Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0032 FLEETWOOD PATH - Health
' t r [32 Fleetwood Path - Marstons Mills A= 046-0089 TOWN OF BARNSTABLE LOCATION j?�d'P,t.� / SEWAGE# S—07D 4VILLAGE��L� jt,,tJ� fj J,S ASSESSOR'S MAP&PARCEL<0q(0 inn INSTALLER'S NAME&PHONE NO. S [ _ SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) j Lp- NO.OF BEDROOMS OWNER CC6(�/�L V PERMIT DATE: COMPLIANCE DATE: �l '�`f J S' Separation Distance Between the: 1 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility I _Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 0") � f 2,& , 432 oaf c� P R SAC Y- a 1 2Z 1� e- 2 ' 33 �ecic Lj y 'Boor— 3G D - 31 ®v� ` . 7y 21 ")lf -//o / �/� ' '" Fee 7/00 No. / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: E- Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS '4plicatiou for Disposal i�pstrm Construction Permit Application for a Permit to Construct( ) Repair(111"U"pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C 0A F.le e4-� Owner's Name,Address,and Tel.No. Mc-r.vo—S Ak Assessor's Map/Parcel o il G - p ei C �✓r� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. A 53(e_ory zric Type of wilding: Dwelling No.of Bedrooms ?j Lot Size a(2,91/0 sq.ft. Garbage Grinder( ) Other Type of Building t t°S>c r,-,3 c co No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3?2 r) gpd Design flow provided 3-5 J, gpd Plan Date 1 - 2"7-/S Number of sheets - Revision Date Title Size of Septic Tank nctg f n4 Type of S.A.S. ����J 16 'X AO f Description of Soil Nature of Repairs or Alterations(Answer when applicable) ,J. I Gc. 1 G Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. e � Date Application Approved by Date Z / Application Disapproved Date for the following reasons Permit No. 0 9V Date Issued VuLau S No. t Fee �V / t `? THE COMMONWEALTH OF>.MASSACHUSETTS Entered in compute�v -PUBB'LIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes; 4plication for Disposal Api tt Construction 3pPrmit Application for a Permit to Construct( ) Repair( grade( ) Abandon( ) El Complete System El Individual Components Location Address or Lot No. �,A V-Jr,P+k Owner's Name;Address,and Tel.No. - Muvsvo-5 A.0V, Assessor's Map/Parcel C)q C9 - p�9 ✓��- Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. A 7/SN Type of uilding: Dwelling No.of Bedrooms Lot Size aQ,14/0 sq.ft. Garbage Grinder( ) Other Type of Building (pg�C�t�V�wr�, No.of Persons Showers( ) Cafeteria G ) Other Fixtures Design Flow(min.required) ?2r7 gpd Design flow provided -3 3 gpd Plan Date- t - 2 -7-/ S Number of sheets 2- Revision Date Title Size of Septic Tank e4 Type of S.A.S. rj,,id /( ')K 1 E� - el Description of Soil ' Nature of Repairs or Alterations(Answer when applicable) 1 ,.fi g E G�� Gc �UX li.Jf� 1 G Y aE3 Fi r- / Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. e �� Date Application Approved by Date Application Disapproved Date M for the following reasons Permit No. 2Dl, , 0 9 o Date Issued w 3L;jt 5' --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Ceftificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( k<,Upgraded( ) �/ Abandoned( )by ; l a� -2 ,J at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.al,5- 690 dated 3 Llrzv 4 Installer �� 1 ,,,,j 7-A is Designer t #bedrooms Approved design flow//�� 3 C7 gpd The issuance f thtill, perm it shall not be construed as a guarantee that the system wil font'okas designed. Date f Inspector it ---- --- Q- ---� ---------------------------------------------- ------------------------------------Fee (�r� -----=------------- No. l THE COMMONWEALTH OF MASSACHUSETTS �— PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Vsposat 6pstem - onstrUction 3pPfmit Permission is hereby granted to Construct( ) Repair( Lj Upgrade( ) Abandon( ) System located at 2 -Dt fQ ad 15 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. Provided:Construc ion must be completed within three years of the date of this permit. ,----- Date l 3 ZQ 1 Approved by Town of Barnstable Regulatory Services Richard V. Scali, Interim Director HARN 3 9 ��� Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, KA 02601 O_ 'be: 5 8-862-4644 Fax: 508-790-6304 Installer & Designer Certification Fot m D te: I1" 11 5 :Sewage I'eimit' a41 -D10 Assessor's i arcel• De Installer. T! Addres 1 �' � � C°�rss; �Q(c.� Address: on �. was issued a permit to install a d te) (installer) � � � based on a designdrawn b se�tic�}stem at 3 Y (address) ct W�NL�> �t dated Z7 (designer) I. I certify that the septic system referenced above was installed substantially according to he design, which may include minor approved changes such as lateral relocation of the istribution bob and/or septic tank. Strip out (if required) was inspected and the soils ere found satisfactory. I i certify that the septic., system referenced above ryas installed with major changes (i.e. greater than l 0'1 lateral ;relocation of.the SAS or any verti cal relocation of'any component f the septic system) but.in accordance.with State & Local Regulations. PI_au revision-or ertified as-built by designer to,follow. Strip out(if required) was inspected.and the sails. are found satisfactory, certify that the system referenced above was construe `� Ys with the terms of he 11A approval,letters (if applicable) PC 1. R T. fir? " PicEN LE ` CIVIL n . No 35149 ro I rh `, sta er s Signa e) �'� 1A esigner's Signature) (Affix Designers Stamp Here) i LIC FlEALT14 DIVISION. CERTIFICATE i EA E RETURN TO BARN�TABLE B'CTB Off' C 1'�I'LIA�ICE wILL NOT BE YSSITED TTNTIL BATH TIES FOItl'VI AND AS- 5 CARD ARE RECEIVED BY TBE BARINSTABLE PUBLIC REALT33 DMSION. TK YOU �7'1Seotie-esigner,Ce' 'f, t''n Form Rev 8-14 13.doe 4 Town of Barnstable Department of Regulatory Services s STABS _ Public Health Division Hate 200 Main Street,H annis MA 02601 rX �ArED fM't A ati Date Scheduled Time * �� er 11.n =` ee Pd, M Soil nSnuitability Asss�essment fog Se e Dzs os f � - Witnessed By: LOCATION & GENERAL INFORMATION Locatipn Address 3Z �l ® Owner's Name U)pA .s 011-11( �f1/a3ddressz Assessor's Map/Parcel: `i $9 Engineer's Name Name t1 �A 0Z63 , NEW CONSTRUCTION REPAIR _ #Telephone Tele P Land Use 90 Slopes/ P ( ) Surface Stones Distances from: Open Water Body �l A ft Possible Wet Area ft Drinking Water Well / ft Drainage Way i v/ ft Property Line ?� y/ ft Other ft SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands�n proximity to holes) C CO-. - j— - 0 �o�C J5 Parent material(geologic) Depth to Bedrock,— Depth to Groundwater Standing Water in Hole; .3 Z A 20 tWeeping from PI Fpce, Estimated Seasonal High Groundwater ZO ��� �Mdv-1 1 nS DETERMINATION FOR SEASONAL NIGH WATER TABLE Method Used; Depth Observed standing in obs.hole; In, Depth to soil mottles: Depth to weeping from side of obs,hole: in, Groundwater Adjustment ..� ..e�_fr Index Well# Reading Date: Index Well levol � AdJ,factor Adj,Oroundwater level ,e Observation PERCOLATION TEST buts v�,.�, Time_ �}�7 Z Hole# J(T J /U Time at h" Depth of Perc � � 6` 1 Time at 6" Start Pre-soak Time @ _ rt yJ Tim(9".6") ^_ End Pre-soak Rate Min/Inch. Site Suitability Assessment: Site Passed t Site Failed: Additional Testing Needed(YIN)_ Original; Public Health Division Observation Hole Data To Be Completed on Back---- ------ ***If percolation test is to be conducted within 100' of wetland, you must first notify the: Barnstable Conservation Division at least one (1) week prior to beginning. Q;\SEPTICIPBRCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) ,(Munsell) Mottling (Structure,Stones;Boulders, consistengy. r 6 -t3 ru- Cj qz-- M-c 5wj DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture !Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, y t sistencv.%Gravel) �Z 5 i✓ �O � l 1 Ld a-s Co b0 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in,) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, n ve DEEP OBSERVATION HOLE LOG. SAHole#il Other Depth frorn Soil Horizon Soil Texture Soil Color Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, C ns' en Flood Insurance Rate Map; Above 500 year flood boundary No-- Yes Within 500 year boundary NoXI-1 Yes Within t00 year flood boundary No L. Yes , e Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervioumaterial exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? .Certlfication I certify that on t (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 10 CMR 15.017. � -' Date Signature Q:\SEplrlCVERCPORM.DOC I Iru .. •" :`.• ..K:. I —a cr I ,-1 Ln ca Postage $ti0260, Certified Fee 0 Postmark p Return Receipt Fee H e p (Endorsement Required) r F , 0 Restricted Delivery Fee �� 0 (Endorsement Required) � p Total Postage&Fees r9l or Robert G Levine Tr I-E� P I r` aula J Clark Trusr'c .__________________�__ 35 Lake Drive Centerville, MA 02632 Certified Mail Provides: a A mailing receipt n A unique identifier for youemailpiece, , n A record of delivery kept by the Postal Service for two years Important Reminders: a. Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. o Certified Mail is not available for any class of international mail. ` o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duped to return receipt,a USPSe postmark on your Certified Mail receipt is • For an additional.fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the .endorsement"Restricted Delivery': a If a postmark on the Certified Mail receipt is desired,please present the arti- cl'e at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. -- IMPORTANT:Save this receipt and present it when making an inquiry.. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9G47 N ER:COMPLETE THIS-,S . DELIVER ■ Complete items 1,2,and 3.Also complete A.IS r item 4 if Restricted.Delivery is desired. X ❑Agent ® Print your name and address on the reverse 0 Addressee so that we can return the card to you. Rec ived by( Nam) C. D to of D livery ® Attach this card to:the back of the mailpiece, 6' 1 or on the front.if space permits. 1 D. Is delivery address different.from item ? s 1, Article Addressetl.to If YES,enter delivery address below: ❑No Robert G Levine Tr Pauia J Clark Trusrz 35 Lake Drive 3. Service Type Centerville, MA 02632 Certified Mail ❑Express Mail ! ❑:Registered ❑Return Receipt for Merchandise.i ❑Insured Mail ❑C:O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number f (transfer from service labeo 11117 01`21 11010 0 d0 0 12 8 S 1 3962 pS Form 3811_February 200a Domestic Return Receipt 102595-02-M-154o i i, UNITED STATES Ib`S�fL' �FVC�E First-Class Mail R""il.0218 Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • I A Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 i i Barnstable IHE --Town of Barnstable Regulatory Services Department j * B/4RA3CABI.E, ' 1639� Public Health Division 9 b1$� n m Fp"` 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scalli,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 3962 December 4, 2014 Robert G TR Paula J Clark Trust 35 Lake Drive Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 32 Fleetwood Path, Marstons Mills, MA was last inspected on October 23,2014,by Douglas A Brown, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to overloaded or clogged SAS You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. I PER ORDER OF T BOARD OF HEALTH mas McKean, R. ., 0 Agent of the Board of Health i CERTIFIED MAIL 47006 2150 0002 1041 7552 QASEPTIC\Letters Septic Inspection Failures or Future Evll32 fleetwood Path,mm nOV 2014.doc ni �0 ro aI ips.;�reor ht:fnS:cbIE:EELS c•q; - _ __�I1 �X! a; i:e Sea:ch 1p ' frwl FCe Ed,L lnn Favorites Too's Help r' cZ ra orites B/band Records?ubli-w:M •+•• -Search � Sal`e < redlDUs oon n oonl u oae a oae Ig ty• Tools .ey kt •'� I, 1 u7 at' N+ t 'i s', 1 ^'' fIRSSACNUSETTS STATE EXCISE TAX CC7.l' I•_ BARNSTABLE CUUNT'!EXCISE TAX BARNSTABLE LAND COURT REGISTRY onnum: BARNSTABLE LAND COURT REGISTRY Date: 11-26-2014 D 11.36an " r • - Pagel pagE2 Ct10: 671 DocL: 1259113 5 .+01r-•+••i. . Date: 11-26-2014 a 11%36aa Ct1C: 651 Doc: 1259113 Fee: 9706.23 Cons: t206r500.00 Select the next action you want' Fee: $557.55 Cons: $206r500.00 RN4' 1'f I° -!F,y to perform. c•n .I. ,tRdt4i6 rnz P : .<Ob'r`I?k5�f11a When done viewing,click on the DEED �n <Previous button below. j I,ROBERT G.LEVINE,Trustee of the PAUtA J.CLARK TRUST,under an } 9 agreement of Trust dated October 8,2014(the"Trust"),see Trust abstract ..-.II? View to Cart I Pg View l Printl Add to Cart re istered h as Document No. 1,255,787,with an address of 35 Lake ?g 2 ViewlPrintlAdd to Cart g L Drive,Centerville,MA 02632 * <Prerious fdain(Jena For consideration paid of Two Hundred Six Thousand Five Hundred and no/100 Dollars($206,500.00) i© U .S .'�. Grant to CAPE COD HOMES LLC,a Massachusetts limited liability company I N, with an address of 88 Hillside Drive,Centerville,MA 02632 .LT(.......... HUHHHHHUN%.t The land together with the dwelling and other improvements located thereon situated at 32 Fleetwood Path,Barnstable(Marstons Mills),Barnstable r CE .�=' County,Massachusetts and described as follows: UNWNHUNN EC.;.. LOT}1.3 as shown on Land Court Plan No.30751-E(sheet 2). I .11 ::.::YSt: a Said property is conveyed subject to to rights,reservations,easements and restrictions of record. i.111 1 Er.or Do cage,-- L-Iff F F FFIInleme, '� ;p1255: • [/j Start i Ips;aitch IL1 I Health Renal-Health•... I trod records?uhlic SeaL.. 1�i:52 All r a bans;ableceecs.o^� •.1 - -- _. r'' _ � � �❑JJ w BI g' ��I n lL1 I X j a,_ive�e-rdi p We Edit Yw_e: Fa%mlP s Tops Help ` 'Z'•/OfltEs B'LZno Records Public Sear-di ��j- �_J f:�!1- Page- Safety- Tools- j r '••! ti _ < re:,ious loom in LoolnUut Kotate Len Kotate Kight 5.r............ • 6 1, 73 ' ..... Yl '`;, =.y. The land together i `r with the dwelling and other improvements located thereon ........... J situated at 32 Fleetwood Path,Barnstable(Marstons Mills),Barnstable rft'• •• • P,3°1 page County,Massachusetts and described as follows: �,. - �� iii Select the next action you want LO_L31.3 as shown on Land Court Plan No.30751-E(sheet 2). I,, to perform. When done viewing,click on the Said property is conveyed subject to to rights,reservations,easements and <Previous button below. �..`` restrictions of record. $s: All?g view I Printl Add to Cart� View to Cart For title see Certificate of Title No.204646. ?g_VievvlPrintlAdd to Cart 1,the undersigned,ROBERT G.LEVINE,hereby certify that: fyrb <Previous I fvlain Ivienu 1.1 am the sole trustee of the Trust and the Trust is in full force and effect and _:_1 a_ has not been modified or amended; HNNNHUNUs 11. ..... 2.1 have full power and authority to execute,acknowledge and deliver the =l= s. within deed for the consideration stated therein; UNHUNHUN.Li ; %��',� 3.1 have been authorized and directed by all of the beneficiaries of the trust to take the above described action;and NNIN,ap=S 4.All of the beneficiaries of the Trust are natural persons,of full age and :==NIIIII t competent to act. _HUNNU : ________. anal •rror on page '-- - -- F U F F F—F®Internet %- +—�1255': - dj Start I Ips•.vitch 11,1 ( Health Rental-Health-... I Land Records Public Sear... 10:53 AM I -- __ _ . r x ,r o Bf m �;;ps;,ed_h oarnstabieceecs c'4i ' i F1{11 X n _rre search p;J , FO Edit View F avomi s Tods Helo eFavorites Br Lana Re ords Public Search Li - ( Page• Safety• Tools• zyytitt�,x-meµ.: < reaous t0l• • ~ oom n Loom u oae a oae ig mu"I i. t • Executed as a sealed instrument thls�fday of November,2014 .. pale page,2 ' Select the next action you want c to perform. When done viewing,click on the OBERT G.t II , <Previous button below. E TRUSTEES sTs "II Pg View I Print I Add to Cart Pg 1 View I Print]Add to Cart COMMONWEALTH OF MASSACHUSETTS �r Pg 2 View IPrintiAdd to Cart i w Barnstable,ss: gg <Previous Main Menu On this��ay of November,2014,before me,the undersigned notary public,personally W I — — •• appeared Robert G.Levine,Trustee as aforesaid,and proved to me through satisfactory evidence :.�i�'' of identification,which was a driver's license,to be the person whose name is signed on the - :of preceding or attached document,and acknowledged to me that he signed it voluntarily for its :.:::Sr''. stated purpose and made oath that the foregoing statements are true. BERNARD T YJLROy NotaryPu lic .•: •.. �tH :... a t PuUk j��COMNOMMEK O.y.SSACHUSkTTS I "•:£ y\ J}' snyearsaiWonEOl.. My Commission expires: .................... ..i6 amuWxo.xots :.:.:•' LI :. error on page. _ F U�� 7—�Internet ' *�125% f d J Start _I ys•reiteh a-0 I Health Rental-Health•... I Land Records Public Sear... I'60© http;jjissgl2f intranetjpropdataJParcelDetail,aspx?ID=3129 �• jt Live Search Application Center(3) ®Application Center(2) E http--www,town,barnstable,,, E Application Center 95uggested Sites• Web 5lice Gallery• lFavorites ®parcel Detal ell � B1MS7AIiLE —_ •# � MASS,to 'Logged In As: Monday, Novemberi24 i Parcel Detail 2014 Parcel Lookup v Parcel Info Parcel 046 089 Developer LOT 313 ID lotPri Location 132 FLEEIWOOD PATH I Frontage 269 I 5� �- Sec Sec 6 ; ; Road I Frontage VillageNIARSTONS MILLSFire C O NIM a�v Districttscw 1 Totem sewer exits at this address Pla Road Index 0848 A�built Septic Scan: Interactive 046089 P I3 a'a . Owner Info Owner ICLARK,DENNIS A&PAULA J I Co-owner J%LEVINE,ROBERT G TR I � Streets JPAULA J CLARK TRUST Street2 35 LAKE DRIVE r City FCENTERVILLE I State MA Zip 02632 Country Land Info ;j Acres 0.46 Use Single Fam MDL-017] Zoning RF Nghbd Acres= 010� lj=F1 Local intranet Q lOD°Ia Start �1 r Parcel Detail-Windows I... y (%% 11:32 AM Computer name : HEALTH899JF User name : flvnni Operatinq System : Windows NT(5.1) f�11� ST % �j�� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 32 FLEETWOOD P Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23_14 every page. City/Town State Zip Code Date of-Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the I� � (05 i computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. D.A.BROWN INC Company Name qQ P.O. BOX 145 Company Address CENTERVILLE MA 02632 'eA°0 Cityrrown State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ®Fails ❑ Needs Further Evaluation by the Local Approving Authority 10-23-14 Inspe ignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner* and copies sent to the buyer, if applicable, and the approving authority. - t ****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 systerrt will,perform in the future under the same or different conditions of use. L t5ins•3/13 Title 5 Official Inspection Form:S su ce Sewage Disposal System•Page 1 of 17 r Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the.failure{criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria=not.evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not- determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments < 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ 0 Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments G M •�'' 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified i laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. I E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ,❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ;❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 32 FLEETWOOD DR Property Address - PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® El approximation in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: + Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: ACCORDING TO AS-BUILT CARD SYSTEM CONSISTS OF A 1000 GALLON TANK D-BOX AND 3 FLOW DIFFUSERS WITH STONE Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: HOUSE VACANT Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , ' 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ` ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1-7-87 PER PERMIT Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1.5 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 GALLON Sludge depth: VARYING MODERATE/ HEAVY t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness LIGHT Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined ? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert evidence of leakage, etc.): TANK SHOWED SIGNS OF BACK UP WITH SOLIDS ON TOP OF OUTLET TEE AND STAINING ON BOTTOM OF COVER 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 I Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Oil 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.): BOX SHOWED SIGNS OF SURCHARGE 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ® leaching galleries number: 3 ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): FLOW DIFFUSERS HAD DIRTY STAINED STONE ON TOP AND AROUND INDICATING SURCHARGE 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 t5ins•3/13 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is MARSTONS MILLS MA - required for 02648 10 23 14 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments note condition of soil signs of hydraulic failure level of ondin condition f( g y p g, o vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M s 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® _drawing attached separately t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: II� ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 7.2 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: ATTACHED Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 FLEETWOOD DR Property Address PAULA J CLARK TRUST Owner Owner's Name information is required for MARSTONS MILLS MA 02648 10-23-14 every page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist f ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 March 5, 1986 Elinor E. Slade 94 Uncle Barneys Road W. Dennis, MA. 02670 Dear Ms. Slade: You are granted a variance to install septic leaching flow diffusers on Lot 313, Fleetwood Path, Marstons Mills, 110 feet from an abutters well on Lot 312 with the following conditions: (1) Revised plans must be submitted by a Professional Engineer changing the distance of the leaching flow diffusers to 110 Feet from the abuttors well. The petitioner stated that this would be possible at our meeting March 4, 1986. (2) You must be connected to public water prior to the signing of an y occu anc permit. P (3) The designing engineer of the revised plan after its approval must supervise construction of the On-Site Waste Disposal System and must certify In writing that the system was installed in strict compliance with the approved plan. (4) This variance expires April 1, 1987. This variance is granted because public water is available In the area and the leaching diffusers will be over the 100 Foot separations required by _ Title 5 of the State Environmental Code. Very truly yours, Robert L. Childs Chairman BOARD OF HEALTH TOWN OF BARNSTABLE JMK/ka cc: Edward Kelly Lorraine M. Welch ASSESSORS W j* Fos No g PARCEL No.: THE CO MASSACHUSETTS BOARD OF HEALTH V, OF for Disposal 19arks Tunstrurtion Permit Application is hereby made for a permit to Construct (VI,or Repair an Individual Sewage Disposal System at: Zo 7- &f7l Z',V-S Lo ti=-Ad&mI or L&No. Address • Address Type of Building IG ..Sq. feet Dwelling-No. of Bedrooms.___-__3_ ------------------Expansion Attic Garbage Grinder 04 other—Type of Building ---------------------- No. of persons------------------.-------- Showers Cafeteria Other fixtures ----------------------------- ----------------- Design per person per day. Total daily flow----------- ...............gallons. Septic Tank-Liquid-capacity± gallons Length.A_K'_Width---t4.'___Diameter-___ Disposal Trench-No.-------1L Width__Z�! Total Length____:!P__1_._Total leaching area..A@.P _sq.f t. Seepage Pit No-------- ...... Diameter-------------'._ Depth below inlet-------_.____Total leaching area_-_----sq.ft. z Other Distribution box ( ) Dosing tank ( ) C-- -&:-r-z46Y--------- Date__!��'3 1'"St Percolation Test Results Performed by_4�Rk�e-1;TR--------------------......7 - _;�----—------- t Depth to ground waten.-Y Test Pit No. 1_4......minutes per inch Depth of Test Pit_ u. Test Pit No. 2__--minutes per inch Depth of Test Pit_--__-_-_-_____Depth to ground water------------------ ......--------------------------- 0 Description of Soil------- 132 -0,Vz:' ................................................................................ .............--------- --—---------------------- ----------_-_----------- U Nature of Repairs or Alterations-Answer----when.....P.. --- -------------------------- ---�02 ............ Agreement: v=:- i The undersigned agrees to install the aforedescr-ibed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code-The undersigned further agrees not to place the system in Compliance operation until a Certificate of Compl e�e( by,:\IT board of health. La S.gn ----- ---- Date 1911 -& , 7 Application Approved By _2 - 7 Application Disapproved for the following seasons:-_--------_------------.................. ....... ------- Permit No.__: Issued—.—.-,,---,--, THE COMMONWEALTH OF MASSACHUSETTS C C--ICr *71 V BOARD OF HEALTH ..........................................OF....... ............................................................. &rtifirdp of TOUWfiaUre THIS IS TO,CEVTIFY, That Individual vidual Sewage Disposal System constructed (--) Or Repaired the i .---------ice ..... d PA has been install-d in accordance with the provisions of TITLE 5 of The State Sanitary Code described in the application for Disposal Works Construction Permit Na._9r_G..-..2!a�------- dated....L11:7 ---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE SYSTEM WILL FUNCTIN SATISFACTORY. ............ Inspector—_.-t—--------7 THE COMMONWEALTH OF MASSACHUSETTS 4 6 4 BOARD OF HEALTH r -Y2UIS(5- ........OF.- .. -77 -Z 6---------------------- FaxesN Blapilopit arks (Can nPermit ...................... Permission is hereby granted..- 0 /..__ ..........—------ ! to Co-JV4 or Reppir an Indivioual Sew Di sal System atNo.._------ LIFO-1 Kaa....................................................... sh�t 1'216 as shown on the ap lication for Disposal Works Construction Permit No 6 ...... . Dted-Al-1- 111�d of H.N: DATE_1/..7..................................... FORM J255 A. M.SULKIN.INC..BOSTON �'• + •. ' Apy,¢o x,yq�c S1/ErGT � o� Z SHE�`Ts 040 �CATlo J "1 7' Y D21VE 4F}oeox. wezt. } a Box ro q N u I Tf�L+6t 8 0 � �L' AND aZ�PD � e6r�vV� SA N p sla.; z oV� APPkv y 1 3Z• '' IOPo�e6 Wt • '�iF;.;' .->a:� 5��,.ey�E lrtsl%Jol•1 Jp �a7- �3 �i,� \ onl ASS✓I'+E'D D<fTtrl•' IJ . LACATION SCALE . . . . . DATE ?�4 .'J".f98G !!'. . . . . . . PLAN REFERENCE . . �?•vG. . <SNoW.V 0A1. Cou2T �S° �L�?y . .3o7s .5xl4z- -. z. All Ar I CERTIFY THAT THE . ...... . ...... ....... ........ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE App,�y WE-L SETBACK REQUIREMENTS OF THE TOWN OF Cn� oa vex) . . . . . . . . . . . WHEN CONSTRUCTED. DATE . . . . . . . /�/02 E. SL�JDE- PET7TivN REGISTERED LAND SURVEYOR SL1z--&T Z of Z SNG-Z-7'S TOP OF FOUNDATION „t uNSu�Ti3L'GGs To CONCRETE COVER CONCRETE COVERS a 4"CAST IRON_ 12"MAX. . � 12"MAX.. OR SCHEDULE 40 4"SCHEDULE 40 P.V.C.(ONLY) P.V.C. PIPE PIPE- MIN. Lt�►cN PITCH I/4"PER.FT PITCH 1/4"PER.FT. T� ��" r�T r A;e /o IX INVERT _ °. w � :.� D'�wives EL..Gz S� . INVERT INVERT o we- -- °l, SEPTIC TANK Gz ,� DIST. /gs e INVERT - - • BOX ap < �t. 'e' (000 GAL. INVERT INVERT w GZ oZ w :�� 3/4"TO I I/2 EL........ w o r EL GI.zo WASHED w STONE 0 7 —� PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM s�.o . SNE"c'T v.� ifrCr+ NO SCALE G'Caov�-o W4)-TG17Z CdH/7uT�T7v��5 4- 4v�-v SOIL LOG WITNESSED BY ' Z-Z' Z. DATE "71m. -3 TIME.,q Via. ? Tom„ Scan/ • �; $.• BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ENGINEER ELEV. .63.oo ELEV. .. .. . . . . . . WouDGugr� DESIGN DATA NUMBER OF BEDROOMS Hb-D TOTAL ESTIMATED FLOW . . 330 • , GALLONS/DAY SpwD BOTTOM LEACHING AREA 300 . SO.FT. /PIT SIDE LEACHING AREA . . . 8c . . . . . SO.FT./ PIT GARBAGE DISPOSAL (50% AREA INCREASE) /po.r WHT�2 cv TOTAL LEACHING AREA .380. . SO.FT h�D. Ssr,.D; PERCOLATION RATE .7i^9 . MIN/INCH LEACHING AREA PER PERCOLATION RATE .'`"�. . SO.FT. �.Z-".WATER ENCOUNTERED NUMBER OF LEACHING .772Zr�-!chls, , ,o^/E" G�?'4s� TTLL cN /c'X 30' Wig 77-/,e APPROVED . . . . . . BOARD OF HEALTH. . ,coo b✓,-, ?�//"i�r!S v2.5 . . . . . . . . . . . . . . . . DATE . . . . . . . . AGENT OR INSPECTOR �f6172-57"GVVS' �1/LLS ,��� ' �'4�'TP�'•'�•' ;�., i PETITIONER vc r i-c i n i 1 11 ur 'L I : r - Completed by . HIGH GROUND-WATER LEVEL COMPUTATIOU Site Location: ����h/ooD ��'/ iz57z�NS 'y/LLS Lot No. 3l3 Owner: Address: MA9;-z_57=-•vs 1,-14LS i`7s�3s Contractor: Address: Notes: Lo.e,Zp-in�� �9. W�ZCf1 — �c•2G�/.95�� EZ/N4>/2 E`72. STEP ) Measure depth to water table _ - - 3/i3/8�¢ to nearest 1/10 ft. - date STEP 2 Using Water-Level Range Zone and Index cell Map locate . site and, determi ne: • SOW �3 A) Appropriate index well B) 1.'at er-1 eve l range .Zone . ?...y. . . . . . 2-3 PT STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to 49, 0 water level for index well .. . . . . . mo yr , O STEP 'Using Table of Water-level Adjustments for index well STEP 2A , current depth to water level for index well (STEP 3) , and water-level zone (STEP 2B) determine 3•Z water-level adjustment . . . . ... ... .. . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . STEP S Estinate depth to high water by subtracting the water- level adjustment (STEP 4) , from measured depth to water � ' 8 level at site (STEP l) . . . . -Figure 3 • .a rr 7r " iBu lt' Page'1-of s 1 ASSESSOR'S MAP NO. R PARC40,07._ LO CAT 1010 SEWAGE PERMIT NQ. VILLAGE S7 A LLER'S N ME ADDRESS - BUILDER OR OWNER 4 DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED co C,,,C C�,s _ IB htt-o://issgl2/intranet/propdata/prebuilt.aspx?mappar=046089&seq=l 10/7/201L TOWN OFBARNSTABLE LOCATION :3c;' FI�(4- vJJ SEWAGE # VILLAGE ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Cw0 1 LEACHING FACILITY: (type) !�(a W s (size) 3 NO.OF BEDROOMS BUILDER OR OWNER/ J PERMIT DATE: l 7 COMPLIANCE DATE: Separation Distance Between the: waSiT.-um Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by LJ 11 s I ; I o� 7, / TROY WILLIAMS SEPTIC INSPECTIONS TO Certified by MA Department of Environmental Protection 4 t 8) 760-1819 40 Old Bass River Road South Dennis,MA 02660 Nf � 1� Corms MSatth Of Massachusetts Executive OtfiCe of ErMonmefltC11 Affairs E' �6F� 1996 �. Department of Environmental Protection a %=am F.W*W own~ TrudU.y Coxs David&Struhs Gommwbml SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFI C "ATION Property Address: 30z �`G�/ w.oJ P�3t i ` /i��+s //n'"Address of Owner. A t Date of Inspection: a of different) j�a Name of Inspectorz�� Company Name,Address Ad Telephone Number: Da63 a CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate based on training and experience in the function and and complete as of the time of.inspection. The inspection was performedmy ng expene proper maintenance of on-site sewage disposal systems. The system: ,Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: of this ion to the A within thirty(30)days of completing this The System Inspector shall submit a copy inspect report Approving Authority Y� inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,'the inspector and the system owner shall submit the report to the appropriate regional office of the 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: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: A/114 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 exfiluation,or tank failure is imminent. The system will pass inspection I(the existing septic tank is reptaeed with a conforming septic tank as approved by the Board of Health. trevi.ed 6/15/95) 1 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: a /, 6 BJ SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled 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 Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: IV,1� Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 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. T) 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 systern nas a septic tank ano soli absorption system and is within 100 feel to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has 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 and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen,is equal to or less than 5 ppm• / 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 into facility 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 SAS or cesspool. revised 8/15/951 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 3 a d Owner. Date of Inspection: 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 less than 6' below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to dogged or obstructed pipe(s). Number 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 I 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. El LARGE SYSTEM FAILS: N//I The following criteria apply to large systems in addition to the criteria above: The design flow of system is 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 PWPA) or a mapped Zone Il 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 6/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: S-Z Fl e c.� w a z,4A Owner: C V /{ Date of Inspection: 6 Check'if the following have been done: ,[Pumping information was requested of the owner, occupant, and Board of Health. ✓None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ZAs built plans have been obtained and examined. Note if they are not available with N/A.' ✓The facility or dwelling was inspected for signs of sewage back-up. , The system does not receive non-sanitary or industrial waste flow _/The site was inspected for signs of breakout. ZAII system components, excluding the Soil Absorption System, have been located on the site. 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. , 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. - The facility ownp- (and occurants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 8/15/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 3d F le-d d Owner: y �� Date of Inspection: t:: 0� /� ly6 FLOW CONDITIONS RESIDENTIAL: Design flow: A A d_gallons Number of bedrooms: o? Number of current residents: U Garbage grinder(yes or no): A/o Laundry connected to system (yes or no):Y 5 Seasonal use (yes or no):,NU Water meter readings, if available: Last date of occupancy: COMMERCIAL/INDUSTRIAL: 1l/1,9 Type of establishment: Design flow:_gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no) Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: 1 /7 rift S !1✓c.. )s t 0. J '-7-t '�T•L�t�+ /`-� /4 h'�'- Syst p mu ped as part of inspection: (yes or no) /VO If yes, volume pumped Qallons Reason for pumping: TYPE 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) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: S 14A c /7 7 Sewage odors detected when arriving at the site: (yes or no) Irevised 8/15/951 5 l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 3c� Owner: )E(% ? 1,e- Date of Inspection: SEPTIC TANK:_ (locate on site plan) Depth below grade: I / Material of construction: ✓oncrete _metal _FRP _other(explain) Dimensions: S X _� / x� /o o y " f/ Sludge depth: `/ Distance from top of sludge to bottom of outlet tee or baffler Scum thickness: 2/' Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: / 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.) `Ge-> y4'-j-a r,.i o✓% �� carol*-v �c/� L C>T T ✓ ,5 T)J C— GREASE TRAP:16//� (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom ni sro- f^ hottor+ of ou!te! tee or battle- Comments: trecommendation 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.) ;revised B/15/95) 6 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: f-� Owner. Date of Inspection: TIGHT OR HOLDING TANK: /1119 (locate on site plan) Depth below grade: Material of construction: concrete _metal _FRP other(explain) Dimensions: Capacity: gallons Design flow: gallonstday Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:, (locate on site plan) Depth of liquid level above outlet invert: �«Z Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) s PUMP CHAMBER:1 i (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 6/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 3a Owner: Ea /y Date of Inspection: _2/�/Y 6 SOIL ABSORPTION SYSTEM (SAS):, (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:3 leaching galleries, number. leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments.: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) (�- /d s' � �s�,.J/: ✓try v V- fc -`K, 3 CESSPOOLS: 1�1C (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 (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) trevised 8/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: .3.2 �/��. ,,�o J� /✓�i-1, Owner. Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 143 3$ 57r6 'I �e l 3'Flo vi SAS DEPTH TO GROUNDWATER Depth to groundwater: feet adjusted high groundwater level method of determination or approximation: /-� w+ t_ inH t✓ :/ 1� revised 6/15/95) 9 TOWN OF BARNSTABLE LOCATION �� ,t.i�—�,.� o.j„� w SEWAGE # i VILLAGE ASSESSOR'S MAP &LOT .I INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) r7o W 5 (size) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: L) COMPLIANCE DATE: I /7 Z y 7 Separa'uon Distance Between the: eun Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist Feel on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet of leaching facility) Furnished by LJ;.I l •� s I i �. IV � 3Li r 5914 7� � f EDWARD E. KELLEY REG. LAND SURVEYOR CUMMAQUID , MASS. 02637 TEL : (617) 362-2266 Town of Barnstable Dec. 30 , 1986 Board of Health Hyannis, Mass.. Ref: 86-298 Elinor Slade , Lot # 313, Fleetwood Path, Marstons Mills I The sewage system was installed in accordance to the approved plan. It meets all requirements of Title V and the Town of Barnstable Health regulations. .4A-ANOF*4 ���� ARL-: Ecw r H -e � rat.r.EY yy I : 5..,,nonal. l o-.. rof essi Reg. .� , � Re g� sgHIiAA�w� Land. SurVe%yoz'?� �PdL LAB } • �' Sy�� � of L SHE�Ts APP2o xi yq� , Li AA°�vx. WEZZ Q ` 1 T�/� Dlsr (P6+¢.. Box �\ ell _ A124D % �. ' v�✓D�� ev XoV SHgDVeD. -•` cE CrtATJc� ;,� �' O ,7 a1 .3, i a0 l0 4io JP '"` � rFsT l I ' N '- 1� \ anJ ,q 5SV.+E-b DA7-&ok, J S'/TL q LOCATION . /�JIq.2S7'a.vS /`9iGL5 a' SCALE . . .!. '. . . . DATE flPa�L PLAN REFERENCE -7A!G'. .�oT. 3�3 -5,46 w.v oAr LSD Cou27- .� ►�� �Cv. . .3o7.si .s. c- -. z. . CERTIFY THAT THE , .. ..... SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE O W&zL SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE : . . . . . . . . . . . . -5rZ/A/02 E. SLADE- PE77T/vNE7L REGISTERED LAND SURVEYOR S//&-&-7- Z of Z SNL�TS A''/ TOP OF FOUNDATION �� vNSuiT�13GG{ f� �CIL- To 3G �E7ioV� CONCRETE COVER CONCRETE COVERS 4 CAST IRON 12 MAX. 'fir ` . OR SCHEDULE 40 12"MAX. P.V.C. PIPE 4 SCHEDULE 40 P.V.C.(ONLY) PITCH 1/4"PER.FT. PIPE - MIN. 1-&-nC44 PITCH 1/4'.PER.FT 77&-XAC4 PztzarsT INVERT _ . " � D.�Fvso�Y ° EL..6 . V INVERT INVERT e . F4W- a /3 SEPTIC TANK Gz /6 DIST. W �i • ` ��'� INVERT EL... ..-.. . . . BOX ELF{.8s >_ Lz 33 /.gpo •• . GAL. INVERT a; EL.....-.... .. GZ oZ INVERT ° :�: 3/4' TO I I/2 EL........ w w ju,-0 WASHED w STONE 7,Z PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM &Z. .S3.0 SNEz r u./ r'/ICH NO SCALE �_ 3//3 COH�CiT.a}77v��S SOIL LOG WITNESSED BY * DATE '?g?, !3 iy TIME.�� ��'.' '?, Tttiv Tc�n{ , / .�;S. BOARD OF HEALTH TEST HOLE I TEST HOLE 2 L�W�9 /CtzG�/ ENGINEER ELEV. .63.0o ELEV. .. . . . . . . . . DESIGN DATA NUMBER OF BEDROOMS 3 TOTAL ESTIMATED FLOW . 'j3. . . , GALLONS/DAY SA�vp BOTTOM LEACHING AREA . . . . SQ.FT. /PIT SIDE LEACHING AREA . . . 8c , SQ.FT./ PIT GARBAGE DISPOSAL . -NN . . .(50 % AREA INCREASE) tz.53,00 TOTAL LEACHING AREA .38c> SQ.FT h�D. So�.D PERCOLATION RATE l�SS �✓E2.SZ.00 w To MIN/INCH �Zo'.WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE . �d� . SQ.FT. � • NUMBER OF LEACHING .7?Z&w!c-f/s a.vE APPROVED . . . . . . BOARD OF HEALTH �? '�cN ,��,� yy/�y-�y 7Ne,1ZY- DATE . . . . . . . . . . . . . . . . FLp`✓. , D//:�-tiSa/ZS . . . . . . . . : . . . . . , AGENT OR INSPECTOR Lo 3 c� P. T /3 PETITIONER eZ/�va/Z i March 5, 1986 Elinor E. Slade 94 Uncle Barneys Road W. Dennis, MA. 02670 Dear Ms. Slade: You are granted a variance to install septic leaching flow diffusers on Lot 313, Fleetwood Path, Marstons Mills, 110 feet from an abutters well on Lot 312 with the following conditions: (1) Revised plans must be submitted by a Professional Engineer changing the distance of the leaching flow diffusers to 110 Feet from the abuttors well. The petitioner stated that this would be possible at our meeting March 4, 1986. (2) You must be connected to public water prior to the signing of an occupancy permit. (3) The designing engineer of the revised plan after its approval must supervise construction of the On-Site Taste Disposal System and must certify in writing that the system was installed in strict compliance with the approved plan. (4) This variance expires April 1, 1987. This variance is granted because public water is available in the area and the leaching diffusers will be over the 100 Foot separations required by _ Title 5 of the State Environmental Code. Very truly yours, Robert L. Childs Chairman BOARD OF HEALTH TOWN OF BARNSTABLB J MK/ka cc: Edward Kelly Lorraine M. Welch • I c r r. 1 1 1,ur.!,�I : f:t,t c Compleied by HIGH GROUND-WATER LEVEL COMPUTATION Site Location: AZ_&Z'7_A10vD P�Tl-/ IZI 257r n/S 'y/GLS Lot No. 3/3 Owner: Address: Ms�,vs ilitGs i`7s�ss Contractor: Address: Notes: 4o.e.2,*7,V&r '9. W&Z C Al STEP l Measure depth to water table to nearest 1/10 ft. , - . . - date STEP .2 Using Water-Level Range Zone and Index Well Map locate . site and determine: Appropriate index we) ) SOW 2Sg B) water-level range zone STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to ¢9, 0 water level for index well _ . _ . . Z /8¢ mo yr STEP �'Using Table of Water-level Adjustments for index well STEP 2A , current depth to water level for index well (STEP 3) , and water-level zone (STEP 2B) determine 3,Z water-level adjustment STEP 5 Estinate depth to high water P 9 by subtracting the water- level adjustment (STEP 4) from measured depth to water � , $ level at site (STEP 1) . . . . . . . . . . . . . . . . . . . . . . • - - - - - - • - - - Figure 3 a.rcl. -7- March 5, 1986 Elinor E. Slade 94 Uncle Barneys Road W. Dennis, MA. 02670 Dear Ms. Slade: You are granted a variance to install septic leaching flow diffusers on Lot 313, Fleetwood Path, Marstons Mills, 110 feet from an abutters well on Lot 312 with the following conditions: (1) Revised plans must be submitted by a Professional Engineer changing the distance of the leachingflow diffusers sers to 110 Feet from the abuttors well. The petitioner stated that this would be possible at our meeting March 4, 1986. (2) You must be connected to public water prior to the signing of an occupancy permit. (3) The designing engineer of the revised plan after its approval must supervise construction of the On-Site Waste Disposal System and must certify in writing that the system was installed in strict compliance with the approved plan. (4) This variance expires April 1, 1987. This variance is granted because public water is available in the area and the leaching diffusers will be over the 100 Foot separations required by _ Title 5 of the State Environmental Code. Very truly yours, J r`r 1 Robert L. Childs Chairman BOARD OF HEALTH TOWN OF BARNSTABLE JMK/ka cc: Edward Kelly Lorraine M. Welch , , • o • � L 1 1.11 1 �t U(.�JL 1 I•tt 1 C. � c CoInpleIed b s • HIGH GROUND-WATER LEVEL COMPUTATION Site Location: Fq6'4'7�'W0e1D /4-r7l /47 ' 57T,N5 �/GLS Lot No. 3/3 Owner: Address: 1`14,Z.57r,Ns iliZ4S /`l�•ss Contractor: Address: Notes: 40Ae'-1-i.,ve J• W Z-Z Cf/ STEP Measure depth to water table to nearest IM) ft. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3/13/B¢ /o.o date STEP 2 Using (dater-Level Range Zone and Index Well Map locate . site and determine: .. SOW �3 A) Appropriate index well . . B) Water-level range .zone • • 2-3 Pl: STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth • to LO water level for index well . . . . . Z /B¢ i ; moyr STEP 4 'Using Table of Water-level Adjustments for index well STEP 2A current depth to water level for index well (STEP 3) , and water-level zone (STEP 2B) determine 3,z Iwater-level adjustment . . . ... ... . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . ; STEP $ Estinate depth to high water by subtracting the water- lcvel adjustment (STEP 4) from measured depth to water G , $ level at site (STEP FFgure 3 ASSESSOR'S MAP NO. _E)R PARCN LbCAT1 � SEWAGE PERMIT NO. VILLAGE ^� INSTA LLER'S N kME a ADDRESS i - S U I L D E R OR OWNER \o- DATE PERMIT ISSUED DATE COMPLIANCE ISSUED c, r,N- i I � r - r ASSESsMS V No.3�a...— g PARCEL NO; Fim$.....��- THE CO MASS ACHUSETTS BOARD OF HEALTH � 1l �../.c/-------.OF...... -----------------------•-- Appliration for Uispaoal Morks Tomitrurtinn ramit Application is hereby made for a Permit to Construct (vT or Repair ( ) an Individual Sewage Disposal System at: '. )CZ&Z7_Pv0aD RA-h/ �'1 srati s �"l��s La 7- A'3/ 3 ........................................ - ............................................... ..................------••---------•--•••-•---.........-•-•--••---•--•............---...........-- Location-Address or Lot No. ............• ................................................... -•--.---------- ---•----------------- -•-------.-----..----------------------------- O n r �/ Address ... •-•-----•---•-•- ...... --------- -----•---------------------------••------------ In taller Address �r 1Z Z@ Y-�� of Building Size Lot....._..�.................Sq. feet a TypeDwelling—No. of Bedrooms.............3._._..__ .Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------.-.---• ------•---------------------------------.•••••••-•••-••-••---•••••••-•-••--•-•...•••.................................----...--•--....... d - W Design Flow___..__...__s��______________________gallons per person er day. Total daily flow.._..........3 '�'...--..............gallons. Cd Septic Tank—Liquid capacity!�4.gallons Length__911.&.... Width.. -_- Diameter................ Depths�8 � Disposal 1 Width 6?`----- o g 3 ?.....-- Total ol leaching ��� sq. ft. Seepage Pit No..................... Diamete ..... De t below inlet..................Totalleaachingarea.. -_.._.sq• ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by....�`aW�d....._�...' � L ......._.. Date..H!�:..�3 �96'� t ,aj Test Pit No. 1..L z.....minutes per inch Depth of Test Pit.../3 z-`� Depth to ground water.._..1 ......._.... ►4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•-----------------------------------------------------------------------------------------•---......-•---•------.....---•--.........._--•----3O Description of Soil........Q tk. Wea�l �...... .-...S'fjp!_so .............. 4" 132 " /7tv. .....--•.. 9.--�-v® W VNature of Re airs or Alterations—Answer when applicable...... - ^l E'�t��.... �J��tl�. ..__ T r cC Agreement: tz!j—. t Ar !S3� 1 4:7% o l c o The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITA U 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance s b ee ' ed board of health. Sign ................u ........................................................ ...-••--_........ _..._ Date Application Approved By---•-......-•-•--... -••�'• ...... •----..... J � Date Application Disapproved for the following reasons------------------------•------------.....------------------......---------------------------------......_---•-- .......--••--•----•••••••••-•-•••----•--....:.•-•-•-••••-=---•---•--.........-•••----•.........••---•-•...-•-----••................•-•-••.....••....••...•-•--•-•••-----•--•-•--••---••--••_.-•------•••- Date PermitNo....................................................._.. Issued--•---••-•-•--------- .............. Date Alk 416 rf No ............... TH MON EALTH OF MASSACHUSETTS 41,�111i�,,,.!;�i�I 7BOARD OF HEALTH t&//,/ /,- A:Y 7�4, 1C, ....... ...76 �....................OF..... ........................................................................... pfiration for Uhipogal Works Tonotrurtion "amit V 'Application is hereby made for a Permit to Construct (Vl� or Repair an Individual Sewage Disposal System at: ............................................................................................ .................................................................................................. tion-Address or Lot No. .............. ........................................... . .................................................................................................. 0 Address .............................. ......... 1...... I'L Installer Address Type of Building ti Size Lot.._.G 6o,.41 4; .....Sq. feet Dwelling—No. of Bedrooms..................................._......Expansion Attic Garbage Grinder A4 Other—Type of Building -----...................... No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow............ _Tsc) ............................................gallons per person'per per day. Total daily flow......................*-------*..............gallons. Width..4 fe-"'_ Diameter................ De P4 Septic Tank—Liquid capacity. ' e!.gallons Length__ __ ...__. ........ Disposal Trench—No.......e........... Width.....!giO.......... Total Length....:4�......... Total leaching area... 2a......sq. ft. Seepage Pit No..................... Diameter......_............. Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box Dosing tank ( ) H410. .13 Percolation Test Results Performed by............................................ ----- Date..................... ............. Test Pit No. minutes per inch Depth of Test Pit.. - - -------- ./ Depth to ground water...... .......... ------ - ..... .. 04 Test Pit No. 2................minutes per inch Depth of Test Pit................_._. Depth to ground water..._._.............._... 1:4 ....................................................................................*------------ ----------------- 0 Description of Soil........ -/ Sr,e- s-,,/e_ Y,�T�7 ��Y2_ - ............... ................................................................................................................... W ----------------------------11------------------------------------------------------I---------------------------------------------------------------------------------------------------------------------- ............... ................................................................... W A// ............#i(z r o Re airs or Alterations U f Answer en applicable......—--------------4- .................. .............. ............ ...........................................................................fW ..............................I....... Agreement: tAr :1.4�rj?,jc-7 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State7i,Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance S e ued byZ�f board of health. Sid. ............ .. ................................................................. .......................... D t ApplicationApproved By...................• ... .................................................................. . ........... .......... ate Application Disapproved for the following reasons:............................................................................................................ ......................................................................................................................................................................................................... Date PermitNo...... ......-1 .............'--..._.. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................... ...............*....*.... 0 F........Z7....................................................................... (9rdifirate of Toutplitturr THIS IS TO. CERT) he IFY, That t Indvidual Sewage Disposal Systemconstructed (4oe) or Repaired by........................J/ / I .................. 1-i---t--ijk---------------------------------------------------------------------------------------------- AA ...... ... . ........................................................................................................................ at... ----------------------------*------ .. has been installed in accordance with the provisions of TIT LE 5 of The State Sanitary Co a described in the application for Disposal Works Construction Permit .......... date( .71415;?�...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED As GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -I.- Y W, , 1�-L DATE............1 ..... ......................................................... Inspector............... ........ ------- -----*-------Z............................ 4 6 _yj THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -27...OF........547"A.I-T..... ................................... ................... ................ ....................................... . ........ Dioposal Works TonlitrI117- ln jhrmit Permission is hereby granted. .- ......................... ............................................... .. ....................... to Cons ruct or Rep!; an Indivio ua;I l Sewa ewa DlPo,sal System at ......................... ...................................................................................N . ............. 0 as shown on the a Street for Disposal Works Construction Permit No:l�!�.?!W. Dated.._.- -7/ ................. �Booaa rd of He�.Ii � DATE...... ............................................. FORM 1255 A. M. SULKIN, INC.. BOSTON 1 1 $ .�1 LEGEND N EXISTING S.A.S. /a /11 �1LCP 30751E --158-- EXISTING CONTOUR a TO BE ABANDONED �i' -���r--��r x 100.98 EXISTING SPOT GRADE i W EXISTING WATER SERVICE 58.20 / EXISTING SEPTIC TANK TOP OF TANK, EL.=56.00t BENCHMARK —c EXISTING GAS SERVICE LOCUS x INV.(OUT)=54.68f COR./BULKHEAD ( —U UNDERGROUND WIRES B�ackthom A �a TG Q�� EL.=58.65 TEST PIT pebble BENCHMARK Path Emerald La S 121'16, 11„ n Drive + 57.59 2 8.241� W LOCUS MAP r _ ( NOT TO SCALE e \ \ L+•50, 0 0 , I N 60.52 + 58.60 —j 28' VENT _ 60.01 .. 583 N zo O \ PROPOSED N N x 58,60 x 58,2 a._'` a ,.__. C .S �_. Cp DECK ;�»_-Tz�•Aa..�' :. ,� LOOT 313 0 58�(65 12: . J52 MPC 046-089 ti 0 6,15 TP-2 Q�8,40 20,410tS.F. GARAGE EX/ST/NG TP-1 HOUSE(#32) %� 61.14 o� / I X T.0.F.=59.3f 7� oieor�n9+ . . . . . . . 58,57 �58•71�: `sue- � I 56.50 59.45 ''r•' 61.05+ X �pp 60.05 _68 ' 59,15 p 59.95 :DRIVEWAY..::•: X 58.55 59.7 \ept —6-0 / x 60-3 4 A 61.01 X 60,63 x 60,10 e a \ o PETER T. 6 3.2 7 ;�'^ ":`.: 3S 04' 63 McENT T :�. 0'31 35„ c CIVIL 62.72 �`�"` E 12 , No. 35109 62,43 � \ C R,93 1� FSEGISTE��� E ed 61,94 60.93 g� f Z7 � ,62 61,43 PROPOSED SEPTIC SYSTEM UPGRADE PLAN L�E7, O 32 FLEETWOOD PATH, MARSTONS MILLS, MA OWNER OF RECORD OD Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 CLARK, DENNIS A & PAULA J Engineering by: SCALE DRAWN JOB. NO. PAULS J CLARK TRUST 1"=201 P.T.M. 252-14 CENTERVILE, MA Engineering Works, Inc. LEVINE, ROBERT E TR a 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 1. (508) 477-5313 1/27/15 P.T.M. 1 Of 2 t NOTE: TO PREVENT BREAKOUT, THE PROPOSED GENERAL NOTES: FINISH GRADE SHALL NOT BE < EL•54.54 SEPTIC TANK FOR A DISTANCE OF 15' AROUND THE 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL INSTALL RISERS & COVERS OVER INLET & PERIMETER OF THE S.A.S. BOARD OF HEALTH AND THE DESIGN ENGINEER. OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX PROPOSED S.A.S. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS INSTALL WATERTIGHT RISER & INSTALL INSPECTION PORT SET TO 3" OF FINISH OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: COVER SET TO 6" OF GRADE GRADE & PLACE REBAR AGAINST CAP FOR LOCATING T.O.F.=59.3t -310 CMR 15.405(1)(b): ) F.G. EL: 58.0 to 59.0ft A 2' variance to the maximum cover requirement of 3', for F.G. EL.=58.5f F.G. EL.=58.4t F.G. EL: 57.8t MAI VENT 1 a maximum cover of 5'. q NTAIN 2% GRADE (MIN.). OVER S.A.S. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE • 16' x 28' LEACHING FIELD W/3-4" REBAR DESIGN ENGINEER. S=1%4(MIN.) ® S=1%7(MIN.) SCH 40 PERF. PVC DISTRIBUTION LINES 4• ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 4"SCH40 PVC 4"SCH40 PVC FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN -"-MANIFOLD ENGINEER BEFORE CONSTRUCTION CONTINUES. 10 r 14" 6 6" EFF. LINES 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. EXISTING 48" LIQUID DEPTH 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF LEVEL I SLOPE OF PERF. PIPE 0.5% I THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF GAS BAFFLE INV.=54.28 PROPOSED INV.=54.1 1 28' EFFECTIVE LENGTH HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. LA. INV.=54.68f � INV.=54.04 INV. EL.=53.90(END) 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE EXISTING 3 OUTLETS (MIN.) EXISTING SEPTIC TAN SOIL ABSORPTION SYSTEM (PROFILE) 8. THERE ARE NO ABUTTING WELLS WITHIN 150' OF THE PROPOSED S.A.S. K NJ.& 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES, 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY NOTES: THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 2 LAYER OF 1/8'-1/2" DOUBLE WASHED CONSTRUCTION. INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=54.54 STONE (OR APPROVED FILTER FABRIC) 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE (AT INLET END) IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND ON A MECHANICALLY COMPACTED SIX INCH CRUSHED REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). BOTTOM ELEV.=53.40 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4' OF NATURALLY OCCURRING 3 5 5 3 INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 4) EFFLUENT FILTER TO BE INSTALLED ON OUTLET TEE PERVIOUS MATERIAL 16' EFFECTIVE WIDTH 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 5' (MIN.) ABOVE G.W. IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED EST. HIGH G.W., EL.=48.3 4 SOIL ABSORPTION SYSTEM (SECTION) SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. N.M 3/4"-1 1/2" DOUBLE SEPTIC SYSTEM PROFILE WASHED STONE N.T.S. 4� 74. ei, PROP p I T SOIL LOG DECK ��. IS'+j 9 -A.S. co DESIGN CRITERIA DATE: DECEMBER 15, 2014 (REF#14,591) I SOIL EVALUATOR: PETER McENTEE PE(SE#1542) eA. ` WITNESS: DONNA MIORANDI R.S. HEALTH AGENT 00 48 43' NUMBER OF BEDROOMS: 3 BEDROOMS ELEy, TP-1 DEPTH ELEV. TP-2 DEPTH ST/NG 58.3 0 SOIL TEXTURAL CLASS: CLASS 1 FILL 58.0 q 0 EX/ AD `O DESIGN PERCOLATION RATE: <2 MIN/IN 57.2 13" 10YR S 4j2M HOUSE32 T.O.F.=59.3E DAILY FLOW: 330 GPD A 57.0 B 56 8 12" ANDY DESIGN FLOW: 330 GPD 10YR 4/2 M SANDY LOAM GARBAGE GRINDER: NO-AND NOT PERMITTED WITH THIS DESIGN B 18 10YR 5/8 SANDY LOAM 55.0 36" S"A"S"LAYOUT LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 54.8 10YR 5/8 42" C 36'%48" 74 GPD/SF C M-C SAND M-C SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 2.5Y 7/3 2.5Y 7/3 PROPOSED D-BOX:: 1 INLET, 3 OUTLET (MIN.), H-10 RATED COBBLES COBBLES 32 FLEETWOOD PATH, MARSTONS MILLS, MA 16 INSTALL AN 16' x 28' LEACH FIELD 48.3 HIGH G.W. - 120„ 48.3 HIGH G.W. _ 1 " (MOTTLING) _ (MOTTLING) - Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 SIDEWALL AREA: NOT APPLICABLE 47.3 STG. G.W. - 132" 47.3 STG. G.W. = 128" Engineering by: SCALE DRAWN JOB. NO. BOTTOM AREA: 18' x 25' = 448 S.F. 46.8 138" 47.0 132" N.T.S. P.T.M. 252-14 Engineering Works, Inc. PERC RATE <2 MIN/IN., "C" HORIZON 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF x 448 SF = 331.5 GPD EST. HIGH GROUNDWATER, EL.=48.3 508 477-5313 1/27/15 P.T.M. 2 Of 2