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Home My WebLink About0180 COACHMAN LANE - Health 1. .h:/�9.J 4' 1 JC�Ao✓' onc .= 151 031. i I 1 Nq,_21 ;� ®/ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for Disposal 6pstem Construction Permit Application for a Permit to Construct V/i— Repair grade Abandon( ) 0 Complete System Ej Individual Components Location Address or Lot No./8 4'014 02XOJ eVf O ne ' _e,Address,and Tel.No. Assessor's Map/Parcel/s/-31 / e- wJ i � I ller's N e,A dres and Tel.No`j'Qa—i1 aC7��SZ Designer's N e,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �' gpd Design flow provided 11� gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Ans er 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 o Health. Signe Date Application Approved by s Date Application Disapproved by Date for the following reasons Permit No. '— Q Date Issued p�— ,.'y�''.a"*-•+''_ .! ;{.,.,,. �._..h+-*s^.,;... ,r*S,..fiM.-x ..= iye,e•,.„�,•,,,,,' gar.,-•,,,a.,.,.,�- r.e'nc,..w-. f „ft. z� -i�'.,;y, {;/4; .y.-;�.�... - �� . ,�:� ,.- ` 1 N. - i No. ,'1/ V y„ Fee � /. THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer: �{ 4 - Yes z � PUBLIC HEALTH DIVISION - TO,I IN OF BARNSTABLE, MASSACHUSETTS 0co t -- applttatloirf or bispo'.�AY 6pstetn (Construction Permit '- Application for a Permit to Construct Repair(,)-Upgrade( ,) Abandon(' ❑Complete System ❑Individual Components E ,.% Location Address or Lot No./80 G014 ^'i e Owner' 'Name,Address,and Tel.No: .k ti Assessor's Map/Parcelf.5j"1— .R,. gym-•-: Installer's Name,Address„and Tel.No �'„��Q 7T Designer's N e,.Address,and Tel.No. r.' �1,95 ��d'o r` r row 61i �,�ss/ '�r�r�G��.��r��s' Type df Building:DwellingNo.of Bedrooms w `� Lot Size sq.ft. Garbage:Grinder( ,,��) • Other Type of Building No.of Persons Showers'(• ) Cafeteria`( ) E Other Fixtures -.Design Flow(min.required) �"� gpd Design flow provided ��rj� �•� t'gpd # Plan Date Number of sheets Revision Date Title Size of Septic.Tank Type of S.A.S. "1 Description of Soil r Nature of Repairs or Alterations(Answer when applicable) 1A1,YfG-,z1/ Date last inspected: " Agreement: r The undersigned agrees to ensurethe 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 beenssued by this Board of Health. --.Sign ' - Date 01 Application Approved by r ; ' Date Application Disapproved by ,„ Date for the following reasons Permit No.r— ' l (,J I40 Date Issued THE COMMONWEALTH OF MASSACHUSETTS a.� BARNSTABLE,MASSACHUSETTS Certificate of Compliance ,,, . .. THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( )!" Upgraded Abandoned'( by ,�D.S ��! zzf�/r'� 5� 1. at fQ /a/5? ,0 .�,,G�,�9 ,!?, �i � ' ,�f/(' �h� een constructed in accordance , with the provisions of Title 5 and the for Disposal System Construction Permit No '•'L dated ) /C , Installer i . rd C 1 � S�. ' Designer #bedrooms /' / Approved'design-flow ,_ . Lf LID _ gp d The issuance of this permit shall not be construed as a guarantee that the system will turiction as designed Date'. { 1. I Inspector V4 I No, 100. Fee / �J THE COMMONWEALTH OF MASSACHUSETTS ' PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS bis"oral 6pstem Construction Vermit �.. Permission is hereby granted'to Construct( ) Repair( ''� Upgrade(,d--) ` Abandon( System located at J 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. Provtded:Constnictton.must be co 'pleted within three years of the date of this permit. rmit. ^�'' Date � � APproveYby J 1 --! Town of Barnstable Inspectional Services r�uvsrnsts, Public Health Division Thomas McKean,Director o r9 6 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 0'Z,1-Z Sewage Permit# ' O� —O/O Assessor's Map\Parcet 3 Designer: I-JJt)MAf MC(,6U AN'_PE, Installer JorYS' SEpYtc Address: 19 b CoAGAMAN IAW Address: � On 1 ,� ��.�`oo.� gv1,31VylnGSwas issued a permit to install a (date) (installer) septic system at 180 COACN MAN W W SARA based on a design drawn by (address) T H0A1A C MQ-l-ta.AN ,1'• E , dated 12 -11 24 / (designer) V I 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 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. Strip out(if required)was inspected and the soils were found satisfactory. �`"� I certify that the system referenced above was constructed: cor�plan e with the to rms of., the M approval letters (if applicable) "rj OF sc THOMASJ. McLELLAN u' CIVIC., (I taller's Signature) �,No.3C�47? � C�Sf(jV,41.�' (Designer' ignature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. WoAdeptAHEALTMSEWER connecASEPTIODesiper Certification Fonn Rev I1.14-13.DOC r TKT Town of Barnstable Inspectional Services Department M MASS, Public Health Division v ass. �, qj .9 i63 ♦Q' 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 8036 September 28, 2020 MORET.ON, ANDREA P TR 180 COACHMAN LANE WEST BARNSTABLE, MA 02668 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 180 Coachman Lane, Marstons Mills,MA was inspected on 09/15/2020 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: • Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year 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 TH BOARD OF HEALTH c ean, S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation LettersA 80 Coachman Lane Marstons Mills.doc Town of Barnstable BARNnABMm Inspectional Services Department tfD MAti 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 O 1 YEAR DEADLINE CRITERIA tatic 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 of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc r. Commonwealth of Massachusetts ,i Title 5 Official Inspection Form e Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is �ti M MA 02668 9/15/20 required for every West Barnstable � l 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 j 1* 1 40n Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 Cityrrown 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 complete 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 � )�V19A_ 9/15/20 Inspector' Ig a u 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15120 page. Cityrrown 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.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owners Name information is required for every West Barnstable MA 02668 9/15/20 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 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 Title 5 Official Inspection Form ,. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments L; 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. City/Town 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 colifprm 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 i i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �o 180 Coachman Ln. Property Address Moreton Owner Owners Name information is required for every West Barnstable MA 02668 9/15/20 page. Citylrown 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 '/2 day flow Required pumping more than 4 times in the last year NOT due to clogged or El ® 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 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 i f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. Cityrrown 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 all 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 r Commonwealth of Massachusetts Title 5 Official Inspection Form �a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Description: No design plan on file, 1987 permit for 3 bedr000ms Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ® Yes ❑ No If yes, discharges to: Back yard Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d Well 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: oocc upied t5insp.doc-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 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commerciallindustrial 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 2 years ago Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: 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 I Commonwealth of Massachusetts �. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owner s Name information is required for every West Barnstable MA 02668 9/15/20 page. City/Town 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) ❑ 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: 1987 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ❑ No 5. Building Sewer(locate on site plan): 2'6" 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 u 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 2' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) H-10 tank appears to be structurally sound, inlet cover to 12" 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: 12" Distance from top of sludge to bottom of outlet tee or baffle >12" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle >2" Distance from bottom of scum to bottom of outlet tee or baffle >2" 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.): Homeowner scheduled a pumpout post inspection t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owners Name information is required for every West Barnstable MA 02668 9/15/20 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 Commonwealth of Massachusetts �. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �a 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. Citylrown 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 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, effluent is above the outlet invert I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts �. (P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. City/Town 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: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of dAsachusetts Title 5 Official Inspection Form �- Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner information is Owner's Name required for every West Barnstable MA 02668 9/15/20 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.): Pit is backed up at this time, effluent was up and into the riser 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.): l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Offia ia.1 Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. Cityrrown 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 t Commonwealth of Massachusetts Title 5 Official- Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. Cityrrown 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 CE 33 �s t5insp.doc•rev.7/2 612 0 1 8 Titie 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. City/Town 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: >12 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: 4' seperation per 1987 compliance ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: TOPO mapping puts the site at 153'msl and nearby surface water at 90'msl You must describe how you established the high ground water elevation: See above I 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 180 Coachman Ln. Property Address Moreton Owner Owner's Name information is required for every West Barnstable MA 02668 9/15/20 page. Cityrrown _ 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 I f _ TOWN OF BARNSTABLE LOCATION 186Gii Id/ 441 SEWAGE# c I— c j VILLAGE M- yIn,till s ASSESSOR'S MAP&PARCEL / 3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /S Uy LEACHINGFACILITY:.(type) 3-5--aol?LC1,1a1nherS (size) 3.3, 57kt3 NO.OF BEDROOMS OWNER A AI/Q" Z161R L >61y *. PERMIT DATE: / Z 9,) COMPLIANCE DATE: 41,2 t Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet 0 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 T -1131 121 3`� -A �. 131 - i33 i TOWN OF BARNSTABLE LOCATION_/�0 r ; ,,.,.y L,U SEWAGE# VILLAGE ; ASSESSOR'S MAP&PARCEL 1 S l INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY -� v LEACHING FACILITY:(type) I-S°u GL ��Qm h o.•c (size) NO.OF BEDROOMS �( OWNER- it'1aiQL-' I6/V PERMIT DATE: / // /�c ) COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility Feet ng ty(If any wells exist on site or within 200 feet of leaching facility) ' Facility Feet Edge of Wetland and Leaching h ty(If any wetlands exist within 300 feet of leac ' g facility) Feet FURNISHED BY T /3 3 3 3 s, A13�c.. fi' •�, � f 3� 132 J-li- �I � /33 ' i i TOWN OF BARNSTABLE LOCATION pF/cD C'e--2= 1-A ISEWAGE VILLAGE 6� n .-S , ASSESSOR'S MAP & LOT/5/- 'K3 Z-- SAS 'INSTALLER'S NAME & PHONE NO. ffE07A-,,-J SEPTIC TANK CAPACITY J-5-00 LEACHING FACILITY:(type) };c9/7— (size) 72 , pNO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER ?�<x BUILDER OR OWNER kt/,J 00 �2 , DATE PERMIT ISSUED: 2 DATE COMPLIANCE ISSUED: 7 VARIANCE GRANTED: Yes ` No ti . Y, I .. , ;� \ 3� ��. �-� � � z . �� ; �� s pJ ` n OESSORS MAP NO.. _15 1 ""PARCEL NO.: THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..............�.w^.... ....OF........ .ST ............................... App iration for Ui4pnoul Works Tnntrurtiun rantit Application is hereby made for a Permit to onstruct r6or Repair ( ) an Id vidual Sewage Disposal System at: Go - — rlL .................................... v..NC. of -- ...... 1 Location Address � or Lot No. -P W D Ow�er ...............................Address _. Installer Address Type of Building Size ---- feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ----------------_----••------- • W Design Flow...........................................gallons per person per day. Total daily flow.._........_...33�._.__............gallons. 9 Septic Tank—Liquid capacity.ZS9.gallons Length__ �6...... Width................ Diameter................ Depth_.S....y.. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. i Seepage Pit No----------/_....... Diameter...... ' __..._ Depth below inlet.......9_._....... Total leaching area_.!!?�7,..asq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed b .. ............Cr...................... Date................... Test Pit No. 1._4_Jr-____minutes per inch Depth of Test Pit.../ Depth to ground water....... .............. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ •-------•--------------------•......•............•• ...............--•---------------•-•---•--••---...._..............••--•-•.................._............ 0 Description of Soil...._._O _ 6P-Scs L C.�.u.�sG��, ......S'vB ��-5' 8 16` --- lFC.'a�At_lr - I JGUSTi � � � U ------ W I!ll ____G2 n4cT�l t ATION AND CERTIFY IN 1�WRI I lP0 x -------• ---•-•-•••-••-•-----••••••. •-• ------- - U Nature of Repairs or Alterations—Answer when applicable—THE-SYSTEM WAS INSTALLS® I ��a TO PLAN. -•---•-•-••----•._......_...•----••---•--•-•----•-••-••••••--•-••--•••••••-•---•......................•-..........:-••-•--•----•-------------•--•••••••-•••• ........................................... Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of iiTL: p of the State Sani y o The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben issued y the r of nth Si ned. ---• ....... ---• ......... Application Approved BY------. ..---••- ` - ----•- 72, e�r�' Date Application Disapproved for the following reasons:........................................-------------------•--------------------------------------------....... -•-------••----------•--------------•----•--•------•-----•--•---------------------....••••-••--••--_.- Date PermitNo.--- ...... ............ Issued........................................................ Date NO'.5....� .. Z� Fps ' .. ........ .. ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T /-�...........OF...... c/U.ST3G�' Apphratiun for Eliupoutal Works Tunutrnrtion Famit Application is hereby made for a Permit to Construct (o/ or Repair ( ) an Individual Sewage Disposal System at: • !`2 .--.---- --- .-------••----- ----------------------- /ca .............................. Location.......Address / .....................or Lot .......................................... O ne Address a G n e--' <4"CA A ---........--:'.......... .... =--` --•----•----.........--•-----••--•--•------.. ......-•-------------......---...----•---...............•......--•---------------. ••-•-•---- 9Q Installer Address Q Type of Building Size Lot.-.?-,-......7r._....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -----••-•-•---••-••---••-••----- . W Design Flow______________S-'...___.._._•-•--•----•-gallons per person per day. Total daily flow......................a_._.._._.._____. gallons. a Septic Tank—Liquid capacity/Soo gallons Length.��'. Width_' ........... Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------/.--------- Diameter______L _...... Depth below inlet......G_. .8.._._._-.. Total leaching area_' !7: .sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by.�'P,01' __�- __ ...........................................� `'�........................ Date:��_ ..... - -----•---- Test Pit No. 1.4.`!z-.....minutes per inch Depth of Test Pit-_e Depth to ground water------°�-------------- Gx, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ pUW DCteis�cirstpo riL.oni tof �Soil '.......� ��-i�3 6 .fY, .'�=S o/� V' C'.�G.9a--7+ � 50-3 �l e- Je "6-j`"1 p"/ li •- - ` _ .... . -ia- - /sue,� - `!-....... �...... j »G -- LA'' Z------G'iZsrsa UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i p of the State Saai Ty The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issue by th �-o" teffltti.—I" :. r Application Approved By .. y_ c-?.��! '-...�_"`" ... z ``- Date Application Disapproved for the following reasons----------------------------------------------------•--••----•--------------------------------................. ------•--------------------------•----------•---------.....-•--------------------•--------••-------------•--•-----•-----•---•---•-----..._...----•••-------•••--•---•••••---••-----------••-•----------- Date PermitNo.- --��------------------------ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS j BOARD OF HEALTH ................. ........OF......4......... .... TrrfifirFatr of TompliFanrr f THIS IS TO C IFY, That the Individual Sewage Disposal System constructed (,00'T or Repaired ( } _ f ii II Installerat ......................................................... .... --------------------- ------------------------- has been installed in accordance with the provisions of i KE- j of The State Sanitary Code as described in the application for Disposal Works Constriction Permit No._ ... %._...��. date.I / 2/ 4a C�F t ,F THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE 1. a.-.�.7�._.��.� Inspector. ¢ ..................................................... • r- p r ( THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �........OF......... � i �,,5 � •. N0�.., -7�--.�...�✓.� FEE......................•- iork Toy�str iott rrnti# Permission is hereby granted _A ------ ...: ct I<,r,�„ to Construct (✓'r) or Repair ( ) an Individual Sewage Disposal System „� ati�'0..... ..5�. ..__.�. ............ ��...............�`........... .......__..............._ ........................................................ Street \ as shown on the application for Disposal Works Construction-Perrx�it 'o.__.:"'._ _ Dated.._._�__�_.).�.... . ......... y}// Board of Health DATE -. =,:,T r y< -------------------------- FORM 1255 HOSES & WARREN. INC.. PUBLISHERS l� � Lo T I ZZe, oz - 4a' V 5G \ v 32•9j 2. \ 0 7S SO,A? -;°. r � 1 i ZZa, 39 r ' CERTIFIED PLOT PLAN ILOCATION SCALE ! � °. ... DATE . PLAN REFERENCE `ZH of Mq EDWAFd s E. o. EY o.•26100 ,o crs��9fCISTERE�J@ ' I CERTIFY THAT THE 'isT!V�; , �pvn/rJt9�7c�1! 1. L SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF . . . . .WHEN CONSTRUCTED. DATE . REGISTERED LAND SURVE. R n EDWARD E. KELLEY REG. LAND SURVEYOR CUMMAQUID, MASS. 02637 TEL : (617 ) 362-2266 December 15, 1987 Town of Barnstable Board of Health 367 Main Street Hyannis,Mass. 02601 Ref: Lot 10 Coachman Lane West Barnstable The Sewage System was installed in accordance with the Town of Barnstable Health regulations and Title V. Enclosed is a plan showing the loc tion of the installed system. -0 O F MaSS AR Reg.:, itaria gcyG Reg. o E n SlcrSON Land No"5` c1YSTE ss�®SAL LA�o S 9�*ISTV 1S,vrr: .�'• Z SfH 9z. .so TOP OF FOUNDATION CONCRETE COVER �;' CONCRETE COVERS 4'CAST IRON I 'MAX. • 12"MAX. � ° OR SCHEDULE 40 4°SCHEDULE 40 PV.C.(ONLY) PTC PIPE PIPE- MIN. LEACH' PITCH i/4'�PER.FT. PITCH I/4"PER.FT PIT PRECAST o INVERT ° a < LEACHING `'o EL..81.$` .. INVERT INVERT u . e•; PIT OR SEPTIC TANK g �g DIST. pg7i . w ';t EQUIV. /.moo v EL....9•.. . .. EL...... , a , o INVERT BOX — a Z3 .. . . . . .. .. GAL. INVERT (, o o; EL..../`:...... EL8B86 INVERT ww o: :;�: 3/4"T011/2 WASHED w STONE /o koi i ez /.moo —� •� G3 —�}--s'DIA. --•-I No�� D IA. PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM , 'V10' - ';,�r'� NO SCALE L�4cH ,¢ti2E�r-7 sr�D /a' BtyoMo ry d�" SOIL LOG WITN SSED BY . DATE /!5,' `'e TIME. . ... . . . . . . Q C�jN . G. BOARD OF HEALTH TEST HOLE I TEST HOLE 2 `P�� Z /C: • ENGINEER ELEV. . .1o.40. . . ELEV. .. .. . . . . . . DESIGN DATA : Ez. e'40 co.rsoc,os„�� NUMBER OF BEDROOMS -3 . . . . . . . . TOTAL ESTIMATED FLOW . . 2-1® . . GALLONS/DAY 96 c4A BOTTOM LEACHING AREA !�3.5 . SQ.FT. /PIT ety i2,8 G.P.D. SIDE LEACHING AREA . . .Z�3 .9 . . . SQ.FT./ PIT/SZB C:P.P. W GARBAGE DISPOSAL /VoNE . _(50 a/o AREA INCREASE) . C � TOTAL LEACHING AREA . . 71 T. 8 SQ.FT /51" PERCOLATION RATE Ze-;-5 CrZ.. 97 4o .�'��!� . MIN/INCH _ _ _ LEACHING AREA PER PERCOLATION RATE A 4.. SQ.FT./G;P.D .!YP. .WATER ENCOUNTERED oN f iT W177-1 NUMBER OF LEACHING PITS . . . . .- APPROVED . . . . . . . . . BOARD OFHEALTH • • • • . DATE . . . DESIGNING ENGINEER MUST SUPERVISE . . . . . . . . . . . . . . . . . . . INSTALLATION AND'CERTIFY IN °J1"F 13C�"G .HE SYSTEM 4iJIG,,zPTN&�AIA!L ECT�QRTR',CT . ' TO PLAN. 1 ON LoT /Ory ED`'jl,�iDi' �� R u (�. 21 No. 26100 SST ER`� PETITIONER �/T�-� r 'dui LN' RIziio• V LoT 0 9Z C�k► `� ► G qa I 90 83' \ 84' \ ' „' DIsr. �/IB5E72�E Box `/ V 00 —__�� of s0nc , E as —� , 1p IJ� J qb' — loo 15 � , I. ji I , 00, RV r)E IGNING ENGINEER MUST 114 WRITING -;7" -TALLATION AND CERTIFY SYSTEM WAS INSTALLED IN STRICT PLC/ ,nr;5ANCE TO PLAN. LOCATION . �. NSTi9l3GE: i SCALE . .!.��:.°�`4�.... DATE Nall. /4/S,P` PLAN REFERENCE . 4%--KA q. .sA�>w.y, a Al Re, •�/oe Eau alkD A . . . . . . .. .. . . . .. . . . . . . . . . .. .. . E. o KELLEY ` No. 26100 tee; '�fGISiEQcc �� L �. 1 CERTIFY THAT THE ..... .. . . .. . .. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON; DATE . .. . . .... . . . . . . ��n7-10"v -;p_ REGISTERED LAND SURVEYOR f �1a,uej-s- P(/� N KEY: EXISTING CONTOUR: ---- SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION PROPOSED CONTOUR: ............. 2"PEASTONE OR FILTER FABRIC EXISTING SPOT ELEVATION: 25.5 FLOW ESTIMATE:(9 ROOMS/2=4.5,DESIGN FOR 4 BEDROOMS) FIRST FLOOR p COVERS WITHIN 6" 3/4"-1 1!2"DOUBLE 4 PROPOSED SPOT ELEVATION: 25.5 4 BEDROOMS AT 110 GAL/DAY= 440 GAL/DAY 103.93 r a l} OF FINISHED GRADE WASHED STONE TEST HOLE:-! a TOP OF , ��,,UTILITY POLE: -O- FOUNDATION INSPECTION PORT SEPTIC TANK: ''m�``� ' � -m, �,� FINISHED G =_ n BADE ELEV. 98.94 � FENCE LINE: - 440 x 2 AY 880 GAL m HYDRANT:�- GAL/DAY DAYS �� 3 MAX. "•-� .� 1/4 r ft RETAINING WALL: ® gg.4 COVER 1500 GALLON SEPTIC TANK EXISTING �4•• US E G O v U (EXISTING) ELEV. a 98.6 (1'MIN) V O O � LEACHING AREA: ELEV, •�A •. P 5 EXISTING ( ) 98.52 98.35 , 'x 2'EFF.DEPTH WITH 33.5 USE 3-500 GALLON CHAMBERS(8.5'x 4.8 ) ELEV. ELEV. 96.11 ELEV. H H LOCATION MAP a�'.� D-BOX 4, 4, ELEV. LOT 10 44 075 SF L ( ) 4'OF STONE ALL AROUND 33.5'x 12.8'x 2'EFF.DEPTH (6"STONE UNDER) 1500 GAL 33.5 x 12.8-� PARCEL:31 ASSESSORS MAP:151 PA , ASS �i SEPTIC TANK PLAN BOOK:384 PAGE:56 SIDE AREA: (33.5 +12.8')x 2 x 2=185 SF (0.74)=137 GAL/DAY 3-500 GALLON CHAMBERS WITH 98.11 BOTTOM 33.5'x 12.8'=429 SF 0 74 =317 GAL/DAY TEE SIZES: TO BE CONFIRMED) 4'OF STONE ALL AROUND TTOM AREA LEACH AREA DETAIL ( ) INLET:6"U�,13"DOWN ELEV. (33.5'x 12.8'x 2'EFF.DEPTH ! CAPACITY=454 GAL/DAY OUTLET:6"UP,14"DOWN GAS BAFFLE (END CHAMBER NEAR DRIVE TO BL H-20) AT OUTLET TEE N DECK TH-1 102.0 TH-2 102.0 z TEST HOLE 'LOGS FILL ELEV. FILL ELEV. =BED ENGINEER: THOMAS McLELLAN,P.E. LIVING � 15" 100.8 18" 100.5 BASEMENT ROOM ROOM WITNESS: DAVE STANTON,R.S. STORAGE C HORIZON C HORIZON &UTILITIES DATE: 12-10-20 MEDIUM SAND MEDIUM SAND LAUNDRY BATH PERCOLATION RATE: <2 MIN/IN 2.5Y 7/4 2.5Y 7/4 BATH CL. DEN DINING TOWN TEST HOLE#:TPT-20.271 ROOM `sl BASEMENT BENCHMARK AT ??8 6 , 120" 92.0 120" 92.0 RIGHT CORNER OF BOTTOM CONE STEP w 1st FLOOR GREAT NO GROUND WATER ENCOUNTERED �� ELEVATION=103.05 ROOM c� NOTES: 1.VERTICAL DATUM: ASSUMED deck 2.MUNICAPAL WATER IS NOT AVAILABLE. 3.SCHEDULE 40-4"PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. li / S 4.ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 SPECIFICATIONS. rONFO 5.PIPE PITCH= 1/4" PER FOOT(UNLESS NOTED OTHERWISE). 98 `98- ROOM ROOM BED BED BED BATH 6.FIRST 2'OF PIPE OUT OF D-BOX TO BE SET LEVEL. \ ROOM 7.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL. F ..-100 f----• 1002 z 8.ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE STATE OF MASS.ENVIRONMENTAL OFck7�C t ATTIC STORAGE o CODE(TITLE FIVE)AND LOCAL HEALTH REGULATIONS. fo W a�1�COM 102 De , 9.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. /%-"6 ` c ' ro393 I !\ / 2ND FLOOR 10.GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED T WITHOUT VARIANCE. EXISTING �k• ( EXISTING FLOOR PLAN 11.FIELD SURVEY PROVIDED BY TERRY A.WARNER,P.L.S.,HARWICH,MA. ELL 994 atte ! j AND /k -102 12.THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS ' i IS SUBJECT TO CHANGE UNTIL SUCH TIME. THIS PLAN HAS BEEN PREPARED FOR THE SOLE ex�sfi ST '' 100 f PURPOSE OF CONSTRUCTION OF A NEW SEPTIC SYSTEM AND DOES NOT NECESSARILY REPRESENT A FULL DETAILED PROPERTY SURVEY. SrON 13.EXISTING LEACH PIT IS TO BE PUMPED AND REMOVED. ,: i� FO 14.D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. Ede REGULATION 397-8(E th-1 �,.c;,.,� / �% 15.THIS DESIGN NEEDS A VARIANCE FROM THE FOLLOWING TOWN OF BARNSTABLE HEALTH REGULATION: g°fCawn )(1l (F).PROPOSED LEACH AREA TO BE LESS THAN 150'FROM OWNERS 106 - " ' �" \ EXISTING WELL,(VARIANCE OF 13'). NS?20 110 _ . _..._._� �r_ \ SITE PLAN 41 Qm Q" O m U ATION• OF Mgss�c 180 COACHMAN LN.,MARSTONS MILLS,MA 114 "114 � �/ ` ,� f r'�/ �" � THOMIAS J. PREPARED FOR: a MCLELLAN � ANDREA MORETON CIVIL ca No.36471 SCALE: 1"=30' 112 / / // / q DATE: 12-15-20 110 / / / ,/ sS/ONA1 108 106 / / i 9a BASS RIVER ENGINEERING 104 LE 100 9 a EXISTING THOIAS J. Mc M20-78 10 98 AN, P.E. P.O.BOX 1163, EAST DENNIS,MA 02641 96� 6 -'NELL 508-364-9048 i