HomeMy WebLinkAbout0150 GREAT HILL DRIVE - Health 150 Great Hill Drive
r, -
Marstons Mills
A= 174 — 035'
3
(1 TOWN OF�BARNSTABLE
G
C LOCATION 1150 � � ILL J)PUUC SEWAGE# d O( S —.�0 8
VILLAGE I;STpi}S rKAIp �ASSESSOR'S MAP&PARCEL d 0"j
INSTALLER'S NAME&PHONE NOCAPE 310E E1lI r QZPA E-SJRB� ' 7�
SEPTIC TANK CAPACITY (—,-A(,L0(,.J
LEACHING FACILITY: (type)( 1� b(i CAS Cl4a1uMe71S(size) m 9+5
NO.OF BEDROOMS 3
OWNER NiZ t$ (2kA -4s L'PCM A
PERMIT DATE: , " ( 0 s 16($ COMPLIANCE DATE: -7—A6
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility A Feet
Private Water Supply Well and Leaching Facility(If any wells exist on /�A
site or within 200 feet of leaching facility) N l 4 Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within `f
300 feet of leaching facility) v/ 1,4 Feet
FURNISHED BY C"C-LdtaE 16EPkiSes
A-P
A.z . 41.6 w
A-3
0 1
y �►, .7oar .3
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
apphLation for Disposal 6pBtrm Construction 3pPrmit
Application for a Permit to Construct( ) Repair()Q Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. i w -[ 141 L( DT_ Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel M
C�kv-%5+ CA A GL15 c1GMA
Installer's Name,Address,and Tel.No. 5 62-4-1'7_'8S'j'7 Designer's Name,Address,and Tel.No.
cApawlbcs
[ gj
5 c L a Qa 05 �R� tlZs.
Type of Building:
Dwelling No.of Bedrooms Lot Size 4 (053_+ sq.ft. Garbage Grinder( )
Other Type of Building Mt j0Glri e4-E. No.of Persons Showers( ) Cafeteria( )
Other Fixtures y�
Design Flow(min.required) (� gpd Design flow provided 5R B Ll gpd
Plan Date Number of sheets Revision Date
Title IS-0 C:2&-N_-T- 4l u pp- w a�M m
Size of Septic Tank ,06 O G c-k oj) Type of S.A.S. al
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) k),S6 &P,S T( ' r 1`Q(),o Q"�GV 0 cS6P _'tAfJ
-to K)(1.r b—b®1G T-D- /Q 3 IZ O W S or- `B (-�t&4 dAdrr7d 14-�L o [iV JF l C-TR_4T®� '
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 Heal
Signed Date -7 -10 - u t
Application Approved by I - Date q -1 d (K
Application Disapproved by Date
for the following reasons
Permit No. ;ol pj— A0 Date Issued
No. O z Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer—Al—
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Rppftcatiou. for+-3Disposa1 6pstem Construction AhrmIt
A
Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No.
L D C4WS+ cN A u-rS Cu6_MA
-Assessor's Map/Parcel -"fy G L Al.!�4
Installer's Name,Address,and Tel.No. 5��,.. Designer's Name,Address,and Tel.No.
c Ap>�wrbe- viii)t3tt w441 R,go C'N WOOL(cS r-alG
15 Sr k
Type of Building:
Dwelling No.of Bedrooms �7 Lot Size 43 e sq.ft. Garbage Grinder( ) }.
Other Type of Building QV9i j)QXC(/Q•S,. No.of Persons -Showers( ) Cafeteria( )
' Other Fixtures
Design Flow(min.required) P L.' gpd Design flow provided f gpd
Plan Date Number of sheets /� Revision Date
Title 1} -57Q GAAA- kFtrL to P. 1A),66/Mm
Size of Septic Tank .UCO (z"(,00 Type of S.A.S. :)L 1 (41 "Q.A&jF Ztj I;i f."tferC'1`'tt
Description of Soil " Q �, KA&jh Q 4al f J.gym tp j
f
Nature of Repairs or Alterations(Answer when applicable) ,S a;�.• ,�'[ �(` ., `)A
d*a f i r An ►y �! R OVj S0T_ '7 Aq f # t .tk�t"t';r.,/ l4 �m w F I CT O
i
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 g
Compliance has been issued by this Board of Health.
Signed C Date O
Application Approved by ) Date
' Application Disapproved by ! Date
for the following reasons
Permit No. y�h a� Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
CErtificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( )
Abandoned( p�)+by 0AlD64ViA(_5_ r�"r�.�, e)
at ; j � R4— 14(Al_'bk i K jl/i has been constructed in accordance
with the p ovisions of Title 5 and the for Disposal System Construction Permit No. ?0l �8 dated 404
04
3A Designer # � ; _ 'Installer W&ofilim E�TyaR
#bedrooms Approved design4lowr"---{.,�t � gpd
," m �..
The issuance of this permit shall notbe construed as a guarantee that the system ill fundon designed
Date Inspectors
No. d` 10 A9 O . .. . _. . Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Misposal *pstent Construction j3Prinit
Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon
System located at 150 0 C ECT til L 1 3 � S�1:�C S M., I L
r N
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:Construction must be completed within three years of the date of this permit. �.•�"�`' ( �'
Date '� ' Approved b
. � PP Y <�
Town of Barnstable
�zr Regulatory Services
Richard V. Scali,Interim Director
BARMABI.£, i Public Health Division
MARS. ,Q
t6J9 `Qr b Thomas McKean,Director
pTED MA't
200 Main Street,Hyannis,MA 02601
Office: 505-862-4644 Fax: 508-790-6304
Homeowner Certification Form for Alternative Systems
Property Address: �7 r�rv� •,'�f f 711+ . 1 c2r�t 5 f �.G 1
Assessor's Map\Parcel:
Property Owners Name:
In accordance with Massachusetts DEP alternative system approval letters, the following certification
information is required by the Owner of record. The Owner of record must place an 'Y' in the
applicable box next to each line certifying the information.
Yes N\A
❑ I have been provided a copy of the Title 5 l/A technology Approval letters.
(15 page Standard Conditions letter and the specific technology letter)
.1 have been provided with the Owner's Manual
❑ I have been provided with the Operation and Maintenance Manual
❑ For Systems installed under a Remedial Use Approval, I agree to fulfill my
responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10)
and the Approval
�J P-j For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to
provide written notification of the Approval to any new Owner, as required by
310 CMR 15.287(5)
❑ If the design does not provide for the use of garbage grinders,the restriction is understood
and accepted
F4 IJ Whether or not covered by a warranty, I understand.the requirement to repair, replace, modify
or take any other action as required by the Department or the LAA, if the Department or the
LAA determines the System to be failing to protect public health and safety and the
nvi onme jt,as defined in 310 CIv1R 15,303
agree to comply with all terms and conditions above.
roperty Owners printed name
��— ropeftty Owners Signature Date
Note: This form must be submitted along with the septic system disposal works permit
application for all I\A systems including new construction repairs\upgrades, with and
without aggregate (stone) and with conventional design criteria or credited design
criteria.
Q_septicVA homoomer certificatim.doc
I
Town of Barnstable
t"E r Regulatory Services
T
Richard V. Scali,Interim Director
+ BAMSTABM
MASS a Public Health Division
AtFpta Thomas McKean,Director
200 Main Street,Hyannis, NIA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date.: `? 3(— 18 Sevrage Permit# oZ,bjg'9,08 Assessor's NjaplParcel 1141935
Designer: (:nq;ytee r;n lt)a r-L-(s F l n C , Installer: pEWt DC: C= R Rt$c r PT30
Address: IZ W, Cebss°t-,e �l 1 Address; r S _Mgmr_ lit"'
On '7-lo.Ro12 �PC-40(06 &`r 1sC-S\A'aS issued a permit to install a
(date) (installer)
septic system at I so G&oq-[ (AIL C)7Z1 ups" based.on a design drawn by
Fe -e r i. 1Nt c.C.�+�e ��;
(address)
Evw 1,le-P-Ci nr) LL)br(AJ C , dated 5-. 9 - 12
(designer) '
g! 1 certify that the septic system, referenced above was installed substantially according to
the design, which may,include minor approved changes..su.cli as lateral relocation of the
distribution box and/or septic tank.. Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system. referei-wed above was installed with major changes (i.c.
greater than 10' Lateral relocation of the SAS or any vertical relocation of any component:
of the,septic system) but in accordance with State& Local Regulations. Plan revision or
certified as-built by designer to follow, Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the system referenced above was c:onstructe '.' nce with the terms
of the AA approval letters(if applicable) . OF
PMR T. ,.
M*NFEE
CIVIL
taller's Sig re) NO.35109
FGISTER��
(Designer's Signature) (Affix Designecs Stamp Here)
PLEASE RETURN: TO BARNSTABLE PUBLIC HEALTH DIVISION.. _CERTIFICATE
OF COMPLIANCE FILL. NOT BE ISSUED UNTIL BOTH THIS FORM, AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISIOI\.
THANK YOU.
Q:\Septie\Designcr Certification form RcN,.3-14-13.doc
1 u wu oil. narnstabie P#
Departtincnt of Regulatory Services
" Public Health alth Division Date
t�
200 Main Street,Hyannis MA 02601
FO��
Date Scheduled
Time Fee Pd. D
t�.i
Soil Suitability Asses 'ment for Sewage Disnosal
Performed-By: Y
Witnessed.By: , V
LOCATION& GENERAL FORMATION
Location Address !!�� �'+ � r-
. � S—V lJ Ott 1 ' I 't (t'L �1Tl V� Owner's Name
�� sa�Cs > 'IILL� Address tZ D
Assessor's Map/Parcel: 7
Engineer's Name W �C
NEW CONSTRUCTION• REPABZ Telephone#p
Land Use
Slopes(16) Surface Stones
Distances from: Open Water Body ft possible Wet Area
Drinking Water Well � ft
Drainage Way ft Property Line
ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands 1n proximity to holes)
Q
V
Parent material(geologic) epth to Bedrock
Depth to Groundwater. Standing Water in Hole: Weeping from pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in, Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft.Index Well# Reading Date: index Well level, Adj.factor,�,a� Adj.Groundwater Level
_ PERCOLATION TES`.' bale� ���
Observation _ _ _ -- —
Hole# -
---Y. — Time at 9"
Depth of Pere . Time at 6"
Start Pre-soak Time @ Time(9"•6") _a
Had Pre-soak �-
Rate Min./Inch `
Site Suitability Assessment: Site Passed Sitc Failed: T Additional Testing Needed(Y/N)
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 Consel}vation Division at least one(1) week prior to beginning.
Q:%SEPTICIPERCFORM.DOC
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture `Soil Color Soil• Other
Surface(im) (USDA) ,. (Munsell) Mottling (Structure,Stones;Boulders.
Con istenc 'vel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other _
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.90 Grave
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders,
Cons' ten
d insurance Rate Ma
Flood n p .
Above 500 year flood boundary No Yes ,
Within 500 year boundary No Yes,
Within l00 year flood boundary No:^/ves
�, e
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring perviou rial exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what isahaturallly occurring pervi us material? ...�.
CertificationI certify that o (date)I have passed the soil evaluator examination approved by the
Department ootec on and that the above analysis was perf rme by me consistent withthe requiredd e pe 'e ce described in 10 CMR 15.017.
Date
Signature V
TOWN OF BARNSTABLE �"�/9
OCATION /570 Ggg,, rw/Z e- >A /jib SEWAGE "
a
VILLAGE _ASSESSOR'S MAP&PARCEL 3 r
INSTALLERS NAME&PHONE NO. v /$F '� ti,8 '.. 3-2 vcb
SEPTIC TANK CAPACITY � yasr
LEACHING FACILITY:(type)[�� c C— �^—pI o(size) / ,(
NO.OF BEDROOMS
OWNER Qt�V y
PERMIT DATE: , ,4cl 0-Z Q 46 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility &1A 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) A11A Feet
FURNISHED BY
Al= 41
a V of C�-.4cc dtlr7
B 3-
7l
i
No. Fee_
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Rpplication for �Biqonl �§pgtem COtt,5truction Permit
Application for a Permit to Construct( ) Repair(✓Upgrade( ) Abandon( ) ❑Complete System [Individual Components
Location Address or Lot No. Owner's Name,Address;and Tel.No.
Assessor's Map/Parcew-,/7 ,,,C..-L c /110 6,vtSdt7#A-4 b,-,Z 1�
Installer �33a V�'s Na e,Address,and Tel.No. Designer's Name,Address and Tel.No. �3 3 -0�,/7
7
' vZ 77/44- Dolmo' 14S-1�
�3�zdFS' ,ice WI/ S15;3 &r vo "Ina oc�S3-2
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder (/r
Other Type of Building r"APZ q,,-F No.of Persons Showers( ) Cafeteria,(--�-
Other Fixtures
Design Flow(min.r uired) �O gpd Design flow provided �}7r. 9,6 gpd
Plan Date p Number of sheets Revision Date
Title aim f Qd.A gj
Size of.Septic Tank J Type of S.A.S. (ut'�'£C C " /Z�P/.Vi s 1;7
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) L ✓2 / L L'
PC;
04
oo
On -a Xp � e&>Cz5 :1-b o- /Db /-�.hnDA) .:r E '
FI �c r7-.E�.4J/t
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 Co nd not to place the system in operation until a Certificate of
Compliance has been issued by this BoaA h.
Signed Date 7
ZaR
Application Approved by Date 5--.
Application Disapproved by: Date
for the following reasons
Permit No. 04'0 - �-I Date Issued w��`
od
No. .et ak'".." w - Fee
X,
y _
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Yes
pplication for Migpogal 6p5tem (foHgtruction Permit
Application for a Permit to Construct( ) Repair(a/<00Upgrade( ) Abandon( ) ❑.Complete System O Individual Components
Location Address or Lot No S`Q�r�Jj Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel V°�7e7 �,4 ze E �.rd�i ���Y/Lz: bl-r
� 7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No./
� ,,/2 ,S
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size _ sq.ft. Garbage Grinder (�
Other Type of Building 6-rAPZ,46re No.of Persons Showers( ) Cafeteria.(--)"
Other Fixtures
Design Flow(min.required) �'�O gpd Design flow provided ��.5. 9� gpd
Plan Date 5*/`p�3 J0 T� Number of sheets Revision Date
Title 5 I-r'g f 5' T=w4 Gt< Jn- add A)
t
Size of.Septic Tank j cm ,r,,``.//A4La Type of S.A.S. r6ez-7"EC C 13 X 3,2
Description of Soil {r-P Grp' ci C'� /z./lth s
V
Nature of Repairs or Alterations(Answer when applicable) Z t L E1"� (/sy'��f(r �' �^+E-ie y/,r
-4 vti/7-s w f�� r�d�,dr�.
0(5 rAl x)V 710 E'X/.57-JV 6- /Vip o 6*4 L m) S Zr.> r-,c C-,4 '
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 6fH`ealt .
Signed'//,�`J Date
Application Approved by ''{ p Date
Application Disapproved by: ) Date
for the following reasons {/
YW V
Permit No. C966 Date Issued
i�0 , / THE COMMONWEALTH OF MASSACHUSETTS
( BARNSTABLE, MASSACHUSETTS
rYl ods �1 ta-s Certif irate of Compliance
THIS IS TO CERTIFY/,,that the
/On-site Sewage Ibis osal ystern Constructed ( e ) Repaired ( ) Upgraded ( )
Abandoned( )by I/l �.+-/ y f') ��.•�t ✓Y1 /` S^
at 1 5p / l� ) has been constructed in accordance
A
with the provisions of Title
5 and the for
Disposal System Construction Permit No. � �I� dilate
W
Installer O C— 6 V 01"' Designer ` l l� m 0
#bedrooms Approved design flow
l �y o�� gpd
0
The issuance of this permit shall not be construed as a guarantee that the system w,lll/"IN
The designed.✓ �r
Date Inspector YW//W.-
�; --- -
No. p o — Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
DigPOgal �§pgtem Congtructi0n permit
Permission is hereby granted to Construct ( ) Repair ( ) U gr�a/de ( ) Aband n
System located at l�
and as described in the above Application fbr Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of this permit.
Date Approved by
i y
mc
V
No. Z. +� " Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZIppficatiou for �Di5pd5al q§pgtem Cott.5tructiou Permit
Application for a Permit to Construct O Repair(e) Upgrade O Abandon O ❑Complete System 'Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel
9
Installer's Name,Address,and Tel.No. ` Designer's Name,Address and Tel.No. j
47"
I At t i r r*
Type of Building: Ile-
Dwelling No.of Bedrooms _3 Lot Size sq. ft. Garbage Grinder
Other Type of Building s7, / r- No.of Persons Showers( ) Cafeteria,(,...)
Other Fixtures .11 ji_
• ! P-t
Design Flow(min.required,)) _7 7 t- gpd Design flowprovided 4�t "7 ". 9 4 gpd
" Plan Date A � T,7' Number of sheets / Revision Date
.Title x-v '; t.. ✓Q A—)
Size of Septic Tank /, Crnr) .h r. ._ / Type of S.A.S. �,x <"
Description of Soil r r- - ra r
Nature of Repairs or Alterations(Answer when applicable)
- JJ
C/f
.?t�ur"'C L t:� rY /� w� - �, _+4
/
Date last inspected: y
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code;and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed'l :' . _ "" Date
Application Approved by i_.,:ti_,�r / {�. ✓ Date --4 7•U�
Application Disapproved by: Date
w
for the following reasons
Permit No. �36t) � tG f" Date Issued '
_. t
------------
! .." THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Distposal.Sy�sttem Constructed ( ) Repaired ( ) Upgraded ( )
Abandoned( )by
at ( ?" (`1tG � I :rf I has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. t#U "" .�!"� dated t7
-.A'7.t1
j e f
Installer { i I ° " l Designer
#bedrooms Approved design flow 7 MI gpd
The issuance of this permit shall not be construed as a guarantee that the system will function as designed. 1 I
Date Inspector
-- ---- ------ —————— ———— — -- ----_ ————
_., No.«` Fee�Clf1l� _..— . —� — ------ — --------- - --�f�. ---,/�� -----------
6 rrtt THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
Mispogal 4b)pgtPm (.17An5truction Permit .
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( )
System located at ���
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. !"
Provided: Construction must b1completed within three years of the date of this•perinit. j
/` pp y - �Date �^- Approved b ,,.✓'��
w - � ter
No. a
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
0 pgication for Wgpogal *p5tem CCowaructionPermit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by Date
Application Disapproved by: Date
for the following reasons
Permit No. Date Issued
---------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( )
Abandoned( )by
at has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer
#bedrooms Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS
Mi5po5at �§p5tem CCon5truction Permit
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( )
System located at
and as described in the above Application fbr Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of this permit.
Date Approved by
• ToWfi 0f Barnstable
:E+E.row Regulatory Services
Thomas F. Geiler,Director
sw�uvsraaLe, ,
a Public Health Division
zFo° a " Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office:.508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date:
Designer: UInstaller: Aa'�`�'�
Address: . L/�"1.� 1, Address: .
OnM i •
ssu ed a perrni..t
to install a
date) (installer)
septic system at based on a designdrawn b
(ad s y
�J 2
dated v
(designer)
=:certify that the septic system referenced above was installed substantially according'to
`5,1ie design, which may include minor approved changes such as latera ,relocation of the
distribution box and/or septic tank.
k I certif3r.41hat the septic system referenced above was installed with"iA*r changes'(i,-e.,
greater thaw'!0' lateral relocation of the SAS or any vertical irelbp6ti6n of any compondut
of the.septi6-,s stem)but in accordance with State &Loca:Regiilations. Plan revis OR of
certified as-bbw*designer to'follow.
(Ins
tiller's Signature) B.: . C
&IIAS.ON
N6 toss
.. sgtiirAa�P`�
(13 er s Signature} (Affix' goer's Statiip Her '
PLEASE RETURN TO BA NSTA PUBLIC.REALTH.DIVISION. `'CERTIFTIC TE
OF. CONLPLIANCE WEM �N" E ; SSUED:°i31�1TIL BOTH°'THIS FARM AND A5=
BUILT CARD ARE RECEIVED l��'�>THE:BAR, STABLE PUBLI:G HEAL i DA SIN
THANK YOU.
Q:Health/Sept c/Designer Certification Forr:, e` f°
1 own or Barnstable P#
Department of Regulatory Services
,►.0 : Public Health ealth Division Date ��D
r t61y �� 200 Main Street,Hyannis MA 02601
Fo taws
Date Scheduled D r
Time Fee Pd.
Soil Suitability Asses ment for Sewa a Disnosal
Performed By:- g Y
Witnessed By: V
LOCATION& GENERAL INFORMATION
Location Address S"� G' kF 1 �, Owner's N 4 �VF ame
� s�a i�111�1 Address (�G,-Z�l fy 1
Assessor's Map/ParceL 7 �/�j 3.
. - / ` ( 1 �'OT-- U Engineer's Name A�0J �5
NEW CONSTRUCTION REPAIR p S 3 3- o2/7T
Tele hone#
Land Use
Slopes M Surface Stones
Distances from: Open Water Body
C-ool ft. possible Wet Area
—_�__,�'t Drinking Water Well
� f� }}
Drainage Way ft Property Line _ 1 �}t Other—_"V`-- ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands?n proximity to holes)
V
Parent material(geologic) epth to Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to.soll mottles: in.
Depth to weeping from side of obs.hole: in, Groundwater Adjuattnent R.
Index Well# Reading Date: Index Well level�� Adj.factor— Adj.Groundwater Level r-
Observation
PERCOLATION TEST Date . Thne„
- �.
Hole# Time at 9" r
Depth of Perc Time at 6"
start Pre-soak Time @ M
T. Time(9"-6") _
End Pre-soak �-
Rate MinJInch r
Site Suitability Assessment: Site Passed Site-Failed: Additional Testing Needed(Y/N)
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:ISEPTICtPERCFORM.DOC
xa
1
I
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(im) (USDA) ,: (Munsell) Mottling (Structure,Stones,'Boulders.
Consistency.%Gvel
V
1D
•DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency. Gravel)
_
i
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Consistency.,
Flood Insurance Rate`Map,
Above 500 year flood boundary No YeL/
Within 500 year boundary No Yes
Within 100 year flood boundary No 1?/Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring perviou rial exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the de of aturally occurring pervi us material? �.
Certification 1
I certify that on 1� (date)I have passed the soil evaluator examination approved by the
Department of Environ 1 P otec ion and that the above analysis was perf rm by me consistent with .
the required ,ex r'sea d e pe 'e ce described in 310 CIVIR 15.017. 6
Signature Date
� v� L �
f
Town of Barnstable Barnstable
Regulatory Services Department j aica j
aaaivsrasIZ
p� NAM
Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
April 29, 2008
Richard &Dorothy Nienu
61 Trayer Road
Canton, MA 02021
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 150 Great Hill Drive,Marstons Mills MA was last
inspected on October 4, 2007,by David Mason, a certified septic inspector for the State
of Massachusetts.
The inspection of the septic system showed that the system"Conditionally Passed"
under the guidelines of.1995 TITLE 5 (310 CMR 15.00) due to the following:
0 Staining in leach pit above sewer pipe inlet to pit.
*This report has been adjusted due to an error in reporting.
Sinias
cKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Letters Septic Inspection Failures\150 Great Hill Drive corrected.doc
f'
Town of Barnstable Barnstable
�°F THE Taw ,
y
Regulatory Services Departmentmit;aC
ft
RA NSTARLE,
9 MASS. a Public
te39. ,�� b c Health Division
200 Main Street, Hyannis MA 02601 2007 m
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
January 30, 2008
Richard & Dorothy Niemi
61 Trayer Road
Canton, MA 02021
ORDER TO COMPLY WITH.STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 150 Great Hill Drive, Marstons Mills was inspected on
October 4, 2007, by David Mason, certified Title V Septic Inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system CONDITIONALLY
PASSES under the guidefines of 1995 TITLE V (310 CMR 15.00) due to the following:
System is located under parking area.
You are ordered to replace the septic system or relocate the driveway within Two (2)
Years from the date of this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOA OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
f
CERTIFIED MAIL#7005 1160 0000 0191 0409
Q:\SEPTIC\Letters Septic Inspection Failures\150 Great Hill Drive.doc
FZHE TO
Town of Barnstable aarnstabl--
�O ly
,'� Regulatory Services Department
tt 1iAR.S—rABLE,
"A�9 � Public Health Division i63q� F
AI-0 MA't�
200 Main Street Hyannis MA 02601 200
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
a
January 30, 2008
Richard &Dorothy Niemi
61 Trayer Road
Canton, MA 02021
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 150 Great Hill Drive,Marstons Mills was inspected on
October 4, 2007, by David Mason, certified Title V Septic Inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system CONDITIONALLY
PASSES under the guidelines of 1995 TITL V (310 CMR 15.00) due to the following:
.Auk
System is located under parking area. � ` ?D 6779W/4/
fP/1-)E /1,/L&7— 7a PT/,
You are ordered to replace the septic system or relocate the driveway within Two (2)
Years from the date of this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOA OF HEALTH
Thom s McKean,R.S., CHO
Agent of the Board of Health
CERTIFIED MAIL# 7005 1160 0000 0191 0409
Q:\SEPTIC\Letters Septic Inspection Failures\150 Great[fill Drive.doc
��
�� �au i
}� i
—i
Page 10 of 11
SYSTEM INFORMATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner:Niemi
Date of Inspection: October 4,2007
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building.
Drive
way
w
Garage
REAR
DECK
Septic
Tank
Leach Pit] 0
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Titles S TnenPrtinn Fnrm �/1 S/�M(1 10
Page 10 of 11
SYSTEM INFORMATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner:Niemi
Date of Inspection: October 4,2007
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building.
w
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title S Tnenarrtinn Fnrm A/1'UNW1 10
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
t
David B.Mason,R.S,Certified Title V Inspector,508-833-2177
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 150 Great Hill Drive,.B able,Mjgam A - l �r
Owner's Name:Niemi l2�c�►.cd • -oogo*k�y
Owner's Address:61 Trayer Road,Canton,MA 02021
Date of Inspection: October 4,2007 '
Name of Inspector: (please print)David B.Mason
Company Name: N.A. �� 4
Mailing Address: 4 Glacier Path :-:<, Yt
East Sandwich,MA 02537 -
Telephone Number: 508-833-2177
CERTIFICATION STATEMENT m f co
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�am
ased on7my :*,
training and experience in the proper function and maintenance of on site sewage disposal systems. a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
_ Passes
_X_ Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signa LIU Date: ID In 12ocy
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: System as inspected appears to have a tank that is leaking since the level of the tank was well
below the outlet invert. There is evidence of staining above the effective leach area of the leach pit. Increase in
hydraulic load may fail the system. The information as identified represents only the condition of the system on
October 4,2007 at 1:00 PM. Covers of components must be brought to within 6 inches of grade.
I`
****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
-� 7t� "�
d�
f
Page 2 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner: Niemi
Date of Inspection: October 4,2007
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 3 failure criteria not evaluated are indicated below.
(Comments: Parking area should be defined to prevent parking on septic tank and pump chamber.
B. System Conditionally Passes:
_X_ 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.
_N_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.
ND explain:
_N_ Observation of sewage backup or break out or high static water level in the distribution box due to broken
or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
_N_ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system
will pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain: There is evidence that the septic tank is leaking. Effluent level is well below the outlet invert. There is
evidence of historic staining in the leaching pit with past indication of possible hydraulic failure.
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
Title 5 Inspection Form 6/15/2000 2
Page 3 of tl 1
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner: Neimi
Date of Inspection: October 4,2007
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 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 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:
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000 3
Page 4 of 11
PART A
CERTIFICATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner: Lopez
Date of Inspection: October 17,2007
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
_X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
_X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
_NA_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
NA_ Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow
—X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
_X_ Any portion of the SAS,cesspool or privy is below high ground water elevation.
_X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
X Any portion of a cesspool or privy is within a Zone 1 of a public well.
_X Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal 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.]
NO_(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large Systems:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd.
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
the system is within 400 feet of a surface drinking water supply
_ the system is within 200 feet of a tributary to a surface drinking water supply
_ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped
Zone 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.
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
Title 5 Inspection Form 6/15/2000 4
Page 5 of 11
CHECKLIST
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner:Niemi
Date of Inspection: October 4,2007
Check if the following have been done.You must indicate"yes"or"no"as to each of the following:
Yes No
_X_ _ Pumping information was provided by the owner,occupant,or Board of Health
_X Were any of the system components pumped out in the previous two weeks?
_X _ Has the system received normal flows in the previous two week period?
_X_ Have large volumes of water been introduced to the system recently or as part of this inspection?
_X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A)
X _ Was the facility or dwelling inspected for signs of sewage back up?
X _ Was the site inspected for signs of break out?
_X _ Were all system components,excluding the SAS,located on site?(INCLUDING THE SAS)
_X_ _ 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?
_X_ _ Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes no
_X _ Existing information.For example,a plan at the Board of Health.
_X_ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of
distance is unacceptable) [310 CMR 15.302(3)(b)]
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000 5
f
Page 6 of 11
PART C
SYSTEM INFORMATION
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner: Niemi
Date of Inspection: October 4,2007
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design):3_ Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330
Number of current residents:_0_
Does residence have a garbage grinder(yes or no):NO(Not Allowed)
Is laundry on a separate sewage system(yes or no):NO [if yes separate inspection required]
Laundry system inspected(yes or no):NA
Seasonal use:(yes or no):NO
Water meter readings,if available(last 2 years usage(gpd)):2005; 1,000gpd 2006;1,000 gpd 2007; 1,000gpd
Sump pump(yes or no):NO
Last date of occupancy:Weekend Use
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
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(describe):
GENERAL INFORMATION
Pumping Records
Source of information:Barnstable Board of Health
Was system pumped as part of the inspection(yes or no):NO
If yes,volume pumped:_gallons--How was quantity pumped determined?
Reason for pumping:Maintenance pumping conducted after inspection
TYPE OF SYSTEM
_X 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)
Tight tank _Attach a copy of the DEP approval
Other(describe):With pump chamber
Approximate age of all components,date installed(if known)and source of information:approx. 1984
Were sewage odors detected when arriving at the site(yes or no):NO
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000 6
i
Page 7 of 11
PART C
SYSTEM INFORMATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner: Niemi
Date of Inspection: October 4,2007
BUILDING SEWER(locate on site plan)
Depth below grade:Approx.30 Inches
Materials of construction:_cast iron _X_40 PVC_other(explain):
Distance from private water supply well or suction line:_NA
Comments(on condition of joints,venting,evidence of leakage,etc.): Appears in good condition.
SEPTIC TANK: N.A.(locate on site plan)
Depth below grade:26 Inches
Material of construction:_X_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: Typical 1000 gal.
Sludge depth:4 inches
Distance from top of sludge to bottom of outlet tee or baffle:28inches
Scum thickness:variable 0 inches to 6 inches
Distance from top of scum to top of outlet tee or baffle: 0 inches
Distance from bottom of scum to bottom of outlet tee or baffle:Not applicable no scum at outlet tee
How were dimensions determined:actual measurements
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.)inlet tee is PVC.Outlet tee is Precast and appears in good
condition. There is evidence of leakage. Structure of tank appears adequate.Effluent below outlet tee level.
GREASE TRAP: N.A.
Depth below grade:
Material of construction:_concrete_metal_fiberglass_polyethylene_other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000 7
Page 8 of 11
PART C
SYSTEM INFORMATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner: Niemi
Date of Inspection: October 4,2007
TIGHT or HOLDING TANK:—N.A.—(tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass_polyethylene other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: NO_(if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert:
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.): Unable to locate Dbox. Opened leach pit inlieu of locating dbox.
PUMP CHAMBER: (locate on site plan)
)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000 8
Page 9 of 11
PART C
SYSTEM INFORMATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner: Niemi
Date of Inspection: October 4,2007
SOIL ABSORPTION SYSTEM(SAS):—X (locate on site plan,excavation not required)
If SAS not located explain why:
Type
—X_leaching pits,number: 1 Pit;6 foot depth leach pit with approx.2 feet stone.
leaching chambers,number:
_leaching galleries,number:
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.): leaching is 12 inches below grade. Historic evidence of staining in the pit above the effective leaching area.
CESSPOOLS:_NA_(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:_N.A._(locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
Title 5 Inspection Form 6/15/2000 9
Page 10 of 11
SYSTEM INFORMATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner: Niemi
Date of Inspection: October 4,2007
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building.
w
I
3 ,
Cl
21
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000 10
Page 11 of 11
PART C
SYSTEM INFORMATION(continued)
Property Address: 150 Great Hill Drive,Barnstable,MA
Owner: Niemi
Date of Inspection:October 4,2007
SITE EXAM
Slope
Surface water
Check cellar (crawl space)
Shallow wells
Estimated depth to ground water_30_feet
Please indicate(check)all methods used to determine the high ground water elevation:
_X_Obtained from system design plans on record-If checked,date of design plan reviewed:
_X_Observed site(abutting property/observation hole within 150 feet of SAS)
_X_Checked with local Board of Health-explain:Recent Test Holes, Existing engineer records with BOH
_X_Checked with local excavators,installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Utilized existing site design information on file with the Board of Health. Additionally,existing site and abutting
site topography does not indicate ground water to be within 4 feet of bottom of leaching facility.
The existing leach pit is at approx.elevation 81 and ground water based on Town information is approx.elev. 37.
System is approx.44 feet above ground water.
Title 5 Inspection Form 6/15/2000 11
I
Barnstable Assessing Search Results Page 1 of 2
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Owner: 2007 Assessed
Values:
NIEMI, RICHARD A&DOROTHY
150 GREAT HILL DRIVE Appraised Value Assessed Value
Map/Parcel/Parcel Extension Building Value: $ 167,100 $ 167,100
174 /035/ Extra Features: $0 $0
Outbuildings: $0 $0
Mailing Address Land Value: $ 172,000 $ 172,000
NIEMI, RICHARD A&DOROTHY
Totals $339,100 $339,100
61 TRAYER RD
CANTON, MA.02021
2007 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation)
Community Preservation Act Tax $64.29 Fire District Rates Town
Barnstable-All Classes $2.10 $6.32
C.O.M.M. -All Classes $1.03 Commei
C.O.M.M. FD Tax(Residential) $349.27 Cotuit FD-All Classes $1.34 $5.57
Hyannis-Residential $1.54 Persona
Town Tax(Residential) $2,143.11 Hyannis-Commercial $2.37 $5.57
Hyannis-Personal $2.37 Other Rs
Residential Exemption P k W Barnstable-Residential $2.02 Commur
W Barnstable-Commercial $1.69
W Barnstable-Personal $1.69
Total: $2,556.67
Construction Details
Building Property sketc Property Sketch & ASI
gend
Building value $ 167,100 Interior Floors Carpet
Style Cape Cod Interior Walls Drywall
Model Residential Heat Fuel Gas
Grade Average Heat Type Hot Water
Stories 1 1/2 Stories AC Type None
http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?mappar=l... 10/30/2007
Barnstable Assessing Search Results Page 2 of 2
Exterior Walls Wood Shingle Bedrooms 3 Bedrooms
Roof Structure Gable/Hip Bathrooms 2 Full ,
Roof Cover Asph/F GIs/Cmp living area 1152 16`'
r -
Replacement Cost $185639 Year Built 1984 As
OAS
+ fP< XMT
Depreciation 10 Total Rooms 6 Rooms
9 5~:
Land . .
CODE 1010
Lot Size(Acres) 1
Appraised Value $ 172,000
AsBuilt Card N/A
Assessed Value $ 172,000
View Interactive Maps >
Sales History:
Owner: Sale Date Book/Page: Sale Price:
NIEMI, RICHARD A&DOROTHY Dec 15 1984 12:OOAM 4358/065 $72,200
GREENBRIER CORP THE Dec 15 1983 12:OOAM 3950/091 $270,000
Extra Building Features
Code Description Units/SQ ft Appraised Value Assessed Value
Property Sketch
Legend
BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished)
BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished)
CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished)
(Finished)
FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished)
FCP Carport GRN Greenhouse UUA Unfinished Utility Attic
FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story
(Unfinished)
FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck
FOP Open or Screened in Porch TQS Three Quarters Story(Finished)
http://www.town.bamstable.ma.us/assessing/assess06/displayparce107map.asp?mappar=l... 10/30/2007
Map Page I of 1
Town of Barnstable Geographic Information System
Parcel Viewer Custom Map Abutters Map Size ❑ ❑ Zoom Out fl 0 fl In
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Set Scale 1" = 134 ' Aerial Photos
'Copyright 2005-2007 Town of Barnstable,MA All rights reserved.Send questions or commt
BarnstableMA v0.2.91 [Production]
http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=174035&ma... 10/30/2007
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Town of Barnstable
OF 1HE Tp�
Regulatory Services
BABA ; Thomas F. Geiler,Director
v$ 139. `0g
ArE0 Public Health .Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-8624644 Fax: 508-790-6304
This septic system inspection report was completed by a private inspector who is certified
by the State of Massachusetts, Department of Environmental Protection.
Although the Town of Barnstable Health Division received the original/copy of this
report; this Division does not warranty the functionality of the septic system in the future
nor does this Division agree with any technical observation s and interpretations
contained within this report.
In addition, by receiving this report the Town of Barnstable Health Division does not
automatically approve the number of bedrooms listed within this report. The actual
number of bedrooms approved at a particular property would-be listed on the"Disposal
Work Construction Permit".
If you should have any questions regarding this report,please contact the certified Septic
System Inspector who conducted the inspection.
* 4 08 03: lop 500-033-2177 F+o 1
avl n 5 _ �,
...April 24, 2008
N[r Thomas McKean, RS, CHO
Public Health Division
200 Main Street
Hyannis, MA 02601
Dear Mr. McKean,
Your Department is in receipt of an Certified Inspection Report for 150 Great HiiI Drive,
]U.larstons Mills_ The report was noted as Conditionally Passes.
On, 1/30/2008 you had issued a letter stating the system was tiaik;d due to the system being under
the driveway. You made this determination due to a note in the inspection report that did not
apply to this property. Page 2 of 11,which contained this error is corrected and include for your
11 le. There may be a need to correct the record from your office regarding this issue.
But,there is a need for your office to comment on the Conditionally Passes. Thi_:clflic-,noted in
the inspection report the fact the there was evidence o`past staining above the in _t p ipe in the
leaching pit and that the property has not been occupied regularly. This issua- is wLs is n,.cessary
of your office to address.
1.encourage you to call me, if this does not adequately clarify the concerns with this property.
Sincerely,
fiavid IB. Wson, RS
Glacier Path, East Sandwich, M :42 5 3
508-833®21. 7 i
FtprQ24 08 03: 10p 508-833-2177
APr;.24.2008 1:51PM BARNSTABLE BOARD OF HEALTH NO.116 P.6i18
• l��g�of I I .
OFFICL&L INSPECTION FORM®NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
1proporty Address:ISO Great Hill Drive,Barnstable,PAA
Owner-Mena
;page of Inspection:October 4,2007
Nnspection Summary. Check A,B,C,D or R I ALWA complete all of Section D
A, System Passes:
I have not found any information which indicates that any of the failura criteria described in 310 CUR 15.303 c
failure criteria not evaluated are in&cated below. r
,Comments:Parking area should be defined to prevent parkipg on septic tank and primp ebawtibi:t,.
M System Conditionally Passes: ;,aoji.�
r
,_5S One or more system oomponents as described in the"Conditicnal Pan'section need to be replaced of
mpaired.The system,upon completion of the replaeetaent or ropair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,le ND)in the�far the following ut®tements.If"not determined"please
e::plsin,
N—The septic tank is metal and over 20 years aid'or the septic tank(Whether metal or not)is structurally
unso"exhibit&substantial in$ltation or exiiltration or tank Mure is imminent.System•will paw impecdon if the
existing tank is replaced with a complying septic tank as approved by the Doard of Health.
°A metal septic tank will pass inspection if it is structurally sound,not leaking and if a CestiSoate of Compliance
irdteating that the tank is less than 20 yeast old is available.
ND osrplain:
N _ Obsstvation of sewage backup or break out or high static water level in the dhtributiola boat dve to broken
orT ebatructed pipe(s)or due to a broken,settled or uneven distribution box.System will pus h paaiov if(VAth
approval of Board of Health):
® broken pipc(s)are replaced
_ obstntotion is removed
® distribution box is leveled or vepIaced
1D explain:
—N The system required pumping more than 4 times a year hue to broken or obstructed pi•pe(s).Vie aptem
will pass inspection if(with approval of the Board of Health):
broken pipe(s)are replace
obstnuctlen 1s removed
NID explain: These is evidence that the septic tank is leaking. Effluent level is well below the outlet invert. There is
evidence of historic staining in the leaching pit with past indication of possible hydraulic Ailure.
OFFICIAL INSPECTION FORM o NOT FOR VOLUNTARY ASSEMMENTS
Title 5 hisnoetion Form 6/15/2000 2
cn p
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CA
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fl
1o2.oe - 98--EXISTING CONTOUR LOCUST �
x 100.98 EXISTING SPOT GRADE N o
Ln
W EXISTING WATER SERVICECL
-e;//, W - OVERHEAD WIRES sae Thornpson Holder La I=
TEST PIT - ja
BENCHMARK Z �\
'o
101.77 cb LEGEND �a
`oo G6
P000 Gr°
101.87 R Lane
S � ( ace
47
100.98 �/
' / J �o: ;..I.oaz:. �J8.41 LOCUS MAP
L 4 NOT TO SCALE
�J C / �J8.3ar.; R
�6..<. .. j GENERAL NOTES:
Q ' X,. J / x 9 a 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
o ,' ��/ /' ,�� i i I ,y F BOARD OF HEALTH AND THE DESIGN ENGINEER.
100.17 /' r �� ' �' I i SS, 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
'g OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
03' p/ I 189 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW:
BN
99.34 /X/93.72 / i. ' I 310 CMR 15.405 1(b): CONTENTS OF LOCAL UPGRADE APPROVAL
EE
/ // �, :_;..•., . ', j 0,
x)84.98/ RECOMMENDED OPTION 1) 1 2' variance to depth of cover, for up to 5' cover over S.A.S.
!/mil GARAGE I l i x 7a.11 INSTALL BULL RUN VALVE 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
\/ 99'92 O �x 93.59 ' // PA ` ` I I i i� OUTSIDE D-BOX & CONNECT TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
7 N ^� �/ / / DRIVEWAY ;:::.;:' i i TO INLET END OF D-BOX AT DESIGN ENGINEER.
i I i x .12 EXISITNG S.A.S. FOR FUTURE
99,22� / breeze fe�� Sx 77.43 �v USE 4• ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
RE T ALL 1VOy x 75.70 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
i 87.73 87,52 TP I ENGINEER BEFORE CONSTRUCTION CONTINUES.
r1�0Q,04 ( 93.63 i s1.32 80P6 i j i 0.97 5. ALL ELEVATIONS BASED ON ASSUMED DATUM (BARNSTABLE GIS±).
a 1 I �' 86.9 + �^ N PATIO S0, I` ,f I I 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
I I i � I I c THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
I I I I�. 86.67 co Q I� 7 C0 ! �� -� HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
,C
1 po I I I I W p 80� J� 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
.H. (q�-( . . --0�H. - '�' -O:H. �� x 7�§,6a �` 6 f,n4, 1 �os�__
s95 \ \ / I 4 I Bo n 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
R �� / TP-�2n I o 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
1° DECK ii I AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
Ii\®�,� � `✓ L'1 L1 DIRECTED BY THE APPROVING AUTHORITIES.
cp 1 \ I' x 83.11f' �0 +•7.9;67 r� �y� ��i� `� ^96 ° 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
9 �\ 1'`` o 80. 77.69 TP ti�1 / v1 i ) THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
9231 I �1i ,�� ,'�<�� CONSTRUCTION.
II i� ®BmuLnER B� E 42 "'�-� ,' i` /' o 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
ouER ; I 9.$' r ��\�r�y IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
tp e� 2i / VENT REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
x 8Xa i J < � I+71.9 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
�,� 1 I ° INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.
i
BENCHMARK '��� L T�28 /'' 7a.67+ !' '+73.33 INSPECTION PORT ��� �F M. X 13• THIS PLAN IS TO NOT CONSIDERED BO BE USED
A PROPERTY LINESTEM SURVEY.RPOSES ONLY AND
OUTSIDE CORNER i 43,�3 ±S.F. \ P Cya
GRANITE SLAB j N o PETER
EL.=80.24 66.2R361 McENT
CIVILEE N PARCEL ID: 174-035
EXISTING SEPTIC TANK °o•• ,� i ��, No. 3510 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
TOP OF TANK, EL.=78.24 �' 150 GREAT HILL DRIVE, WEST BARNSTABLE, MA
INV.(OUT)=76.9f
Prepared for: Christopher Cremo, 150 Great Hill Drive, W. Barnstable, MA 02668
/ . SCALE DRAWN JOB. NO.
EXISTING LEACH S.A.S. / � Engineering by:
(PER RECORD AS-BUILT) / OWNER OF RECORD Engineering Works, Inc. 1"=30' P.T.M. 161-18
TO REMAIN CONNECTED WITH BULL i CREMA, CHRISTOPHER & CHALLIS g g
RUN VALLE SET OUTSIDE D-BOX
150 GREAT HILL DRIVE 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
WEST BARNSTABLE, MA 02668 (508) 477-5313 5/29/18 P.T.M. 1 Of 2
V
NOTE: TO PREVENT BREAKOUT, THE PROPOSED \ GARAGE
FINISH GRADE SHALL NOT BE < EL:71.8 _ \ ` breeze
FOR A DISTANCE OF 15' AROUND THE EX/STINGS way
SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. HOUSE(#150)
INSTALL RISERS & COVERS OVER INLET & T.O.F.=87.6f
OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & COVERSET TO 6" OF GRADE PROPOSED S.A.S. DECK
INSTALL INSPECTION PORT OVER ONEH ROW(MIN.)
T.O.F.=87.6t CHARCOAL
F.G. EL.=80.6t F.G. EL.=79.9t F.G. EL.=75.3f F.G. EL.=75.Of VENT ---
/- CONNECT
�( f MAINTAIN 2% GRADE MIN. OVER S.A.S. ALL ROWS
P ,
INSPECTION
` L = 33' L � 9' PORT
® S=1% (MIN.) @ S=1% (MIN.) h
4"SCH40 PVC 4"SCH40 PVC
O
10'•I 14" 6" ill' TO
EXISTING 48" LIQUID INVERT I p co.
LEVEL
GAS BAFFLE INV=71 87 PROPOSED INV.=71.70 3 ROWS OF 7 UNITS AT 6.25'/UNIT = 43.8'
INV.=76.9f D BOX INV.=71.42 �j
EXISTING 3 OUTLETS SOIL ABSORPTION SYSTEM (PROFILE INSTALL INLET TEE )
EXISTING SEPTIC TANK
ESTABLISH VEGETATIVE COVER
BACKFILL WITH CLEAN NATIVE OR
PERC SAND TO TOP OF CHAMBERS
NOTES: BREAKOUT=TOP `.;.'.,,:• :;: ;.:>::•': S.A•S•
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP ELEV.=71.83 cD PROP.
INVERTS, PRIOR TO INSTALLATION. INV.=71.42 Ln I
2) D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.=70.50 L--- 43,13
GRADE ON A MECHANICALLY COMPACTED SIX 5' MIN. SEPARATION 2.83 6" 6"
INCH CRUSHED STONE BASE, AS SPECIFIED TO GROUNDWATER S.A.S. LAYOUT
IN 310 CMR 15.221(2). 4' (MIN.) OF NATURALLY EFFECTIVE WIDTH=9.5'
3) INSTALL INLET & OUTLET TEES AS REQUIRED. OCCURRING PERVIOUS SOILS SUITABLE SOILS
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM OF "Cl" HORIZON, EL=65.3 =
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL.
USE 3 ROWS OF 7-HIGH CAPACITY H-20 INFILTRATOR UNITS 0 0 0 0 0 0
WITH 6" SEPARATION BETWEEN EACH ROW & NO STONE fi'0-'---�0---000-0-000---
0 0 0 0 0 0 0
TYPICAL SECTION //00000000\
SEPTIC SYSTEM PROFILE I--- 28"-�i I-- 28"-I
SOIL LOG Closed End Plate Open End Plate
DESIGN CRITERIA DATE: MAY 23, 2008 (REF P#12,212) �
NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: DAVID MASON �"
WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT Z--
SOIL TEXTURAL CLASS: CLASS I ELEV. DEPTH ELEV. 'TP-2 DEPTH 16
DESIGN PERCOLATION RATE: <5 MIN/IN 74.8 A 0„ 74.8 A' 011 75" 34 I IE
-I `3-I "
DAILY FLOW: 330 GPD SANDY LOAM SANDY LOAM
DESIGN FLOW: 330 GPD 74.3 B 10YR 3/2 6„ 74.3 Bi10YR 3/2 6" 1.25"
Side View End View
GARBAGE GRINDER: NO SANDY LOAM SANDY LOAM
lOYR 5/6 r10YR 5/6 HIGH CAPACITY INFILTRATORS, H-20 LOADING
WXISTING SEPTIC TANK: 1000 GALLON CAPACITY (H-20) 71.3 42•• 71.3 42" INFILTRATOR CHAMBERS
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF C1 PERC C1
.74 GPD/SF 42"/60" N.T.S.
DISTRIBUTION BOX: 3 OUTLETS (MINIMUM)
FINE SAND FINE SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 3 ROWS OF 7 HIGH CAPACITY INFILTRATOR H-20 UNITS WITH 2.5Y 7/4 2.5Y 7/4
NO STONE SPACED 6" BETWEEN ROWS FOR A 9 5' x 43.8' BED 65.3 C2 114" 65.3 C2 114" 150 GREAT HILL DRIVE, WEST BARNSTABLE, MA
SIDEWALL AREA: NOT APPLICABLE
GENERAL USE APPROVAL FOR 4.73 SF LF SANDY LOAM SANDY LOAM Prepared for: Christopher Crema, 150 Great, Hill Drive, W. Barnstable, MA 02668
BOTTOM AREA:
( / � 10YR 7/6 j,,10YR 7/6 SCALE DRAWN JOB. N0.
(INFILTRATORS) 21 UNITS x 6.25 LF x 4.73 SF/LF = 620.81 SF 60.8 168" 60.8 168" Engineering by:
DESIGN FLOW PROVIDED: 0.74 GPD/SF(620.81 SF) = 459.4 GPD PERC RATE <2 MIN/IN. "Cl," HORIZON
Engineering Works, Inc. N.T.S. P.T.M. 161-18
NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
NOMINAL BED AREA: 9.5' x 43.8' = 416.1 SF SOILS TO BE VERIFIED AT TIME OF INSTALLATION (508) 477-5313 5/29/18 P.T.M. 2 Of 2
1
ASSESSORS MAP :
� TEST H 0 lw.E LOGS
PARCEL : '� c�'c'� DOTES:
FLOOD ZONE: A-/C''7- 4PPL/C I13 .,. _ SOIL EVALUATOP
WITNESS :
-� '?�J �— 1) The installation shall comply with Title V and Town of Barnstable Board of
C- C REFERENCE: 77�'oC� DATE:�607- r�-Z!9
- -• ~ --•- -�~ •- - Health Regulations.
PERCOLAT I ON 'RATE: _ 2 The installer shall verify the location of utilities sewer inverts and septic
� .... ..._. . . ) Y p
, - Z gjL,[JO .00 components prior to installation and setting base elevations.
TH- I TH-2 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. The first
A 1 5 Awb
l, two feet out of the d-box to the leaching shall be level.
(tJ 3 2. 4) This plan is not to be utilized for property line determination nor any other
purpose other than the proposed system installation.
5 L
5) All septic components must meet Title V specifications.
�2` ( 6) Parking shall not be constructed over H 10 septic components.
LOCATION M P / IWrf-I 7) The property is bounded by property porners and property lines.
' G 1 G I 8) The property owner shall review design considerations to approve of total
design flow and number of bedrooms to be considered for design. Receipt
of payment for the plan and installation based on the plan shall be deemed
approval of the design flow by the owner.
V � 5r t�o1 5I k1 �, l 9) The existing leaching or cesspoQls shall be pumped and filled with material
a G2r Ib +k�77 ' L2e loY -? ` per Title V abandonment procedures. Those within the proposed SAS shall
be removed along with contaminated soil and replaced with clean washed
sand per Title V specs.
10 System components to be 10 feet from water line. Sewer lines crossing the
IN, ( k
' 4� P� �? SEPTIC SYSTEM DESIGN water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if
X; ` applicable.
11) If a garbage grinder exists it is to be removed and is the responsibility of the
FLOW ESTIMATE owner to ensure such.
` �LA� , 12)The installer is to take caution in excavation around the gas line.
BEDROOMS AT //C GAL/DAY/BEDROOM -3,;q)GAL/DAY 13)The installer shall verify the location, quantity and elevation of the sewer
1 �lJ lines exiting the dwelling prior to the installation.
,/T` /� SEPTIC TANK .
G/;L/DAY x 2 DAYS - GAL
�; ! f� �� USE WD GALLON SEPTIC TANK EX.! 1l�
,� �53 / - _
/ ' -._ 7 � 6lot
. ,_.. .___ l 1
/ SOIL AUSORPT I ON SYSTEM -4
46C (3 o 01,4 AID - -- - _
ESTABLISH�... ��---� ESTABLISH vEc,`�TAnv� COVER
1 CULTEC N0. 410 FlLTER FABRIC BACKFlLL WITH CLEAN SANG
1 (NATIVE OR PERC SAND)
/ I BOT'OM AREA: (GENERAL USE APPROVAL FOR 6.7 SF/LF OF C-4 UNIT)
4 UNITS x 8.0'/UNIT = 32.0 FT 12" MIN.
/ 3 ROWS x 32.0' x 6.7 SF/LF = 643.2 SF _
BREAKOUT
J�, I DES'A FLOW PROVIDED: 0.74(643.2 S.F.) '= 475.96 G.F.D. ELEV.=���
EXISTING SUI fAVLE
O , 48" (TYPICAL) 6" MATERIAL
►+ r 5' SEPTIC SYSTEM S E C T I O N EFFECTIVE WIDTH=13.0'
/'i �--
/ USE 3 ROWS OF 4—CULTEC C-4 FIELD DRAIN UNITS
� �'i • rti �v / /� �e gCIA��a WITH 6' SEPARATION BETWEEN EACH ROW do NO STONE
(/ 914 —� - r SOIL ABSORPTION SYSTEM (SECTION)
MAINTAIN 2% MIN SLOPE OVER LEACHING AREA MAX. COVER OVER SAS. = 36"
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DBC ENVIRONMENTAL DESIGNS
EAST SANDWICH . MA
3 DATE HEALTH AGENT ( 508 ) 833- 2 177
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