HomeMy WebLinkAbout0030 HANE ROAD - Health 30 Hano Road
Marstons Mills .
A'1151 -'008 -005
{
fuz- � ✓
I
Commonwealth of Massachusetts
1
Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
Inspection results must be submitted on this form or on the official Title 5 Inspection Form dated
6115/2000. Inspection forms may not be altered in any way.
A. Certification
Important:
When filling out 1. Property Information:
forms on the
computer,use 30 Hane Road rn S O b
only the tab key Property Address
to move your Curt and Joanne Ainsworth
cursor-do not
use the return Owner's Name
key. same r
Owner's Addr?Ma�rsirnsKills
�I own of Barnstable MA 02632
City/Town State Zip Code
Date of Inspection: 7/25/2007
Date
2. Inspector:
James D Aguiar Jr.
Name of Inspector
Tri-Spec Corporation
Company Name
1779 Meridian Street
Company Address
Fall River MA 02720
Cityrrown State Zip Code
508-676-7784
Telephone Number
i
s
e
Certification Statement:
i
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 15.3�40 of
Title 5(310 CMR 15.000).The system:
r_— m
® Passes ❑ Conditionally Passes ❑ Fails CD
❑ Needs Further Evaluation b the Local Approving Authority
Y PP 9
-- 7/25/2007
I pe _ re Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
*""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.
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 1 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
y` Subsurface Sewage Disposal System Form
A. Certification (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
City/Town State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
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:
*septic tank needs to be.pumped-excessive thickness in scum layer was present-no signs of
carryover, however pumping is required
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Answer yes, no or not determined (Y, N, ND) in the ❑ f he following statements. If"not
determined," please explain.
❑ The septic tank is metal and over 20 year d*or the septic tank(whether metal or not) is
structurally unsound, exhibits substanf infiltration or exfiltration or tank failure is imminent.
System will pass inspection if the e ' ting tank is replaced with a complying septic tank as
approved by the Board of Healt
"A metal septic tank will s inspection if it is structurally sound, not leaking and if a Certificate
of Compliance indicati that the tank is less than 20 years old is available.
ND Explain:
7-07 Barnstable,30 Hane Road.doc 11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 2 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
° Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
A. Certification (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Cityrrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
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
❑ obstruction is removed
❑ distribution box is leveled or replaced
ND Explain:
❑ The system required pumXe
n 4 times a year due to broken or obstructed pipe(s). The
system will pass inspectiroval of the Board of Health):
❑ broken pipe(s)ar
❑ obstruction i emoved
ND Explain:
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 wit ' 0 feet of a surface water
❑ Cesspool or pr' Is within 50 feet of a bordering vegetated wetland or a salt marsh
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 3 of 16
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
y` Subsurface Sewage Disposal System Form
A. Certification (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills (Town of Barnstable) MA 02632
Cityrrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
C) Further Evaluation is Required by the Board of Health (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 stem (SAS) and the SAS is within
100 feet of a surface water supply or tributary t a surface water supply.
❑ The system has a septic tank and SAS nd the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank nd SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a sep ' tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private ater supply well".
Method used to d rmine distance:
*"This system passes ' the well water analysis, performed at a DEP certified laboratory, for
coliform bacteria and olatile organic compounds indicates that the well is free from pollution from
that facility and the esence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5
ppm, provided the
o other failure criteria are triggered. A copy of the analysis must be attached
to this form.
3. Other: 7
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 4 of 16
i
Commonwealth of Massachusetts
lugTitle 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
A. Certification (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Cityrrown State ZipCode
Kile LLoyd 7/25/2007
Owner's Name Date of Inspection
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
El ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than %day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped: 0.
❑ ® 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 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.]
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.
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 5 of 16
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
r` Subsurface Sewage Disposal System Form
A. Certification (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
City/Town State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
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 o surface drinking water supply
❑ ❑ the system is within 20 et of a tributary to a surface drinking water supply
❑ ❑ the system is loca in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA) a mapped Zone II of a public water supply well
If you have answered "yes"to a question in Section E the system is considered a significant threat,
or answered"yes" in Section above the large system has failed. The owner or operator of any large
system considered a sign' ant threat under Section E or failed under Section D shall upgrade the
system in accordance h 310 CMR 15.304. The system owner should contact the appropriate
regional office of epartment.
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 6 of 16
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
° Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
B. Checklist
30 Hane Road
Property Address
Centerville/Marsons Mills (Town of MA 02632
Barnstable) State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
Check if the following have been done. You must indicate"yes" or"no" as to each of the following:
YES NO
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
Were as built plans of the system obtained and examined? (If they were not
® ❑ available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS)on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® El 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)]
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 7 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
C. System Information
30 Mane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Cityrrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
Residential Flow Conditions:
Number of bedrooms(design): 4 Number of bedrooms (actual): 3
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440
Number of current residents: 3
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ® No
Seasonaluse? ❑ Yes ® No
Water meter readings, if available(last 2 years usage(gpd)): 365 GPD
Sump pump? ❑ Yes ® No
Last date of occupancy: current
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Canons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank pres ? ❑ Yes ❑ No
Non-sanitary waste dischar d to the Title 5 system? ❑ Yes ❑ No
Water meter readings ' available:
Last date of occ ancy/use: Date
Other(describe):
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 8 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
° Not for Voluntary Assessments
r` Subsurface Sewage Disposal System Form
C. System Information (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills (Town of Barnstable) MA 02632
City/Town State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
General Information
Pumping Records:
Source of information: none
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)
❑ Tight tank. Attach a copy of the DEP approval.
® Other(describe):
Leaching Galleries
Approximate age of all components, date installed (if known) and source of information:
5 years/ System installed 11/2002'
Were sewage odors detected when arriving at the site? ❑ Yes ® No
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 9 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
y` Subsurface Sewage Disposal System Form
C. System Information (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Citylrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
Building Sewer(locate on site plan):
Depth below grade: 2
feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line. 30+feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
*all OK
Septic Tank(locate on site plan):
Depth below grade: 1
feet
Material of construction:
® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance?(attach a copy of El Yes El No
certificate)
Dimensions:
1500 gallon (typical)
Sludge depth: normal
Distance from top of sludge to bottom of outlet tee or baffle ok
Scum thickness excessive
Distance from top of scum to top of outlet tee or baffle
1"
Distance from bottom of scum to bottom of outlet tee or baffle
12"
How were dimensions determined? field pole
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 10 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
M
C. System Information (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Cityrrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
`tank should be pumped as a preventive measure
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to of outlet tee or baffle
Distance from bottom of um to bottom of outlet tee or baffle
Date of last pumpin : Date
Comments(on p ping 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 ❑ met ❑ fiberglass ❑ polyethylene ❑ other(explain):
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 11 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
ug
Subsurface Sewage Disposal System Form
l
C. System Information (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Cityrrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
Tight or Holding Tank(cont.)
Dimensions:
Capacity:
gallons
Design Flow:
Ions per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes❑ No
Date of last pumping: Date
Comments (condition alarm and float switches, etc.):
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert normal
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.):
*all ok
Pump Chamber(locate on site plan):
Pumps in working order:. ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 12 of 16
Commonwealth of Massachusetts
w: Title 5 Official Inspection Form
Not for Voluntary Assessments
` Subsurface Sewage Disposal System Form
C. System Information (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Cityrrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System SAS locate on site Ian, excavation not required):
p Y ( ) ( P
If SAS not located, explain why:
Type:
❑ leaching pits number:
❑ leaching chambers number:
® leaching galleries number: 3
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
excellent working order-no signs of SAS failure
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 13 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
y` Subsurface Sewage Disposal System Form
C. System Information (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Cityrrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of iliquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwat Inflow ❑ Yes ❑ No
Comments (note c dition 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 aulic failure, level of ponding, condition of vegetation,
etc.):
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 14 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
r` Subsurface Sewage Disposal System Form
C. System Information (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Cityrrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
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.
7-07 Barnstable,30 Hane Road.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 15 of 16
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
C. System Information (cont.)
30 Hane Road
Property Address
Centerville/Marsons Mills(Town of Barnstable) MA 02632
Cityrrown State Zip Code
Curt and Joanne Ainsworth 7/25/2007
Owner's Name Date of Inspection
Site Exam:
Slope 557MLP Fc47 `e / $
Surface water
Check cellar
Shallow wells lvo^-4—
Estimated depth to ground water: /O
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: no plans on file
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:
'site conditions are dry.-home is constructed on the slope of a hill -no weeping of groundwater found
anywhere on the property. lowest elevation on the site was 10 below the septic system elevation with
no sgns of seepage from groundwater or septic effluent.
7-07 Barnstable,30 Hane Road.doc-11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Page 16 of 16
TOWN OF BARNSTABLE
/ L
LOCATION L� .1� SEWAGE # j
VILLAG , ' ASSESSOR'S MAP& LOT LL/0c'rY'�=o r
INSTALLER'S NAME&PHONE NO.,ARdd W_&, �
Avg-833 777fl
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS `
BUILDER OR OWNER Lam' dOd�teP /�Sl I
PERMITDATE: 167110614'2 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 1 achionF facility) Feet
Furnished by
i
Z �o'
A
�-3
2 37 '
23E5 ,
lap
s ^ �
,46_ a�
Tadco Consultants S06 99S-6002 12191/02 09:29A P.002
TED DUMAS TADCO CONSULTANTS
26 COMPASS LANE
DENNIS, MA 02638
Telephone 508-385-2425
Fax 508-385-6003
December 17,2002
Mr. David Stanton
Barnstable Public Health Division
200 Main Street
Hyannis,MA 02601
RE: Septic system @ Lot 5,Hane Road, Marstons Mills,MA
Dear David:
i
On December 3, 2002, I made a final on-site inspection of the installation of the septic
system for the above referenced property and found the system to be in substantial
compliance with acceptable tolerances to the Massachusetts Sanitary Code Title 5 and the
approved plan by Tadco Septic Design dated 1/3/00, and revised on 4/l/02, 10/2102 and
on 11/7/02, and the As-Built submitted by the installer. At the time of inspection,the
sewer line was not connected to the tank
If you have any questions,please feel free to call me.
Very truly yours, -
a:
•,:•��,�. 'ASS i
Theodore A Dumas, R.S� No.61
TAD/mgd
S4 N!FAR%
File
TADCO CONSULTANTS
TED DUMAS
26 COMPASS LANE
DENNIS, MA 02638
phone 508-385-2425
Fax 508-385-6003
December 17, 2002
Mr. David Stanton DEC 2 �002
Barnstable Public Health Division of BAR�STABLE
200 Main Street TOW HEALTH DEPT
Hyannis,MA 02601
RE: Septic system @ Lot 5,Hane Road,Marston Mills,MA
Dear David:
On December 3, 2002, I made a final on-site inspection of the installation of the septic
system for the above referenced property and found the system to be in substantial
compliance with acceptable tolerances to the Massachusetts Sanitary Code Title 5 and the
approved plan by Tadco Septic Design dated 1/3/00, and revised on 4/l/02, 10/2/02 and
on 11/7/02, and the As-Built submitted by the installer. At the time of inspection,the
sewer line was not connected to the tank.
If you have any question,please feel free to call me.
Very truly yours,
Theodore A. Dumas,R.S.
TAD/mgd
File
r
TOWN OF BARNSTABLE V
LOCATION L� SEWAGE #
VILLAG �4 ASSESSOR'S MAP & LOT 1: /
INSTALLER'S NAME&PHONE NO.d444aWe_
SEPTIC TANK CAPACITY /,4_00�/ 9c9Z
.�m8-833-�777a
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER O ��
PERMITDATE: fd���D Z COMPLIANCE DATE: lI 6 d
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 11,qaching facility) Feet
Furnished by
i
A -4.
® 2
0�
t '
No. V / _ Feed`
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
Zipprication for Miquar *pgtem Cow5truction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. j Owner's Name,Address and Tel.No. t
Assessor's Map/Parcel !S/_ 7—-5" �C,� I. ,. S v c3 6w ZO
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Mrc CC
Type of Building:
Dwelling No.of Bedrooms Lot Size ;i,3 / sq.ft. Garbage Grinder mil)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures i
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date oc fo Number of sheets l Revision Date
Title l v
Size of Septic Tankk I6`60 Type of S.A.S.
Description of Soil e �
Nature of Repairs or Alterations(Answer when applicable) ———
DESIGNING ENGINEER MUST SUPERVi ;
1,V01;ALLM160114914 iViYY YYf._
!CCORDANCE TO PLAN.
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 f Ti le 5 of t EnvironmP t e and not to place the system in operation until a Certifi-
cate of Compliance has been iss this
Signed Date
Application Approved by CC Date Z?
Application Disapproved for the following reasons
Permit No. 'Z-6d 1 —09P Date Issued ?' �3
a
o ' s THE COMMONWEAL' H OF MASSACHUSETTS Entered in computer: (_es
t
.PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS � >t
21ppYicatiott for Miopooal *ps�tetn Con eruct%ors errrY t
j, Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components
Location Address or Lot No. S Owner's LNgine,-Addd}ress and Tel.No.
3 0 /tq/b L= duo
_ �t r
Assessor's Map/Parcel �S
�` X" .C30 ,.D ,,A J t s f Lid A- 0 a 6Go
' Installer's Name,Address,and Tel.No. a, Designer's Name,Address and Tel.No.
Type of Building: 72,—
Lot Size a•3,33 / s ft. Garba e Grinder
Dwelling No.of Bedrooms � q. g (I�
Other Type of Building.. i° No.of Persons Showers�f, ) Cafeteria( )
Other Fixtures E -
Design Flowl gallons per day. Calculated daily flow 3 y�" gallons.
Plan Date / y P'X061c3Number of sheets / Revision Date 11
- Title / 7 v 2
- Size of Septic.Tank /6-D D Type of S.A.S. t-,4,v caj
r o J �+
Description of Soil 6 6181-
0
t
f
~ ` a.
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
v
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described oh-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmj tal Cad and not to place the system in operation until a Certifi-
cate of Compliance has been issue e b this Bo. d <f 1Ghf {
Signed Date
Application Approved by o C '� Date
Application Disapproved for the following reasons
r'
Permit No. 'Z 6d / "0 9 Date Issued 2 �3 o>/
---------------------------------------
THE COMMONWEALTH`OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )�e`
at G t,+nR_ /� ��a i �) hLc has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. `Tirir '"U�d"dated Z�Z 3�/O
Installer _ Designer
The issuance of this permit shall not be construed as a guarantee that the syste ill function as design d.
Date 1 !��6 u Inspector k.. X 1
---I^—' -----------------------------------
No. Zoo / 0 9,"r— Fee I ev, ,...�"
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
�13i5po5al f).-VIIpair
.Oem �Conotruction 3permit
Permission is hereby granted to Constructns ( ( )U grade( )Abandon( )
System located at O i W h-�LZ
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 be completed within three years of the date of INC) ermit.
J
Date: Approved by � �
No.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS.
ApplicatiPn for Miq;pozat *v5tem QCon!5truction Permit
Application for a Permit to Construct( )Repair( )Upgrade( }Abandon( ) E Complete System . El Individual Components
Location Address or Lot No. -j Owner's Name,Address and Tel.No.
4
Assessor's Ma /Pazcel �S/_ �� ��c' ' :FAg C4 6we �.
In{sttaller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. _
Type of Building: (�=S c h►Q�I/```
Dwelling No.of Bedrooms Lot Size )a- 33 / sq. ft. Garbage Grinder VL))
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow Y gallons.
A Plan Date 'AoW Number of sheets f Revision Date
Title
Size of Septic Tank !3'o D Type of S.A.S. "2 1�_A c3 ca-)
Description of Soil e-C
I
a.
r;
Nature of Repairs or Alterations(Answer when applicable)
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 Certifi-
cate of Compliance has been issued by this Board of Health.
Signed Date
Application Approved by Date 2- Z? O'
Application Disapproved for the following reasons
Permit No: r2ll�d ( —,0
Date Issued 2 �3 O
I —————————— —-
-————————
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, AS SACHUSET 1 S
Certificate of (Lon, pfia"ce
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( )
I Abandoned( ) y
at 30 r GL-r s� — has bee�onstructed in acc rdance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 P dated T Z 5Z 0-
Installer Designer
Tyre issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
i
i ----------------------------------------/—may--
No. —o Fee ` u v f
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION BARNSTABLE, MASSACHUSETTS
igt30.a em C0n$tructiott hermit
Permission is hereby granted to Construct( )Repair( )U grade( Abandon( )
System located at O � 90�, 4-1f�",7
+ `€ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5-and the following local provisions or special conditions.
E �
r a'; Provided: Ctnstructionmust be completed within three years of the date of this permit.
q.
.
kt' . Date: Approved by
Town of Barnstable P#
Department of Health,Safety,and Environmental Services
HE Public Health Division Date
Q 367 Main Street,Hyannis MA 02601 ]/M'
BARNSTABI$ • //
q MASS
ArFDFMtA Date Scheduled ® �(/ Time Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: 0NL!/a— /6-,VCrft L.T Witnessed By: hOJ�It�J/a' ►VI I172►g1.1 1�)
LOCATION & GENERALINFORMATION
Location Address ( OTAS, 46(JFj P -b Owner's Name
1,1J� 82�fY1S �L� Address S.I�nr1tS� ✓Y1�
Assessor's Map/Parcel: Engineer's Name
NEW CONSTRUCTION REPAIR Telephone# sg-%7S"29)2. Or 4(1 0gg2
r
Land Use y-IElJ IiwEVLdA-lfr Slopes(%) Surface Stones V igs
Distances from: Open Water Body 14 JA- ft Possible Wet Area ft Drinking Water Well N�A'ft t
Drainage Way ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
Parent material(geologic) L) Depth to Bedrock - (r
Depth to Groundwater: Standing Water in Hole: MIA Weeping from Pit Face 01A
Estimated Seasonal High Groundwater �lT
.::
DETER�..NA`TION FOR SEASONAL HIGH'WATEIt TABT E
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 Adi.factor Adj.Groundwater Level
PERCOLATIONTEST Date <<► '✓l1TTle :a U(}
Observation
Hole# ( Time at 9"
A 1� of
of Perc �I 2 �q _ Time at 6"
i �•3
Start Pre-soak Time @ 10•4O \'3 1 Time(9"-6")
t
End Pre-soak 1 o•31 1 . Lt — Oyuv �IIZ 1f.rnai rwd 1 h �101Z = G?-Vn el (t�
Rate Min./Inch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) �
Original- Public Health Division Observation Hole Data To Be Completed on Bacic j
Copy: I Applicant
r
DEEP OBSERVATION HOLE LO.G Mole# _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,°°Gravel)
12y11
3\- 7,b o r2 V(/
-132 2,,c Z
12- Ib� sit "-►. cvnan•� PO
i t4- to A,m
DEI ,P OBSERVATION HOVE L�(� dole.
Depth from Soil Horizon soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Con i tenc %Gr vel
0- 71' joy�3/�
7-32 Pi
r
--SZ. G 11, S , to a tole
-12(a C V 2 5 e)
DEEP.OBSERVATION<HOLE LOG....... ....
Hale# ............
Depth from Soil Horizon Soil Texture Soil Color Soil
Other
Surface(in.) (USDA) (Munsell Mottling
(Structure,Stones,Boulderes.
Consistency,% ravel
DEEPOBSERVATION'T30LE LOG HoXs#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Con5istency,° Gravel
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes
Within
500 year boundary No Yes
Within 100 year flood boundary No z Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? \I
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on 111115 (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required traindn , expertise and experience described in 310 CMR 15.017.
Signature /
._. • Date
TOWN OF BARNSTABLE
LOCATION/ � SEWAGE #
q VII..LAG ASSESSOR'S MAP & LOT�S�Oc',S=moo f
i E �f/ ,
INSTALLER'S NAME&PHONE NO.�i4lYd���
SEPTIC TANK CAPACITY
LEACHING FACILrI`Y: (type) (size)
A
NO.OF BEDROOMS
BUILDER OR OWNER L �S
PERMITDATE: fG �D.Z COMPLIANCE DATE: 11 ab v
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
i Edge of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of Ira n facility) Feet
Furnished by�o
i
- 2 I-o
2
•
B—2 S7 ®�)
i
Town of Barnsta
ble P#
Department of Health,Safety,and Environmental Services
r Ott Public Health Division Date
Qr 367 Main Street,Hyannis MA 02601
ease.
'Arfay n��� Date Scheduled ® Time Fee Pd.
Soil Suitability Assessment for Sewage Disposal .
Performed By: N.1 t 6 ft Ur Witnessed By: !1c)mQA- M iorZ Am l:�l
I,DATI.ON& El'dERAL INFORNIA ' IJN
Location Address LOTS- 44 js P 6 Owner's Name }
VJr .r Address S LZZnnt.S ✓h A
Assessor's Map/Parcel: AM /S/�8�a Engineer's Name -MANAL
NEW CONSTRUCTION REPAIR Telephone# 9,.?13--'77S'2,9)2. or 41 I oLig2_
r
Land Use Meld Slopes(%) Surface Stones L igs
Distances from: Open Water Body�� Nft Possible Wet Area '— ft Drinking Water Well A"ft 1
Drainage Way ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
. aF'L-
41
t .
Parent material(geologic) fM dl/ 1 tPJ Depth to Bedrock �r
Depth to Groundwater: Standing Water in Hole: MIA Weeping from Pit Face
Estimated Seasonal High Groundwater/F
.,..,..;. ... .. Lr�v.. .... .
t' 1NA't'1CJ10T :SAS(�1AL 'wATT <T1 .:'.:.:` : <`<`> ::::::
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..__ Adi.factor___ Adj.Groundwater Level
.. .:..::
:: :..:.;:. . PEKCOLAT CJIY TOR ° : .;:.:.:. . .:: ..".....................-� -. .:;
Observation �{
Hole# "� Time at 9" ZS
Depth of Perc I L Time at 6" 735
Start Pre-soak Time @ (�'�� �� 3 I Time(9"-6")
,1
1 �
End Pre-soak 10.3� II r q® ` OYILLf a ?, 'r-a-'a vol 1 n EI O.Q. Z, L z.v'n In
Rate Min./Inch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N.)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
1 Copv: Applicant
DEE'ip'0 ',Y2VATI(? 1IOL l 0 Tole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface On.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
CQnsistency.°° ra el
14- 31 I t�,�, Iu sho
L, S. IU fit.(
t o a,.n
............ ...... .. . . . ....
AEtP O�SERVATIOIi HOIr C.
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.° Gravel)
0-7
SZ C L,S to a 10/(
!�z -12& C "s'G'' Z5 ®N
..
OBSERVATION FTO1.E LOG :: :: Hnle `::":>»
....
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency-° ra el
DEEP OESERVATI0IV MOLE .QG Ho
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.° Gravel)
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No z Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on J1 j (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required trainin expertise and experience described in 310 CMR 15.017.
o _ : _ IA Id
v '
-a RC1yS .. i
1 1 —
All
rl
Ol
Mo
61
ir
1
1
,
,
I
,
„
y ,
_ ,--
,
:
,
i
1
11 `
:1 u
� I
G I
t
{
•
POO
r _ _
h
1
I'.
' T
1 �vG
1/L
- - - -
'Tom
i �
.40
d
� r i � 11 {.P ,' a ...�!,.�� --�?'•:I�- --— -.
{
F
•
` e
1. _
� 1 f
{ 4.
r I,
3
,
: Lill I � �• , � .' ,
� -
-
11 -• I 11 ( II _ I 1
V - .
r
N { 11 _.-.-.. ..
I I `
I I 42'-0"
I I 10'x16 DECK I
27-a' 5'-6" 3'-11/2" 5'-31/2"
1'-1"
II II
5'-61
�I eow
® ® --
O ;
in � `-
i WINDOW SCHEDULE
° ° 00 1 ! LAUNDRY NUMBER QTY R O CODE
(fl
KITCHEN . O b
° ° Woo 4 301/4X411/4 TW2432
FAMILY Y = W01 10 301/4X571/4 TW2446 S MA5TER
W02 1 415/8X413/8 CN235
BATH W03 2 341/4X651/4 TW2852
s�
W04 1 361/2X20 3/4 I CTCXWI
® O W05 1 613/4X571/4 I TW2446-2 SUP
in
3'-101/2"-1
i,,J
O 2e66 2866
b � �
' - - Steel Beam ab e- z - - -_ = 111"2x4 isaring wall DOOR SCHEDULE
N esign by ers) QTY SIZE R/O CODE
1 9070 109X85 9-OX7-0 OVHEAD
1 3060 381/2X81 3-OX6-6 6PAN FIRE
1 6068 72X80 FWG6065
MA5TER DORM o 1 3065 381/2X83 3-OX6-8 6PAN EXT
4 4066 501/2X801/2 4.OX6-6 BI-FOLD
ENTRY 6 2666 521/2X801/2 2-6XG-6 4PAN
b io WING 1 5466 661/2X801/2 5-4X6-6 DI-FOLD
1 2666 321/2X80112 2-6X6-6 51-FOLD
1 2866 341/2X81 2-8XG-6 6PAN METAL
UP 1 12466 301/2001/2 2-06-6 4PAN
1 306.6 381/2X801/2 3-0X6-6 51-FOLD
b open to above ® ® 1 2650 321/2XG21/2 ACCESS
2 5066 621/2X801/2 5-OX6-6 BI-FOLD
aosa
N
4-O'l
--I
I
7-9" i -h 16-O"
24'-0"
8 ' FIRST FLOOR PLAN
j `,
12'-13/We
O 11
tt
11
N t ►
"
PATH o
c 15EPKOOM #1
- - - - ' 13EnR00M#2 "
0 5TOKAGE
p railing
N '
DN
t ► d,.
tt ,
it
t � t
N . I Ceiling line
. . - - - - - - - - - -
t tl 2050 it
t It it
Itellt �
o OPEN BELOW
► 1 � II
t ► - , t
i
tt
i
i
I
i
I •
I .
5ECOND FLOOR PLAN
a
r
42'-0"
26-101/4"
T-O"
-------------- --------- - - --------------- - - ----
! - ----------- ---------- - -- ----------- - - ------ I
I • I I • !
4'cement brick
curb divider
GARAGE I
FOUNDATION NOTES
I • ( � 1~ I I i
Beam I Fdtn wall to be 8"xT10" poured concrete
pocket - _ _ - I I on`IVAO"continuous footings, keyed.
l ! Beam pocket - in - - - - -- - - - - I O Anchor bolts to be placed 0 6-D"o.c.,
I 361x3611x12" I ( max,&back T-O"from all corners(typ)
3-2x12 _ _ - -_ 5teel Beam I I O N
CO wood beam -- -- -_ - - (design by others)
_ I I Carrying beams are to be supported by
31/2"diameter concrete filled lally columns
lower top of
I ! �•-�6'-10"_ ( ! w/plater,on 30"00'x12"concrete pads or
—— - -- - - - - 5/8"fire code blue wall 52" as noted
I 31/2"diameter concrete �, , _ _ ' board w/1/8"skim
I —— filled steel col.On 30"x _ _ —coat plaster,party — — — — — — — — - I I
Fdtn walls:3000pol,3/4 stone
! W'x 12"concrete footing - - - _ _ - - - wall and ceiling I
o I ! o (all co!'s and footings) or - - _ - - _ - - I I I p Conc. slabs: 3500 psi,3/8" pea stone with
! as noted fibermesh. Slabs to have expansion Joints&
'-- - - - - - - - frost wall I { I I perimeter spacer
'I O Keyway and 1/2"steel �- - - - - - - - - below T-O" I ��
• I Re-Rod 24"Oc/verticald - - --- - - - - I I I I 4Two rows of 1/2 re-rod placed horizontally in
Ifor future retaining wall — ———— — I rear wall
soo
IL———— ------------------- I --- 4 ---- - --
-------------=-- ___ 2_'-21/2"
1 f 1 r��
I
! lower top
�---64"
2'-4" 24'-0" -f• 18'-0"
• FOUNDATION PLAN
d SOIL. TESTTOP _
Of AOId 20 FT. MINIMUM FROM CELLAR
A -"I t.�.�„t°`'�� ,, ' DATE OF SqL TEST
10 FT. 1RWWUN FROM SLU OR CRAK SPACE
K. �,:,-�`" SCE TEST � QY
0 FT. WINfuU61
' CLEAN SAND .'
e
Q. V. • ,_..,.,.�,� t c-- le,.�__ __. y11'tit'�D gY
WTE � .
c—I:OAiI AND SEED OBSERVATION HOLE ELEY�• _ 08SERYA7ION MC}!.F_. ELfv,• ,,;;
4' SoiEDULL 40 PvC PIPE
MIN./INCH AT �.._ MiCt1ES PERCOLATION RATE � �-��- MW./1NCN AT . INC1
� . PERCOU►'110iN RATE .._:�.
MwiLs
. PITCH t/S PER FT. 2 .Ar1:A Of/$- TO 1/2- D TUR COLOR WO A uo
STONE
1 U 44 CAST WON PIPENTREQUIRf13zfMLoAt's ,
�..
(OR EOUAL M"ww r
"' r PtTCh 1/4� Of
PER FT 1T. �. ° t� � ` .: `
.+ I
t
t ( CONCRM
ANCHOR
FLOW LINE ;
v
ww-
T ELEV. • # r
° . ''� ELEv. - c ELEH= • I,, su ELEV, . �- � 4 t ', ..
DISTRIBUTIONELE
B 0 X
(TO BE PLACED ON FIiW SASE) To BE WATER TESTED �C 35 ,x ..�� t1tQlCH FORMATION
1 500 GALLON if MORE THAN ONE OUTLET �. *ATER ErCCUNTUO AT QXV; WATER ENCOUNnW AT v.
4 IN45 (TA BE PLACED ON FM BASE} SOIL ABSORPTION
SEPT r
IC TANK 3/4' To I t/ ' li�Ex
ZONE
9 SYSTEM (SAS)
WASHED STONE aDXST___.___ P_+� � 7
LEGEND; D-SIGN "ALCULAT10NS
SEWAGE DISPOSAL SYSTEM PROFILE US" A,a STTED � �Y' : - E�snNG spot ELFVATww 00,0 NUMBER of eEDRoa�s
NOT TO SCALE OaSEAVED WATER TABLE ( ,/ / ELEY FIwALNQ CONTOUR -----00---- TOTAL
DISPOSAL UNIT ..,.�.
�_ F1MA1 SPOT ELEVATION TOTAL. ESTIMATED FLOW
FWAL CONTOURJF
(_114..GAL./BA./DAY X BR. - GAL/DAY
SOIL TEST LOGAT01 PIEQUWED TIC TANK CAPACITY ....500 CAL
UTILITY POLE -0- ACTUAL SIZE OF SEPTICTANK .. . GAL
TOWN WATER iW SOIL CLASSIFICATION
CATCH BASW • DESIGN PERCOLATION RATE Wik AN,
GAS LINE EFFWENT LOAMQ RATE OAL./DAY,/S.F,
LEACHWG AREA $4 FT.
` - LEADiINO CAPACITY (AREA X RATE) GAL/DAY
\� RESERVE LFA"Q CAPAOTY ............ GAL/DAY
NOTES:
1. ALL WORKWANSHIP AND WATERIALS 3HALL. GQNFDIW TO D.E.P.
x \ TITLE 5 AND THE TOWN OF z RULES ANQ
REGULATIONS FOR THE SUBSURFACE DWOUL OF XWAQL
2. ALL COVERS TO SANITARY UNTS 94" BE BROUGHT TO
�41ARY PITEY 9 ALL BE OVA
� �MR�TF#S"'TAG �-10 LOADING ' ARSE
� ASIX Of
It$ FT. oft F A� I ,+of
' UM ? OR VA I!'iW! 10 F�T Or 041*0 1114 0
,. 4. ANY WAWl*Y UNTO VIED TO MW COVERS 10 Q ADt 94AU
i
ll � ,.�t. �: R. UTitITifES SIiCMA! AIRS APPRp�:, `F. I.XCAYAI'ItM���7�I�AG
/ ! it WAAS
!
PRIOR TD OOMMEWIN4 woo 04 sit
G f
T, t JiiT11A OA 4TO 11'OWY GRADES WD F�vAT40 om NS AS M . All
r I ! 1 r ' i r" PAACU is IN n4 K? Icy
9. LOT 3 940V I ON AWUA3 kW AS PAAca
rp
fr
titCDt 1
' c
i r ti
.Y
r
t
_R
I
w I F AfA
P
t .
a
w'"""�- ''.��" t �1 W10 b� TANYA y� �
_ , 1 [3AIGNEA LT APPROVE BOARD OF HEALTH
- V
'`. U
} *A
nc
r t � DATE AGENT
, � ,.. PROPOSED SEPTIC DESIGN
I
1 r1 w r /ly/ Y
.. I t f
r
�47
r f �. �._ PRO.ECT LOCAWN
TADCO ENVIRONMENTAL CONSULTANTS
,.� 26 COMPASS LANE DENNIS, MA 02638
(508) 385-2425
cpp `
'
DATE 'ACALE
X .
yC
aE�nsfED t
- LOCATION MAP SHEET OF
20 FT. MINIMUM FROW CELLAR SOIL TEST
TOP Of F'OUNDATWN DATE OF SM TEST
10 FT. WINIWUW 10 FT. WLNWUW FROM SLAB Oil CRAMIL SPACE CLEAN SAND SOIL TEST DOME BY ,'
W1N= BY
LOAN AN SEED OBSERVATION HOLE. 1 ELEv.- OBSERVATION HOLE,, 2 ELEvw /
WW70CH I/6° PER ULE 40 PVC PIPE
n 1 -
2 UYE32 �. PERCOLATION RATE -�- WIN. NCH AT `` WCHES PE�iCOLATION RATE WW./WCM AT INCHES
1/50 TC 1/2' TN R COLOR MO TT. 0 ORIt R i1O TH
STONE
�` CAST IRON PIPE + l-i- III VENT 1 1+ t +/ =' ?� ''' f` t� i +��tt f :ui�"?
{._ NOT REQUIRED `7 r t,r� r., ,, f
(OR EQUAL) WiNJWUId
'
PITCH 1 4 PER FT. r
/ a 1 c E TE l (
7
FLOW LINE a ANCHOR
6 SU -- ve �
ELEV. • �' Bi ELLY. • ,L_._ ELEV. .. = u 2 - + L " !
DISTRIBUTION ELEV- P � I °'� 4 ZJ
tiw _ ►.. Ica I =
BOXwj
( ; 13 , ( � .,, ,,JE. � ► - ..<.,.
(TO U PLACED ON FIRM BASE)LIOU TO 8E WATER TESTED
1500 GALLON IF WORE THAN ON€ OUTLET TRENCH IroRWATI N �} ;'fa WATER ENCOUNTUtED AT MY. • WATER ENCOUNTERED AT ELEV. • �._
14 w (TO U PLACED ON FI+RW BASE) SOIL ABSORPTION '
s SEPTIC TANK ZONE ( -� � — �C ,
L4 IN 3/� TD 1 1/2 �, 114DEx ' u. t v+' r ;^_ .'.. G' .a •e =--
39 WASHED STONE S I'STEM (SAS) I ADJUST `� _� 7
��. • .�� LEGEND: DESIGN CALCULATIONS
T 8OTrW OFEST NOTE ELEV. • CX!MNG SPOT ELEVATION OOYO NUMBER OF BEDROOMS
SEWAGE DISPOSAL SYSTEM PROFILE US" ADJUSTED WATER TA= ELEV. • EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNIT NO
NOT TO SCALE OBSERVED WATER TABLE ( / / E:.EY. . FINAL SPOT ELEVATION TOTAL EStiWATED FLOW
T FINAL CONTOUR (_.U_0 GAL/B&/DAY X 8R.) GAL/DAY
SOIL TEST LOCATION REQUIRED SEPTIC TANK CAPACITY GAL
\ UTIi,1TY POLE -0- ACTUAL SIZE OF SEPTIC TANK GAL
\ TOWN WATER —W SOL CLASSIFICATION
CATCH BASIN • L DESIGN PERCOUTION RATE WIN./IN.
\ OAS UNE ...._..._.p _ EFFLUENT LOADWG RATE GAL./DAY/S.F.
LEACHWG AREA ,.._.. SQ FT.
\ LEACHING CAPACITY (AREA X RATE) GAL./DAY
RESERVE LEACHING CAPACITY GAL/pA'Y
\\ NOTES:
1. ALL WORKWANSHIP AND WATEASALS SHALL CONFDRW TO D.E.P.
TITLE 5 AND THE T'OWPd OF �~; ; RULES AND
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
2. ALL COY MS TO SANITARY UITS SHALL BE BROUGHT TG
\ WITHW 60 OF FINISHED CRADE.
�6, 3. ALL. COMPONENTS Of THE SANITARY IMTEM MALL BE' CAlPASU Of
..""
/ i V WITHSTANDING H-110 LOADING UNLESS THEY ARE UNDER OR WITHIN
9t�O��ryfqT. ;�F t�if1�'ES PARKING AREASH-70 LOADING SHALL >bf;
V\ \ .lbil +�i it OR *r�01 10 FT. Of VES OR PAMW AREAS.
Yv Jt/il ��4 W Ir rA" e'er ^f,'.'""g••s +�
BE
t 1 \ 5. NO D�ETE ►TION HAS BEEN MADE AS TO+COWPUANCE NTH
ONY
NEEDED OR Z4 REQlAtAT"S. O*a-B / APfU{:ANT 15 TO
OBTAIN�' 6. UTIUM SKWN ARE AP ROAMA►TE ONLY, D(CAVAT" 0ON'TRAG TOR
15 TO CALL 'NO-SAFE' AT 1-K*-322-49" AT LEAST 72 NWRS
PRIOR TO COI/WLNQNG WORK ON SITE. I
7. +CONTRACTOR IS TO YUtk GRADES .",ND ELEVATIONS AS WELL AS
\ SITE MtOT"S PRIOk TO OUAWEN.1149 WAK ON 71E.
I!. PARCEL. IS IN FLOOD ZONE -
- — — — — — — — — 9. IXT 13 5MM4 ON ASSESS0RS WAA AS
A.
o
\\ \V A \V A \\ \\ tfV� \V A I �, t ����., L gRI�L �aL��'o�M��s
__ _
v v ,� r W'0 TANYA °sue APPROVED: BOARD OF HEALTH
,o
��..� .�r I o DAiGNEAULT
X j o �No. 1095
IbF
t o r1 r ! DATE AGENT
PROPOSED SEPTIC DESIGN
I
FOR
.,
co
IMotCT LOCATION
I lJ,
1 , 1 1 I I , I I I I I ► " __.�- TADCO ENVIRONMENTAL CONSULTANTS
.J�
1 1 t 1 I 1 I I I j I I I i 26 COMPASS LANE, DENNIS, MA 02638
(508) 385-2425
w �
0 SCALE
/ �( REVISED JOB NO.
I LOCATION MAP SHEET OF �;
,� , .. . SOIL TEST
TW W 20 FT. WlNluuu FRou cfu�w � DATE OF Sad TEST .�L ` Oil
10 FT W"UW FROW SLAB OR CRAWL SPAC>` t ---• aC 5 +►_> ,. r ..
10 FT. MINIfrtUll CLEAN SANG Via' �� ��. ,r�''"' S011 TEYT DOIrE QY
40 SCHEDULE 40 PVC PIPE {—LOA11 +c08SERVATIC7N HO L& 1 ElLY• � OBSERVATION HOLE 2 AT
-
WN. PITCH 1/$• PER FT. i Z` LAVER OfPERCOLATKN RATE IN AT ______.� INCHES PERCOLATION RATE WW./MICH r INCHES
1/e TO 1/2• COLOR wOTT. OTHER DEPTH kORJZR OR 110 rr.
tNED STONE VF'N
�• CAST IRON PIPE T Q ; . ,
(OR EOUAL WIHf4UM REGJ,RED c. ° ��� (,r�eW��s -, , ..:y���,
PITCM 1/4,PfA FT. 3 1 CU, F7, Of x
COlyt�iETE 1 . ,
FLOW UNE + '6 ANCHOR
LAIN. , • . c O CM cO Q o c . -7
• IL 6 V. -
ELEY. BGL�S ELLy, ,. 0 SU ELEV. - r .�, i 71 �,tZ 1> s - 1� 2, �
Ai� g DISTRIBUTION ELEv. c #t } } % ; r :4
(TO BE PLACED ON FIRM &49) To BE WATER OX TES TED F �: ! 5 5?A G_}#
TllE1+R1 oRWAIaI WATER ENCOUNTERED AT .. ELEV
4 IN 1500 GALLON IF BORE THAN ONE FIRM
BA y2 WATER E�UNTFAEA AT ELEI� • . • 3 `
(TO BE PLAC>EO ON FIRY BASE) SOIL ABSORPTION
4 SEPTIC TANK ZONErc 1 ,_ 'f { �— .8 " � . . ,% .- n _ t? , — ram.•
O a/` TO ' '/2 SYSTEM (SAS) INDEX
��
WASHED STONE ADXST _ w
c� .fr + t `== LEGEND: DESIGN CALCULATIONS
BOT MA OF TEST HU ELEV. - E�STINO SPOT ELEVATION 00.0 NUWBER OF BEDROOUS
�. A
SEWAGE DISPOSAL SYSTEM PROFILE USGS ADJUSTED WATER TAM ELEV. - " ``- EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNIT _.NO
NOT TO SCALE OBSERVED WATER TABLE ( / / } ELEV. - FINAL. SPOT ELEVATION TOTAL ESnYATED FLOW
D AAY
SSOIL TESAL T TLOCATION OUR REQUIRED nC TANK CAPACITY �, ;!' GAL
U u \ UTILITY POLE - - ACTUAL SZE OF SEPTIC TANK GAL
�. TOWN WATER � W •�•� SOIL CLASSIi1CATION
CATCH BASIN DESIGN PERCOLATION RATE uiN./IN.
\ GAS LINE 0 EFFLUENT LOADING RATE GAL/DAY/S.F.
LEACFYNO AREA SQ FT.
LEACHNO CAPACITY (AREA X RATE) M� GAL LAY
fit,:• rx�, t->�:i.'� g f`�'��' l�t:°:'t:.�.+ ; _ fi. , ... ,.. -_.. y ;,-
RESERVE LEA"G CAPACITY GAL/DAY
/ \ \
,7W � s/ ..6aS v,r a'-{.- �I� ��f��'i+✓.. �'�i`����C.1• '}'{ �. `\� ` TX NOTES:
a, r 1. ALL WORKMANSHIP AND WA TO D.E.P.
w; � TITLE 6 AND THE TOWN OF RULES
\\ REGULATIONS FOR THE SUBSURFACE DL>ZPOSAL OF SEIBAGE
- t \ Z. ALL COVERS TO SANITARY UNITS SHALL K BROUOMT TO
J t v ,�d Jj , WITWM B• Of FINISHED GRADE.
l ALL COWPONENT'S OF THE S"TARY mTEW SMALL. BE CAPABt.E OF
1 F+r�lu�1 Fs i 't F ti j k3 r f * .f.
wT#1aTA�+0w0 M-10 LOAfltNG THEY ARE UNDER Oft wTNW
AALM
r r» 3 .
, � .-� `' '-� � it�D +! nWi 1#I�f�� Of OiR{tlL'B�OR P1�N �li'i A�Ai
AMY MASONARY XD TO To u� v vov�t� aw►o9 OWL i 1
j ! d ) ', r' y.t `<�. x. s :' ...t,. r !:+*►`tt +Ks "�6�� �• 0 % i1"l.ialitCE '�111
To
J t
l
4rt .., t� � r•'.' .ti}a �- ".. �"i i'�M TAiN �ATK111 f� /K"�"n0!-17aATT ��f.
I Jr / / J .- '�... {7` ". t)•?I�?d... '{!� 4 t`-'�..' .Y:hl ? t .t_,e_.t,., ,--�5 J i �
- ` X t. UTI<MS 0 01Mr ARE A"400 ATE ONLY, EXCAVATION RALTOR
s o
IS TO CALL ''010-SAFE' AT 1-M-32$-4W AT LEAST Tt. WNM
i
PRIOR 1D OOYYE44N0 MK>f1X ON SITE.
\ J J 7, CONINACKIR 13 TO VEWY GRADES AND ELEVATIONS AS WELL AS
STE COW TOd MUM TO 0o11�Ip" AIM GM SM
/ - - - - - - - - - - - - - � 'i B. PARCEL IS IN A= ZONE
- 0. LOT IS 9i00 ON ASSESSORS MAP -� __ AS PARrZ
\•* \ � � - --_ � t • � ,� ,. .'q '' -_,.,,ter\` RN� __ _.
APPROVED. BOARD OF HEALTH
P � r � DATE AGENT
} PROPOSED TIC DESIGN
i
N F of Q SEPTIC
FOR
t 1 .!
1 LIP I
PR"CT LOCATION
J J J ' ► + ' - ' TADCO ENVIRONMENTAL CONSULTANTS
26 COMPASS LANE. DENNIS, MA 02638
508 385-2425
I 1 I DATE R a SCALE _
1 w
lit :
- ,-
J RrASED JOB N0.
LOCATION MAP "�''� ' ' r'' � SHEET OF
' t
i
_- -_ -- -0-LOIN - -------'