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Home My WebLink About0009 GRISTMILL PATH - Health I 9 Gristmill Path Marstons Mills A= 064 021 i I Commonwealth of Massachusetts upTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 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 fitting out forms. A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael Kellett � use the return key. Name of Inspector II Aardvark Environmental Inspections Company Name PO Box 896 Company Address East Dennis MA 02641 Citylrown State Zip Code 508-385-7608 S13742 Telephone Number license Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails %AJ ❑ Needs Further Evaluation by the Local Approving Authority „ a _n c� i 08/12/13 - r Inspector's Signature Date '? 0z) r�- The system inspector shall submit a copy of this inspection report to the Approving Authority-(Boat'' 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. ****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. La 0 3 j Titl // t5ins•11/10 e 5 Official fnspection F : ubsurftM a Sewage Disposal System•Page 1 of 17 41 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. Cityrrown State Zip Code Date of Inspection B. Certification (cunt.) Inspection Summary:Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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. "yes", n u n a n u x for n or no determined ND for he following statements.If of Check thew • yes , • t (Y,N, ) t gn determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. Cityfrown State Zip Code Date of Inspection B. Certification (cunt.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Dins•1 i110 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of V Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. Cityfrown state Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less than day flow t5ins•11/10 Title 5Oirciat tnspedion Form:Subsurface Sewage Deposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) Yes No Required pumping more than 4 times in the last year NOT due to clogged or ❑' ® obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑! ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal colifomm bacteria indicates absent and the presence of ammonia nitrogen and nib-ate 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.] Ell ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. El ® The system fails.I have determined that one or more of the above failure criteria east 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. For large systems,you must indicate either`yes°or"no"to each of the following,in addition to the questions in Section D. Yes No ❑ ❑ • the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Depaftent. t5ins•11/10 Title 5Official inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page, City/Town state Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner,occupant,or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components,excluding the SAS,located on site? ® ❑ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction, dimensions,depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information.For example,a plan at the Board of Health. ® ' ❑ 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)] D. System information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 t5ins•11/10 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Forth-Not for Voluntary Assessments 't 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. City/rown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes (9 No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings,if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: CurrentDate Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft.,etc): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings,if available: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 I� Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02"8 08/08/13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons � How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank,distribution box,soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes,attach previous inspection records,if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the VA system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components,date installed(if known)and source of information: OS/27/11 per BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No r Building Sewer(locate on site plan): Depth below grade: 2.2 feet Material of construction: ❑cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints,venting,evidence of leakage,etc.): Septic Tank(locate on site plan): I Depth below grade: 1.5feet Material of construction: ®concrete ❑metal ❑fiberglass ❑polyethylene ❑ other(explain) If tank is metal,list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1,000 gal Sludge depth: 2" t5ins•11/10 Title 50fficial Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page- Cityfrown state Zip Code Date of Inspection D. System Information (cunt.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? measured Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The tank was sound and tight with tees in place and liquid at outlet invert Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete 0 metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑concrete ❑metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches,etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-11/10 Title 5 Official inspection Forth:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is M required for every arstons Mills MA 02648 08/08/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert even 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 box was level and tight with no sign of carryover. 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.): Soil Absorption System(SAS) (locate on site plan,excavation not required): If SAS not located,explain why: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. Cityrrown state Zip Code Date of Inspection D. System Information (cunt.) Type: ❑ leaching pits number: 3 ❑ leaching chambers number. ❑ leaching galleries number. ❑ leaching trenches number, length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number. ❑ innovative/aftemative system T e/name of technology: ogY: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil, condition of vegetation,etc.): This system has three drywells in a 13'x39'field of stones.The drywells were dry with no sign of ponding or failure. Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t51ns•11/10 Tile 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forth-Not for Voluntary Assessments 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.): t5ins•11/10 Title 5 official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name requir required is Marstons Mills MA 02648 08/08/13 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cunt.) 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 garage rear 31 37 40 49 25 47 t5ins•11/10 Trite 6 Official Inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Forth-Not for Voluntary Assessments r� 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02648 08/08/13 page. City/rown State Zip Code Date of Inspection D. System Information (cunt.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water. 20.0 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked,date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators,installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS maps show an elevation of over 20.0 feet Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•11/10 Tide 5 Ofr W Inspection Forth:Subsurface Sewage Disposal System-Page 16 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Plot for Voluntary Assessments wz�041� 9 Gristmill Path Property Address Eugene Mosher Owner Owner's Name information is required for every Marstons Mills MA 02M 08/08/13 page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A,B, C,D,or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Trite 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17 (4Y Town of Barnstable 1Departmont of Regulatory Services Public Health DiViSioli Date BMARNirnklti 6AB& 200 Main Street,Hyannis MA 02601 Date Scheduled d" Tinie � Fee Pd. ,foil Suitability Assessnient for Sei Dis osal PcrFon'ned By: Witnessed By.; nILOICATION & GENIC'RAJL ][N'FORIVIATION Location Address J l` Owner's Name ll/ "-D /`Z l ! `� Address Assessor's Map/Parcel; .(O Engiucer's Namc (� r✓✓�-- LQ�J C NEW CONSTRUCTION REPAIR `' Telephone It � ' 34 Land Use 7elk&6�'iT Slopes M .V—�d Surface Stones Distance's From: Open Water Body ft Possible Wet Area fl Drinking Water Well Drainage Way Ft Property Line ZU ft 011ler Ft F�.. l 6 SIl�JL+'TCH, (street came,dimensions of lot,exact locations of test.holes Bc pere tests,locale tvellands'in pro)inuty to holes) 1rW N t. 4M V 2 Vlo, �o p Tlf I -t µ-L 0, O t ,r za Parent material(gcologlc)_OVfW { Dcplh tp Bedrock, Depth to Groundwater. Standing lit Hole: Y Weepillg l)'olil Pit Fiflpe_ H lZL Estimated Seasonal High Oioundwater Iv/ 7— DE TEPAHINTATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.liole: ---�� L In, Depth to 541I I11Jt1153; m Depth to weeping fro side of obs.hole: _ h1, Grtlulldwntar Ad,Juslntent Index Well Y Rcading Date: Index Well ieval _ Ad_I.FttetoP..,.,,,.,f.,— AeJ.droundwater UVO e O IPJERCOLATIO UST DIAU Ilium bservation _ Hole# 'Chile lit 9" _ Depth of Pcrc 36 Thrie at 6" Zu Start Pre-soak Time @ _ Time(9"-6") __f______ End Prc-soak Rate Min./Incli ➢�v Site Suitability Assessment: Site Passed_ Sih-Failed: Additional Telling Needed(Y/iN)__41 Original: Public HGdIth Division Observation Hole Data To Be Completed on Back----v- -- ***If percolation test is to be coaiducted witliin 100' of wetland, younuvuist filrst notify tile. Barnstable Conseirvtatlon Divislola at least one (1) wee➢c prior to beg➢lmi ng. Q:\S EPTIC\PLRC PORM.DOC Depth fro DE Surface dace(in.) Soil Texture Soil Color Soil Soil Horizon Hole#j/ (M ` (USDA): Other ansell) Mottling (Structure,Stones;Boulders, �h�// Con istenc % ravel CS DEEP OBERRVATION HOLE, LOG Depth from Soil Horizon Hole # #� Surface(in.) Soil Texture Soil Color (USDA) Soil Other (Mansell) Mottling (Structure,Stones, Boulders, ,4 cL Consis enc %Cravel -� Load DEEP OBS Depth from 1E1[�NATION HOLE �'®G Soil Horizon Hole# Surface(i❑), Soil Texture Soil Color. (USDA) Soil (Mansell) Other Mottling (Structure,Stories.Boulders. Co siste cY 9a t7nvell ------------ .... VATIONHOLELOG Depth from Soil Horizon Hole# Surface(in) Soil Texture Soil Color Soll Mottling Other (USDA) (Mansell) -----_ g (Structure,StongB Boulders, Consl2tencv e�Oravelt Flood R(nSanII'ance Rotate Tlla p. Above 500 year flood boundary No Yes Within 500 year boundary No_ : Yes ' within 100 year flood boundary No— Yes IDIePPP>I Q[2iaatu>ra➢➢Y Occuaering PeiVious 1V<aterjaj Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the aa-en proposed for the soil absorption system`➢ If not, what is the depth of naturally occurring pervious matoriall Ce>ctnt------aca�io� • I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental.Protection and that the above analysis was performed by me,consistent with . file rec)inved training, expertise and experience described in CIO C11R2 15.017. Si nature \ Cyr/I� ��Datc < • „ a AS,LTTICU'ERCrORKDOc TOWN OF BARNSTABLE LOCA71ON I-5 alfa SEWAGE # u�, VILLAGE�M `7 E,C—(:� ASSESSOR'S MAP & LOT?9SAC307SL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ` Gd LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER , C ,.vCAt5( " PERMIT DATE: COMPLIANCE DATE: 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet f leac 'ng f ili Feet Furnished by i x °0 7)"K r \ � TOWN/OF BARNSTABLE LOCATION C,l2(SF Mr`l P SEWAGE# l1 _ 1 VILLAGE M , MAI ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. 0 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) 43 K NO.OF BEDROOMS - OWNER (`�® PERMIT DATE: ( COMPLIANCE DATE: 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching fac li Feet FURNISHED BY 1 9 �q 37( j VYesNo. + FeeTHE COMMONWEALTH OF MASSACHUSETTS Entered in computerPUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,o MASSACHUSETTS application for -misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Q ACLXZX Owner's Name Ad ress and Tel.No. Assessor's Map/Parcel 6y ` A, , Installer's Name,Address,and Tel.No Designer's Name,Address,and Tel.No. lA«k�� 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 S5 gpd Plan Date (0 , 221\k Number of sheets Revision Date K/ 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 Bo f Health. S),Rned Date 2-6 Application Approved by o Date Application Disapproved by PT Date for the following reasons Permit No. Date Issued Fee f * Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC.HEALTH DIVISION -TOWN OF BARNSTAa-E�MASSACHUSETTS Zpplicatlon for Disposal *pstem Construction permit Application for a Permit to Construct(`) , Repair(14upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.. q '�� " a / Owner's Name, drys ed Tel.No. Assessor's Map/Parcel Nl �y �` ® �1 �r�Sj vw,t �t� fA.vK Installer's Name,A dress,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: 'i Dwelling No.of Bedrooms Lot Size 0 I sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 5 gpd Plan Date Kay ay (o , 2-6 k Number of sheets t Revision Date v Title t Size of Septic Tank Type of S.A.S. ti Description of Soil r � f Nature of Repairs or Alterations(Answer when applicable) e Date last inspected: Agreement: a 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 Bo Health. Si ed �s c, Date Application Approved by xcJ Date ., J � Application Disapproved by Date for the following reasons ' A ! 1I Permit No. r 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 \C Lp N1! at G.��S . Q� has been constlucted�_7'�dated ce with the provisions of Title 5 and the for Disposal System Construction Permit Nc LJ 25�l 1 Installer kA\Q� Designer _ •J•` #bedrooms Approved design flow �Q gpd The issuance of this permi shall not ,e c nstrued as a guarantee that the system will esigned. � 1 � a Date Inspector �=-"'° - = - - =------------------------------------------=-- N( / Fee �D THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal 6pstel�. Construction permit Permission is hereby granted to Construct( ) epair(✓ Upgrade( ) Abandon �, ) System located at 9 l�j rt IV'1-4-I ��+ / r . / t _/,�•� and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her dut} to comply with Title 5 and the following local provisions or special conditions. Provided:Const�60must completed within three years of the date of this permit. Date Approved by v I r a ' -�..T 7 33' e g f-t o.ry e TL vic e s Tha-mu as F. (Geffer, tin`--Ctor B'_4Fj4STABLE, Eleafth ivi Dsdon vas. 01. ub lie 1639. Thom as McKean, DiTector 200 Main Street,Hpinimis,YU 02601 Office: 508-962-4644 Fax: 508-790-6304 instafler & DesigTLerr CertMeation Form Date: Sewage Permit ZZt\ - �(o Assessor's M 2p\Farcel Desigmer: Juwyi - En�irvky)7 Instaer- V, t Address- 9A M6 1 LP t- Address- On lo. 2- <L-., vas issued a permit to install a a(d (iT_LstaUKr) based on a design drawn by septic system at ( �f f�l� � ( � T '�- Ctlkiv I ell �_' Q'Ido, f'E-N-f-dated AANJ W-l"- ZOO (design m I certify that the septic syste referenced above was 'installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certif� that the septic system referenced above was 'installed with major changes (i.e, greater than 10' lateral relocation of the SAS or any vertical relocation of any component (d of the septic system) but in accordance with State & Local Regulations. Plan revision or certiffiecd as-built by designer to follo w. 'IgOF4%. DANIELA. yam jiastaller's Signature) U OJALA CIVIL No.46502 tamp Hlleic) S T 3/ONAL S (Designer's Sig (1AZUx Designer's S U PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF C OIkU L W-dCE -WULL NOT BE TSS1FED _LTNTIL BOTH TEMS FORM AND. AS-BUILT CARD ARE RECEFVED BY THE BARNSTABLE PUBLIC BEH ALTH DMSION. THANK YOU. Q:Hcalih/Septic/Designer Certification Form 3-26-04-doc f L=456, R 3000 00, � t , 5' _-= GARAGE HSE kil- ILI N LOT 395 3 3 tar�oa� 59.0 LOT 1 LOT 394 0 ;� 76 5g � LOT 277 RES. ZONE "RF" This MORTGAGE INSPECTION . Plan is For FLOOD ZONE.• "CIO _. Bank Use Only .TOWN- . : ------- REGISTRY OWNER: R01AMIN IRAMMUX 5&C_________ DEED TF J10 -06-------BUYER: --_ --_ DATE: _69/93 _____ ————__ PLAN REF: _30751 H _ _SCALE:1"- 30 _FT. .: I HEREBY :CERTIFY TO F11 5 ' S7 7�lY�KQ1 G�0 CORPS— �iH of Mq FIRST_ AME_RICAN_ TITL_E_IN_S CO. THAT THE BUILDING ��``P rey YANKEE SURVEY . SHOWN ON::THIS:PLAN.: IS LOCATED ON THE GROUND AS PAUL s cONSULZ,ANTS SHOWN AND: THAT ITS POSI PION DOES — CONFORM � . tv1�R TNEW 4 . --- TO-THE ZONING LAW SETBACK REQUIREMENTS OF THE o No 32098 4OB (SUITE 5) TOWN OF BARNS�MLE __AND THAT �� A o : ° INDUSTRY ROAD IT DOES NOT LIE WITHIN THE SPECIAL FLOOD- HAZARD Fs fG1STEa�. Q ' s� 0 MARSTONS MILLS, MA. 02646 AREA.:AS :SHOWN ON THE H.0 D.. .MAP DATED_$��4,��_ DNA( CpN0. TEL: : 428-0055 Co unit =Panel 250001 .0015. G -` FAX 420.-5553 �{{ ___ TH(S PLAN NOT MADE FROM'.AN INSTRUMENT PAUL A .MERITH PLS. SURREY; NOT, TO BE USED FOR FENCES, ETC., 11576 DPG THE COMMONWEALTH OF MASSACHUSETTS r - BOARD HEALTHA ® ��- OF............. ... . . -------------------- Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Locatio -Ad a r; or Lot No. .l:.... .�. ............................ ... ........ -4.. .................................... • r•• Add ess _,_... a ... .. ........... .... ............................... .......... .................................. Installer Address QType of Buildings Size Lot................................Sq. feet No. of Bedrooms..._.__.y •-•••-••-•••--._.•Expansion Attic ( ) Garbage Grinder U Dwelling IL ( ) pa-, Other—Types of Building .:........:................. No. of persons............................ Showers,.(,.., C4 Other fixtures .•---= Design Flow.......................... u._J.gallons per person per day. Total daily flow ._. ----- --gallons. Septic Tank—Liquid capacity lOB��gallons Length......... ..... Width ..__..... Diameter .... . Deptli' .--__-. w Disposal Trench—l o............... ... Width,....__..___ Tot 1 gth Total leaching area _. sq. ft. w ! ��- j� /� t Seepage Pit No_____________________ Dian}eter-__ {�.. Depth�b o inlet._.....lam_.._.__ Total leaching area..�e!2sq. ft. Z Other Distribution box (: ) Dosing'tank Percolation Test Results / Performed by:................ ........................................................ Date_-_-....._..... .................... aTest Pit No. 1................ininutes per inch Depth of Test Pit.................... Depth to ground water._--_______......_--__-. Test Pit'No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ ............ - ------------- /-------------------- Description of Soil-•`......•: ---------------------•-------------------------------------........•••••- x w ---------------------------------------------..........................................................------,---------------. ------------ ................................................... UNature of Repairs or Alterations=Answer when applicable.:........:.......................................................:............................. •---------------------------------------------------------•-•--------------------------.............-----------------------------------------------------------------------------------------••--- Agreement: �, The undersigned agrees to install the,.aforede'scribed' Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of'Compliance has been issued by the board of health. Signe Dat' :Application Approved By ...... r% . .... ---- l>r- ...... �L dace Application Disapproved for the following reasons:-----' _.--....................................:............. ................. .......................... Permit No. :. Issued.....LCA. .. x , .. d1 Date --------------------------- - - - - - - -- - -------- ---------- --------- -------------- ........... THE COMMONWEALTH OF MASSACH-USETTS BOARD HEALTH' H° ,,�........... OF.......... '.................. Applir tion for Dis opal Norks Tomitrurtion Vatud Application is hereby made for a Permit to Construct ( j o; Repair ( ) an Individual Sewage Disposal system t. 1 ..... ..... G ,/� ' j ... .. Locatio •Ad es or Lot No. ' r °° Wn. .......................... .. Add ............................14 j , - ;�, .1 6...1, 1-1-1-111_111-111*1*1 ... n ta ler lddress Type of BuildingSize Lot............................ q.S feet Dwelling No. of Bedrooms.........,..,,,,,,o.. ..................Expansion Attic ( ) Garbage Grinder ( ) rLIOther—T e of Building ............................. No. of persons............................ Showers — Cafeteria Pr Other fixtures ---•••......--- •-••••...-•--.._..... . - d ------------------- W Design Flow............................�.�.74---gallons per person per day. Total daily flow---------- .__........gallons. P4 Septic Tank—Liquid capacity/Z gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................••. Width;-----_--.j.- �. To01 '..9th......_...... Total leaching area....._e�.......sq. ft. Seepage. Pit No....... ......._... Diameter.. ..... epthnlet_.__...._.....•. Total leaching area...„..74. .sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water_--.---__---_--__--_--. GMl Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -- _. . • = . Description of Soil . .......... ....4 ^�-CT -- 1 ---------------------------------"-...........................-•----- U W -----------=----------------- ------- --------------=----------------------------- ------------------------------------------------------------------------------------------------------------------ - UNature of Repairs or Alterations.-Answer when applicable----------------------------------_............................................................. -•---------------------------------•-------------------------------------------•---.....---........----•-••------------•-_.....------••-----•----------....-•-•----------•---•----------•--••••-••----•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signe .._...._ f Ddte Application Approved BY--- ..._.�__..._ ._ .. Application Disapproved for the following reasons--------------------------------F--•----------------•-............•-----••---•----•-•-••--••-••••-•---......... .................••--•--...---------------------------------'----------....------------...----...------------•------------•-------•••------•-------•• =------------------- --------- •------------ e.«- D to Permit No.-••-••-••-••••-•........................................ ...•.... Issued-•---- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD ®•F� HEALTH OF.........�& ("Errtifiratr of Toutplin rr TH I CERT at the Individual Sewage Disposal System constructed ( ) or RepairedZZ ( ) a St at_--- ---�- 4� -��--.�-- ;:�''• -mod -- - .. ---- °'`� __�.rf.� -•------------ has been installed in accordance with the provisions of Article YI o(, �e tate Sanitary Coe `s descri d In the application for Disposal Works Construction Permit No...................., _. dated..._._::: -------_ _--7.?....... THE,,ISSUANCE OF THIS CERTIFICATE SHALL NOT EE/CONSTRUE®.AS;A GUARA TEE THAT THE SYSTEM -V ILL FUNC4ION TIS ACTORY. ,y. DATE..... .,... - , ........................... Ins�(ector .... • awl . � �j - t 1- ~ r THE COMMONWEALTH OF MASSACHUSETTS + a r J, r k-. . 1 BOARD QF FIEA ............OF......... . ..::: No ..... -.... FEE ...... ' aI�i Permissionis reby granted ; t :... 1:C_ ......................... to Const ct (:" ) or p 'r l an d d is w ge"Disposal s at No.. .. j ' .,,�' - -- f .... ........ Street as shown on the application for Disposal Works Const :icti,on P. t N % "2 Dated!__ .....`........... � = $a3rd of I-Ifalth • DATE---------------------- ......................................................... FOR,14 1255 HOBBS & WARREN, INC.. PUt USHERS 1 - ALL SHALL SYSTEM PROFILE MARKEDSTE WITHC MAGNETIC TTAPE OR BE NOTES _ PROVIDE WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROX NGVD ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING TOP FOUND. EL. 105.8' FILTER FABRIC OVER STONE \ 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 5 F Noce (one MINIMUM .75' OF COVER OVER PRECAST 2C) 9� SLOPE REQUIRED OVER SYSTEM 98.5' PRECAST H-10 BLOCKS OR 4. DESIGN LOADING FOR 500 GAL. CHAMBER Q•� •�� RISERS (TYP.) 4"OSCH40 PVC PRECAST RISERS UNITS TO BE AASHO H-2-0 Loc s 9 9f MORTAR ALL H-10 PIPES LEVEL 1ST 2' I 4. COMPONENTS 4, 5. PIPE JOINTS TO BE MADE WATERTIGHT. 10" EXISTING 14" I(`ENDS (nP') 4 DES 94.94' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE Po vo uo�o .,.- ., °•". �. ono 0 0 �* ED�CJ O o°° o o WITH 310 CMR 15.000 (TITLE 5.) TEE SEPTIC TANK TEE , o ° ° ° o 5 O Elmmm �00M- -DODO 'o 94.5f* 6" MIN. SUMP °°°°°°O° o 0 0 o 0 0 0 0 0 o 0 0 o o o o ;o °°°°°°°°°°°° o ; ooa�oa000�� 000��ao�ao� °0000000 °°°o°°°°°o°° 12" MIN. INT. DIM. °o°o°o°° ��0��0��'� ��Q��0� ,°o°o°o°0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND °�°°o 0 0_ >o°o°o°o° o 0 0 0 0 0 0 0 0 0 o 0 0 o 0 0 0 0 0 0 00000000 �� Mystic Lake WALKOUT SILL G oa0000000�� I](](]C7(](�(]O�OL] : NOT TO BE USED FOR LOT LINE STAKING OR ANY �d 4' LIQ. LEVEL (ACME OR EQUAL) . 94.14 93.97 °o°o°..0 o°° °°o°°°o° 91.94 OTHER PURPOSE. 5� ool *98.7' LH-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 3/4"-1-1/2 DOUBLE WASHED STONE 4' MIN. (3) UNITS REQUIRED ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFlLLED OR 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.5' X 12.83' CONCEALED WITHOUT INSPECTION BY BOARD OF COMPACTION. (15.221 (2]) 4 HEALTH AND PERMISSION OBTAINED FROM BOARD 6 OF HEALTH. fiddle Pon (1 % SLOPE) ( 1 96 SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LEACHING CALLING DIGSAFE (1-888-344-7233) AND FOUNDATION EXIST. SEPTIC TANK 36' VERIFYING THE LOCATION OF ALL UNDERGROUND & LOCUS MAP D BOX 5 FACILITY NO BOTTOM TH-2 OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NO GROUNDWATER FOUND WORK. *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT NOT TO SCALE UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. ASSESSORS MAP 64 PARCEL 21 CONDITIONS IF NOT SUITABLE -'10 4.4 5 12. EXISTING LEACHING FACILITY SHALL BE PUMPED VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE AND REMOVED LEGEND IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR �104.34 BY HEALTH INSPECTOR 99 - EXISTING CONTOUR „ PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED 104-10 A=456 X ss./ BY TH HEARING ON HEALTH 4, REVISED DURING A PUBLIC R=3p pp EXIST. SPOT ELEV. AUG /009 1 too SYSTEM DESIGN: 99 PROPOSED CONTOUR 3) FAILED SYSTEMS ONLY- SOIL ABSORPTION SYSTEM �� 104.01 �G� Q [9g•4) PROPOSED SPOT EL. INSTALLATIONS PROPOSED MORE THAN THREE FEET BELOW 103.86 °o GARBAGE DISPOSER IS NOT ALLOWED GRADE WITH PROPER VENTING (PIPED TO THE ATMOSPHERE) 1 07 2 TH 1 AND WITH H-20 LOADING, BUT IN NO CASE SHALL THE SA �� BE LOCATED MORE THAN SIX FEET BELOW GRADE. , pG� DESIGN FLOW: 4 BEDROOMS ® 110 GPD = 440 GPD TEST HOLE 0 USE A 440 GPD DESIGN FLOW 27_ SLOPE OF GROUND IGO� UTILITY POLE O PAVED y��'F. �Q SEPTIC TANK: 440 GPD (2) = 880 / �� DRIVE 104.27 J 03.72 `� 104.41 **RE-USE EXISTING SEPTIC TANK r FIRE HYDRANT NOTE. NOT ALL SYMBOLS MAY APPEAR IN DRANANG / �,o LEACHING: 2.68 '°� 104.31 SIDES: 2 (33.5 + 12.83) 2 (.74) = 137 GPD O �� BOTTOM 33.5 x 12.83 (.74) = 318 GPD TEST HOLE LOGS x 04.05 0 , �3.47 x 05. y ��G 0.96 �1 17 TOTAL: 614 S.F. 455 GPD A ENGINEER: ARNE H. OJALA, PE, SE tiY o� 2� GARAGE ° 100.89 x o 7 x 101.29 ° USE (3) 500 GAL. H-20 LEACHING CHAMBERS (ACME OR EQUAL) WITNESS. DON DESMARAIS, RS c9s 102.19 94 /07 \ WITH 4' STONE ALL AROUND DATE: APRIL 29, 2011 \tiF �P`� /00 �c 100 PERC. RATE _ < 2 MIN/INCH \ � 98 66, � 99 / / / \\ 1 .52 LOT 395 EXISTING DWELLING DECK \ \ 13259 TOP FNDN. _ �9.30 CLASS SOILS P# 20,081 f SF 105 8' / � \\ j ELEV. ELEV. 8.27 � / 97.9 \ O 10 13 ost 9 .36,.- .11 98.9 9' MA A A " x 97 33 97 TH 1 98.56 9 APPROVED DATE BOARD OF HEALTH SL SL 1010YR 2/1 .. 10YR 2/1 °� 96 ffy/� TH .9 8 8„ 8 \\� 95 g 95 84 9' B B 96 x 95.60 TITLE 5 SITE PLAN �� OF SL SL 9� 97.07 x 93.46 9S 10YR 5/4 10YR 5/4 x 9 93 g4 1 24„ 95.0' 24" 94.5 b 3 BENCH MARK - SILL AT SLIDER TREE HOUSE �- 92 9 GRISTMILL PATH WALKOUT ELEVATION = 98.7 7.12 �D k 92 MARSTONS MILLS �, �- 91 � PROP. VENT WITH CHARCOAL FILTER -7924 9 6 56 6 AND BUGSCREEN (FINAL PLACEMENT BY C C ° � �- 90 CONTRACTOR WITH HOMEOWNER PREPARED FOR PERC ° 5.1 b / r 90 x 90.06 CONSULTATION) 7 °�0° � 5g CS CS �D / �� 89 EUGENE MOSHER 88 a� 8> MAY 10, 2011 2.5Y 7/4 2.5Y 7/4 1 / ° 86 �_ �ZN OF Mqs go off 508-362-4541 x 85.36 g°`��DANIEL s�c�� H oF4ssyc. fax 508-362-9880 A. DANIEELA. yes I downccpe.com OJALA w o OJALA �j 35 CIVILdown cope engineering, inc. No.4098C} No. 6602 n 120 87.0 120 86.5 / r s o�'� � �� HQ-1 civil engineers x 84.54 qN `� eG S Tf-� NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' s (I� /1\ �u�� land Surveyors l l gip' 939 Main Street ( Rte 6A) 1 -082 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 - i �