HomeMy WebLinkAbout1025 SERVICE ROAD - Health 1025 Service Read
W. Barnstable
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AUG 28 2002 11 : 56AM YANKEE LAND SURVEYING 1 -508-420-5553 p. l
Q���� ,�Z=TJON EIAN
APPLICANT CAROLS LANE TQ W11r.• IYEST BARNSTABLE
SERVICE ROAD
Ne2-35'00"E
200.00
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200.D0, tiM a
2'35'00'.W PAIN
S8 A,
YEprrmew
NO �8
FLOOD PAWZ- .250001 0015C FLOOD ZONE. C _— DATED 8119165
I hereby certify that this mortgage inspection plan was prepared far. Plan is For
COUNTRYWIDE HOME LOANS Bank Use Only
The location of the building shown does NOT fall within a special flood hazard zone PLAN REF = 197.107
The location of the dwelling does _— conform to the local zoning bye-lairs in effect Scale I"
at the time of construction with respect to horizontal dimensional setback requirements -----
or is exempt from violation enforcement action under Mass General lens Ch. 40A -Sea 7 Da te.
PLEASE ATOM The structures on this inspection were located by tape not instrument and are approximate only. An actual surr".r is necessary
for a precaaa determination of the building location and encrraechmenta if any wort, either nay across property bnex This iaepeciian must not
be used for recording purposes or for use in preparing dead descriptions and must ace be used for variance or bulidiag plan purposes 77ris
in"ction must not be used to locate property lines Verification of building/ocatiom, property line dimensions, fences or lot coaflguration eau
oa y he eccomp/isbed by en accurate instrument survey which may reaect different ! ormetion than whet /s Shona hereon Thin inspection is not
to be used for any purposes other then mortgage. Yankee Survey accepts no respansibWey far damages resulting Rom said reliance.
rTrTT1-. /^/ T T 7'1 T TT'-I T T / n a THY T T T /'7"I A T TlT�Y
0 BO.Y' -'fi . 40 LVDUSTRY 1LD, MARSTONS tiflLLS. lily+ cl,?6 3 CrHOI' E :UO'-423-U-05.5 .'LX5d
Town of Barnstable Health Inspector
�OF1HE rpm Office Hours
yP ti 6 Regulatory Services 8:30—9:30
Thomas F. Geiler,Director 1:00—2:00
(� BARNSTABLE,
16; Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8.62-4644 Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE
1. General Information: Size of Property:
Address: 2, SO.-V V � /�Cd1 V y Ma Parcel� p�Parcel-
Name: 1 Phone#: 7 7� —7 O
2a. How many bedrooms exist at your property now?
2b. Are you planning to add any bedrooms?_ If yes, how many?
2c. How many bedrooms.total are proposed at this property (including the amnesty unit)? y
2d. Please include a copy of the floor plans for the entire property - showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label
each room clearly on the plans.
3. Is the dwelling connected to public sewer? YES or __�N0 --
If the dwelling is connected to public sewer,skip questions#4 through#9 below. ; _
4. Location of dwelling is INSID or OUTSIDE a Zone of Contribution to public supp`�,wells?
4
5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER
6. Is a disposal works construction permit on file? YES or-a NO'
6a. If yes,how many bedrooms were approved according to this permit? Bedrooms.
7. Were any building permits obtained for construction of additional bedrooms? YES or NO
8. Is there an engineered septic system.plan on file at the Health Division? YES or NO
9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
------------------------------------------------------------------------------------------------------------=------
FOR OFFICE USE ONLY
The Public Health Division has no objection to bedrooms at this property.
Special Conditions: �L s - up--,ta
Signe - Date: tk 7 4&Hi5-
Q;/health/wpfiles/amnestyapp ,�T
Town of Barnstable Health Inspector
�oF1He tp� Office Hours
y� tio� Regulatory Services 8:30—9:30
Thomas F.Geiler,Director 1:00—2:00
(snxxsrnst.E.
9� 63. r Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE
1. General Information: Size of Property:
Address: V � f�1 Vy Ma Parcel/aZ soy p �
Name: i Phone #: ! / C —7 V
2a. How many bedrooms exist at your property now?
2b. Are you planning to add any bedrooms? 4 4 If yes, how many?
\ 7
2c. How many bedrooms.total are proposed at this property (including the amnesty unit)? y
2d.Please include a copy of the floor plans for the entire property- showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label
each room clearly on the plans.
3. Is the dwelling connected to public sewer? YES or: NO
If the dwelling is connected.to public sewer,skip questions#4 through#9 below.
4. Location of dwelling is �SID or OUTSIDE a Zone of Contribution to public supply wells?
5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER?
6. Is.a disposal works construction permit on file? ' YES or NO
6a. If yes,how many bedrooms were approved according to this permit? Bedrooms.
7. Were any building permits obtained for construction of additional bedrooms? YES . or NO
8. Is there an engineered septic system.plan on file at the Health Division? YES or NO
9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
---------------------------------------------------------------------------------------------------7--------------
FOR OFFICE USE ONLY
The Public Health Division has no objection to bedrooms at this property.
C
Special Conditions: S s .� (� fe� b �j� _
Signed: Date:
Q;/health/wpfiles/amnestyapp (L'�! "' �J _ �.:(7 c v
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Flynn,.Judith
From: Taylor, Madeline
Sent: Wednesday, October 04,2006 11:54 AM
To: McKean, Thomas
Cc: Flynn, Judith
Subject: RE: Septic System Questionnaires Received/ Reviewed
Tom -
9 Linden Street is on town sewer. It may be under 9A or 9B Linden St.Would you mind rechecking your files?
40 Maggie Lane has only four bedrroms total.What you thought were bedrooms in the lower level are actually Kim and
Eric's desks in their office.
1025 Service Rd -There should be something on file stating that a 5 foot opening was put in one of the upstairs bedrooms.
The owner was required to do this when she applied for a family apartment, reducing the total number of bedrooms to
three-2 upstairs and one in the lower level apartment.The only rooms that are not labeled are the second upstairs
bedroom and the room that was opened up to five feet.
Thanks
Madeline
-----Original Message-----
From: McKean,.Thomas.
Sent: Thursday,.September 28,2006 10:02 AM
To: Taylor,.Madeline
Subject: Septic System,Questionnaires Received/Reviewed
9 Linden Street
The Health Division files were searched and we cannot find any records of the septic system. Please ask the
applicant to hire a DEP certified septic system inspector to conduct a full inspection of the septic system.
40 Maggie Lane
The floor plans are difficult to read. The basement contains an "office"room and two bedrooms for"Eric"and "Kim"?
Where are the walls and doors located? Is this a six bedroom plan? I count one in the apartment over the garage, two
in the basement, and three in the main house= Six total.
HISTORY-The Board of Health limited the property to four bedroom (per the variance decision letter dated May 30,
2002. Also a permit issued for no more than four bedrooms dated June 7,2002).
We cannot approve the floor plan at this time. The floor plan appears to show a number of bedrooms which exceeds
the permitted number of bedrooms allowed.
49 North Precinct Road, Centerville
OK-Approved for three bedrooms per permit#91-61 issued in 1991. The submitted floor plan shows three bedrooms
total.
1025 Service Road,West Barnstable
1)The floor plans are difficult to read. Lines are faded so walls are difficult to locate. Also not all of the rooms are
labeled. Please revise the plans or re-submit new neatly drawn floor plans.
2)The system consists of two"old block cesspools" per the inspection report on file dated 8/16/02,four years ago. I
suggest an up-to-date inspection should be conducted to determine whether whether or not the block cesspools are in
good condition and are functioning properly .
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VILLAGE ASSESSOR'S ASSESSOR'S MAP & LOT
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248TAE44-R'S NAME&PHONE NO._�j1- �Z e J#/yCm
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SEPTIC TANK CAPACITY '�/��� �/yS✓� Cit-�
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 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
led
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TOWN OF BARNSTABLE
LOCATION I0a5scru;cc PC/• SEWAGE# ipoo9 /R 3
VILL. GEwZ ASSESSOR'S MAP&PARCEL /.1 9 - 3
INSTALLERS NAME&PHONE NO. B,�B EX Ca Vo,�i o n So g- q? 7• DG SS
SEPTIC TANK CAPACITY /Soo fl Zo
LEACHING FACILITY.(type)Soo q gt 1 c k.,-►)S (-2) (size) 13 x,?S'x:)-
NO.OF BEDROOMS 3
OWNER r t-ctnc
PERMIT DATE: L/-a- O`7 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
Frond Dwct I%'�9 /IL. ' 71
TO'
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/S3 l OaS YeMcp TOWN OF BARNSTABLE
TLOCATION1 lie SEWAGE #
VIL°'`AGE tAl—'ZOiPti ASSESSOR'S MAP & LOT
�bER'S NAME&PHONE NO. Z WNCar
SEPTIC TANK CAPACITY COOTc— C 1,;�,V—A,
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 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
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a-3 �No. � Fee I
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zipplication for IgflO aY *p�tCTIC COttgtrUCtiori permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components
Location Address or Lot No. (o25 , 5 of V(te P—O Owner's Name,Address,and Tel.No.
W. ag1-n5+CLbk . Cctr-o(e-lane_
loz.-5 5cry tce
Assessor's Map/Parcel M ClP (2 P R e G 3 W.
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Zbc -r &1 t_Fny- Q-rB Eticcavat(on Dowa 6:1 e- -En 9�nee.rk ncl
r
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( )
Other Type of Building'—Re6 j A Pj) Q No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3� gpd Design flow provided gpd
Plan Date 3 2$ I D7 Number of sheets Revision Date
Title TI+It_ S,A-e —Pic,n
Size of Septic Tank 15 60 Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date 32-Cl 16
Application Approved by Date —)L O
Application Disapproved by: Date
for the following reasons
Permit No. �oa7 !�j Date Issued L4 — a- —O
—————————————————————— —
- „ _ r �� vp a+. �. -.k ^1.,..•! � �r ! a .y'7A' mtir ... R�� _
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
R� 1 Zipplication"-for ;igp gar *p5temc Con� tructton Permit
Application for a Permit to Construct( j� Repair J.Upgrade O Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. I b Z rj 5 e r\I I.t e IZQ Owner's Name,Address,and Tel.No.
W. t3grns+ab. e, Cc,c-e'le I-ripple
Assessor's Map/Parcel MCI Ci P 11.01 L .3 W . r i r r�{ CL l a i c
ZInstaller's Name,Address,and Tel.No. Designer's Na e,Address and Tel.No.
beZI 3ti3C�4( (iQCi0&n 'Dowt((ope �nq neer , nq
I -Te.nbtar Ln-T-o(e,5I CIGIe 9 ce u rl cart
Type of Building:
Dwelling No.of Bedrooms .3 Lot Size sq.ft. Garbage Grinder ( )
Other Type of Building7Re n, e No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.'required) .3 30 gpd Design flow provided gpd
Plan Date .3 ,1<8 167 Number of sheets Revision Date
Title "{�1 � 1 e, 5 Gi 1 e j7I n rh
Size of Septic Tank IS oo Type of S.A.S. r
IDescription of Soil r ,
r
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement: t
The undersigned agrees to ensure the constructi and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. `
Signed Date 3 17-9 Iv 1
i
Application Approved by Date -a - 0,
4
Application Disapproved by: Date for the following reasons
Permit No. t)�7 aJ Date Issued. L - a• -O7-
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( /Upgraded ( )
'n
Abandoned( )by IB-t T� E 1(.0 Ci �o f i t G,(1_� N C
at G Z�j Se f V i ( e -Rd \&1 16, 1) 1 le has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer t l F G�/ Designer -Jktil i ) Lip 4 n G n e f r tl
#bedrooms ti � Approved.desi n flow gpd
The issuance of this permit shall 'e donn�stru d as a guarantee that the system will f�f n as desig,ed.
Date / { Inspector
-- _i—
f
No. OC)7 (;.3 � . . Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
XJJ
igogar *pgtem Congtruction hermit
Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( )
System located at 1 0 Z1S 5t r w( F' -ZD
t
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of this permit.
0-7Date —Ti•��-, �1 - " Approved by
J
FROM :down cape engineering inc FAX NO. :15083629880 Apr. 10 2007 01:15'PM F1
, e
Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Public Health Division
ids
Thomas McKean, Director
200 Main Street,Hyannis, MA.02601
Office: 509-862-4644 Fax: 508-790-6304
%staIler S Designer Certification Form
Date: l U Sew `age Permit# - 0 / .3 Assessor's MapT2Lreel
Designer:' v Installer: J� �j� -��r 'r�•�
D
�(iJ4),vAddress: S • _ Address: I Vie"L"I" Z/9.
On �- �� ;c; ;•� 'o•�a was issued a permit to install a
(da ej (installer)
septic system at /02� 0 based on a design drawn by
(address) �7
dated
(design
l certify that the septic system referenced above was installed substantially according,to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan, revision or
certified as-built by designer to follow.
ARNE 1-4
OJALA
( iistaller's Signature)
N0. 30792 J
0rF�(331S7f�F/N,
Ss'ON.al F�a
(Designer's Signature (Affix DesLg er s Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC 'HEALTH DIVISION. CERTIFICATE OF
COMPLIANCE WILI., N01' BE ISSUED UNTIL BOTH TIJJ.S F0_101 AND AS-111311,T, CARD ARF
RECEIVED BY THC BARNSTAIILE PLJBLIC. HEALTH DIVISION. THANK YOU.
Q;Hex14JSep*ic�� iFticr rif n 3•'G-(!4.doe. "`�,.
down cape engineering, inc. SIEVE SOILS ANALYSIS 07-019 B&B.xls
DATE OF REPORT: 3/27/07
.JOB : GRAIN SIZE ANALYSIS-SIEVE TEST FOR B&B/LANE
SITE: #1025 SERVICE ROAD, WEST BARNSTABLE, MA
LOCATION: TH1
SAMPLE DEPTH 12.0' SAMPLE TAKEN 3/27/07
SIEVE ANALYSIS Weight Sample(Grams): 464.2
FIZRETAINED WT. RET. % RETAINED; % PASSED
w-t on ind.sieve) (sum)
0.0 0.0% 100.0%
0.0 0.0%; 100.0%
--------------------------------- ---------------------------------------o
0.0 0.0%; 100.0/o
--------------------------------- ----------------- -----------------------
0.0 0.0%; -------
#10 52.6 52.6 11--.--3%�----
----------- ---------------88_7%
#20 ------------110 0 162.6 35.0% 65.0%
#40 ; ---------_--154 6 317.2 68.3/o; 31.7%
--------------- - -----------------7-----------------------
#80 86.3 403.5 86.9%; 13.1
--------------------------------- ------------- 4.9%: -------------38_1 441.E 95.1%; 4.9%
--------------- -----------------------------------------
PAN: 22.6 464.2--------100-----
SAMPLE: 464.2
NOTE: TEST ON PASSING#4 ONLY, 26% RETAINED ON#4 <45% O.K.
I[
RESULTS:
SOIL CLASSIFIED AS AASHTO A-3 (GRANULAR, SAND) (UNCOMPACTED)
PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS :
#4 100% (TEST ONLY MATERIAL PASSING #4)
#50 10%-100% OF MggS9c
#100 0%-20% o`er DANIELA.
#200 0%-5% o CIJALA
U 1CIVILN
REQUIREMENT FOR "FILL" IN TITLE 5. No..
<5% PASSING #200 SIEVE 1 0
G /
RESULTS: PERMEABLE MATERIAL-CLASS 1 <5 MIN./IN. MATERIAL SS�oNAL E�
NONCOMPACTED
SOIL DESCRIPTION: MEDIUM COARSE GRAVELLY SAND, TRACE SILT -32N>107
McKean, Thomas
From: McKean, Thomas
Sent: Wednesday, July 11, 2007 4:35 PM
To: Taylor, Madeline
Cc: Fontaine, Tina; Edson, Linda
Subject: 1025 Service Road
Madeline,
In lieu of the five feet opening, I would accept a three bedroom deed restriction recorded at the Barnstable County Registry
of Deeds, restricting the property to three (3) bedrooms maximum total.
Sincerely,
Thomas McKean
-----Original Message-----
From: McKean,Thomas
Sent: Wednesday,July 11,2007 10:43 AM
To: Taylor, Madeline
Cc: Fontaine,Tina
Subject: 1025 Service Road
After reviewing the floor plan sketch and pictures taken of the basement area, I recommend the applicant should
follow-through with the original floor sketch plan by providing a minimum five feet opening in the wall to the future
proposed living-room in the basement.
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McKean, Thomas
From: McKean, Thomas
Sent: Wednesday, July 11, 2007 4:35 PM
To: Taylor, Madeline
Cc: Fontaine, Tina; Edson, Linda
Subject: 1025 Service Road
Madeline,
In lieu of the five feet opening, I would accept a three bedroom deed restriction recorded at the Barnstable County Registry
of Deeds, restricting the property to three (3) bedrooms maximum total.
Sincerely,
Thomas McKean
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JUL, ' L, 2007 ' :46PM N0, 823 P. 1
Town ® Barnstable HealthEspector
Office.:Hours
Regulatory Services 8:30- 9.30
Thomas F.Geiler,Director rFEB
- Public Health Division
sb Thomas McKean,Director 2 0 2007
200 Main Street,Hyannis,MA 02601
GROWTH MANAGEMENT
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X.---Ict: 509-862-4644 �'g-
AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE
1. Gr�=meral Information: Size of Property:__.
�id.da•ess: Ssp"y V kq- V map Parcel
°di n: .✓ _ Phone k 7 7� —7 .
a., I low many bedrooms exist at your property now? 12
e,b. Axe you planning to add any bedrooms?— ��� If yes, how many?
::c, I."V'v many bedrooms total are proposed at this property (including the amnesty unit)?
"A.X?lease include a copy of the floor plans for the entire property-showing the existing
ODHI; in the home plus the proposed amnesty apartment and/or addition. Please label
Eoth'room clearly on the plans.
3. Is rh.-dwelling connected to public sewer? YES or N0�'
the dwelling is connected to public sewer,skip questions#k4 through#9 below.
I. Lo ration of dwelling is1__IIVSID or OUTSIDE a Zone of Contribution to public supply wells?
i. is,:he dwelling connected to an ONSITE WELL or to PUBLIC WATER?
5. .s a disposal works construction permit on file? YES or NO
Sa. If yes,how many bedrooms were approved according to this permit? Bedroosis.
i. Wore any building permits obtained for construction of additional bedrooms? YES or No
3. Is there an engineered septic system plan on file at the Health Division? YES or NO
Has the septic system been inspected by a D1EP certified inspector within the last two years? YES or NO
-------------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
the Public Health Division has no objection to bedrooms at this property.
:;peci:al Canditions: 'L U ta 4.az �v
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COMMONWEALTH OF MASSACHUSETTS .F
= EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
5�,�• Rr�rc'VED
AUG �' D
/\ 350 MAIN STREET
WEST YARMOUTH,MA TOWN V,
508-775-2800 HEALTh
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A L
CERTIFICATION V
MAP 153 PAR 129
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668 MAP
Owner's Name: LANE,JOHN
Owner's Address: PO BOX 304 PARCEL =
WEST BARNSTABLE,MA 02668
Date of Inspection AUGUST 9,2002 LOT
Name of Inspector:(please print) JAMES D. SEARS
Company Name: A&B Canco
Mailing Address: 350 Main Street
West Yarmouth,MA 02673
Telephone Number: 508-775-2800
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information
reported below is true,accurate and complete as of the time of the inspection. The inspection was
performed based on my training and experience in the proper function and maintenance of on site sewage
disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310
CMR 15.000). The system:
X Passes'
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date:
The system inspector sh ubmit 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 tot
he buyer, if applicable,and the approving authority.
Notes and Comments
SYSTEM PASSES AT THE TIME OF THE INSPECTION. SYSTEM IS TWO OLD BLOCK POOLS.
THE LINE FROM THE MAIN TO THE OVERFLOW IS OLD PIPE.
****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.
Title 5 Inspection Form 6/15/2000 1
Page 2 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes: X
_ 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: N/A
One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.
The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"
please explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,
exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing
tank is replaced with complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
_ Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval
of Board of Health):
Broken pipe(s)are replaced
Obstruction is removed
Distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will
pass inspection if(with approval of the Board of Health)"
Broken pipe(s)are replaced
Obstruction is removed
f
ND explain:
Title 5 Inspection Form 6/15/2000 2
Page 3 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(CONTINUED)
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
C. Further Evaluation is Required by the Board of Health: N/A
7
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 salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone 1 of public water supply.
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well**. Method used to determine distance
**This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility
and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided
that no other failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
I
Title 5 Inspection Form 6/15/2000 3
I -
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY
UN ARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(CONTINUED)
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
D. System Failure Criteria applicable to all systems: N/A
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded
or clogged SAS or cesspool
N/A Static liquid level in the distribution box above outlet invert due town overloaded or clogged SAS or
cesspool
X Liquid depth in pit is less than 6"below invert or available volume is less than'/2 day flow
X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
X Any portion of the SAS,cesspool or privy is below high ground water elevation
X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a
surface water supply
X Any portion of a cesspool or privy is within a Zone 1 of a public well
X Any portion of a cesspool or privy is within 50 feet of a private water supply well
X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. (This system passes if the well water
analysis performed at a DEP certified laboratory,for coliform bacteria and volatile organic
compounds indicates that the well is free from pollution from that facility and the presence of
ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm,provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.)
NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails. The system owner should contact
the Board of Health to determine what will be necessary to correct the failure.
E. Large Systems: N/A
To be considered a large system the system must service a facility with a design flow of 10,000 gpd to
15,000 gpd.
You must indicate either"yes"or"no to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
Yes No
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a
mapped Zone 11 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 is 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.
Title 5 Inspection Form 6/15/2000 4
Page 5 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
Check if the following have been done. You must indicate"yes"or"no"as to each of the following
Yes No
X Pumping information was provided by the owner,occupant,or Board of Health
X Were any of the system components pumped out in the previous two weeks?
X Has the system received normal flows in the previous two week period?
X Have large volumes of water been introduced to the system recently or as part of this inspection?
N/A Were as built plans of the system obtained and examined?(If they were not available note as N/A)
X Was the facility or dwelling inspected for signs of sewage back up?
X Was the site inspected for signs of break out?
X Were all system components,excluding the SAS,located on site?
X Were the manholes uncovered,opened,and the interior inspected for the condition of tees,material
Of construction,dimensions,depth of liquid,depth of sludge and depth of scum.
X 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)has been determined based on:
Yes No
X Existing information. For example,a plan at the Board of Health.
X 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(3)(b)]
Title 5 Inspection Form 6/15/2000 5
Page 6 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
FLOW CONDITIONS
RESIDENTIAL
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
Number of current residents: 1
Does residence have a garbage grinder(yes or no): NO
Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required]
Laundry system inspected(yes or no): YES
Seasonal use(yes or no): NO
Water meter readings,if available(last 2 years usage(gpd)): WELL WATER
Sump pump(yes or no) NO
Last date of occupancy: PRESENT
"NOTE: SINK WITH PUMP IN BASEMENT IS TIED'INTO SYSTEM.
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203):
Basis of design flow(seats/persons/sqft,etc.):
Grease trap present(yes or no):
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings,if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: YEARLY PUMPING—1999,2000,2001
Was system pumped as part of the inspection(yes or no): ' NO
If yes,volume pumped: gallons—How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
Septic tank,distribution box,soil absorption system
X Cesspool
X Overflow cesspool
Privy
Shared system(yes or no)(if yes,attach previous inspection records,if any)
Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be
Obtained from system owner)
Tight tank Attach copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information:
UNKNOWN
Were sewage odors detected when arriving at the site(yes or no): NO
Title 5 Inspection Form 6/15/2000 6
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
BUILDING SEWER(locate on site plan): X
Depth below grade: 2'
Materials of construction: Cast iron _ 40 PVC _ other(explain)
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
CAST IRON IN HOUSE,PVC AT MAIN POOL
SEPTIC TANK(locate onsite plan): N/A
Depth below grade:
Material of construction: Concrete metal fiberglass polyethylene
_ other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions:
Sludge depth:
Distance from top of sludge to the bottom of outlet tee or baffle:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
How were dimensions determined:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as
related to outlet invert,evidence of leakage,etc.):
GREASE TRAP(located on site plan) N/A
Depth below grade:
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:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as
related to outlet invert,evidence of leakage,etc.):
Title 5 Inspection Form 6/15/2000 7
Page 8 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
TIGHT or HOLDING TANK: N/A (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/day
Alarm present(yes or no)
Alarm level: Alarm in working order(yes or no):
Date of last pumping
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: N/A (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert:
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.,):
PUMP CHAMBER: N./A (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
Title 5 Inspection Form 6/15/2000 8
Page 9 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
OVERFLOW
SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching pits,number:
leaching chambers,number:
leaching galleries,number
leaching trenches,number,length
X 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.)
OVERFLOW IS ONE 6'DEEP BLOCK POOL.ONE LINE IN,COVER AT GRADE 1N DRIVEWAY.6"WATER
NO HIGH STAINLINE.NO SIGN OF OVERLOADING.
MAIN
CESSPOOLS: X (cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration: X
Depth—top of liquid to inlet invert: 14"
Depth of solids layer: 4"
Depth of scum layer: 1"
Dimensions of cesspool: 7' DEEP
Materials of construction: BLOCK
Indication of groundwater inflow(yes or no): NO
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.):
MAIN POOL BLOCK. 7'POOL 2' RISER,CEMENT COVER AT GRADE.,LEFT SIDE OF DRIVEWAY.ONE
LINE IN,ONE LINE OUT.
PRIVY: N/A (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.)
Title 5 Inspection Form 6/15/2000 9
Page 9 of I 1
OFFICI_AL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 SANDY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.
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Title 5 Inspection Form 6/15/2000 10
r
Page 1 1 of 1 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 SANDRY STREET
WEST BARNSTABLE,MA 02668
Owner: LANE,JOHN
Date of Inspection: AUGUST 9,2002
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to groundwater 30+ feet
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
Observation site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:
X Checked with local excavators,installers-(attach documentation
Accessed USGS database-explain:
You must describe how you established the high ground water elevation
G.I.S.AND ABUTTING PROPERTY.
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Title 5 Inspection Form 6/15/2000 11
i
McKean, Thomas
From: McKean, Thomas
Sent: Thursday, October 26, 2006 5:42 PM
To: Taylor, Madeline
Subject: Recent Amnesty Applications/Septic Questionnaires
78 Pontiac Street
APPROVED-This application is approved for three (3) bedrooms maximum (reference- Disposal Construction Permit#
2005-212)
6 Cedar Street, Cotuit
PENDING
-The septic system distribution box and piping is located beneath the garage/apartment. How will the applicant address
this? There are no variances on record allowing the system components to be located the foundation and living space. A
minimum setback is required per Title 5.
-The septic system has capacity for only three bedrooms. However, the submitted floor plans show four bedrooms,
including the'office"with only a forty-one inch opening at the doorway. Please have the applicant submit revised plans
showing three bedrooms maximum by opening the doorway to five feet wide (without any doors).
1025 Servi oad West Barnstable
PENDING
The system consists of two old block cesspools per an inspection report which was conducted four years ago (out-of-
date). Please have the owner hire a DEP certified inspector to conduct an inspection of the system and to complete a 16
page inspection report. We need to know whether the system is functioning properly and whether the block cesspools are
in good condition.
The revised floor plan is easier to read. However, it only shows part of the home. What about the remainder of the home?
Are there in fact three bedrooms total plus one office which has a five feet opening without a door?
63 Security Street
DENIED-This property is located within a WP district on 0.26 of an acre. Only the two pre-existing bedrooms are allowed
on such small lot. No additional bedrooms are allowed. The proposal to add a third bedroom is denied.
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151E
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FLOOD PA.%M- 250001 0015K FLOOD ZONE.' DATED B/1918.5
Bank I herebp certifp that this mortgage inspection plan was prepared for. B �s For
COUNTRMDE HOME LOANS Bank Use Only
The location of the building shown does NOT - fall within a,special flood hazard zone. . PLAN REF' = 197�107
The location of the dwelling does conform to. the local zoning by-lairs in effect Scale 1u = i _ fiT
at The time of construction with respect to horizontal dimensional setback requirements A/ ___
or is exempt from violation enforcement action under Mass General Lavw Ch. 40A -Sec. 7.. Da ter
PLC"MOM The structures on tbrs raspectfoa Warr located by tope not iaartrument and are epproxLnate only. An actual surrey is necessary
for a pracias determination of the building location end encroec.=.if any ea�f. either tray ecrnsa property.faux Mr ingwob'aJ must not
be used for recording purposes or for use m preparing deed descriptions and must not be used far variance or bulfdtag plan purposes phis
i�tspea�ion must not be-used to locate property An= Rrrlfloatlon o!building/;canons property dn& diawimmim fences or lot conAruration can
only be accomplished by an accurate lostrument survey rbieh may reflect different in ormaiton then +rAat it shown hereon. Me inspection is not
to be used for any purposes other then mor4Me, Yankee Survey accepts no responsibility for damages rasu/ting from said irllance.
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SYSTEM PROFILE NOTES
LEGEND WALKOUT AT DRIVEWAY EL. 95.1' Nor ro � �o
ACCESS COVER TO FINAL GRADE
ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD
100.0 PROPOSED SPOT ELEVATION
ACCESS COVER (WATERTIGHT) TO ��
WITHIN 6" OF FIN. GRADE
94.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM . 2. MUNICIPAL WATER IS NOT AVAILABLE
100x0 EXISTING SPOT ELEVATION L 93.0 (SEE VENT NOTE ON PLAN)
RUN PIPE r, 2" DOUBLE WASHEV PEASTONE
100 *EXISTING FOR FIRST 2LEVEL OR GEOTDMLE FABRIC 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
PROPOSED CONTOUR PROPOSED 1500 5' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO Ex%t 5 �hUrch
100 EXISTING CONTOUR GALLON SEPTIC 90.75' f
H- 20 sf
91.0' TANK (H- 20 ) _ 6' SUMP 88.5' LOCUS
GAS? BAFFI� 87.95' ��" 87.78 0 0 � 0 � I� � � 5. PIPE JOINTS TO BE MADE WATERTIGHT.
• rms
87.7 p 0 p p C C C C p o 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH I �-
�6 CRUSHED STONE OR MECHANICAL 0 0 0 C [] 0 s h
DEPTH OF FLOW = 4' COMPACTION. (15.221 (21) 2' p p p p C; p p p p 85 7, MASS. ENVIRONMENTAL CODE TITLE V.
TEE SIZES:
INLET DEPTH = 10" 3/4" TO 1 1/2" DOUBLE WASHED STONE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
" BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE.
OUTLET DEPTH 1 4
MIN. ( 2 % SLOPE)
(2.7% SLOPE) ( 1 % SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
FOUNDATION 10' SEPTIC TANK 104' D' BOX 10' LEACHING 5' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED \
FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION
(H-
20) (H-20) (H-2t2 OBTAINED FROM BOARD OF HEALTH.
I
10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCUS MAP
ADJ. G.W. EL. 80.7' DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION
OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO SCALE: 1" = 2,000'f
COMMENCEMENT OF WORK.
ASSESSORS MAP 129 PARCEL 3
11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND
REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. LOCUS IS WITHIN GP OVERLAY DISTRICT
FLAG A-7 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE LOCUS IS WITHIN FEMA FLOOD ZONE "C"
�• REMOVED 5' BENEATH AND AROUND THE PROPOSED AS SHOWN ON COMMUNITY PANEL #250001 0015C
,OFCac A-s LEACHING FACILITY. DATED AUGUST 19, 1985
` . AG B-1 13. NO KNOWN POTABLE WELLS WITHIN 150' OF PROPOSED
/ }FLAG A-1 •••� TEST HOLE LOGS
• LEACHING FACILITY.
FLAG A-5 � •`'
)FLAG A-2 / l�FLAG B-2 ENGINEER:
DAVID FLAHERTY R.S.
a(3*A-V- •• LAG A-3 FLAG B-7 WITNESS• DON DESMARAIS, R.S.
DATE: MARCH 21, 2007
•FLAG B-6 • PERC. RATE _ *5 MIN/INCH
•
FLAG B-3
,••''�• CLASS 1 SOILS P# 11645
_.--+FLAG B-4
•` ..-�"''�~••• *SIEVE ANALYSIS PERFORMED FROM SAMPLE OF
TH-2 C2 LAYER
ELEV. ELEV.
" 4 93.5' " 92.0'
VARIANCES. o 0 A
q
LS LS
" " 10YR 3/2 91.1'
INSTALL 54't OF 40 MIL POLY ET / - LOCAL UPGRADE APPROVAL 9 10YR 3/2 92 7 g
MAXIMUM FEASIBLE COMPLIANCE 11
LINER AS SHOWN PER PLAN THE / i
TOP EL 88.5' O 310 CMR 15.405 1 i g LSNDY TED� 79 /
BOTTOM EL s4.5' SA Tg /' 140
SIEVE ANA YSI S PERFORMED IN LIEU OF PERC 31" '
\c5' � ' ,/ / TEST AND MEETS CRIERIA AS SET FORTH. IN LS 10YR 5 8 89.4
C1
\82 200 00 �/ /� 310 CMR 15.255(3) 30" 10YR 5/8 91.0' LS
114" 2.5Y 5 4 82.5'
BOH POLICY LETTER DATED NOVEMBER 15, 2005-
,. r._
3) FAILED SYSTEMS ONLY -
'�
WELL 68 / SOIL ABSORPTRON SYSTEM INSTALLATIONS MCS
�S S 8/ ' ,/ PROPOSED MORE THAN THREE FEET BELOW G.W.WELL INFO: C 10YR 7/4
•'� WORK LIMIT LINE ✓ H0U-SE GRADE WITH PFROPER VENTING (PIPED TO THE WELL: SDW-253 80.7'
/ ATMOSPHERE) AND WITH H-20 LOADING, BUT IN ZONE: B
•�'•• �90 WE � NO CASE SHALL THE SAS BE LOCATED MORE READING: 48.3� 82 ' ' LS ADJ. G.W.
�''•� •• 8s' .. 15G' TO Q 3 /' / THAN FIVE FEET BELOW GRADE. DATE: FEB 2007 165" 78.2'
PROVIDE VENT WITH CHARCOAL FILTER "' 8 /
/ ADJUSTMENT: 2.5'
AND BUGSCREEN (FINAL PLACEMENT WITH / GAG �v � , � /� 2.5Y 5/4 OBS. G.W.
HOMEOWNER CONSULTATION) 8 �J
o / (POCKETS OF 168 78.0
y� �. �. �. �� /.••� MFS) C3
LS
5 92 'T 86' Q ,� 138 82.0' 192" 1OYR 7/4 76.0
NO G.W. 'ENCOUNTERED
5' REMOVAL OF UNSUITABLE SOIL _ 95 , SYSTEM DESIGN:
REQUIRED AROUND PERIMETER OF LEACHING FACILITY, DOWN TO 97 /
SUITABLE SOIL LAYER (SEE SOIL 96
REPLACE WITH BEGINS AT EL
MEDIUM �98 97 F G /'/ / / BENCHMARK GARBAGE DISPOSER IS NOT ALLOWED TITLE 5 SITE PLAN
SAND. '
0} 98 / NAIL IN UPOLE DESIGN FLOW. 3 BEDROOMS 0 110 GPD = 330 GPD OF
0) `' s �' ELEV = 93.9' USE A 330 GPD DESIGN FLOW
I 99 � T�A� w �, SEPTIC TANK: 330 GPD (2) = 660 RD.
o 1025 SERVICE
j o {\ SLEEVE SEWER LINE FOR 10 USE A 1500 GAL. SEPTIC TANK
� EITHER SIDE OF CROSSING
�� (WEST) BARNS TABLE, MA
/ WITH WATERLINE -
LEACHING:
GRAVEL \� 100' TO ABUTTER'S WEL L
o- SIDES: 2 (12.83 + 25) 2 (.74) = 112 GPD PREPARED FOR
70,7 �/ �l �� _i �' 136.5' i BOTTOM 12.83 x 25 (.74) = 237 GPD
4
PARKING/
TOTAL: 472, . . 349 GPD B & B EXCAVATION/
\ t�
C p
USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) CAROLE LANE
EXISTING 3 BR
DWELLING ���,� WITH 4 STONE ALL )AROUND
DATE: MARCH 28, 2007
LOT AREA WALKOUT \
35,655 SFf j EL=95.1' , MA
A' APPROVED DATE BOARD OF HEALTH
Scale: 1"= 20'
0 10 20 30 40 50 FEET
off 508-362-4541
fax 508 362-9880
200.00
d0 wn cc���oF M e engineering, inc.
�� .490' fN OF AIA$
AH E oyGN �Q���ARNE H. cy� Cl l/lL ENGINEERS
� OJALA � CI � �N
L AND SUR VE YORS
fi 8
EST
o NE S. 939 Maim Stree t - YARMOU THPOR T MASS.
P.L.
SURVEY S ONAL EN
DCE #07-0 >9
07-019 B&B_LANE.DWG (DDF)