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HomeMy WebLinkAbout0008 FILLY WAY - Health 8 Filly Way,.Marstons,Mills LA=1-5-1 � i i i i f .. ��• ti _•'�-3w-`�s�r .y.rre. '+�3 '�•s+.�.... h -w:4��i�t.'' .'r^xkSs`2�F�'afl+ `'7`��wh4_�5k� ��'„'2=.<.. .�..... - - Commor)weoffh of Mossochusetts John Grad Executive Office of Er Mronmenfai Affairs D.E.P. Title V Septic Inspector D-60artment of P.O. Box2119 Environmental Protection Teaticket,MA 02536 (508) 564-6813- 112 — SUBSURFACE SEWAGE R ,DISPOSAL SYSTEM.INSPECTION FORM e �� PART A '� 1 CERTIFICATION cf � �Fp Property Address: 8 Filly Way,0enMrIfle- Address of Owner: C Date of Inspection:91 TN (If different) S Zggn � Name of Inspector:John bract Mai Leon:Box 692 W.Barnstable,Ma.02668 `b Company Name,Address and.Telephone Number: CERTIFICATION STATEMENT F 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems: The system: x Passes Conditionally Passes _ Needs Further valu tion By,the Local Approving Authority Fails Inspector's Signature: Date:.913196 . I The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 Department of Environmental Protection. The original should'be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B.C, or D`. A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. 6(SYSTEM CONDITIONALLY PASSES: - One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined",explain why not.) _ The septic tank is metal, cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent: The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by-the Board of Health. (revised 11115195) One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 . r '4..tJ,�.✓.3; � ir'�-` s.`�.'.- a5;33ifi .ry; .v.� * SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM _ - PART A CERTIFICATION (continued). . Property Address: 8FIuy Way,Centerville _ - Owner: Rita Leon:Box 692 W.Barnstable,Ma 02668 - -Date of Inspection:_9103196 _ Sewage backup-or breakout or high static water level observed in the distribution box is due to a broken settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health) = brokenpipe(s)are replaced' _ obstruction is:removed'� distribution box is leveled or replaced The system required pumping more than four 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 C] FURTHER EVALUATION 1S REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the s safe and the environment. rotect the public health, safety stem is failing to.protect p Y 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND.. SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH,(AND PUBLIC WATER SUPPLIER, IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system nas a septic tank and soil absorption system and is within:a Zone 1 of a public water supply well. The system mas a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria volatile organic compounds indicates that the well is free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm. 3) OTHER D] SYSTEM FAILS: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. _ Backup of sewage infacility or system component due to an 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 cesspool. SAS is in hydraulic failure. (revised 11115195) 2 w . _�..��,�.--�_ — --_____'.__ _=._:-_.,.•-^^'-'-.-^_:- ...._. . . ._-s-:-s,— ..�.`�„,�",�: .'�" .�_ sue.,,. -. fi,.�7y, [p;p�y ..t'erswzz..ry<a .�i'et3. s �. r'a^Svs .-SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - -PART A CERTIFICATION (continued).. Property Address: 8 Fily.Way,Centerville Owner: Rita Leon:Box 692 W.Barnstable,Ma.02668 Date of inspection:9103196 D] SYSTEM FAILS(continued) . Static liquid level in the distribution box above outlet invert due to an.overloaded or clogged :SAS or cesspool. , Liquid depth-in cesspool is Jess than 6"below invert or available volume is less thani/2 day flow. _ Required pumping more.than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy,is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis: 'If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10:000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 Zane II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11115195) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. _ PART 8 CH ECLIST Property Address: 8 Filly Way,Centerville Owner: ;- Rita Leon:Box 692 W.Barnstable,Ma.02668 Date of Inspection:. 03196 _ 4 . Check if the following have been done: _ x Pumping information was requested of the owner,occupant; and board of Health. ents have been.pumped for at least two weeks and the.and the system has been receiving normal X None of the system compon _ of water have not been introduced into the system recently or as part of this flow rates during that period. Large volumes inspection. n1aAs built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industhal.waste flow. X The site was inspected for signs of breakout. - X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened, and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions, depth of liquid, depth of sludge; depth of scum.' X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of .Sub- Surface Disposal System. (revised 11115195) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION - Property Address:.-8 Filly Way,Centerville - - Owner: Rita Leon:Box 692 W.Barnstable,Ma.02668 _ Date.of_Inspection:910 196 - FLOW CONDITIONS .RESIDENTIAL: Design flow: ash gallons - - Number of bedrooms: 3 Number of current residents: .2 - Garbage.grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No - Water meter readings,if available: n1a Last date of occupancy: nla COMMERCIAL/INDUSTRIAL: Type of establishment: n!a Design flow:9 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present: (yes or.no) No Non-sanitary waste discharged to the.Title 5 system: (yes or.no) No Water meter readings, if available: Na Last date of occupancy: nla OTHER: (Describe) Na Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of,information: System has not been pumped in the last two year. _ System pumped as part of inspection: (yes or no)Na If yes,volume pumped: 6 gallons Reason for pumping: nla TYPE OF SYSTEM X Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool _ Privy Shared system(yes or no) ( if yes, attach previous inspection records,if any) Other(explain) APPROXIMATE AGE of all components,date installed(if known)and source information. 1987:new pit installed in 1994 Sewage odors detected when arriving at the site: (yes or no) No (revised 1 1 11 519 5) 5 - SUBSURFACE SEWAGE DISPOSAL'SYSTEM INSPECTION FORM - PART C SYSTEM.INFORMATION'.(continued) Property Address: s FlnyWay,zentervllte Owner: Rita Leon:Box 692 W.Barnstable,Ma.02668 Date of_Inspection.9103196 4 .SEPTIC TANK:.X (locate on site plan) 7 _ Depth below grade: 16" - ---Material of construction:X concreate_metal FRP_other(explain). Dimensions: L 8'6'H 5'7"W 4'10' - Sludge depth:2' Distance from top of sludge to bottom of outlet tee or baffle: 25' Scum thickness:3' - _ Distance from topr of scum to top of outlet tee or baffle:6' Distance form bottom of scum to bottom of outlet tee or baffle: 15• Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) Septic tank and all components are structurally sound.Recommend pumping system every two years for maintenance. GREASE TRAP: (locate on site plan) Depth below grade:_nla Material of construction: concrete_metal_FRP other(explain) Dimensions: rda Scum thickness:n1a Distance from top of scum to top of outlet tee or baffle:nla Distance from bottom of scum to bottom of outlet tee or baffle: nia Comments'. (recommendation for pumping. condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence ofleakage,etc.) n1a (revised 11115195) 6 all dr w31z�i3�.�s',.�=--f• SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - SYSTEM INFORMATION(continued) P rope rty Address: 8 Filly Way,centervllle - Owner: Rita Leon:Box 692 W.Barnstable,Ma:02669 - Date of inspection:9103196 w TIGHT OR HOLDING-TANK: (locate on site plan) - - .Depth below grade: Na Material of construction:_concrete_metal_,FRP_other(explain) Dimensions: n!a Capacity: n1a gallons Design flow: n1a gallons/day Alarm level: n1a Comments; (condition of inlet tee, condition of alarm and float switches, etc:)' rVa DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: n1a Comments: (note if level and distribution is equal,evidence of solids carryover, evidence of leakage into or out of box etc.) n1a PUMP CHAMBER: (locate.on site plan) Pumps in working order:(yes or no) Comments: etc.) (note condition of pump chamber,condition of pumps and appurtenances! rva (revised 11115195) 7 . .� . '...• ':;. .... .:,,,;. ,..t':r�.�"a:.�.. t +�'.r.....-..s�RK:��.�':'. ' ._ram�+ �vn33'~ v. ��..,+�•+ ti# "`�+"�' ;yc-.'`�',..- , _ - - - - - - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIQN FORM- ., PART SYS?EM INFORMATION (continued} - Property Address: 8 FIIry Way,Centerville Owner: Rlta Leon:Box 692 W.Barnstable,Ma.02568 .- Date of Inspection:9103196 SOIL ABSORPTION SYSTEM (SAS):X _{locate_onsite plan,if possible; excavation not required, but may approximated by non-intrusive methods) _ - i If not determined to be present, explain: nla Type. leaching pits, number. 1,00o gallon,leachpit;and 600 gallon leach pft _ leaching chambers,number:_n1a leaching galleries, number: n1a leaching trenches,number, length: nla leaching fields,number, dimensions:n1a overflow cesspool, number:nia Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc:) The leach its are structural sound and functioningproperly. CESSPOOLS; (locate on site plan) Number and configuration: nia Depth-top of.liquid to inlet invert: n1a Depth of solids layer: Depth of scum layer: "!a _ '? Dimensions of cesspool: n(a Materials of construction: n!a Indication of groundwater: nia ;x. inflow(cesspool must be pumped as part of inspection) Na ` Comments:(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) n1a PRIVY:_ . (locate on site plan) ,. Materials of construction: n1a Dimensions: nla Depth o f solids: n<a e .D vegetation, etc ve eta P condition of ) level of ponding,cond 9 Comments:(note condition of soil, signs of hydraulic failure, P 9. PrivyComments (revised 11115195) dE _ 4;" SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART-C. -SYSTEM INFORMATION(continued) _ Property Address: 8 Filly way,Centerville - Owner: Rita Leon:Box 692 W;Barnstable,Ma_.02668 Date of Inspection:9103196 SKETCH OF SEWAGE DISPOSAL SYSTEM: _ include ties to at least two permanent.references landmarks or.benchmarks - locate all wells within 100' o coeR `GAF C6 v e�, DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS Maps and Charts. (revised 11115195) V ASSESSOR'S MAP NO. PARCEL 051 L 0 C A T I SEWAGE PERMIT NO., VILLAGE II IVNT ALLER'S NA E i ADDRESS N(oog C, e xy) e U I L D E R OR OWNER cf� © t3 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED `1 3Q° 77 all �ora�Q No. nct 0 ...... _. j � .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ApOiratiutt for Di ipwiul Worbi C onfitrurtion ramit ` Applicatiori is hereby made for , Permit to Construct ( ) or Repair Y an Individual Sewage Disposal systesn_ t_ :_... ._ `��. �j ...... ..................I.. l -•--• ------• -•--•. ............ lA Lora 'on- Address ort )�o. .`..._. .. ` .....�......_� 0.r`.... ........................... ...... ._.. .....1'�.. .......... ......... �N'il ✓ Address - -- . a 41 Installe+r ✓ Address Type of Building e O Size Lot............................Sq. feet U DAvelling,— No. of Bedroonis--------------------�_........ :-_--Expansion Attic ( ) Garbage Grinder ( ) p,, Other—Type of Buildi>g ..................... .. No. of persons-__-_----_-_____------_--_ Showers ( ) — Cafeteria ( ) dOther fixtures ........................... W Design Flow............................................gallons peerlperson per day. Total daily flow............................................gallons. W Septic Tank—Liquid,capacity...:.... h...gallons Lengt ________________ Width.-._-.-_-_----_ Diameter................ Depth................ x Disposal Trench— No.o.:........® Widthi..........:........ Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..._._..............:.'Diameter................ Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( !�)' Dosingttanik_( aPercolation Test Results' Performed `by-------- ----------------------------•-----------•---......_..._.......... Date........................................ Test Pit No. 1.................minutes per nch Depth of Test Pit.................... Depth to ground water........................ G� Test Pit No. 2...............minutes per inch Depth of Test Pit.................... Depth to ground water........................ xDescription of Soil...... ; � 9 ----------------- -•--- ....._..................._.._.......... V _ - ---•-----------------•-----••----------------•-----•-•-••------------------------- -------- • .........................................`.............................. ................................................ ------------- ---- V? Nattire o ep ' s Alt 1s ns X answer when applicable._.._..._P� �r� _'�.�.............�._................... Agreement: `~ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir ental Code—The undersigned further agrees not to place the system in operationluntil a Certificate of Co piia ce h s been issued by t board of health. Signe ..P �..: ........ ......7? ............ .. ec�} Application Approved B . .. . - ... .. ........ ..... :. ...�/........................... .....7 . ...PP PP YDate Application Disapproved for the following yea ................................ ............................ ... `..`.. Permit No. .....e�.....I....... /.. ....�.................. Issued .... ---��$....L� ........................... Date...... Dace _.� -:.:'�'vry o , Q I Fps........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirttltun for Dt ipwial Mnrlai Tunslrur#tun rrrnnl Application is hereby made for . Permit to Construct ( ) or Repair (� an Individual Sewage Disposal System at,. � � 1`�...... ...... ......... q Lort ion-Address� 4 Q n (.` or Lot t No. (� Y (�� o,�-ne ............................. •w�.l�;•�LS......•••....•----• 1 th�,�............. es................. u�!14•. ddr s � Installer Address i UType of Building Size Lot............................Sq. feet .. Dwelling— No. of Bedrooms.................. -_____--...___--.__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons----------.-_.______________ Showers ( ) — Cafeteria ( ) d Other fixtures ----------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity............gallons Length---------_---- Width---------------- Diameter---------------- Depth............ x Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------------_---- Diameter____.___._..._-__.__ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by........ -----------•----••---••----••••-------•-••--•-......-------•••-•• Date........................................ 4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.............._......... (4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil............C" , ......... �::,��� r y U •--•---------------- ------ •-�-------....... -------------------- --------------------------------------------------------------------------------- --------- .------------------- UW --••---•-••.......................•----------•-----------•------------••-...------•--•••••----•--••-------••-•----------------....---- Nature of Rep ' sMoF Alt-�r ions�Answer when applicable.---------- 1�t ....................... UM ------------•-------------------------------------------------------------------- .............................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir ental Code—The undersigned further agrees not to place the system in operation until a Certificate of Co plipice has been issued by t board of health. Q Si ne g .----------- -.----..... .... ........................... ._ .....--�.o J , � g.. 4 Application Approved By .... .-� 0.... r 1 � r� .........�.. ...... Application Disapproved for the following rear�ons: -...._.................._....._.............................--...................... ...................... .....� . I: ......................................................n...:. . .._......... - .................................................. Da _...1... Permit No. .....,�.%......✓` ! ............... - ... ....... - -Issued ... .7�...... Date lj ._moo_—— ----...--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE _ C er#ifirate of Tom lianre THIS VVO CERTI Y, That the In�iveidual Sew ge Disposa System constructed ( ) or.Repaired by ........................... .............. \ __ ..................." - - - Instiller `.. .5.. .... .at ................................... ......go .. Cam.. .. c,-............................ �a � � \. ....... . �...... ........,................._...1>,.�'�•- tom.v has been installed in accordance with the provisions c f ITLE.S o The S t Environmental Code as described in the application for Disposal Works Construction Permit No. .�.. ... —.._.. :fated ............._....._...._..............__. HE I HALL NOT BE C N TR A A T ISSUANCE OF THIS CERTIFICATES O O S RUED S A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACT RY. G� i DATE......... ..__ a.�---------------...E........._........... ._..---. Inspector ----- .. .:................................................... �------_- ----------•- ---.-------- _---- ------------ ---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � , TOWN OF BARNSTABLE �0,9D Nod...--r. ............. FEE........................ ,DUqtwia,4cVvrkii Tunlrirlwi rlermi# Permission is hereby granted.... _.__ -_ ----- __.._-------`^..._....._! -------------•----•---•-••----•••-•............._....... to Construg( ) ort Repair (L--j an Individual Sewage Disposal(System /� ` at No..... '' W u(, ry , street t f �© ^-7 ¢ �/ as shown on the application for Disposal Works Constructiori�Permtt No�_"l:= if" r Dat d= o� �1�.._~�e..T�.... - - a. oard of Heaftlii-T r � DATE..:77 ... --- --� •-- V FORM 36508 HOBBS&WARREN.INC..PUBLISHERS ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •7"v v✓/r. .✓,.s .............. .. OF... �f��-...... ........................................................... 3 Appliration for DiDposal Workii Tomarnrtuan ramit Application is hereby made for a Permit to'Construct ( P<or Repair ( ) an Individual Sewage Disposal System at: _ /V ...... - - .. .........................f ....------------• •--• .... -----••------------------• ---- - - .. ..---- _-- �ecation-Addos c ore Lot -N.o.f......................-----• -•-- .. =� / .� Owner Address f �� Q 2Fy I sta r Address lle r. Type of Building Size Lot.... feet l' � Dwelling—No. of Bedrooms............................................Expansion Attic-(---j-- Garbage Grinder '•a �`�' ------ Showers -- p, Other—Type of Building ...�.... .............. No. of persons_...._.._.____________ (�--- Cafeteria (� - PaOther fixtures •----••••--•--•.............••-----•--------•. -•-••-•--•--------------•------•----------•-----•--- d .. W Design Flow.......................--r...-`�_ --..gallons per person ppr day. Total daily flow____.._.. ...............................gallons. WSeptic Tank—Liquid capacity': .`?r?.gallons );engthf='....-..�. Width--.-f "Diameter---------------- De th_� x Disposal Trench—No. .....I............ Width ..___.... Total Length___...�.�_.___ Total leaching area___ -_.=._sq. ft. Seepage Pit No--------------------- Diameter....4.............. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank-�- -o w - Ga .. .............. Percolation Test Results Performed by..�-----------�---------_.-�... �------------------------------ Date.------••-- ---------------------•-_-- � Test Pit No. 1.... ......minutes per inch . Depth of Test Pit.....1.....�.. Depth to ground water.....i.4.`f........ - Gi, Test Pit No. 2....�.`�:.minutes per inch Depth of Test Pit----- Depth to ground water....�.z.® ,. a ----•-•------- ----------------------------•------------------------••----•---_... -•••-•-•-•• ----•----•---•-•-............_ O Description of Soil.......22.-�<�/J` `'"' ` r7— x `� ---------`S -�------------------- W VNature 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 iIT 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation a Certifi to Compliance has been issued by the board of health. Signed.x .. ........ . -..................................................... ... Date Application Approved By..........0ae.. -•- ----. ..................................... Date Application Disapproved for the following reasons:-•----------••-------••--------•----•--•---------------•-•-•----------------•-......------•----•-•------•--••-- .........---••----••---------•-•---...._...-•---•-•-•---•................•-------•-•••••-----•--...-•••--•--------•----....._..--•-•----••••-----•--•-•--------•--•----------------••-••------...---•--. Date Permit No.--- ...7_.-... ......................... Issued-....................................................... Date --- - - - - - - -- - - - .. .��..... -- -------------------------- No_,? -3.4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Applirativit for Dispm al Works Tonstrnrtilan rrmit Application is hereby made for a Permit to Construct (V*ror Repair ( } an Individual Sewage Disposal System at: ¢� F� ; ' p ! 0� A � (,r 1-Pt., tCr"t/ifl Location-Address j� or Lot No __ ._.— cn ! !...............................✓ .. ...... �a j�e .......... ......... ":...�t e................. J Owner �r Address a �ry 1 ` `r✓ <......Gti .. � .... Installer Address d Type of Buildings Size ...Sq. feet U Dwelling—No. of Bedrooms......................... ..........Expansion Attic Garbage Grinder Other—T e of Building r Z"' ....... No. of persons.......15................ Showers -- Cafeteria V, a L � Other fixtures -----.................................................-----------------------------------------------------•---�--------------...-•-•--•---.....----• W Design Flow........................................_.__gallons per person per day. Total daily flow..__......_ ....................gallons. WSeptic Tank—Liquid capacityt_ q.gallons Width._'4...f='.Diameter---------------- Deptha�'.... x Disposal Trench—No. ..... ............. Width.....:'q..._--------- Total Length----- ._...- Total leaching area.... ...sq. ft. Seepage Pit No.___----__.--_-_-- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (1') Dosing tank(-°-'-') '-' Percolation Test Results Performed by. r-:F -�_.. a --------------------------------------- Date---•-------------;---------------- •---� a Test Pit No. I.... :..` ...minutes per inch Depth of Test -pit.... Depth to ground water-----/.`.. ...... (Tq Test Pit No. 2____f'__.¢__minutes per inch Depth of Test Pit.... Depth to ground water.... _ ._--_R`_ a ••-•--•----• • ---- �......... ..... ...................... .. ----------------- D Description of Soil.......e '2! ........................ : --` ='7:"-�n 2 Y '_`., ---- ..'. V ------------------•........................................... W -----------------------------------------------------------------------------------------------------------------------------------------------------------•----.......•-----•-•-••.•---•-••--------•- U Nature 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 TIT 5 of the State Sanitary Code— The undersigned further agrees not. to place the system in operation un •l a Certifi t-Compliance has been issued by the board of health. ' Signed. '[,, ., . ...- Date Application Approved By--..._. r^„ -. -r*.�.3.......................... Date Application Disapproved for the following reasons-.................................................--•-------------------------................................. -•.................•----•....-•-•....------•••••--•-•---•••----•--------------•------ Date PermitNo.....3_7-------Z•-7Y--------------------------- Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - ..........................................OF. ................................................................. (9rrfifiratr ,af MantpliFanrr THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed (I-,,"Or Repaired ( ) by... --c----- ....................:.!:....:...../=-------------- ---------------------------------------------------------------------------------------------- J i �1 i* Installer ` `0 has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__.5.. _. J.. !__.___•-__- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION cSATISFACTORY. DATE................ ".._l_2..^.11. .... ........ Inspector _)----�----�-----.;�3-......................... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. -•--- ...................................................... FEE Maposal Worhn T11manr#inn JJ emit Permission is hereby granted--..-f i C / t= .. if- "v `l .......................................................... to Construct or,Repair ) an Individual Sewage Disposal System at No...... 1 = t �treet as shown on the application for Disposal Works Construction Permit N =,32 f 47 ._.. Dates.......................................... ....................•....--•--•-•-•--•-•-----•-------------------------------------•••-•-•---------•---- Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON i �� ����G6� i I I �-—�` _a /0 TOWN OF BARNSTABLE LOCATION L.0 + SEWAGE # 1yWR-5io,,VS BLS VILLAGE - - .' e ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. n SEPTIC TANK CAPACITY \D 00 CA LEACHING FACILITY:(type) (size) d 0 y �' J NO. OF BEDROOMS PRIVATE WELL OR IC WATE - BUILDER OR OWNER DATE PERMIT ISSUED: CQ DATE .COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ✓ v - V THE COMMONWEALTH OF MASSACHUSETTS y^ BOAR® -OF HEALTH /...... �'� /%/ OF........T3�/2IVS T�j.ZL�' ................. Appliration for Dhipos al Worko Tomitrnr#inn ramit Application is hereby made for a Permit to Construct ( 1/11or Repair ( ) an Individual Sewage Disposal System at: -•-. ...... ................. ... ..........---=��----✓C ("-L......_..............---...----•-•----------.........--- Location-Ad ress �� T / t No. ... -•-- ---- •-•--•------------------- _.... -/---,-------^- - / a L , !! e©�S Q .���✓Z Y � L L.E Address�'7� .....---• --•-•---------•-•----.......-•---------------------•----•- -•-----•------•------.....---------•-._._.. . ---••-••---............................... Installer Address Type of Building Size Lot.-4 �-2_-.Sq. feet Dwelling—No. of Bedrooms.............................................Expansion Attic Garbage Grinder l—)— P4 Other—Type of Building ...�..i'" .r^..._ No. of persons.........!�............... Showers,(- j — Cafeterias---' a' Other fixtures ...../`-............... W Design Flow.................. ...__........gallons per person per day. Total daily flow...........3 a.C.................. WSeptic Tank—Liquid capacity!o q?_gallons Length....(�..... Width.� d'_ Diameter __________ Depth.=5~....�. x Disposal Trench—No..................... Width............ Total Length............ Total leaching area....................sq. ft. r Seepage Pit No.......f------------ Diameter.._.1.. ........ Depth below inlet.....L........... Total leaching area..A! .9.sq. ft. Z Other Distribution box ( ✓S Dosin�j� L�� - .Gi✓ { G{ � t W Percolation Test Results Performed by......................................................................fit Date____._ ....._. ._.__.f._.G.._..__.. a Test Pit No. 1.4._3_......minutes per inch Depth of Test Pit... . ?___..__.._ Depth to ground water..../-_2__'f...... Test Pit No. 2..e3-----minutes per inch Depth of Test Pit.__:/z......_. Depth to ground water.... o .............................-•--------•-----....- . Description of Soil-----...F.!._n..��..........-.e...�.r�- ... =C �C7�'?• -- x ........................................................ V ------------ ------------------------------- --------- ._._...------ .------------------- •------------------ ----------- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... ---.........................................-----•----------------•------...-•------------.._....--------------------------------------------------------------------------------------------.....--•- Agreement: The undersigned agrees to install the aforedescribed Individual S ge Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Cod —The and sig f ther agrees not to place the system in operation u o Co ce has been i.ssue y e r f / C SignedA - •-- / -- j Data. - Application Approved BY /�� ....................... Date Application Disapproved for the f ollowin easons:--•••-••-•-•---•••---•-•-••---•••-----•--•-•---•-•-----•-•--....-•--------------••--•-••.. ••-•------.......•- ...........................................•---•------•-•.....------------------•---•---........-•---------••••---•-•.............••------•••----••----•-•---•--••-•---•-•------•••-••-----•••....------ Date PermitNo .. .1 ---------••-•------•--- Issued._.......-•---•-------------------•------------•------ Date ,1 No...... U:._�Z - �� _ 3 v FEz..............:.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r.9---%`VIY.......OF........i3. iz ,✓............... � 7 LF -------------------•--•-.....------ Allpfiration for Diipusal Workii Commune#ion ramit Application is hereby made for a Permit to Construct ( AK) or Repair ( ) an Individual Sewage Disposal System at: ..... ---•. ... .................................................... ............................:..•--•---•-•----••-'• -- -----••-•----••--------...•---•---••-------------••--••-•--... ----------------- --_------------ Location-Address77_ -or Lot No. ...................................................••--------•--- ••----••----•--..._...---•-•----- ...... _ Owner _ _ Address ' ................................................... .......... PQ Installer Address f � Z d Type of Building Size Lot.........:..................Sq. feet Dwelling—No. of Bedrooms...__..........''............................Expansion Attic-(�-`)` Garbage Grinder(�) Other—Type T e l r u_______''"'� pa yp of Building ______________ _______ No. of persons.........._................. Showers_(--)-- Cafeteria-(--) WG1 Other fixtures ..... -----------------------------•--------.---•-------------------.-----------------...-----..........................--••---•----.... Design Flow___________________` _......____...._._._gallons per person per day. Total daily flow......._...----'---•--�--_........_......gallons. WSeptic Tank—Liquid capacityl.�..?gallons Length_ ? _ Width._: `,_. Diameter________________ Depth_ ____. .. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ ............ Diameter-__- ......... Depth below inlet..... '........... Total leaching area_3.c3_�1_.sq. ft. Z Other Distribution box Dosing.tank-('•'•) _ 1-4 Percolation Test Results Performed by............................................c )`��"._�................. Date..... ..'*� `•' ----------- Test Pit No. .......minutes per inch Depth of Test Pit... .. .......... Depth to ground water....... ........._ . w Test Pit No. 2_!n__. ..... per inch Depth of Test Pit..../_2......... Depth to ground water. ..2_ D Description of Soil...----- _-.. r.------•• ....................................' S e7 O,`) e--- x ----•-----------------......................... V ....---•------•------•--------------•---....---...--------------------•-----------_..., W -----------------------------------------------•- ------------------------------------------------------------------------------------•--------------------•-------------.............................. V Nature of Repairs or Alterations—Answer when applicable................................................................. ..:::....................... ----------------------------•-------------•--------•----•-------------....----------.........---••------•------------------------=------------------------------------.....=----------.....-•--•-•---- Agreement: The undersigned agrees to install the aforedescribed Individual S ge Disposal System in accordance with the provisions of TITL% 5 of the State Sanitary Cod, The undersig i f ther agrees not to place the system in operation u oofCo ^ ce has been issued Oiy , e b/ar f Signed.A...1.._ _ .......>...... . .... .. .............................. ......................... Application Approved By-------1 V -•----- --- . .. . .. ....................... .............................. Application-Application•Disapproved for the followi easons:.................. .....................................................................Da t e .............. ---•........................••-----••-----•-•-----•--------------•-----•--•----------........--------•--------------------------------------•--------------------------•-----------------------••---•--- Date Permit NO,&` 1 Z ----------•------------- Issued........................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T.�Q..� OF.......T�. :c�1/.� j-')13 LZET (9rdifirate of Tuntplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( J)or Repaired ( ) by }•..C ?r —I:,-Z. C� J-\ %......--••.......................•----•---.......---------..................-•---------........---•------------....--- Installer y at ------------------------------------------------------------------------ has been installed in accordance with the provisions of TIC jj5 of The State Sanitary Co as as described.in the application for Disposal Works Construction Permit No �-._-.-_!_"Y.._..._._. da.ted---------1(- Z-5 �� ------------ -- ---- THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......... ......—..... Inspector__.... - ----------------------- �^� ) / 3 THE COMMONWEALTH OF MASSACHUSETTS __ BOARD OF HEALTH (, (�6 F. . ..::�f? ........... —7 dU No.... FEE-------------`-....------ Dispoal Workii Toni#rndion nutit Permission is hereby granted.....Z-_�............--Cr ..✓--....---------------•........--------....... .._••••-••---_.. to Construct ( � )�or,Rep ( ) an Individual Sewage Disposal System at No......1 a -----`: � �!- f- i C I r t'i/ -------•---------•-----------•-----•-•-------------------------------.-------- ---_--------------------------------------------------......-----•--------•-•--•-- Street ' 4 2 57—� as shown on the application for Disposal Works Construction Permit . o ___________________ Dated-___'1!____._.._._._......... ........ 1 --------------....... -- ------- Bo rd of Health DATE.. �- -----•----� . .).':��.92�0..... FORM 1255 A. M. SULKIN, INC., BOSTON � rµ TOWN OF BARNSTABLE V LOCATION I , o P : , FA W . SEWAGE # 7 �6 3 VILLAGE ASSESSOR'S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITYAtype) R,t-\t , (size) C� '-NO. O. OF BEDROOMS_ -2,� _PRIVATE WELL OR 4qjj .IC WAT BUILDER OR OWNER DATE PERMIT ISSUED: 0 DATE COMPLIANCE ISSUED: '7 - 1 7 - 9 7 VARIANCE GRANTED: Yes No Fco�,� \ l S °� FRs............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH . ... ......OF.....13 /Zn� Ts�3.t'�L ....................... ........................................ Appliratiou for Disposal Works Tonstrurtinra Frrutit Application is hereby made for a Permit to Construct ( iT'_or Repair ( ) an Individual Sewage Disposal System at: .... v T C3 �'� lI Y v A CC L�t r �� I I e l� a.......................................................... - Location AddreAa or Lot No. _2€A G T , ............................. .....................1... t¢."e.of•,n s--- O er Address a I ......�..�. X;�- ----------------------------------- --------------- ]- . '✓.t� �._.................................. Installer Address Type of Building Size Lot_. 'V#..3 0...Sq. feet Dwelling—No. of Bedrooms........................................Expansion Attic 4—,�' Garbage Grinder-F—j Other—Type of Building RS'�� -_�l.F"^�No. of persons......8................. Showers ---) — Cafeteria Q'' Other fixtures ____________________________ _ w Design Flow......................4574_........_.._gallons per person per day. Total daily flow------ _ a.................g 1lon. . WSeptic Tank—Liquid capacity/sS p�O.gallons Length.. ._:4.__ Width-_- Diameter................ Depth.s"..8... x Disposal Trench—No. .................... Width.....o............... Total Length............#........ Total leaching area....................sq. ft. Seepage Pit No---------?-------- Diameter.....%.-------- Depth below inlet......�............ Total leaching area...4. Z_sq. ft. Z Other Distribution box (Y"), Dosing taekl—I C C',f' ` V 9 L 0 k',0 '~ Percolation Test Results Performed by....D..oW^V......��. .................... Date..... _®� _G_ ,� f,�, Test Pit No. 1...... 4...minutes per mch Depth of Test Pit----�__Z_....... Depth to ground water.___..!_2_____....__. (s, Test Pit No. 2......!�`-..minutes per inch Depth of Test Pit----Lv_.`..... Depth to ground wate r.a 14-.. x . ------------------------------------------- ------ ------------ -----..._ ;..P._ -...4�. O Description of Soil.............. --e 4--- .1 .e `s ej.4...--w, `S t� e >�.... w --------------------- ------------------------ s----/ _....-••---•----------------------------------------•-------------------•----------.......... -------------------- VNature 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 TIT 5 of he e Sanitary Cod —T e dersigned further agrees not to place the system in operation until a CertLE mpliance has been s e d of health. J Signed.... a. . -- ................................................ / ...D.e!�'' Da ApplicationAp roved By..... ---------- ---------- --- ---• ------------------•----•--- ------------........ .�-.. Date Application Disapproved for the f ollowin easons----------------•------------•-------•---------------------------------------------------------------------.._... -•--•--•--•----------------------------------------•-----..........---...---•--•-•--------....----------•---•-.._...........--------._..._...---•-•----------------------------.... -----.......•. Date PermitNo.............................................=........... Issued....................................................... Date ( I J v No. .^..�.------ 6 Fus............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Z ppliratinn for Disposal. Works Ton,strnrtiun Frrutit Application is hereby made for a Permit to Construct (tom)or Repair ( ) an Individual Sewage Disposal System at: ..........................................•--...........------•-•---.............------........... ......--------------..............._.........------.........-•---•------------...........---...--- Location-Address_ 00,� or Lot No. ..... __ .................................................... ..........-----------.......----.............................---...........................-- Owner r r. Add res ....../ /...... - ----------------------------------- ............... ...VJ 1(f-------------------------------------- � Installer Address Q Type of Building Size Lot_...: ...... .. O Sq. feet Dwelling—No. of Bedrooms..............................•.._...__.._..Expansion Attic Garbage Grinder a Other—Type of Building !_y_.............. ...._`'._.!.'...._�No. of persons.....�.................. Showers-{--�) — Cafeteria (�") Otherfixtures ------- ------------------------------------------------------------------------------------------------------•---------.--••••------------- W Design Flow.................... .. ............gallons per person per day. Total daily flow__._........._......``..�.................gallons. WSeptic Tank—Liquid capacity'_-'2.gallons Length..Le....,'.'. Width__4............. Diameter Diameter................ Depth.A.... _.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No............`.._._.... Diameter.....v'-.___-____ Depth below inlet_....`'-_.......... Total leaching area.-.PJ�..sq. ft. Z Other Distribution box (V,)' Dosing tank C—) C C r' _ G 3 L Gr P_D '-' Percolation Test Results Performed by._ Q t?.-'_'�..._..C'_.�:.?..� . �/e/ � G Date. :• -- ---- --------------- aa Test Pit No. I..... .��....minutes per inch Depth of Test Pit---- _ _ ..____ Depth to ground water....!.____. ---------- CL, Test Pit No. 2....... !'_..minutes per inch Depth of Test Pit.....G..___•... Depth to ground water..___!......... '¢"_.. O Description of Soil.............r_2 ' s--- -----------------•••-• . . ---.�!---•-•......•••....v...f_ --•••- 1 7— `V ....................... ••••--..........•--•--•....._.----- ` ..............................................--------•---------....--•--------..-----•--------------------•---•----------•----------- W -----------------------------------------------•--------------------------------------•-•---------------------------------------------•-------------------•-----------------------••......----......... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --•-----•------------•------°----------------------•----•------•--••----------------....--•---...............-•----------------------------------------------.......................................... Agreement: The undersigned agrees to install the aforedescribed Iidual Sewage Disposal System in accordance with the provisions of TITIE 5 of�the to Sanitary Cod —Thersigned further agrees not to place the system in operation until a Certifa �- ompliance has been fis 0/eb d of health. Signed . �z-- .. ,}. Application AP Proved BY . --•----.-.-.-<< "� $ b Date Application Disapproved for the following asons:.............................................................................................................. ' --------------------------•--•-------......--•-----------°--•------------....--------------•---------•----•••-••••••---•••---•--•-•••-••••••-•-•-••-------••••---••••--•••-----•-••------•--•......----- Date Permit No............I� 1 2 1p c................ Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T �v-.i /7 7 iZ �./ . T-'3 �- . ................................O F............:.:'......................�...'..................................... (Irrtifir" air of ToutpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( r Repaired ( ) by `!`_..!.:...........................•�--="='-"-'-=== '---j-----=-�...f---.....``-:-'.R..................................................... _ Installer .............% --•----•-------•--------•----------------•--------------•-----------...-•-••---••---•----•--••-••--•-•••---•--•--•--•-•--••••-•--•--•---•----------•-......-•---- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for-Disposal Works Construction Permit No... ------ dated---------- __ 1-------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................... ..-----•- ----............................... Inspector....... � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................v...O F.... i Z s / ,�13 /- ��--- No.•--.. �..e..}. b ...........................•--•-----.......-•-•••...................... FEE2,..`.. Disposal Works %TaIntr uan rruti# .� Permission is eby granted �-------- ------�--�- �--�-- •--G• �`,---•---- �'S. T.......------------........ �= to Construct ( v) or,Repair ( } an Individual Sewrage Disposal System atNo............................. ✓=-�f �=.....:...............................................................---------------------------------------- Street as shown on the application for Disposal Works Construction P rmit No.. •- •.......................... l _ t--- Board of Health / DATE.....�- .....................C. .��..dto............... FORM 1255 A. M. SULKIN, INC., BOSTON BENCH MARK rzr-- ,grz. � c. � 7-- 0Vs " TEST HOLE RESULTS DATE : WITNESSED BY 7 E.4N A� a�, �•H. .�:.� .�L�C1 NO V Ct hr- ,. E L f'.'1r �"L r✓, -- � a TEST HOLE � i �.S o TEST HOLE�`i4� t z3. v 7"o P yam' .2 4r s UZI sole- 3 ,� ��� S •4 N 1? C L AFAN S � ,, 7-0 Aj r �.� Y _� -_� 5 A wn � 2 2 ,-� j..,m_-,�•._..-- � 1 \ . -- 16, 771 O _._,.'_-..fig-!*' ..?��o� / � �sarr��-,�•---�---__...�� �, �' ,,' ---- M, ,� ,,� .o�, / ''' W3l-.^ Lswcw , t�4 - 2 © IVOGROUND WATER WO GROUND WATER P ir 1 L. car 12 �_ � _ ti.w�• fir. . ENCOUNTERED ENCOUNTEIRED Z EL t26.0 ELEV. T MANHOLES AND COVER TO BE BUILT TO OP OF �1 ,, '•+� Z !41THIN 12" OF FINISHED RA FOUNDATION S EO GRADE _ o--� ��` �1 i : , �6 3�-FINISHED Gi O GRADE MIN. 2 /o SLOPE s , 4 4 IA - _ D --- _ : ✓C T` PIPE _.. MAN PIPE FIR �_ � 4 DIA P S2Ea- P --- Nam+„r. :. . MIN.PITCH FT. 2 LEVMIN. 2 „LAYERt OF --fir- , . ..I EAS71'ONE `""• ,.. MIN. PITCH 1•K • • �2 � 1 2 2,o .•.; F T. L! I /,• � • r ern 8 1 ytL. INVERT .. INVERT su�lw INVERT 0 �---- f 2 .2S GALLON .N 2 a.O DIST O N m ; TIC TANK , FOOTING TO BE PLACED - - -� INVERT t �9.0 ® 3.`�U e m..,• �a �2 DIA. I - --,. INVERT . WASHED STONE ON AMINIMUM GF to OF :. PLACE ON r •�� � ;.. . ► p� AR an YIRGIN <le vlE ,�JR_ ., OM . AC � ED : PS SE ---„ o . �_ ,: , - 2 FIRM SBArw SAND �. IO� MIN. -�' / '� � rrixc®•, BOTTOM ATE EW. /tSS a ... �-�r9C}f -� GARBAGE ` ( 2'0. MI N.) 41�`--- 7 �i2 �r GRINDER I4' ELEV. /Q7. 6' PROF I LE OF GROUND WATER TABLE z3-wd-1=v✓ G SANITARY DISPOSAL SYSTEM /r ( NOT TO SCALE ) DESIGN DATA • CONSTRUC ION OF SANITARY3 T DISPOSAL BEDROOMS ' SYSTEM SHALL CONFORM TO THE MASS. 3 - 30 ' ` DESIGN FLOW GAL/DAY ENVI RON M E N- TA L CODE TITLE r (REVISED, 7- 1-77 ) AND THE TOWN LEACH RATE S 2 MIN./INChI HEALTH DEPARTMENT REG U LAT'. ! ON S REQUIRED LEACHING CAPACITY : 330 - • SEPTIC TANK„ DISTRIBUTION BOX AND LEACH- PROPOSED S34 GAVDAY ING UNIT TO -BEL OF REINFORCED CON CR•ETE : 2. s(s,STr�4) t t! v 1r'C��Z MIN. -CONCRETE STRENGTH = 3000PS.1. REQUIRED SEPTIC TANK /000 GAL. MIN. STEEL STRENGTH • 20,000 P. S. I. MIN. DESIGN LOADING : H-/o Sr'prJfC rQ,�k- 20 N PROPOSED SEPTIC TANK : /o©oGAL. • DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM UNLESS H2O DESIGN LOADING IS USED • ALL PIPES AND FITTINGS TO BE WATERTIGH T AND TO BE OF CAST IRON OR APPROVED` ' PV.C. HEALTH AGENT APPROVAL DATE SITE PLAN SHOWING PROPOSED CONSTRUCTION ZONING DATA LEG END LOCATION : w - BARNSTABLE tC � �-�-��.�r��..c � /y Zs . • Y w rt� zvw� A FOR - L. ESEL-- SOLLOWS DEV. CORP. z o N E OPEN S PA�.r i n� DATE : `� 8 2 TEST HOLE LOCATION '� REFERENCE . LOT 67 AS SHOWN ON REVISIONS : REQUIRED AREA - ,_„ 4m5Go) 1aggo' . EXISTING SPOT ELEVATION 17.6 ����HOF � c REQUIRED FRONTAGE : U3'o�, 37,5' EXISTING CONTOUR — 16 ��� SHAIG yG _PLAN BOOK 4 20 PAGE JQo REQUIRED FRONT SETBACK . Zd � !S S PROPOSED CONTOUR 16 ,� SCALE - p zGG REQUIRED SIDE SETBACK : � ) 7 � PROPOSED WATER SERVICE ----W--- ,�FSEcIsTfR°��. �, /Z_ .7cd� / S�ONAL E� REQUIRED REAR SETBACK : C�`�� 9,5 PROPOSED ,,GAS SERVICE ---G--- - PROPOSED ELEC. & TELE E e T /y/�� CRAILG R . , SHOR , P. E . i PROFESSIONAL CIVIL ENGINEER BUt L D i NG INSPECTOR APPROVAL DATE 131 COLD _ ROUTE 132 , H Y A N N Is . MA. 02601 FILE No. /- 612 ( TELE. (617 ) 362 - 9411 ) SHEET / OF / Ci ,,: :, 1 BENCH MARK : TEST HOLE RESULTS p # DATE : c P s 0 3 ! W I T N E S S E D ' BY C tom' F A/ J3 CD.H., o TEST HOLE% cL /22 a TEST HOLE 2 �-4 120, S U43 501,L FL 1 20 4" s vC3 ' ' S AIV n S 7 CA1AEF- t 144 EL1Q8.S � /S�GROUND WATER OGROUND WATIER ENCOUNTERED ENCOUNTERED 'MANHOLES AND COVER TO BE BUILT TO �:- r :� Z ELEV, TOP OF " R11 /%s �" {� ,5,1" WITHIN 12 OF FINISHED GRADE t•V' !' o� rN�, -'` ,,�; ; FOUNDATION MIN. 2 /o SLOPE 87 3 .�-''' I 5► : . � N I S H E 0 GRADE v ,/t' t�-,"�— �2 � q� DIA. - _ r - 4�� DIA. PIPE FIRS 2�MI --- �E y - --- --- MIN. 2' LAYER OF O P i P E .. N+�v - V LEVE • N fN ���.- ..., � M PEASTOINE I N.PITCH FT. i dy„ MIN. PITCH 14- 17 • •,'�K o 1"4- 1 1 7 l q v0 g..• i�q/FT INVERT s".tug INVERT N' p •, +r , i - - INVERT GALLONe j I to 2 .�� . c �' ��. �".�-` 1 2•o.DO 1. - l D I S T, a®_ .� I D I A. ., .=. s-EPTiC TANK :.. //g,S ' '. � � � v � � �4 2 FOOTING TO' BE PLACED - 5 :.!• INVERT INVERT BOX- PLACED - W • ' WASHED STONE e '-Z 8". - INVERT i © " A MINIMUM OF 1 OF OH ,,. � ' _ ON A , PLA C"E � ,ALL AROUND _.n '( �� ~;` -.. __ ��`" V I R G I N 0 R ,C 0 M-PA C T E D ! --;+-� f I R MI e A S E �._.. 12 �— 7 y p,; "" SAND,a •'� rr,�+ .,�L •.. 10 MIN.) BOTTOM AT ELEV. Ir2 .S .. �.� +; - • GARBAGE ( 2 O' MI N.) ° � -. -�'.- - `s '� v �►=1a- GRINDER 4" D I A, PERFORATED R F 0 R A T E D , ..._-- j3 ® T• 4 � T, tivcE' EL EV. --- - DRAIN PIPE WITH 3/4 ---- Z3 EN c l-l M f�i2 J� •P P R 0 IF I L E O FGROUND WATER TABLE ZI A-4 Q v-w` 1- aT � TO I V2 DI A. STONE �/- �- �� . Q SANITA.R 'Y DISPOSAL SYSTEM :. SCALE�. 07- 8 ( NOT To DESIGN DATA • CONSTRUCTION OF SANITARY DISPOSAL 3 BEDROOMS SYSTEM SHALL. CONFORM TO THE MASS. DESIGN FLOW 33f7 GAL./DAY ENVIRONMENTAL CODE TITLE SL (REVISED 7- 1-77 ) AND THE TOWN LEACH RATE 3 MIN./INCH REQUIRED UIRED LEACHING CAPACITY : 330 HEALTH DEPARTMENT REGULATIONS TR BUTION BOX AND LEACH- PROPOSED S`�G GA DAY N, • INGTI UNIT N TO DISTRIBUTION OF REINFORCED CONCRETE , r � ' MIN. CONCRETE STRENGTH 3000PS.1. RE UIRED SEPTIC TANK /000 GAL. � MIN. STEEL STRENGTH • 20,000 PS. I. 33o xisa�o _ �Jp �--F_•- �'a CNT1r'� 'f' 1'�, MIN. DESIGIN LOADING : PROPOSED SEPTIC TANK /0© GAL. �Lca • iso �� D �'siG. w �.vGi�/ ElZ • DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM y BE' UNLESS H20 DESIGN LOADING IS USED o4t�' niv 7.-, • ALL PIPES AND FITTINGS TO BE WATERTIGHT sPlFc -r E".X, C.• AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL DATE SITE PLAN SHOWING PROPOSED Z O N I N G DATA LEGEND LOCATION B A R N S T A B L E (C a to ►-�/,//e /1 /�}' FOR : LESEL— SOLLOWS DEV. CORP. DATE : e e(v ZONE OPWIV SPACAr in/ TZAr ZONE 2S� TEST HOLE LOCATION REFERENCE LOT a4 AS SHOWN ON REVISIONS : REQUIRED AREA " 43,SGo) ♦o,89d�• EXISTING SPOT ELEVATION 17.6 s Q - PLAN BOOK q20 PAGE / (: REQUIRED FRONTAGE -_ ._ C/SGZ 37.5 EXISTING CONTOUR 16 "�� CRAIG + s SHORT G. REQUIRED FRONT SETBACK �O 7.5 PROPOSED CONTOUR 16 SCALE : (1S� 7-f PROPOSED WATER SERVICE —W---- as3 REQUIRED SIDE SETBACK : (/,r 2S ' PROPOSED GAS SERVICE G sioNAtE� REQUIRED . REAR SETBACK : S PROPOSED ELEC. 8 TELE E S T C RAI G R . SHORT , P. E . PROFESSIONAL CIVIL ENGINEER LBUILDING INSPECTOR APPROVAL DATE I3'I OLD . ROUTE 132 , HYANN is . MA. 02601 FiLENO. /-�,�J ( TELE. (617 ) 362 - 9411 ) SHEET /` OF / I BENCH MARK TEST HOLE RESULTS P# T" A/ DA T E : !3Z s C - pf2 a .T. ' i 3S'1 > WITNESSED BY M � TEST HOLE = TEST HOLE 2 r S ram'✓•^.t S Hra/t� w / T"t4 5T hJ •J147- t f WoGROUND WATER `✓ GROUND WATER ENCOUNTERED ENCOUNTERED r pa ") i MANHOLES AND COVER TO BE BUILT TO ., ri `• Z TO P OP OF a ` / FOUNDATION WITHIN 12 OF FINISHED GRADE f 17 FINISHED GRADE MIN. 2 Ja SLOPE DIA. - -- -- 4" DIA. PIPE FIRS 2'M1� �� - ►9 Pl P E — ?^ ^;;, MIN . PITCH I 2` LEVE - MIN , 2 SLAYER OF F T T. •.--�r r IIIg-•.�2 P E A S T O N E M I N. PITCH /r`M �a� II sp / a; anasr_ I f!�.�o '•� \ ` �1 4 FT.1. lS � N+,v tiQ 75 J1c,3 Z't INVERT & . GALLON INVERT � INVERT crnv '• . ` .`' "/1 ; f E P T I C TANK INVERT t i 30 C 3 v `� Y4 �2 ,,�, ., FOOTING TO BE PLACED INVERT - BOX INVERT © 3i w v ©' WASHED STONE a. ON A MINIMUM OF 18" OF ® ''' ALL AROUND �- PLACE ON . - •. � °C � �'% VIRGIN 0R COMPACTED � f " i FIRa BASE to a- `, Ep c� - "'a'� .o BOTTOM AT ELEV. / 70 SAND �� 10 M I N. A". f t ten, _- ms VO GARBAGE ( 2 O' MI N.) 2 x Z � . 271' GRINDER 7 , - 4" DIA. PERFORATED T . C3©7: or-- T: t.10L ELEV. /oc)-oo DRAIN PIPE WITH 3/4" . i -f-1Q v - ? TO I V2 "DIA . STONE PR O F I L E OF GROUND WATER TABLE ;3 4574 o ^' - 07-- s SANITARY DISPOSAL SYSTE M %.� �3 5_~rf .wV - C AI'7�r'` C 7— SNOT To SCALE ) DESIGN DATA t /,4EE r(k 0 CONSTRUCTION OF SANITARY DISPOSAL 4 BEDROOMS �,c , � a3iF SYSTEM SHALL CONFORM TO THE MASS. DESIGN FLOW 4 42 GAL./IDAY , - . ENVIRONMENTAL CODE TITLE St . LEACH RATE MIN.f I N C H (REVISED 7- 1-77 ) AND THE TOWN i 5 HEALTH DEPARTMENT REGULATIONS REQUIRED LEACHING CAPACITY ' a SEPTIC TANK, DISTRIBUTION BOX AND LEACH- PROPOSED GAL/DAY - I N G UNIT TO BE OF REINFORCED CONCRETE : MIN . CONCRETE STRENGTH 3000PS.1. GAL�-� .- - � REQUIRED SEPTIC TANK : /2Sv `a .t '�'� �``' '` ` '' MIN. STEEL STRENGTH 20, 000 PS. I. 4T0W7" f MIN. DESIGN LOADING H10 : PROPOSED SEPTIC TANK : IS00GAL. • DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM UNLESS H2O DESIGN LOADING IS USED > "' 0 ALL PIPES AND FITTINGS TO BE WATERTIGHT AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL DATE SITE PLAN SHOWING PROPOSED CONSTRUCTION ZONING DATA LEG EN D LOCATION : BARNSTABLE FOR : LEBEL- SDLL4W5 DEV. CORP. DATE : ZON E � c'�f'�i� $P�c'�'!^� ��` Z ONE 2S� TEST HOLE LOCATION �REQUIRED AREA �,�-- REFERENCE LOT AS SHOWN ON REVISIONS �43�SGa� ♦0990"- EXISTING SPOT ELEVATION 17.fi oF FLAN BOOK 420 PAGE > 0 1-- REQUIRED FRONTAGE ( y`0) 137S EXISTING CONTOUR -- I6 0�' CRAIG y SHORT Gn REQUIRED FRONT SETBACK : PROPOSED CONTOUR SCALE • REQUIRED SIDE SETBACK : �is) 7.S' PROPOSED WATER SERVICE WS�ER�° ��� REQUIRED REAR SETBACK ' 7s ' PROPOSED GAS SERVICE G %ALE�'�'`� ,. PROPOSED ELEC. a TELE E S T R A I L R . SHORT , P E CE . PROFESSIONAL CIVIL E N G I N E E R BUILDING INSPECTOR APPROVAL DATE 131 OLD ROUTE 132 , HYANN IS , MA, 02601 FILE NO. I- fo ( TELE . (617 ) 362 - 9411 ) SHEET OF