.b er S (size) � g `1 9 x .2— ENO.OF BEDROOMS `A BUILDER OR OWNER (Zce -- tZ-e-A l�-4 . PERMTTDATE: 9 ""2- t -%A COMPLIANCE DATE: /d if 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 `� [6AA of I�tl�S� fi w 3 a Ll I - S t No. < rid Fee w C�' THE COMMONWEALTH OF MASSACH ETTS Entered in computer: �e / .PUBLIC HEALTH DIVISION -TOWN OF BARNSTAB E., MASSACHUSETTS 01pprication for Digogal *pgtem Con,�truction Vermtt Application for a Permit to Construct v Repair( )Upgrade( )Abandon( ) 1:1 Complete System El Individual Components Location Address or LoLNo.. ' Owner's Name,Address an No. VCd �tisa.� t a «ac.. ����•� Assessor's Map/Parcel Installer's Name,Address,and Tel.No. esigner's Name,Address and Tel.No. ��nh,� �....� . •pro � � ���s=� I i+� Type of Building: Dwelling No.of Bedrooms Lot Size:&�;'. sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 1 1 o gallons per day. Calculated daily flow 49fo gallons. Plan Date Z--���t Number of sheets Revision Date - Title Size of Septic Tank Type of S.A.S. Description of Soil Q - ��"-- Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensur a construction d maintenance of the afore described on-site sewage disposal system in accordance with the provisions o itle 5 of t Env' on ntal Code and not to place the system in operation until a Certifi- cate of Compliance has been iss is d ` ea 00 Signed _ Date / Application Approved by Date G 1'y pl Application Disapproved f r the follo ing reasons Permit No. Date Issued If I 1No. � x f Fee ✓ Gi' L1; THE COMMONWEALTH OF MASSACH ETTS Entered in computer: Yes � PUBLIC HEALTH DIVISION - TOWN OF�BARNSTABLE, MASSACHUSETTS Zippfication for Migog;al *pgtem Congtruction Permit Application for"a Permit to Construct V11 Repair( )Upgrade( )Abandon( ) ElComplete System ElIndividual Components )I Location Address or LoLNo. ' Owner's Name,Address annNo. I Assessor's Map/Parcel rn `\ \ ` � �'Q`�"'� S. a \O Installer's Name,Address,and Tel.No. i signer's Name,Address and Tel.No. I 39 C6-_) 7/0 . T Type of Building: Dwelling ,' No.of Bedrooms Lot Size:86-, I? sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other-Fixtures Design Flow %t o gallons per day. Calculated daily flow b gallons. Plan Date' Z--23 rl S Number of sheets Revision Date '? Title ' Size of Septic Tank /i600 Type of S.A.S. Description of Soil 5• ,w... Nature of Repairs or Alterations(Answer when applicable) Date last inspected: f'A ` r Agreement: -- f The undersigned agre s to ensur a construction d maintenance of the afore described on-site sewage disposal system in accordance with the provisions of itle 5 of nv` ontal Code and not to place the system in operation until a Certifi- cate of Compliance has been issu -by is B d f eal Signed Date Application Approved,by k3 Date;A4-_l� 9 Application Disapproved f r the follo ing reasons dH r r . / Permit No."-r7lr Af 411 Date Issued 1/0' 15;,10-� ------------j--------------- ---------- THE COMMONWEALTH OF MASSACHUSETTS--: - BARNSTABLE, MASSACHUSETTS Certifi rate-of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )"Repaired( )Upgraded( ) Abandoned( )by g rrz4d / 4570"; at /ma has been constru ted in accordance x with the provisions of Title 5 and the for Disposal System Construction Permit No. " datedlen el Installer Designer , The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date den Inspector -- ------------------------------------ No. " > Fee V vr-P-4, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS otopoo potent Conotrurtion Permit Permissiop/is hereby granted to Constru_ ( Repair( )Upgrade.( Abandon System located at % G"t / 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: G ' Cr- $ `" Approved by l f Bott ►ber: 915201 Date: 09/14/98 of SAR _ g BARNSTABLE COUNTY HEALTH AND ENVIRONME D%A, E 0 �� SUPERIOR COURT HOUSE BARNSTABLE,MASSACHUSETTS 02630 S EP • 2 4 1998 A1q S S It:J 0 �_ `PHONE:3 - 11 eh! LAB 33 4 Client : CLIFFORD WELL DRILLING, Collector: F CLIFFORD 8 Mailing P O .BOX 430 Affiliation: WELL DRILLE Address : SOUTH YARMOUTH MA 02664 Type of Supply: Private Well Telephone: 394-6721 Well Depth: Not Reported Sample Location: LOT35 PERCIVAL DRIVE Date of Collection: 09/10/98 Tow: : WEST BARNSTABLE Date of Analvsis: 09/10/98 PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria ABSENT 0 pH 6. 5 Conductivity (micromhos/cm) 655 500 Iron (ppm) < 0 . 1 0. 3 Nitrate-Nitrogen (ppm) 1 .7 10. 0 Sodium (ppm) 12 20 . 0 Copper (ppm) < 0 . 1 1 . 3 BASED ON THE ANALYSES PERFORMED, THE FOLLOWING ADVISORIES ARE GIVEN: * Water sample meets the recommended limits for drinking water of all above tested parameters . Thomas F. Bourne, Laboratory Director TOWN OF BA`RNSTABLE LOCATION �l�7- 3 S e-rc �b4� All SEWAGE # 2 • ti V VILLAGE- �rsrs"��•�� ASSESSOR'S MAP & LOT /'C�-iaD i INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I4'� LEACHING FACILITY: (type) Concr•c.4L c:6%,r b ys (size) c9 ,� K `/ 'I �c NO.OF BEDROOMS `A BUILDER OR OWNER 2 c e iZ —A l�r PERMTTDATE: 9 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply.Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet i Edge of Wetland and Leaching.Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by W � 0 \� G, No.-A&- J(0 Fee-----�- BOARD OF HEALTH TOWN OF BARNSTABLE VY Application-*rVell CootructionAermit A 'li t' is re made f& a p rm to Construct ( ), Alter ( ), or Repair ( )an individual Well at: -- v�.j eG ��/ �_ - --— — -— - --- — -- - -----— --- --- - - --- - --- ----- - L tion — Address ssessors p and Pareel ee ----- - �' - --- --- ------— L- ��- - ` � -- -- - caner Address -------------- - - h Lk-----z ----- D Installer — riller AddreEs�—— — Type of Building �� Dwelling------—-----— - ---------------------- Other - Type of Building ------ No. of Persons--------------------------------------- Type of Well-- f z— - Capacity-— a - -- - - --- --- Purpose of Well--------A --------— --------- 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 untVtificat Lol a has been issued by the Board of Health. Signed </���datesApplication Approved By - ^-[��.�-___--- -- —-- —— date Application Disapproved for the following reasons:-----------------------—------------------------------------------------------ ------------------------------- ---------------------------- --------- r� ,A date Permit No. ---�" t�'^- - ----- Issued--- — - --- — --- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY---------- - -------------------------------------------------------- Installer at --- ------ -- -------- --- --- - has been installed in accord Ace 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. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE ---- ---—— —-- - —— -- Inspector-------------------------------------—--- ---------- e _ 2. �t�.]�'r-r-..-v�i�►..0 ^MM7-�;,�•,n,.,,,.i'^�'`'`,gGi�,..,ti;�'�+Y."� .."'-•r7fe.�•�ktt�ti�1►.��'�W'�'�'��"CyFr� l��h�.+1e:w�Y'a' Y"�.s'��"�"'�'�'•4+.tif.C�'Y�'�t�",y'�.�I°,�_:v..1'.'...�, No.- - - �- Fee----- -II;---'"� BOARD OF HEALTH TOWN OF BARNSTABLE -; 2pprication,1orVell Con0ructionPermit A Plic t� re rmtC � Alter or Repair )an individual Well at:o - ----------- ----- L ation Address Assessors M d Parcel r � —wner Address Installer — Driller Addre s' Type of Building Dwelling------- Other - Type of Building-------------------------------- No. of Persons------------------------------- Type of Well-- --�-� 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 until a Ce tifi at / lia ce has been issued by the Board of Health. /6 Signed. . ------- ---------------------- --��------ date Application Approved By- a -------- date Application Disapproved for the following reasons:------------------------------------------------------------- -----------s=- ------------_ ----------------------------------------------------------------------------------------- date Permit No.-_—— ~- ----— -- Issued--- - ^-1 -- --- — ------------ date • BOARD OF:.H.EALTH - . TOWN OF- 'BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by---------- ----------------- ----------------------------------------------------------- - L------------------------------------- Installer at------- - ��- -- =--- '- ----------------------------------------- has been installed in accordalce 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. -V '--jL-------Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ---— — — - -- -- Inspector---------------------------------------------------------------------- x BOARD OF HEALTH TOWN OF BARNSTABLE ]Veil Congtructi ion permit No. Fee----.�--_---- Permission is hereby granted- ---y---------------------_-_—_____-________-__________ to Construct Alter ( ), or Repair ( ) an Individual Well at:No. � n - -------------------- �street as shown on the application for a Well Construction Permit No. ------------ -_ -I -- ----- -- - - Dated---_ ®" -'---------------------------------------- ------------------- =— ---------------------------------------- ...- Board of Health DATE--------=�--=-,'!J'--��-' / N ASSESSORS MAP: 1f0 PARCEL 10 TEST HOLE LOGS NOTES: 16 1. VERTICAL DATUM. ASSUMED FROM QUAD (NGYD ENGINEER: THOMAS McLELLAN, P.E.CURRENT ZONING:� R _ 2. 11[UNICAPAL WATER IS NOT AVAILABLE. BUILDING SETBACKS: WITNESS: JERRY DUNNING 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. / DATE: 7-16-98 F:�_ S:�_R: 15 PERCOLATION RATE: 4 MIN/IN 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 LOADING SPECIFICATIONS. q FLOOD ZONE: C TH-1 TH-2 5. PIPE PITCH = 1 14" PER FOOT ,(UNLESS NOTED OTHERWISE). g 69.0 68.0 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE LAID LEVEL. aXIsrJNc WELL P�i ELaV. ELEV. 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE LOCUS CRC• v 0 A HORIZON 0 A HORIZON Fs y o I sIANDY O YA RDs sO! USE OF A GARBAGE DISPOSAL. / rf9 POSED o L j)R 1r fOYR s/ s8o 1r / �A B. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE LEACH AREA) jP.�' ELECTRIC MANHOLE B HORI.toN B HORIZON STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL 8 OF SANDY LOAM SANDY LOAM LOCATION MAP , A-4p.- ' 9 22- z 5Y s/s 672 24" 2.SY s/s s6A HEALTH REGULATIONS. LOT 35 e '�� 0 6 Cl HORIZON Cl HORIZON 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR 35,172 f S.F. �� :'..�.� ....� ` �i �� h SILT jAM ,SIL LOAM TO CONSTRUCTION. (0.81 f AC.) 9 , BENCHMARK AT so" 64.0 �' 62.5 10. PROPOSED SEPTIC SYSTEM LOCATION IS IN ACCORDANCE WITH MASTER UTILITY CLUSTER `_. �' , 80. q 9° ;ly COW. BOUM LOAD s vD �A�HORIZON PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. �s 4�• ' s 74. s 2.5Y s/4 2.5Y 6/4 11. ALL UNSUITABLE SOIL (SILT LOAM, APPROX. 66" DEEP) WITHIN S OF ' ./. / � ' ''., ' s �O ' seo 56.0 PROPOSED LEACH AREA IS TO BE REMOVED AND REPLACED WITH 132" 144` CLEAN MEDIUM SAND. p, 12. GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO i Y. PROPOSED WELL NO GROUNDWATER ENCOUNTERED EXCEED T. (LOT 34) (CURRENTLY VACANT) 190' F 0 PROP. LEACH AREA) UTILITY CLUSTER PROPOSED WELL SEPTIC SYSTEM DESIGN UT 0' �' � �� � � ' , FLOW, ESTIMATE: WALK-0 FDC K ' 9r _4_ •BEDROOMS AT 110 GAL/DAY/BEDROOM = 440 GAL/DAY `� :' .�'' �4 ' ' • ' ' i c'r 24' PROPOSED 4 BEDROOM SEP?'IC TANK: DWELLING �6 , cA' 69 z 440 GAL/DAY x 2 DAYS = 880 GAL 42' USE 1500 GALLON SEPTIC TANK 16' r 23'-8.5" Alb �pOs . % :j ,6� o LEACHING AREA: f0' GARAGE ( ZI A'D wire o]WO ' (MAXIMIZER SIDES DE ) • 'e v z Nclul? y ' T ':f ' _USE 5 INFILTRATORS (MAXIMIZER CHAMBERS) z4•-s5" 4' AT ENDS (4425' x 80 x P DEEP) �k , ' , rn°�� ?sO P %•' ,66 'n _ArITH 3' OF STONE AROUND SIDES AND 4' AT ENDS x PROPOSED DWELLING 70 6y x (44.25' x 8.8' x 2' DEEP) SIDE AREA- (53) x 2 x 2 = 212 SF (.74) = 157 GAL/DAY BOTTOM AREA: - 44.25' x 8.8' - 389 SF(74) =288 vALI RAY i i.•. 6 �. ' /' ' , ' / ' , e.•. / ' , ' , ' / CAPACITY = 445 GAL/DAY 66 SEPTIC SYSTEM SECTION 2" PEASTONE ERS WITHIN 1 FINISHED HED RADEr OF 3/4" - 1 1/2".: •:� �1 75.0 TOP OF FOUNDATION WASHED STONE ELEV: 65.5 65.56 D-BOX o ® - 63.0 1500 GAL \65.08 0 ELEV. F� F > ELEV. 6 ' h0 SEPTIC TANK 65.25 (6" OF ELEV. 3'-4' T-4' . ' (6" OF STONE UNDER OR ELEV. STONE 44.25' 6� ' , , ', ' ', . ' h� 66.0 MECHANICALLY COMPACTED) UNDER) 5 INFILTRATORS MAXIMIZSIDESDCHAMBERS) WITH 3' OF STON AROUND ' ELEV. TEE SIZES: 65.0 4' AT ENDS 44.25' x 8.8' x 2' DEEP 66 ' , ' ' (UNDER BASEMENT) ' INLET: 6" UP, 13" DOWN (NO GROUNDWATER ENCOUNTERED AT BAFFLE ELEV. ( ) l y6 K (KEY: OUTLET: 6" UP, 14" DROWN CONTOUR ELEVATION = 55A) 6 , ' EXISTING CONTOUR: - 6k' 6 , ' , ' , ' , ' 0 - , ' •yh PROPOSED CONTOUR: "" "' """' ' " SITE AND SEWAGE PLAN C0 . ' EXISTING SPOT ELEVATION: 25.5 h yh PROPOSED SPOT ELEVATION: 25 TEST HOLE: L 0CA TION UTILITY POLE: -o- �"°F"'` ,� zNOF LOT 35 PERCIVAL DRIVE FENCE LI NE: '� 1}lOAIABd �s mdaw Z. - HYDRANT: DEMAREST,JR N WEST BARNSTABLE, MA mm RETAINING WALL: �� �No. 3W59� PREPARED FO 143. oo' R DM "°SURv REEF REALTY NOTE: DEMARaST-McLELLAN ENGINEERING SCALE: 1" = 30' DATE: 2-23-95 TOTAL SUBDIVISION OPEN SPACE AREA OWA71 S! TOTAL NUMBER 0!LOTS IN SUBDIVISION i 51 24 SCHOOL STREET P.O. BOX 463 REFERENCE: PLAN BOOK 413 PAGE 99 OPEN SPACE AREA PER LOT 18,105 S! WEST DENNIS. MASSACHUSETTS 02670 DM 94-039-35 (D10F21L3) MTAL LOT AREA PLUS ALLOCATED OPEN SPACE AREA=ss,4�7 S! THOMAS McLELLAN, P.E. Ejo:HN Z. DEMAREST JR., P.L.S. REV.: 9-30-98 REVISED: 8-25-98 REVISED: 9-24-98 �Z N , ASSESSORS MAP: f � a NOTES: PARCEL 1-16 TEST ROLL' LOGS N TE 1. VERTICAL DATUM. ASSUMED FROM QUAD (NGYD ,'► CURRENT ZONING: RF ENGINEER. DOYLE ENGINEERING 2. MUNICAPAL WATER IS NOT AVAILABLE. a• BUILDING SETBACKS: WITNESS: THOMAS McKEAN, R.S. 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. F: S: R: 15' DATE:, 1-9-87 S S CONFORM W A SHTO Icy,, ,��, �� 4 ALL PRECAST UNIT TO C NFOR WITH A H-10 & H-20 PERCOLATION RATE: 4 MIN/IN � LOADING SPECIFICATIONS. '0 FLOOD ZONE: C TH-f TH-2 5. PIPE PITCH = PER ,FOOT,(UNLESS NOTED OTHERWISE).5 58.0 6. FIRST 2, OF PIPE OUT OF D-BOX TO BE LAID LEVEL. LOCUS TOP � 7. THE SEPTIC ELEV S S:NOT BEEN DESIGNED TO ACCOMODATE THE A � -h'�'I . SYSTEM HAS �'d�•Y •AL SUBSOIL USE OF A GARBAGE DISPOSAL. 3r 55.0 o Rljl 8. ALL CONSTRUCTION DETAILS ARE TO BE IN'CONFORMANCE WITH THE •L' 0 �e STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL LOCATION MAP op 9 FINE SILTY HEALTH REGULATIONS. ^� SAND UTILITIES PRIOR LOT 35 6 WITH 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL TILITIE 35,172 t S.F. ti ` COBBLES TO CONSTRUCTION. .,.. (0.81 + AC.) �9 ;� PROPOSED SEPTIC SYSTEM LOCATION IS IN ACCORDANCE WITH MASTER - � o� h BaNBENCHMARK AT 10. UTILITY CLUSTER : . Leo Q Co1w. Bou m. PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. ,. i 7 ELEV. — 74. 6 • '�-� - W S 0 ENSURE LEVELNESS AND EQUAL FLOW.s, op 144` 46.0 11. D BOX TO BE WATER TESTED TQ i :i , ✓ ' ' , b , 6 MANHOLE.�• , ELECTRIC NO GROUNDWATER ENCOUNTERED UTILITY CLUSTER y . SEPTIC SYSTEM DESIGN PROPOSED WELL FLOW ESTIMATE: c i 'BEDROOMS AT DAY BEDROOM = GAL DAY g , BE ,.110 GAL 550/ / / WALK--OUT SEPTIC TANK: DECK] � RrvX � � ••. � °6 550 .GAL/DAY 1.5 DAYS — 825 GAL q �....-• o, x USE 1500 GALLON SEPTIC TANK PROPOSED r i 6 5 BEDROOM 24' i>sS•i 75 DUELLING 28' v, LEACHING AREA:r GARAGE h i pR0 , q 5 A Pos�'D y ,6 0 :USE TWO LEACH PITS (6' x 69 WITH 2' OF STONE z4 T.F PIrFiLj90A,NC ' rXXI ss• (10' EFFECTIVE DIAMETER x 6' DEE1°) ' Aso PROPOSED DWELLING :...... ........ : . : .:: 6 x SIDE AREA. 10 x 6 x PI = 188 SF (2.0) = 376 GAL/DAY ......... xcz BOTTOM AREA: 5 x 5 x PI = 78 SF (.83) 65 GAL/DAY 70 �..... ,: ::�• a TOTAL CAPACITY = 441 GAL/DAY co c...❑�......T r g 2 PITS x 441 CID 882 GAL D Y °) L�'1 ......�....�: , 6 • y ..._....:, SEPTIC SYSTEM SECTION 2" PEASTONE ZPe COVERS WITHIN 12" OF 3/4" - 1 1/2" OF FINISHED GRADE 76.0 WASHED STONE TOP OF FOUNDATION \\66.39 9' , . . 66.64 ELEV. 69 0 6 . 500 GAL D-BOX #1 - 59.0 ELEV. 66.09 #2 = 55.0 65.92 60 T8-1 SEPTIC TANK ELEV. #1 - 65.0 .--. ELEV. 67.0 TEE SIZES: 2 = 61.0 2' 2' 6 ' h� ELEV. INLET: 6" UP 10" DOWN ELEV. .• 10' -� ' TWO LEACH PITS 6' x 6' WITH OUTLET. 6" UP, 19" DOWN ( ) 2' OF STONE (10' EFF. DIAM. x 6, DEEP) (H-20) KEY: BREAKOUT CALC.: ( )61.5 59 140 x 150 = 9' . . , EXISTING CONTOUR: g 6 , / , , y 6 0 . PROPOSED CONTOUR: - h � SITE AND SEWAGE PLAN 6ti 6� 6° h9 41 , ' EXISTING SPOT ELEVATION: 25.5 h�0 ' h PROPOSED SPOT ELEVATION: 25 h TEST HOLE : LOCATION. UTILITY POLE. -p- ^... -� ,.., <• 35 CIVAL DRIVE, _ ,. ; .•. h ,�.K� . .: e. , . LOT PER E k. � FENCE LINE: /j _ ;�_. �• ., � ,�,, �, .,. "'rp F r 1 W R STABLE MA HYDRANT. -b- _ : ,..._,._,_ •: EST BA N , RETAINING WALL. ,.,. ; .x PREPARED RED FOR . 00• s , <. REEF REALTY... DEYAREST-YcLELLAN ENGINEERING ; SCALE. 1" = 30' DATE: 24 SCHOOL STREET P.O. BOX 463 t REFERENCE: PLAN BOOK 413 PAGE 99 WEST DENNIS, YAS SACHUSETTS 0267o THHOOM�AS MCLELLAN P•E. JOHN Z. DEMAREST JR. P.L.S. DM # �4-039-85 + 1 ' sd SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES LEGEND SYSTEM M DESIGN. MARKED WITH MAGNETIC TAPE OR NOTES G�7 SY S (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 1. DATUM IS NAVD 88 y• 99 - EXISTING CONTOUR \GARBAGE DISPOSER IS NOT ALLOWED TOP FOUND. EL. 67.6' 2. MUNICIPAL WATER IS EXISTING PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE X EXIST. SPOT ELEV. MINIMUM •75' OF COVER OVER PRECAST DESIGN FLOW: 4 BEDROOMS © 110 GPD = 440 GPD 60.0' -[99]- PROPOSED CONTOUR - 2% SLOPE REQUIRED OVER SYSTE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. o PRECAST H-10 c USE A 440 GPD DESIGN FLOW RISERS (TYP.) 2" DOUBLE WASHED PEASTONE 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS �98•4] PROPOSED SPOT EL. 59.78 4"OSCH40 PVC *:* TO BE AASHO H-]Q H-20 FOR PLASTIC INFILTRATOR f �9 TH1 (EXISTING 4 BR PER ASSESSOR'S RECORDS) ; PIPES LEVEL 1ST 2' OR GEOTEXTILE FABRIC THIRD UNIT IS TOP LOADED UNITS ***56.5' Locus } TEST HOLE SEPTIC TANK: 440 GPD (2) = 880 10" EXISTING 14" TOP LOADED 5. PIPE JOINTS TO BE MADE WATERTIGHT. Y TEE SEPTIC TANK TEE 56.5 2� SLOPE OF GROUND RE-USE EXISTING SEPTIC TANK** 58.45 °°m000°°oo°° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH moo" �0 310 CMR 15.000 (TITLE 5.) GAS BAFFLE::' °°a°o°o°o°a° o LEACHING: 58.06' 57.89' ***56.0 0 UTILITY POLE :`' >i'.: 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO 5r SIDES: 2(36.4 +12.25 1.85 74 = 133.2 GPD >_� ' s" MIN. SUMP go 4' 2' 2 5 e c� eQ FIRE HYDRANT ) ( ) o000 0000 12" MIN. INT. DIM. �8o ENDS o� BE USED FOR LOT LINE STAKING OR ANY OTHER Q 0e ire Mill 9 NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING BOTTOM 36.4 x 12.25 (.74) = 329.97 GPD 54.0 PURPOSE. � QoGrP 6 PS �o�o 6" CRUSHED STONE OR MECHANICAL H-20 3050 INFILTRATORS 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. on TOTAL: 626 S.F. 463.2 GPD COMPACTION. (15.221 [2]) � ��• *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL 3/4" TO 1 1/2" DOUBLE WASHED STONE 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Sheet UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1 6 WITHOUT INSPECTION BY BOARD OF HEALTH AND le USE (4) H-20 3050 INFILTRATORS, PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM ( % SLOPE) (9.37SLOPE) OVERALL DIMENSIONS TO OUTSIDE OF STONE: 36.4' X 12.25' PERMISSION OBTAINED FROM BOARD OF HEALTH. M°P *THE INSTALLER SHALL VERIFY THE WITH 4' STONE ALL AROUND EXIST. LEACHING 8.1' LOCATIONS OF ALL UTILITIES AND ALL FOUNDATION- SEPTIC TANK 24 D BOX 15 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING BUILDING SEWER OUTLETS AND FACILITY DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCUS MAP **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES ELEVATIONS PRIOR TO INSTALLING 'ANY 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE 45.9' BOTTOM TH-1 PRIOR TO COMMENCEMENT OF WORK. SCALE 1"=2000't PORTION OF SEPTIC SYSTEM WITH 1500 GALLON H-10 SEPTIC TANK IF NOT SUITABLE (OR H-20 NO GROUNDWATER FOUND SEPTIC TANK IF IT WILL BE SUBJECT TO VEHICLE LOADING). 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ASSESSORS MAP 110 PARCEL 016 **INSTALLER SHALL CONFIRM MINIMUM REMOVED BENEATH AND 5' AROUND THE PROPOSED SEPTIC TANK SIZE AT 1500 GALLONS LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE X REPLACE WITH 1500 GALLON SEPTIC 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND AREA OF MINIMAL FLOOD HAZARD AS AND ITS SUITABILITY FOR RE-USE. - REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. ( ) SHOWN ON COMMUNITY PANEL #25001C0534J TANK APPROPRIATE TO SITE DATED 7/16/2014 CONDITIONS IF NOT SUITABLE � 1 f � >> V WELL 70 s ,7 69 TEST HOLE LOGS / 71 �O> o ENGINEER.. CRAIG J. FERRARI, SE #13871 � ) W 0� DON DESMARAIS WITNESS: �I v / / 69 / DATE: 4/22/21 G PERC. RATE _ < 2 MIN/INCH G G GRAVEL 68 /� CLASS I SOILS P# 21 -87 G �o^ DRIVE 6> �/ •Q O ELEV. ELEV. 4 , 6$ o/ 0�, 58.3 0,. 56.9 A / A j/ 6;7 � _ /LS �j �LS / off WE`D J 10YR 3/2 / 10YR 3/ 18" 24"67 / 66 _ EXISTING °may BENC DWELLING HMARK B B CORNER CONCONICPAT /SL / �SL / °�F� EL. = 67.47' �� �� 6� TOF = 67.6' c lOYR 6/6 /lOYR 6/6 CD \ I `O 26" / 6.13' 32" / / 4.23' C1 C1 63 � CO� SiL S1 64 10YR 6/2 1 YR 6/2� , 48 54.3 66 / 51 .4 O 62 `2,�C' I 63 INV. 54 I UNSUITABLE SOIL C C 2 2 SIEVE - NV. 5$O\ �0 60 c° MS MS O 3 �/ � ' 0 ��� 0 2.5Y 7/4 2.5Y 7/4 62 P LOAD EL. 56.5 " 1 TO 58 Sg 126 1 \ 47,_8' _132"_ 45.9' 61 58 - 57 �ti NO GROUNDWATER ENCOUNTERED 60 56 TH ADO • O 0 b9 0 UN 57 A UND PERIMETE OF LEACHING FACILITY, htp 58 I LE LA REP 5� CLEAN MED. AND, EE huj� 54 Q NN S A N 25 3) 53 "INTLE 5 SITE P L A _ 56 RO D 5 ' OF40 1 T5' F AS OF A T T S `ss EL V. 7.5 OTTOM AT L. 5 . 2 4 129 PERCIVAL - DRIVE 51� WEST BARNSTABLE, �. . PREPARED FOR A"t4 BORTOLOTTI CONSTRU " TION QCa -/o- DANIEL cyG�: N�OFMgssA. �c1` ' OJALA �o� DANIELA. yG�� DATE: APRIL 26, 2021 LOT 35 ,� No.40980� o IvLLA � • 35,172f S.F. Ffiss�o�� A o w� REVISED: 6-30-2021 (SAS/TANK EL.) No.46502 Scale: 1 '= 20 /Vg�. 300 gNOSUR��y� lox, ISTe��\�� FS� AL EG SSS6,� OF AA 0 10 20 30 40 50 FEET �a DANIELA. J moo DANIEL tiGN 0.1AL1\ A. C1VIL OJALA off 508-362-4541 No.46502 No.40980 ( fax 508-362-9880 sTtiR G��• °Fess\°� downcape.com down cope engineering, inc. civil engineers land surveyors G f-�(i j 939 Main Street ( Rte 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 DCE #21 - 102 21-102 BORTOLOTTI-CASALI.DWG - - T