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HomeMy WebLinkAbout0145 FLEETWOOD PATH - Health 145 Fleetwood Path, Marstons MillsE: _ A=47 - 60 t sr qp ~ Commonwealth of Massachusetts 0y-7^ D �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments e I f 'C 145 Fleetwood Path s Property Address Stanley Hrynko r Owner Owner's Name / information is required for every Marstons Mills V Ma 02648 8-13-2020 ' 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:When filling out forms A. Inspector Information on the computer, Brett Hickey use only the tab key to move your Name of Inspector cursor-do not B&B Excavation use the return Company Name key. 374 Route 130 �a Company Address Sandwich Ma 02563 City/Town State Zip Code (508)477-0653 S113747 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ■❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails Brett Hickey Digitally signed by Bred Hickey Date:2020.08.n 13:4156-04•00 , 8-13-2020 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.-if the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 II Commonwealth of Massachusetts 1 Title 5 Official Inspection Form =: �l= Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑� I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system was in working order at the time of inspection. 2) System Conditionally Passes: ❑ One or mores stem components as described y p sc bed In the Conditional Pass section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc-rev.7/26/2018 * Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1..co i` Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: I 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ R. Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ O Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 c Commonwealth of Massachusetts 15n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 145 Fleetwood Path v Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town . State Zip Code Date of Inspection C. Inspection Summary (cont.) 1 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ 0 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 ❑ a Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ 0 Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ a Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ a Any portion of a cesspool or privy is within a Zone 1 of a.public water supply well. ❑ 0 Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ n Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ 0 The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ El The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 r c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no" for each of the following for all inspections: Yes No ❑ El Pumping information was provided by the owner, occupant, or Board of Health ❑ El Were any of the system components pumped out in the previous two weeks? 0 ❑ Has the system received normal flows in the previous two week period? ❑ O Have large volumes of water been introduced to the system recently or as part of this inspection? El ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ El Was the facility or dwelling inspected for signs of sewage back up? El ❑ Was the site inspected for signs of break out? ❑ ❑ Were all system components, excluding the SAS, located on site? 0 ❑ 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: El ❑ Existing information. For example, a plan at the Board of Health. ❑ ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts �a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r; 145 Fleetwood Path V� Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: 3 Number of bedrooms(design): Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 340/GPD Description: 3 bedrooms per permit dated 6-23-1998 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes 0 No Does residence have a water treatment unit? ❑ Yes Q No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes No information in this report.) Laundry system inspected? ❑ Yes No Seasonal use? ❑ Yes No Water meter readings, if available(last 2 years usage(gpd)): See below Detail: 2019- 70,000gallons 2018- 74,000gallons Sump pump? ❑ Yes ❑■ No Last date of occupancy: currentDate t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 II Commonwealth of Massachusetts Title 5 Official Inspection Form 13 I.I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town I State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: NA Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner- date of last pump is unknown Was system pumped as part of the inspection? ❑ Yes ❑■ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts �d Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path V� Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: El Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 1998 per permit Were sewage odors detected when arriving at the site? ❑ Yes ❑■ No ' II 5. Building Sewer(locate on site plan): ' 21 Depth below grade: feet Material of construction: ❑ cast iron ❑■ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: Town waterfeet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �= ,= Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u— 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 1' Depth below grade: feet Material of construction: 9 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 1 Dimensions: 500gallons 101t Sludge depth: 26it Distance from top of sludge to bottom of outlet tee or baffle 2" Scum thickness 6" Distance from top of scum to top of outlet tee or baffle 15of Distance from bottom of scum to bottom of outlet tee or baffle measured 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.): The tank was in working order at the time of inspection. The tank is in need of pumping at this time and should be pumped every two years for maintenance. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 e Commonwealth of Massachusetts �* Title 5 Official Inspection Form I� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is required for every Marstons Mills Ma 02648 8-13-2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): NA Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): NA Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 a i Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path u� Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): orr Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The d-box was in working order at the time of inspection. t. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 c Commonwealth of Massachusetts �e Title 5 Official Inspection Form 11. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: 4 infiltrators 10'x30' El leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form _ " Subsurface Sewage Disposal System Form Not for Voluntary Assessments 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The SAS was in working order at the time of inspection. Infiltrators were dry when viewed. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 f c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments `Te« � 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: NA Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 w r c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path L= Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑■ hand-sketch in the area below ❑ drawing attached separately 8111/2020 Aseussing As-Built C-d. TOWN OFnBA1RNSTA[fLG LOCATIONxx.�/1 Lis.r t;_:I�YC'..>1._4_L'.Pd SEWAGE �[U�(',(-2 7 v{Lf.AGE M: n - ±} , J-tyl�C _A.5"OR's MA, `;....•r R7STALLEW-4T4'AME.FH0NE:NO..�t�aayy A-1 ' SEr'nc TANK cAPACrry /, OJ ���__ L EACHING FAC1I-rY:{Irr.> J^-AL4c:lto_,_S .t -io...c`.11:.Y,3!�.1�.;�X'._-- ' NO.OF BEDROOMS - FpxrvlrrnA ^�6 y,0 COMEI-twnCE DATE:- .&"'Jai=� sepnrat;nn t:riamn.:e.a�eeg tht: Maximurn.Adjuateii Otrau3diva[rr'Cdbla to the Eouam'of L. hingFarniry Priveio Water SuppIY VJcIl saet L.cactung Faeiliiy.(If aaY'wellm czar erit na sim ot'. hi.2W.(r s of leaching faclli y) 'Frig.of W d—d—d Leashmg Facility(If any wa1b".cxig = wilHln:300 test of leaching fxerhty)' Foot, Ntmisherl by 01 . Yam...-..... -�. I � hltpb:/7WWW.101ti11p1[)AY(Isla0tl:.U:UDa+F>EirSr+lflYllti/ASS©3si+iglPropany_valuesiHMtlisFlay:a9p?ritapriar=�47oe0&se�q=t t>7 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '. 145 Fleetwood Path L� Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑0 Check Slope ❑■ Surface water ■❑ Check cellar ■❑ Shallow wells Estimated depth to high ground water: No GW @ 120" feet Please indicate all methods used to determine the high ground water elevation: 0 Obtained from system design plans on record 1998 If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: A plan on file at the local Board of Health was used to determine high groundwater. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 1 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 145 Fleetwood Path Property Address Stanley Hrynko Owner Owner's Name information is Marstons Mills Ma 02648 8-13-2020 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: A. Inspector Information: Complete all fields in this section. B. Certification: Signed & Dated and 1, 2, 3, or 4 checked C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6(Checklist)completed ❑■ D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 1 m G LVWII �. .• . m - m n OFFICIAL USE _ "n Postage $ .37 s M Certified Fee Postmark C3 0 Return Receipt Fee ' J Here (Endorsement Required 0 Restricted Delivery F CI (Endorsement Requir O ,' Total Postage&Fee L ru Sent To M ......=� ---------------- -----= --------------------------- r�- Street,Apt.No. or PO Box No.l 1,�,{ ---------- YC 1 -------------------------------------------------- city, t t ZIP+4 Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece -. o A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail 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 Wtered Mail. ti o For an additional fee,a Return.R( f 'rgquested to provide proof of delivery.To obtain Return Receip e�/ice,p e mplete and attach a Return, Receipt(PS Form 3811�to the rticle and add a able postage to cover the fee.Endorse mailpiece 'ReturFR ,ei t Requeste ,L�p receive a fee waiver for, a duplicate return receipt, a f Sstmark r.Certified Mail receipt'is required. R o For an additional fee, deli ry may ber ted to the addressee or addressee's authorized agent. dvise the clerk mark the,mailpiece with the endorsement"Restricted Deliver v o If a postmark on the Certified Mal ipt'is desired,please present the arti- cle 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,April 2002(Reverse) 102595-02-M-1133 la � M OFFICIAL -. . E Postage $ .37 0 Certified Fee 9 --�Olp O O Postmark 0 Return Receipt Fee D�Here (Endorsement Required) O Restricted Delivery Fee O (Endorsement Required) O Total Postage&Fees $ , a C3 Sent To^ /� � O K �J r --------------------------------`--- ----- C` Street,Apt.No.; or PO Box No. 1.9 crry,s "6", S 0;;4 Certified Mail Provides: .. o A mailing receipt 13 A unique identifier for your mailpiece o A signature upon delivery o A record of delivery kept by the Postal Service for two years r Important Reminders. o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail o Certified' is not available for any'class of international mail. • NO If�-1URANCF,COVERAGE IS•PROVIDED with Certified Mail. For valuab s,pleasel�gnsideklnsured or Registered Mail. i o For addition fee,a Re'urn Receipt may be requested to provide proof of deliv, .To obtp .Return apt service,please complete and attach a Return, Re' (PS FiB811)t article and add applicable postage to cover the fee.E se Iplece ` Receipt Requested".To receive a fee waiver for, a duel lrn re t, USPS postmark on your Certified Mail receipt is required. "" o 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". G If a postmark on the Certified Mail receipt is desired,please present the art% cle 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,April 2002(Reverse) r 102595-02-10-1133 E �COMPLETE.THIS SECTION • 1 ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si at item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. eceived by(Prin N1e) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. I;, , ���� , '� D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No L 6q Fwa�oD=Q� 37OrRegistered icepe d Mail ®press Mail I [ Return Receipt for Merchandise Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service fabeq : .7 0,0 2 10 0 Q 0 0 T 4 6,68.3. 14.6 4 I - I PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 I . I UNITED STATES POSTAL SER f-M'I First-Class Mail v� Postage&Fees Paid 3 ,� a USPS Permit No.G10. • Sender: Please p`'hi'q �ur, me, address,and ZiP+4-in-,this box'• n yy\ r\ i I Town of Barnstable '"M"& Regulatory Services % Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 4, 2004 Richard Purtle 169 Fleetwood Path Marstons Mills,MA. 02648 On March 3, 2004 I re-inspected your property and found that it had not been cleaned up. I spoke with Marsha outside while I was taking photos of the debris. She decided and I agreed that the cleanup will be completed by March 17, 2004. Failure to complete the cleanup by the cleanup date will result in the attached order letter to be enforced. Fines of $100.00 per day will be issued until the debris is cleaned up to the satisfaction of the Health Inspector. If there are any questions please feel free to contact me at 508-862-4740. Donald Desmarais R.S. Health Inspector Town of Barnstable Q;Health/orderletters/refuse/274 South.doc Town of Barnstable i + BAMSTABL • Regulatory Services i639• � A Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 4, 2004 Richard Purtle 169 Fleetwood Path Marstons Mills, MA. 02648 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO. 1 The property owned by you located at 169 Fleetwood Path., was inspected on February 3, 2004, by Donald Desmarais, R.S., Health Inspector, because of a complaint. The following violations of the Town of Barnstable Board of Health Regulations, Nuisance Control Regulation No. 1 were observed: Nuisance Control Regulation No. 1, Part VII, Section 1.00: Numerous piles of brush, leaves, pallets, couch, mattress, trash bags. You are directed to correct the violations BY March 3, 2004. You may request a hearing before the Board of Health if written petition requesting same is received within ten (1.0) days after the date the order is served. Please be advised that failure to comply with an order could result in a fine of $100.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Donald Desmarais, R.S. Public Health Town of Barnstable Q:Health/orderletters/refuse/274 South.doc r ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent e Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No � 3. Service Type Certified Mail ®Express Mail p ®� ❑Registered {RL@eturn Receipt for Merchandise ❑ Insured Mail ❑C.O.D. M 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number - (Transfer from service label) 7002 1000 0004 6683 1303 w PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 i UNITED STATES POSTAL SERVICE Fist-Class Mail Postage&Fees Paid j USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 0 I I T r.T Town of Barnstable MAMRegulatory Services • Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 4, 2004 Richard Purtle 169 Fleetwood Path Marstons Mills, MA. 02648 On March 3, 2004 I re-inspected your property and found that it had not been cleaned up. I spoke with Marsha outside while I was taking photos of the debris. She decided and I agreed that the cleanup will be completed by March 17, 2004. Failure to complete the cleanup by the cleanup date will result in the attached order letter to be enforced. Fines of $100.00 per day will be issued until the debris is cleaned up to the satisfaction of the Health Inspector. If there are any questions please feel free to contact me at 508-862-4740. Donald Desmarais S. Health Inspector Town of Barnstable I Q:Health/orderletters/refuse/274 South.doc f ` COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF.ENVIRONMENTAL AFFAIRS - ' r.I. 717 DEPARTMENT OF ENVIRONMENTALTROTECTION� _ c a. a. v ' NOV 2 0 2003 TOWN OF BARNSTABLE - HEALTH DEPT, TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART'A CERTIFICATION Property Address: Pell- //pe ti,pdvl u MAP' v � 1;,.,.s PARCEL Owner's Name: To G,., Owner's Address: 1741 LOT Date of Inspection: Name of Inspector: (please print) .1o4 H A9, 4414 Company Name: ol+., / /" 9_ h e.Ser11✓C_ Mailing Address: JS.1 AV $ ` Telephone Number: CERTIFICATION STATEMENT - I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the,proper function and maintenance of on site sewage disposal systems.I am a DEP ,. approved system inspector pursuant to ction 15.340 of Title 5(310 CMR 15.000). The system: Passes ; Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's.Signature: Date: 03 41/ 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. :Notes and Comments ; f ****This report only describes conditions,at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—' Ndl*OR PVi)LU?4TARYtASSESSMEN'FS r ., SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued�' Property Address: /�1,3� -XQl 1~woa R, f �la/'S vet71, IWIF Owner: Ila Date of Inspection:- /1-/8'- 03 Inspection Summary:"Check A,B,C,D or E/ALWAYS complete•aii'a!$att A.D A. System Passes: . I have not found any information which indicates,that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. . Answer yes,no or not determined(Y,N,ND)in the. for the following statements.If"not determined"please explain. ; The septic tank'is metal and over 20 years old* or the'septic tank(whether metal or not)is structurally unsound'exhibits substantial infiltration or exfiltration or tank faihae is imminenL System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance. indicating that the tank is less than 20 years old is available. ND explain: ...;,:.. Observation of sewage backup or break out.or high static water level in the distribution box due to broken or obstructed pipe(s),or due to a broken,*,settled or uneven distribution box.System will pass inspection if(with approval of Board of Health): . k;s 41: ,•, ? broken pipes)are replaced . �: ... ., ,.. ,. obstruction is removed :. distribution box is leveled or replaced . ND explain: 4, The system required pumping more thad 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM'-NOT FOR VOLUNTARY ASSESSMENTS { SUBSURFACE SEWAGE DISPO.$AL.SYSTEM INSPECTION FORM PART CERTIFICATION=(continued) Property Address: tf-loo-1w.- 2Wk Owner: v Date of Inspection: //-/7 -O3 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 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 aseptic 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.. DThe 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.<: 3. Other: 3 Page 4 of 11 OFFICIALINSPECTION FORM—NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE:DISPOSE[I 'SYSTEM:INSPECTION 'ORM>,'•• PART.A '. CERTIFICATION^(conthu") Property Address: /�/5� �arIwiva( P rtY cr v e hs411,71s Owner: 7,,4ti C, / Date of Inspection: D. System Failure Criteria applicable to all systems:. .....;, You must indicate.`yes"or"no"to each of the following for sll inspections!`. Yes No _ ,L.Backup of sewage into facility or system component due to overloade&or clogged SAS or cesspool r/Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ri 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%:day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Li Any portion of the SAS,cesspool or privy is below high ground water elevation. r/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. , _A:�- 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'30'feetTromzprivate water supply well with no acceptable water quality analysis. (This system passes if theAy 4vater analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from.that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria `, are triggered.A copy of the analysis must be.attached to this form.l , �M d (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems:. To be considered a large system the system must serve a facility with a design now of:10,000 gpd to 15,000 gPd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking watersupply _ 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. . 4 Page 5 of l l OFFICIAL; SPECTION�FORM'=NOT FOR VOLUNTARYASSESSMENTS SUBSURFACE*SEWAGE DISPOSAI,SYSTEM'INSPECTION FORM 'PARTB . .. .. : . . .. . CHECKLIST. :-, : . Property Address: S/5- f l'ev Q i s Owner: - n G a _.. Date of Inspection: //-/ -y3 . _. Check if the following have been done.You must indicate"yes"or"no as to each of the following: Yes No v _ 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? V_ _ 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 backup? ✓ _ 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: Yes no Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part Cis at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM NOT FOR'. 9 TA>Et'Y;ASSESSMEA►"3'S . ,S SURFACE SEWAGE DISPOSAL SYSTEM IN FORM <. . .. .. . .PART,C ... SYSTEIVLINFORMATION Property Address: /11�5 ��•:a 4i-Ird tL Owner: /to, _.. Date of Inspection: //—l 8 —O3 FLOW CONDITIONS ' RESIDENTIAL Number of bedrooms(design):. 3 Number of bedrooms(actual): 1 w DESIGN flow based on 310 CMR 15.203(for example:"110"gpd x it-of bedrooms): `:�l3t� Number of current residents: tO Does residence have a garbage grinder(yes or no):.Aig Is laundry on a separate sewage system(yes or no): p [if yes separate inspection required) Laundry system inspected(yes or no):_ Seasonal use:(yes or no): y Water meter readings,if available-(last 2 years usage(gpd)):` Sump Pump(yes or no):,+Io Last date"of occupancy: COMMERCIAL/INDUSTRIAL' Type of establishment: Design flow(based on 310 CMR 15.203): gad" Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no) Water meter readings,if available: , Last date of occupancy/use: OTHER desc , Pumping Records •.. GENERAL INFORMATION r ` Source of information: Was'system pumped as part of the inspection(yes or no): A v If yes,volume pumped: gallons--How.was quantity pumped determined? Reason for pumping TYPE OF SYSTEM tr Septic tank,distribution box,soil absorption system.. Single cesspool _.,O.verflow cesspool Privy. .,...: _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach'a cgpy of the rumut operation,and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: �yAosrf owa�r �- ,��vti r�Pc'oH�3� Were sewage odors detected when arriving at the site(yes or no):�//p 6 Page 7 of I I OFFICIAL INSPECTION FORM-NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM : . . t PART SYSTEM INFORMATION(continued) Property Address: yr ���.�7`w�/�—� g 14 Owner: Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grader I f•, ' .. Materials of construction:_cast iron 40 PV _other(explain): Distance from private water supply well or suction.line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: (locate on site plan) Depth below grade: /> .Material of construction: concrete_metal_fiberglass_polyethylene . _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: S.6 ` x /o Sludge depth: 0—✓ Distance from to of sludge to bottom of outlet tee or baffle: Scum thickness:: :0-- ts• , Distance from top of scum to top of outlet tee or baffle: 7'� Distance from bottom of scum to bottom of outlet.tee or.baffl : /4," How were dimensions determined.: /Il tgttir,� i Comments(on pumping recommendations,inlet ana outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of.leakage,etc.): // c� �� , l /Nnk In !i i�_rac/oY 'Oh d/ -S+ 14inc/,,I.,-1 fA 7llc /' a an 40 GREASE TRAP:_(locate on site plan). Depth below grade:_ . . . Material of construction:_concrete metal fiberglass_polyethylene_other — . . —fiberglass Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 11 " .s ': r• �:.'�� �O ..!. , . 'OFFICIAI INSPECTION.FORM'=NO 'FaORy4 UNTARYASSESSMENTS Ij,v SUBSURFACE SEWAGE DISPQSAL:SYSTEM.INSliECTION FORM: "..PARTC ' SYSTEM INFORMATION(continued) Property Address: /yS &-le.e tiWO11 �-14 y ?� Avj vn S Al 9 Owner: Jo4., c, IT, Date of Inspection:. /I- /$-O , :TIGHT or HOLDING TANK: (tank must be pumped at time of inspecticnXk=tr m site plan) ! ' Depth below grade: _ -­ Material of construction: concrete metal., '_ fiberglass polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): . Alarm level: ' Alarm in,working order(yes or'no): Date of last pumping: Comments(condition of alarm and float switches etc.): . -DISTRIBUTION BOX: �(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0'� �,,_• ,. Comments(note if box is level and distribution to outlets equal,any,evidence of solids carryover,any evidence of. leakage into or out of box,etc.): T, _. 7 •d".!�-�.2 a,) �: �! ±.._ PUMP,CHAMBER: (locate on site plan) s Pumps in working order(yes or no Alarms in working order(yes or no): Comments(note condition of pump chamber,Condition'of.pmnps and appurtenances;etc.k ; r Page 9 of 1 l OFFICIAL.INSPECTION FORM--NOT.,FOR.VOLUNTARY ASSESSMENTS SUBSURFACE,SEWAGE,DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Alze rwoo/ Rfi el _77 Owner:_c7y1i*s C, AG Ir. Date of Inspection:_ //—/F-D 3 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why:,. Type leaching pits,number:' leaching chambers,number: .leaching galleries,number: leaching trenches,number,length:. leaching fields,number,dimensions:_ /O' x ;�o 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.): . 1a 1`'►�[ �ra L>.�s wi f�j ,/' .r,Yye c.Ne4'tr � oh s:�l�s eoG�re� w/Otus`Otia 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 or no): ' 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 ofsoil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Page to of 11 �,.x{•,.:.:y ;ram 'OFFICIAL.INSPECTION FORM:=:NOTYOA VO�MAY-ASSESSMENTS SUBSURFACE SEWAGE DISPOSAtSYSTEM INSPECTION FORM • SYSTEM INFORMATION(continued) !• `' Property Address: �/S� ���r�ya aft /� "as _� q Owner:_110411 Cii Aat ' 7o Date of Inspection:_ Il= SKETCH OF SEWAGE DISPOSAL SYSTEM m .• Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate•all wells within,100 feet.Locate where..public water supply enters the building. . of Huyfe 407* • 6 3 • i - .. �� T D•,lSox 0 10• Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SZWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: q r writ v7j< 9 Owner: r, C Date of Inspection: //—/Fs—O 3 SITE EXAM . Slope. Surface water ' Check cellar Shallow wells Estimated depth to ground water 26,: feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record'-If checked,date of design plan reviewed: Observed site(abutting property/observation holewithin.150 feet of SAS) t/ Checked with local Board of Health-explain:.. :' Checked,with local excavators,installers-(attach documentation) ✓ Accessed USGS database-explain: mo gs g 64 ) You must describe how you established the high ground water elevation: -' - .4 a 7ar:� d .. L •,� S-3 D � YO -vre•ta-c� Gtr�l r lY 2 b,� � 1 TOWN OF BARNSTABLE CF THE T�4 v OFFICE OF 11ASd9TOBL i BOARD OF HEALTH y MASS A �o i639• �e� 367 MAIN STREET MaY k HYANNIS, MASS.02601 February 12, 1999 John C. Aalto P.O.Box 339 Marstons Mills, MA 02648 RE: 145 Fleetwood Path, Marstons Mills Dear Mr. Aalto: You are granted permission to construct an onsite sewage disposal system designed to accommodate a three (3) bedroom dwelling at 145 Fleetwood Path, Marstons Mills, Massachusetts. This permission is granted with the following conditions: (1) No more than three (3)bedrooms are authorized. Dens, study rooms, finished attics, sleeping lofts and similar type rooms are considered bedrooms according to the MA Department of Environmental Protection. (2) The dwelling shall be connected to public water. (3) The designing engineer shall revise the plans to reflect the number of bedrooms authorized at this property. This permission is granted because the size of the lot is 20,000 square feet. This is the last remaining undeveloped lot in this subdivision. Also, all of the adjacent homes in the area consist of three or four bedrooms each. It is the opinion of this Board that the construction of one additional septic system should not significantly alter the quality of the groundwater in the area. inc rely,y ulrs, Actin Chairman`--'' J Board of Health Town of Barnstable RAM/bcs aalto THE TOWN OF BARNSTABLE Bpi T�� OFFICE OF = HsaasTSHLr BOARD OF HEALTH � MA6R p� 0o 039. `em 367 MAIN STREET CEO MP k' HYANNIS, MASS.02601 July 20, 1998 Joseph Iafrate Bayview Corp. P. O. Box 2040 Centerville, MA 02632 RE: 145 Fleetwood Path, Marstons Mills Dear Mr. Iafrate: Your request for a variance from the State Environmental Code, Title V 310 CMR 15.214 Nitrogen Loading Limitations, to install a septic system for a proposed three bedroom home at 145 Fleetwood Path, Marstons Mills, is not granted. The submitted floor plan of three bedrooms would generate an estimated 330 gallons of wastewater per day. However,this parcel is only 20,000 square feet in size and is located in a zone of contribution to public water supply wells. The maximum allowable wastewater discharge is limited to 220 gallons per day. A person requesting a variance must establish that enforcement of a particular provision of Title V from which a variance is sought would be manifestly unjust, and must establish that a level of environmental protection that A person requesting a variance must establish that enforcement of a particular provision of Title V from which a variance is sought would be manifestly unjust, and must establish that a level of environmental protection that is equivalent to the State Environmental Code requirements can be achieved without strict application of the provision of the code from which a variance is sought. You did not establish that a level of environmental protection that is equivalent to the State Environmental Code nitrogen loading requirements would be achieved and you did not demonstrate manifest injustice. Therefore, your request for a variance is not granted. Iafrate r - It should be noted here that the applicant does have the option of constructing an enhanced nitrogen removal system at this property in order to receive approval to increase the number of bedrooms. Sincerely yours, Susan G. Ras , R.S. Chairman Board of Health Town of Barnstable SGR/bcs cc R. Toti T. Geiler Iafrate - DATEt - - En •, ti �, ' 0 n of Barnstable REC. 8� f 11�4/69 oard of Health 199, 36�.r� 'n Street,Hyannis MA 02601 �? Office: 508-790-6265\� FAX: 308.790.6304 Susan;f,' 3uMner Kaufl i gn M.S.P.H. U hA. p Murphy,M.D. �/ VARIANCE REQUEST FORM LOCATION /4 Property Address: .�Vff Fleetwood Path, Marstons Mills Assessor's Map and Parcel Number: 4 7—6 0 Size of Lot: 2 0',0 0 0 s q. f t. Wetlands Within 300 Ft. Yes Subdivision Name: No XXX Business Name: APPLICANT lJo�1n C. 1-9a <f' CONTACTPERSON Name: Name: ra e Address: P. ox 048, Cen r i Adder See Applicant T 2 Pho Phonec FA _ FAX: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE.(May attach If more space needed) Art. XLVII Wastewater Discharge 3-3 Flow Rate Determination ae in n is ric der i e 7 - TransTrl= -- �„1 PG - GPa 1 5 005 QuAlis(to be completed by office staff-person receiving variance re=mest application) Four(4)copies of plan submitted(including septic system pi'ais and/or restaurant floor plans) Applicant understands that the abutters must be notified by rimed mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage:emulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(w rw rer urepwd waf=*eery,tm by v rwm 1e mak(saw Wmerfia"onyt-&We 4nins ve ienee renewals tame owneremm only),and vitiaem to M*fdkd sewe�e doper naw®e teelr If eo expadon to the tw WI%p epwedD Variance request submitted at least IS days prior to meeting VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ TOWN OF �BA�iRNSTABLE LOCATION �yS /'/Pp4 IyUe! /"d�1n SEWAGE # VILLAGE 1�1Di S ✓� ���1 ASSESSOR'S MAP CLOP-- INSTALLER'S NAME&PHONE NO. .�U�gnj AA 1 SEPTIC TANK CAPACITY Soo qe LEACHING FACII.TTY: (type) L�1Tl i�f/GL�U✓� (size) _ /0 2C 0 A A NO.OF BEDROOMS BUILDER OR OWNER J a a t 4-0 PERMTTDATE: 105- � COMPLIANCE DATE: t2 " Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist � on site or within 200 feet of leaching facility) n r Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 14- i Dec o � I 03 I ~ ,x - s No. r✓ / . Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migooaf *proem CCon.5truaton Permit Application is hereby made for a Permit to Construct( or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. 7 .. �� '� � Ow,ner's Name,Address and Tel.No. -?��t'��.1�(� Installers N'ame,�A¢dress,and Tel.No. ff Designer's Name,Address and Tel.No. l T I SPA 42 ca N J. Dy Lane ASSOC. x4• 42 Canterbury w� MA 02536 Typ mg: Telephone: 508/540-2534 Dwellin No.of Bedrooms J�- V Ga age Grinder( ) er Type of Building o. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow ­540 gallons. Plan Date Number of sh ets Revision Date Title Si tJ !ri— A.) V ►- �►7s`.1_�, Description of Soil < �w c�S '-'L EF Si% 7L Mj Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions ATitle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i d 5 Board f Heal / Signed Date /t /ql)r Application Approved by r r Application Disapproved for the following reasons Permit No. �/ Date Issued a.. --'% TOWN OF BARNS TAB LE LOCATION /`7OS Wadi 10 77n SEWAGE # 7� VILLAGE IQII g,r 57,4t ASSESSOR'S MAP INSTALLER'S NAME&PHONE NO. LOT i-i SEPTIC TANK CAPACITY UU LEACHING FACILITY: (type) r � NO. OF BEDROOMS (size) BUILDER OR OWNER PERMTTDATE: ^ "��" ` `�°I COMPLIANCE DATE: -`l Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water SupPly Well and Leaching Facili Feet on site or within 200 feet of leaching facilityj+ m any Wells exist Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by Feet a W � � ,• G o i n "i - No. f.N. , / AY , / Fee r•..r.-� ',eke _. THE COMMONWEALTI<I OF.MASSACHUSETTS # PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS r. Application for Migoal 6p$tem COrigtruction Permit .-t Application is hereby made for a Permit to Construct( or Repair( )an On-site Sewage Disposal System at: 4 Location Address or Lot No. L/�!' tO,QGQ ^ O ner's Name,Address and Tel No. �►��'�Q,�O(� Installer's N^am-e, ddress,and Tel.No) ; Designer's Name,Address and Tel.No. AL STEPHEN J. DOYLE & ASSOC. t r ', �' � 42 Canterbury Lane 'Type of Bui din : .,-Telephone: 508/540-2534 CDZwelinjl_` No.of Bedrooms ✓� !/ G age Grinder( ) er Type of Building o. of Persons .Sfiowers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated�daily flow - �F '3 40 gallons. •y Plan Date '7�,'' Z��( _Number of sheets, Revision`Date Title IT —\3&Q V I tapd C,t)02 Description of Soil �J� ..�.-- of�.. L�H S SN .I• Z t>€ SC�CC,z _LkA-tj 4 , i Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss ed b Bo7-1 f Heal h. r r Signed Date Application Approved by Application Disapproved for.the following reasons Permit No. / Date Issued a THE COMMONWEALTH OF MASSACHUSETTS_. r PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 4 Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System insta led( )or repairedhe laced( )on by �6 k A ��f'x'! for l� i 31b as 0 has be constr cted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Use ofitas�system is conditioJ11A on co li ��ith the provisions set forthelow � P� ! ' V. V l f No. / � Fee THE COMMONWEALTH OF MASSACHUSETTS I PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mizp®zat *pztem.Comaruetion Virmit, Permission is hereby granted to el f2 av to construct( repair( )an On-site Sewage System located at I_Fll�:�;���&Zej and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. 9 � Date: �/ Approved by TOWN OF'BARNSTABLE OFFICE OF i 3AHd9TAM BOARD OF HEALTH y rASIL °o 039 367 MAIN STREET o rpr HYANNIS, MASS. 02601 February 12, 1999 John C. Aalto P. O. Box 339 Marstons Mills, MA 02648 RE: 145 Fleetwood Path, Marstons Mills Dear Mr. Aalto: You are granted permission to construct an onsite sewage disposal system designed to accommodate a three (3) bedroom dwelling at 145 Fleetwood Path, Marston Mills, Massachusetts. This permission is granted with the following conditions: (1) No more than three (3) bedrooms are authorized. Dens, study rooms, finished attics, sleeping lofts and similar type rooms are considered bedrooms according to the MA Department of Environmental Protection. (2) The dwelling shall be connected to public water. (3) The designing engineer shall revise the plans to reflect the number of bedrooms authorized at this property. This permission is granted because the size of the lot is 20,000 square feet. This is the last remaining undeveloped lot in this subdivision. Also, all of the adjacent homes in the area consist of three or four bedrooms each. It is the opinion of this Board that the construction of one additional septic system should not significantly alter the quality of. the groundwater in the area. I i inc�rely,;yours,, urp , l I Actin& y Chairman - Board of Health Town of Barnstable RAM/bcs aalto TOWN OF BARNSTABLE � } w OFFICE OF ' = 9ABdSTdBL BOARD OF HEALTH NAB&oypY'k�e� 367 MAIN STREET HYANNIS, MASS.02601 February 12, 1999 John C. Aalto P. O.Box 339 Marstons Mills, MA 02648 RE: 145 Fleetwood Path, Marstons Mills Dear Mr. Aalto: You are granted permission to construct an onsite sewage disposal system designed to accommodate a three (3) bedroom dwelling at 145 Fleetwood Path, Marstons Mills, Massachusetts. This permission is granted with the following conditions: (1) No more than three (3) bedrooms are authorized. Dens, study rooms, finished attics, sleeping lofts and similar type rooms are considered bedrooms according to the MA Department of Environmental Protection. (2) The dwelling shall be connected to public water. (3) The designing engineer shall revise the plans to reflect the number of bedrooms authorized at this property. This permission is granted because the size of the lot is 20,000 square feet. This is the last remaining undeveloped lot in this subdivision. Also, all of the adjacent homes in the area consist of three or four bedrooms each. It is the opinion of this Board that the construction of one additional septic system should not significantly alter the quality of the groundwater in the area. 5inc rely,,yours, Acting hairman\- Board of Health Town of Barnstable RAM/bcs aalto R.c 11� / r SCHOOL '31 :'vo l.,•R/VE USGS LOCUS SCALE: 1: 25.000 CkI6 *A 79 28. S \ EaA well area 16 •.Per owne160.001r ` r 1. ' r LOT 11 io . 20,000 sq. ft. ZONING DISTRICT: RF BUILDING SETBACKS: ► `4 ' , 1 I FRONT 30 0 REAR 15' 1 N , r• 1_ . . t a t� SIDE 15 O posed_S.A.S. " ( •pr osed driveway r OVERLAY DISTRICT: GP cu nfiltrator trench ' J I n9 • •" exlsti e Pavement r i I LOCUS DOES NOT LIE IN A FLOOD HAZARD ZONE 150 .:`►'''' r , r ' 0 gallon ' ' , .••-- o l , , o precast tanks ` ' ASSESSORS MAP 47 .PARCEL Z Tp 3 P; o�e 03 REFERENCE CERTIFICATE #99802 "o. j IDWe= n N O o de k � , 0 APPLICANT: 15I g , JOHN AALTO -,- 1 24 1 + 3 ; BM: TOP HYD. SPINDLE ' EL 72.65 ao 1 0 DATUM: Ncw . t 144 r � ' r ' 1N r , r r too �s •o ' 1 � 1 � � q6 4Z` 88 r r ` r \ 80 -78 7V utfls. ; r , r 74 r r r SHEET 1 OF 2 GRAPHIC SCALE ��a `r�� SITE PLAN O F LAN D ZN OF�� zo o ,o so so so ��G� 4t61SiFRfp oy� IN STEPHEN .n DOYLE Mai y MARSTON MILLS — BARNSTABLE MASS. IN FEET ) No.37559 FOR 1 inch = 20 ft. z z z-« �w. A�p�..cA1v,T > F^2?PESStb�Q� IT O IE-� I A A T NO. , DATE DESCRIPTION BY SCALE: 1" = 20' DATE: MARCH 21, 1998 PREPARED BY: STEPHEN J. DOYLE AND ASSOCIATES 42 CANTERBURY LANE, EAST FALMOUTH, MA 02536 TELEPHONE: 508/540—2534 GENERAL CONSTRUCTION NOTES 1. ALL WORKMANSHIP AN ,MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 PROFILE OF SEWAGE DISPOSAL S�Y S T E M AND THE HE TOWN O DISPOSAL OF SEWAGERULES AND REGULATIONS FOR 2. AT LEAST ONE ACCESS PORT OVER TANK TEES SHALL BE ACCESSIBLE NOT To SCALE WHITHIN SIX INCHES OF FINISH GRADE WITH ANY REMAINING ACCESS PORTS BROUGHT TO WITHIN TWELVE INCHES OF FINISH GRADE. 3. ALL COMPONENTS OF THE SANITARY 'SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' Top FOUND. ELF. qz,o OF DRIVES OR PARKING. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING UNLESS NOTED. ' y V v 4. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL SITE UTILITIES PRIOR TO ANY EXCAVATION. 5. SEWER PIPES SHALL BE 4" SCHEDULE 40 PVC LAID AT 0.02 SLOPE. 6. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. FLOW LINEWATER TIGHT COVER _ t.aV.7--1-=ea3 to• uIx 7. FINISH GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FEET PER FOOT. t9• INV. EL. Ss .o 2' LEVEL 1 4' LIQUID DEPTH uIN. e• - -- ..._ INV. EL NV. EL tT,Z q eseFatcs�;r_;a twL :r �lct:.�r 2' MIN. — 1/8" TO 1/2" WASHED STONE 1500 GALLON PRECAST REINFORCED CONCREYE SEPTIC TANK MINIMUM CONSTRUCTION MATERIALS PER 310CMR 15.226(2) PRECAST REINFORCED ONCRETEo. INFILTRATOR DISTRIBUTION B X �'' " 2' TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND - 3/4 1 1/2" WASHED STONE G > EFF. DEPTH SHALL EXTEND A MINIMUM OF 6" ABOVE THE FLOW LINE INSTALL ON A LEVEL BASE y OF THE SEPTIC TANK AND BE ON THE CENTERLINE OF THE SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEAN—OUT MINIMUM WALL THICKNESS = 2` MANHOLE. MINIMUM INSIDE DIMENSION = 12" S.A.S. _ o LONG x lQ-L WIDE x z- EFF. DEPTH THE INLET PIPE ELEVATION SHALL BE NO LESS THAN 2" NOR INV. EL 611.o WITH HIGH CAPACITY INFILTRATOR CHAMBERS MORE THAN 3" ABOVE THE INVERT ELEVATION OF THE OUTLET INVERTS SHALL BE EQUAL TO EACH OUTLET PIPE. OTHER AND AT 2' MINIMUM BEEOW INLET INVERT. SEPTIC TANK SHALL BE INSTALLED LEVEL AND TRUE TO GRADE THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY SHALL ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODING COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE THE DISTRIBUTION BOX TO THE'HEIGHT OF THE DISTRIBUTION HAS BEEN PLACED TO ENSURE STABILITY AND TO PREVENT LINE INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. SETTLING. INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH DURABLE AND NON—DEFORMABLE MATERIAL PERMANENTLY FASTEND TO THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9". LINE OR RECONSTRUCTING THE LINES UNTIL ALL INVERTS ARE OF EQUAL ELEVATION. THREE 20" MANHOLES WITH READILY REMOVABLE IMPERMEABLE COVERS OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS PORTS BEING PLACED AT THE CENTER AND OVER THE INLET AND OUTLET TEES. �\o L--n ,+�►�_ A'-L THE OUTLET TEE SHALL BE EQUIPPED WITH GAS BAFFLE. i R11Ct REFERENCE MAP: SOIL OBSERVATION DATA: CAPE COD WATER TABLE CONTOURS DESIGN DATA: ��y� �� �iZAAND �q�? Ao y PUBLIC WATER SUPPLY STRUCTUREr S. Z O } ye.,uas3 TEST DAIS WELLHEAD PROTECTION AREAS TYPE NO. BEDROOMS GARBAGE GA RBo.AtG.)t(E DISPOSAL SEPTEuaER'Ics t—LSOIL EVALUATOR DESIGN FLOW W\ �"A _ '/ r WATER RESOURCES OMCE B.O.H. AGENT CAPE COD COUMSSION - EXCAVATOR A A_\_�p e j PERC/RATE SEPTIC TANK ZZo Zoy = r,�0 us z 1�0> G��Lo, ,.�• SHEET 2 OF 2 LEACHING FACILITY AI t= �o A<1�. v - 3 j W _ �'' iny>� •�1L � Woyw �!f L (Ilca � �o,�l X o.7.t� _ �� 4+7D ��s�ctNi~� 5 0' C G SCALE: AS SHOWN DATE Tv STEPHEN J. DOYLE AND ASSOCIATES �atiA I 42 CANTERBURY LANE, FALMOUTH MA. 02536 b V o,�%L TELEPHONE: 508/540-2534 / RAC ,Of 100 SCH� y.zS • jv LJ• X f• { ,. p9ow f i.I,"�i T 6• USGS LOCUS SCALE: 1: 25.000 �b AA qZ 40 ID 79�28. S- I well area j \ 160, 16 Per own 00 7 too ` ' 4 ..iL r LO T 11 ; N � 20.000 eq. ft. ZONING DISTRICT`. RF BUILDING SETBACKS: FRONT 30 REAR 15' �o n SIDE 15' , � �. - �•� �'"` "� N`e� �!rn � � S.A.S. i . ; `` T _ , OVERLAY DISTRICT: GP f1trator trench Dr drMeway `.' I existing pavement i LOCUS DOES NOT LIE IN A FIAOD HAZARD ZONE 1 a i 1500 gallon, Precast ` v i o tanks c4 ,1 "ISSE'SSORS MAP 47 "PARCEL, f � .. • 1 � � _ n l a "d , - _ r REFERENCE CERTIFICATE.#99802 0 j o - d . APPLICANT` JOHN AALT'0 . ' 3 i BM: TOP HYD. SPINDLE ,' EL 72.65 DATUM: NGVD 1 � 4i• S ' r 00 , 1 1 r r 80 78 r• utfle. r r , r / I SHEET 1 OF 2 GRAPHIC SCALE fA OF � SATE FLAN O F LAND j .�. CISTERf� O�20 0 10 zo +o eo IN STEPHEN G� - ooJrLE w MARSTON MILLS — BARNSTABLE MASS. IN FEET � No.37559 FOR Z -i -:'.- ,�. � k�v, j�P p`. 4ESSt 1 inch 20 ft. OrP� Q '(4*0 U � ° IT O i z-z-Z\Q� N0. SCALE: 1" 20' DATE: MARCH 21, 1998 DATE DESCRIPT70N 8Y PREPARED BY: STEPHEN J. DOYLE AND ASSOCIATES 42 CANTERBURY LANE, EAST FALMOUTH, MA 02536 TELEPHONE 508/540-2534 i __ - - ..-_ ___ __ - _. __,____ , ._.,_. _ _ __-__ .__ __ _ _ __ _ __ _ . - . - - .' . . - - ,e - - GENERAL CONSTRUCTION NOTES 1. ALL WORKMANSHIP AN MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 pp C P R O F I L_E O f SEWAGE •D f S P O S A L� SYSTEM. THE;SU SURFACE DISPOSAL OF SEWAGE.RULES AND REGULATIONS FOR 2. AT LEAST ONE ACCESS PORT OVER TANK TEES SHALL BE ACCESSIBLE NOT TO SCALE WHITHIN SIX INCHES OF FINISH GRADE WITH ANY REMAINING ACCESS . PORTS BROUGHT TO WITHIN `TWELVE INCHES OF FINISH GRADE. . 1 II.-:.'�I-��II�.I�.,.IlI.1-.­�I-I..II,-..�-..,I­�.��I�II'I_,1�-I.-._�I.�1.1 I I I,I�,,.�I..,�..�I...-,_I..I-I,I.I�I I.,I,-.I 1��-I.._1I1�I-�.I,,��I I����;I._:�..I:II II-.,.���-I,..�I I�.,-1­��­e_.�..,I-.1_.,-.�I..-l�.,I.I11..,�I.-,_­�-I1:.1 I�I.�..�I-1.1-;,.I-l1�I-I:�.I-�i;.,1z_l-1-,��.I-1�1­-,-._:..�.II-I I_.II I.... .�.I 1­I--I'.��%I..-�I-;"���,II.I,�I-..�--,A-I II I�1 f,.,-.-I-�:_17,,..- -I�,--­fL\,_A-,I,,'I.,,..1I7-I,­_,-,,�-­r,.-II�-�I I,.� I,,4 1��.�c-�.�i- . - ,- . 3. ALL COMPONENTS OF-THE SANITARY 'SYSTEM SHALL BE CAPABLE "OF _ 10'WITHSTANDING H 10 LOADING UNLESS ,THEY ARE UNDER OR WITHIN , . TOP FOUND. EL t:.►_ qZ.p <, _ OF DRIVES OR -PARKING. H 20 LOADING.SHALi. 8E'USED UNDER OR WITHIN . 10' OF , - . DRIVES OR PARKING UNLESS NOTED. - • 4. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL ,', ,;J _c_! 1,- ; r , , , ES PRIOR TO ANY EXGAVAT{ON. 1 1 1 t�.y . .SITIE -UTILITt �-_ _ ,,. - f' ,. r' r , .02 L —� N kv. c4war—' r �� . a 5 SEWER PIPES SiiAll 8E 4 SCHEDULE 40 PVC LAID AT 0 S OPE _ . a 6. ANY MASONRY UNITS USED 70 BRING COVERS TO GRACE SHALL BE MORTARED IN PUKE. WAIM TMT,COYEB . __. - W . FL O LINE . ,- - . , '_. - - _ 7 flNt HAVE A MINIMUM 'OF 0.0 T P R "F T itay. as.3 ,. .:- SH GRADE SHALL SLOPE 2 FEE E OO O . - : .- - , :. ., -a . . . .� .: IN ; . ' 1 V ,. N EL. sg.p . r UNU II .' _ 1 � ' . uouo cErn+ . .. . . �( i; try. . suw - - ,,,. _ . . - µ � �: , .. , �_� .. - - a, l�,t #.,+G .. /,J I .. - ;. -..' - , .. ., -. _. ,.� .. . .. -, . . .' ... ... ,... t.;- _ ' - ,, a :. . _ ,:., . _ r �. ;: INv EL :, y ; a. 1r _ _ - r . . - -..-. - -. - -xr: s..:.,:., .� _,,x ':. H.. _.. - .. .. .. i .. _ ... .. .. .. ,. _.. .. t .a,..Y: .. .. . . .,...... ,,:_..,.. ..: 500 PRE ST F , .. :• . Ak .ON RE{ ORCED.CA N CON SEPTIC K T AN , ., .. ., -.:.. r. d .- .-. -- ,.., . - - o. ....gin .. . ' :.:, , .. .:y, .% ,. ...-, w' ;c.,. .. ...., a .w:. .. t1 - - Y• . • . ... -. 1 e: , .. -: .:... .: :s... _i... .. e c ,. - .-. .,� s.:. a.a .. _ R F ,_R CAST KEEN ORC:© C +tCRETE.. :- , . , STRUCT4+*AlERI R E Als .SON PER 3 OGitt 1 2 . 226( x : , s IBU N I. TRA1tDR,'; ' TR Ti d D1S _` _: , t.,, _ __ k EFF: . =.SEES SHALL 8E aDNSTR OF OEP1H �W - 7,. .11C7ER SdiEDtM.E . PVC IWD_ v .. ..., ,.,. s ,f .. a : _ .. z ,.: ALL. OF SII S' ABa . . a. - .- .. _.' .. _ ..s - _f. .. .. r :... t -. ,:: s r . lNSTA, ON A V,. . '',_ }:s - r . . T , _ :._ . , . : ..- .,.:_ . �.,1Fs .DVS tr aF 1HE:SEPTIC AI'l1� XND BE:Ctlt:THE E 4. ,CaITERLIN ._ 1 ,_ LoCA WILY T. �w-=a, _ A ,.-��C :- ^ a 7-; _ - - - . . .. .- r - •• _ _ _ E DY1Q!t9Qll . . _. ;.,, __ � ^.K ,a'�aONC-x" _. . -, ,3�:EFF -AEPTt•I `: _. . .. .. .-... , .. , ._ :a. _ --__:-' .=:' pie,. 'e• 'a'_ -..., .'..►:.. ' ar+G 3'�',F�E.EI.EV,.T10." SHALL. �... TyAN .. _ :..,. ... r F .�. .. _ .. _.. IokE THAN r THE T _ -: vE LAVER ATIt�N . . _Asa E41t .. • _ ._ i/rJ N.L C lei..1V G/9b(1 a. .. - - ... ., ._. ..-,.... .-. .- -.. .. .. } 3, r -Q ER AP1Q A 2'" 41�:AELOW. .. ..i..+ . ,.. f , .. - .. :.. - , r , _ `"- .. , :-_ ,:.. .. ,,. .. � '- .:. =may _ :- > ON frli THE DISTRIBUTION B0X ' . . T WST „ ANK SHALL BE ALLEir Al. ►,t Glt SEPTIC LI;VEL r�itE-i�0 ADE _ ,,:. r I NG aN A LEVE1. STAihi,E BASE THAT HAS"BEEN 11ECHANICJ Y - TiON'80X.TC� rr 11EIGNT OF,'tFtE DlS7RI8U710tr ' t COYPAC aN TO.WHICH SIX 0F-CRUSH£TJ STIr1NE =Tl1E . TED AN0 N�(2iES , ., - HAVE BEEN SEALED 8J PLACE - - s HAS SEEN PLACED TO ENSURE STA8�ITY MID TO PREVENT LN�E INVERTAFTER ALL LBIf _ . -. `, . _ Y :. _ SETTLING. _ INVERT A0�ISTMENTS SHALT;Bf MADE 8 f1l1JNG:MATH:DURAStF AN 1LY FASTEND 0"THE _ AND.NON—DEFORMABLE'MA'i'ERIAL PERM EN T . . '' UN INVERTS ARE GF "' LINE QR RECONSTRUG'TING 3E LIHES TIL ALL . SEPTIC TANK SHALL HAVE A MINWUu COVER OF S',r" - .,: E AL•ELEVATIOtt. QU • I THREE 20 MANHOLES WITH READILY REMOVABLE IMPERMEABLE - ,, : . - COVERS OF DURABLE MATERIAL SHALL BE:PROVIDED WITH ACCESS - - ;- ' ,; . - .- - - ,- : . : �, - G T,. .PORTS BEIN PLAI.Fp A THE ENTER :I►WD aMER TF� INLET;AND . , . _ .. - ��. , - OUT LET ?>:ES . .,, .. :... , . - _ _ -- -. THE OUTLET TEE SHALL BE EQUIPPED VAIN GAS BAFFLE. . . cm A REFERENCE MAP: SOIL OBSERVATION DATA: - . CAPE COD � DESIGN' DATA: gb - � � ti WATER TABLE CONTOURS •{, S� �•1 - AND STRUCTURE ES. Z 10 3 Lr �+ PUBLIC WATER -SUPPLY .:_. TEST GATE y I a� ko I t'YS NO. BEDROOMS GARBAGE DISPOSAL ,•, �.�rl t "+ 1 A f-- WELUiEAD PROTECTION AREAS TYPE -. a, �.,� , . , ' i , - .K� Sq1 EVALUATOR �... grlflreEte'ttwe DESIGN FLOW 1�0 'sS0 ewe t�..n u c � 4-t,o..l ei '-- �' `pt ' ' . W�y��R� ppf��� M J4 .. s B.O.H. AGENT S nu..aQx►.acr CnPE COO ogrYsgoM ' ., a ! yrdC .?a ' ) ;;' ., I t EXCAVATOR A AA. �0 �,.\ [ f p SEPTIC TANK %Z0 .. Z 1.Go t U►Se \� Qi) GAUL� ," y _t : 'T-•p•& _T'.P. D SHEET 2 OF 2 , LEACHING FACILITY o*1.� 3a t 3ri V T = 100 EL.,IS.O 044 EL.�rs-b 0It r plF boy 3)1 ,• hiE. 1aVr_ * 1 is _ 1e� �o 300 _ -- �t IL-` l�--c�\ \\ 8 B _s i041L AIG �, _Z 1c.ilL Y(. (�42 . j -& 0•"14 r 3AO cim .ems►Q,*&v )> , 3Z 3z" 0- G SCALE: AS SHOWN DAT£: is Yo / , c:waaE -G.*. . . -STEPHEN J.:'DOYLE AND ASSOCIATES '"- E L,r.S.0 i Lv 4 S^A%0 EL.t-3.0 t• o w o l►trR I L -. - TELEPHONE: 508/540—2534 Nk' 42 CANTERe 02538 Ito A=i rj,. , , ,