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HomeMy WebLinkAbout0075 HOLDER LANE - Health r 75 Mulder Lane Marstons Mills t A= 174-001 -011 x ',I Commonwealth of Massachusetts Title 5 Official Inspection F_or-m- Not for Voluntary Assessments ;; � �, ,, aao'l . 46 1 Subsurface Sewage Disposal System Form Inspection results must be submitted on this form. Inspection forms-may not be altered in any way. A. General Information Important: When filling out 1. Property Information: 1"\w forms on the 3 computer,use 75 HOLDER LN W. BARNSTABLE, MA 02668 yY only the tab key Property Address to move your ROBERT MAYER cursor-do not use the return Owner's Name key. 75 HOLDER LN Owner's Address W.BARNSTABLE MA 02668 City/Town State Zip Code Date of Inspection: Date 7 Date 2. Inspector: JASON BURNIE Name of Inspector D.J BURNIE & SONS bluewater holding corp Company Name 105 FERNDOC ST UNIT A Company Address HYANNIS MA 02601 Cityrrown State Zip Code 508-775-0139 - Telephone 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: I ❑ Passes ❑ Conditionally Passes ® � Lj wo ii X ❑ Needs Further Evaluation by the Local Approving Authority `��:'•• i'9�y'; o • JASON N �0 —�. 8-13-07 = s P. -� _ r= lnspector'sSig Date BURNIEV. ^ice The system inspector shall submit a copy of this inspection report to the !tT14foz iVl� rbard of Health or DEP)within 30 days of completing this inspection. If the systert4#Yi' �y#m or has a design flow of 10,000 gpd or greater, the inspector and the system own�N�hM1,Istubl'nit 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. i F ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System• ' Page 1 of 16 U� Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments ,M Subsurface Sewage Disposal System Form B. Certification (Cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER 8-13-07 Owner's Name Date of Inspection I Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: i B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank 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. i ND Explain: i 1 I f 1 I f back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System j Page 2 of 16 I `lam i Commonwealth of Massachusetts W Title 5 Official Inspection Form Not for Voluntary Assessments ;M Subsurface Sewage Disposal System Form B. Certification (cunt.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER 8-13-07 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 i ❑ obstruction is removed ❑ distribution box is leveled or replaced ND Explain: f ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: 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 for privy is within 50 feet of a bordering vegetated wetland or a salt marsh j I back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 f I Commonwealth of Massachusetts Title 5 Official Inspection Form ° Not for Voluntary Assessments M SV a Subsurface Sewage Disposal System Form B. Certification (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 Cityrrown State Zip Code ROBERT MAYER 8-13-07 Owner's Name Date of Inspection i 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 system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria 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. f t . 1 3. Other: 1. r j back up 2.doc.doc•03/2006 ! Title 5 Official Inspection Form:Subsurface Sewage Disposal System ti Page 4 of 16 . i Commonwealth of Massachusetts Title 5 Officia'I Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form M B. Certification (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State ZipCode ROBERT MAYER 8-13-07 Owners Name Date of Inspection I 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 '/2 day flow ❑ ® 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 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 of chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000gpd- El 10,000g pd. Yes No The system fails. I have determined that one or more of the above failure ® El 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. _ f back up 2.doc.doc•03/2006 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 Subsurface Sewage Disposal System Form �M B. Certification (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER 8-13-07 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 of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. I i I i i a i back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 16 i i Commonwealth of Massachusetts Title 5 Official Inspection Form aX Not for Voluntary Assessments Subsurface Sewage Disposal System Form �M C. Checklist 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER 8-13-07 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 II ® ❑ 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 bre9k out? ® ❑ Were all system components, 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? - f The size and location of the Soil Absorption System (SAS)on the site has been determined based on: 1. ® ❑ 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(5)] i back up 2.doc.doc•03/2006 E Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7of16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments ;M Subsurface Sewage Disposal System Form D. System Information 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER 8-13-07 Owner's Name Date of Inspection Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): SAS @ 443 GPD 2 Number of current residents: 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 Seasonal use? ❑ Yes ® No 05= 273 GPD Water meter readings, if available (last 2 years usage (gpd)): 06= 257 GPD i Sump pump? ❑ Yes ® No CURRENT Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No i Industrial waste holding tank present? ❑. Yes ❑ No I Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): f 1 back up 2.doc.doc•03/2006 { Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 16 i Commonwealth of Massachusetts Title 5 Official Inspection Form ° Not for Voluntary Assessments Subsurface Sewage Disposal System Form M D. System Information (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER 8-13-07 Owner's Name Date of Inspection General Information Pumping Records: BOARD OF HEALTH , PUMPED IN 04 &06 Source of information: Was system pumped a part of the inspection? ® Yes ❑ No 200 If yes, volume pumped: gallons How was quantity pumped determined? SITE GLASS ON PUMP TRUCK Reason for pumping: i THE D-BOX WAS OVERFULL AND WAS PUMPED OUT IN ORDER TO FINISH INSPECTION Type of System: i ® Septic'tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy 1 ❑ 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 t i ank. Attach a copy of the DEP approval. ❑ Other(describe): I Approximate age of all components, date installed (if known)and source of information: 1993 PER PLAN ON FILE AT THE BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No I 1 P 4 back up 2.doc.doc•03/2006 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 Subsurface Sewage Disposal System Form M I D. System Information (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 Cityrrown State Zip Code ROBERT MAYER 8-13-07 Owners Name Date of Inspection i Building Sewer(locate on site plan): 18" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): i i Septic Tank(locate on site plan): 23" Depth below grade: feet Material of construction: ® concrete Cl 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 ❑ No certificate) Dimensions: i 1000 1., Sludge depth: i j Distance from top of sludge to bottom of outlet tee or baffle 1 - Scum thickness - i Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensionsidetermined? SLUDGE JUDGE back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 16 rr. _ Commonwealth of Massachusetts Title 5 Offi 'dial Inspection Form Not for Voluntary Assessments i M SV•• Subsurface Sewage Disposal System Form D. System Information (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town j State Zip Code ROBERT MAYER 8-13-07 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.): i I Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): i i Dimensions: i Scum thickness { Distance from top of scum to top of outlet tee or baffle i Distance from bottom of scum to bottom of outlet tee or baffle I Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): E i I Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: f Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): i I 1 back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 16 e-01> � i Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments �,M eyt Subsurface Sewage Disposal System Form I D. System Information (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER j 8-13-07 Owner's Name Date of Inspection I Tight or Holding Tank(cont.) Dimensions: j Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No I Alarm level: Alarm in working order: ❑. Yes ❑ No i 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 Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box:is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.)-. THE D-BOX WAS OVERFULL WITH LIQUID BECAUSE OF A FAILED PIT THAT WAS CAUSING THE LIQUID TO BACK UP TOWARDS THE HOUSE. I 'Pump Chamber(locate on site plan): i Pumps in working order: ❑ Yes ❑ No I Yes ❑ No Alarms.in working order: ❑ back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System k/�� Page 12 of 16 i i Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments ;M Subsurface Sewage Disposal System Form D. System Information (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address " W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER 8-13-07 Owner's Name Date of Inspection Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): i Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: 1-6X4WITH 3' ® leaching pits number: OF STONE ❑ leaching chambers number: ❑ leaching galleries number: i ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: i ❑ overflow cesspool number: F ❑ innovative/alternative system i Type/name of technology: i Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): THE LEACH PIT WAS COMPLETELY FULL OF WATER AND WAS CAUSING THE WATER TO ----� BACKUP INTO THE BOX AND THE TANK. ALSO THE STONE AROUND THE PIT WAS SATURATED AND BLACK. WE HAD THE BOX PUMPED OUT AND WE GOT APPX 200 GALLONS OF RUNBACK FROMTHE PIT TO THE BOX. 1 . back up 2.doc.doc•03/2006 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 Subsurface Sewage Disposal System Form D. System Information (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town j State Zip Code ROBERT MAYER 8-13-07 Owners Name Date of Inspection Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid tolinlet invert Depth of solids layer I Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i Privy(locate on site plan): i Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): k i back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 16 • i I Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form M D. System Information (cont.) i 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER 8-13-07 Owner's Name Date of Inspection I 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. I i I r A 3 no C' I o ID PI I �©, I-Al I back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 15 of 16 Commonwealth of Massachusetts PAMMEM Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 75 HOLDER LN W. BARNSTABLE, MA 02668 Property Address W.BARNSTABLE MA 02668 City/Town State Zip Code ROBERT MAYER j 8-13-07 Owner's Name Date of Inspection I Site Exam: i Slope ye: �.»c��2� Surface water A 'O I Check cellar Xe S Shallow wells "Vo j Estimated depth to ground water: 16 !Y PO 71-S� i�c�% oN ;'14n Dcleca Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record i i 1993 If checked,]date of design plan reviewed: Date i ❑ 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 I SGS database-explain: I SDW-253 ZONE B 2-3 WATER LEVEL 47.7 1.9 X 12=23"ADJUSTMENT You must describe h established high round water elevation: o you estab s ed the g g THERE WAS A TEST HOLE DONE ON PROPERTY DOWN TO 16'AND NO WATER WAS FOUND. SEE ATTACHED. i 1 x � i ' I I back up 2.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System r Page 16 of 16 I � oel- mi pa6 6& Jn OF -Done Y. Town of Barnstable �p 1HE Tp� Regulatory Services xSTn8 Thomas F. Geiler,Director BAR9$ b 9 ,0r Public Health Division AtFD N1A'l A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. �J.[" ,J TOWN OF BARNSTABLE LOCATION l v rl L n�� �-�I L� 1.n A/I SEWAGE# o VILLAGE ASSESSOR'S MAP&LOT/"— INSTALLER'S NAME&PHONE NO. L_l:G. Ulf M5K -7 S -D g SEPTIC TANK CAPACITY L-xk 5Ti pq (obz>!qA LEACHING FACILITY:(type) 5-i PF4((_)ZAra2 '3 0 0 (size) �5• �x (a•a- �- NO.OF BEDROOMS 3 BUILDER OR OWNER PERMIT DATE: �(� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist n within 300 feet of leaching facility) �k�!' 46-2 Feet Furnished by rxP O Dr � 3 P W. fig= tt 3bq Cl= DI. 1 I No. v v l `� Fee t/(::)_0 ~� --,. t4,E'COMMONWEALTH OF MASSACHUSETTS Entered in computer: __tell PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for Wgpo5al *p6tem Co gtrurtiun Permit Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 7S p(L�t� Ait-,_ ! `Owner's Name,Address,and Tel.No. Assessor's Map/Parcel pq Installer's Name,Address,�TM Street Designer's Name,Address and Tel.No. W. Yarmouln, MA 02673 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)_"_33 U Design flow provided ��L gpd Plan Date Number of sheets l Revision Date �A)//q Title (jr)ir P&pn Size of Septic Tank tox .c !.160-6 Type of S.A.S. Description of Soil /���' �D Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. y Signed Date /V / Application Approved by r— Date /0`34— 6 Application Disapproved by: Date for the following reasons Permit No. Date Issued 1 U �v • i / v 0 T Cl 61 No. Fee �U OMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS �N ' v Application for Zi5po5ar *pgtem Co_gtruction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(X Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 7S N01cfe j A f t r ' _Owner's Name,Address,and Tel.No. Bof Assessor's Map/Parcel "�L/ — _ 1 1 ►3 !� 5 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 3f,s /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) U gpd Design flow provided gpd Plan Date /0 //617 Number of sheets / Revision Date t Title S/ P 6" Size of Septic Tank -e-x i j { 160 o Type of S.A.S. ., Description of Soil f/D hn h r f r '> Nature of Repairs or Alterations(Answer when applicable) f{` DIA r � k Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed rc L t✓L tv Date /U / 4 Application Approved by Date o— Application Disapproved by: Date for the following reasons f -1 Permit No. o" Date Issued j U " y ------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (C><. Upgraded ( ) Abandoned( )by at 7, C) tL/ A11,i jA has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer „ Designer #bedrooms Approved design flow gpd The issuance If i s rmit smell not be construed as a guarantee that the system 4-1;fhnction as,designebd. o Date Io Inspector ---No. �— — �1-1 ------------------------- -- ---Fee THE COMMONWEALTH OF MASSACHUSETTS HEALTH DIVISION —BARNSTABLE MASSACHUSETTS PUBLIC HEAL PU , - ligw6aY 6Vztetn Con0truction Permit Permission is hereby granted to Construct ) Repair (X, Upgrade ( ) Abandon ( ) System located at _) Gf'i• /^ / !� C and as described in the above Application for Disposal System Construction PermLThheplicant r ognizes his/her duty to comply with Title S and the following local provisions or special conditions. -Provided: Construction must be comp ted within three years of the date of this_p Date 10� �' ` — 0 Approved by t i ,• '� Town of Barnstable 4��FTHE l � Regulatory Services Thomas F. Geiler, Director EARNSTABLFE 9�A MA . Public Health Division 39. Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: I Sewage Permit# 2�W7- y01 Assessor's Map\Parcel Designer: 845s fz1V_", DUG , Installer: A & B CANCO Address: 1361Y � Address: 350 Main Street FNNI f , /vl 6 W. Yarmouth, MA 02673 l On was issued a permit to install a (date) (installer)) septic system at . �� ��' zmil_ based on a design drawn by (address) dated (designer) I certify that the septic stem referenced above was installed substantial) according to p Y Y g the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify 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 of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. (N OF X CrTHOMAS J. � Q rL y N �f l (Installer's Signature) CLIVi 6 9 No.36471�p (Design r s Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND S-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YO . Q:Health/Septic/Designer Certification Form 3-26-04.doc ff F, y _ , 7S TOWN OF BARNSTABLE LO �T'lON LD'I" �� b I C8 a SEWAGE # VILLAGE Wl�rS��InS vv� S ��IOR'S MAP & LOT 17yosl_Oj� INSTALLER'S NAME &:PHONE NO. cd`( -77/- Uy SEPTIC TANK CAPACITY^ IL O00 g"(643 LEACHING FACILITY:(type) �eAc l, V;i (size) bOO 4, (10b,S NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER Pja�S�d{. �0"(J-vl Co, ' 7) -05gq DATE PERMIT ISSUED: v ' Z' /3 DATE COMPLIANCE ISSUED: J d - ) 6-- h VARIANCE GRANTED: Yes No t,� i3 I f 3Z-� 3y -741 -i> 0// NO.... ^- ..� Fxs..... Y..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Bi ipwinl lVark.5 C owitrnrtinn Permit Application is hereby made for a Permit to Construct (i/) or Repair ( ) an Individual Sewage Disposal System at: . ......................................... �C�d.�-----��1� .............. . ...... - ----- --- - ri n-:�ddress -r Lot No. • ... -----•. _.... - --•---------------------------.._.----------.------------.-------•-•-•-•--------- W O. •'�j..i1 ��.a�......-! `�V-Address Installer Address d Type of Building j / Size Lot.....y 6.................Sq. feet DwellingNo. of BedrooJm,�._----_----Tlx:.� .Expansion Attic 41 Garbage Grinder pa,, Other—Type of Building 4� ... .. No. of persons____________________________ Showers ( ) — Cafeteria ( ) a' Other fixtures .................._---_----.-_ _ _ ----------------•---.-...---•--------•---•-•------------------•----------•---•------- Desi n Flow..... Z _Q..................._ Mons per &en per day. Total daily flow............................................ W g g< P P P Y• Ygallons. WSeptic Tank—Liquid capacity----_-.-...gallons Length................ Width................ Diameter.-.-.._----_____ Depth................ x Disposal Trench-- No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter--:--.----------.-_ Depth below inlet............_....... Total leaching area..................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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ -•------------------ - ----- Descriptionof Soil. P --- 6.v•----------------------------------••----------------•---•--------•--------•----------------'•---..........-•---.----'• W --••----•-------------------'----•-'-----•--------------------.....---...._......-------•--------------------------------.....-----------------------------------•-------------•--••--•-----•-----•--•-• U Nature 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 TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Complia ce has b e sued by e board of health. Signed ...... . .. . . .. .......... . Application Approved By . .. .............. . .e....... .. .......... ....... .. -- -- ----- -- ................. l ... Application Disapproved for the following rear .. ..... ................................................ ......................... ...........---------- .................... ..... .................... Da Permit No. / ./�. Issued -------------- a z� F:z THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Ali►ipwml lVorkii Towitriirtion ramit Application is hereby made for a Permit to Construct ( V) or, Repair ( ) an Individual Sewage Disposal System at: fJ`l ... ------•----•--•----•--•-......•----------•-----------. -•----------------------- � �A ai ton \ddress "1 r Lot No. •n t�CN� .......... .................^_..._.__._.._.__.__ .......-----.._..... Address............__...._........................ ........... ........^___........._._._.... _._ ..---------.___.......... �—� Installer Address Type of Building Size Lot___!y.-3_..�.C.....Sq. feet Dwelling— No. of Bedrooms............ ...3-----------------Expansion Attic (//a Garbage Grinder ( ) A4 Other—Type of Building 64� .. No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a4 Other fixtures -------------------------------- - W Design Flow............... L/LQ.................... per per-s�on per day. Total daily flow............................................ 9 Septic Tank—Liquid capacity............gallons Length--.............. Width---------------- Diameter................ Depth................ Disposal Trench-- No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date....................................... 1-4 Test Pit No. I................mmutes per Inch Depth of Test Pit.................... Depth to ground water........................ G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ......... ................... .....:.......................•-•-------....-•-•---•------------------------- ..._..---•-------------------------------------.... 0 Description of Soil....... �-ems /� �l/ ej c, 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 TITLE 5 of the State Environmental Code—The undersigned further agreesfnot to place the system in operation until a Certificate of Compiia ce has b enfisued by , e board of health. Signed -----. :-. ce Application Approved By - �..��......-... .................... �T7�! ..��................ ....... ...1, ?-- ' ..-e a�--- - � Dare Application Disapproved for the following reas. ................................................................._...--.--.-.-.- ... . Dare ued .................................... Permit No. ........... Iss / a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Celr#ifi ate of Compliance THIS S O CERTIFY, Tbat the Individual Sewage Disposal System constructed ( �) or Repaired ( ) by ......� ...1 _1....... .c�L ........... ........................................... .. ..._..._.... at ..... .......... ...................` /�_�/ ........L %"--/./ ......... . ................ .. . ...J\ has been installed in accordance with the provisions of TITLE f he S e Eu ironmentaI Code as described in the application for Disposal Works Construction Permit No. ._ .... r� 2"... ... .. ... ...... dated SHALL NOT E �ONS R EA AS A GUAR TEE THAT THE THE ISSUANCE OF THIS CERTIFICATEAN SYSTEM WILL FUNCTION SATISFACTORY. _ DATE ............... ...`.....1..��...`..._�.�`�` ......................- Inspector ....... _ . .........................................._... ....:............ ——————— •———--———-- p--—— , --———- •— ———— -,-----_------,- ——— ------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE__ ... � -- No..._.... .._.. ------ �r�,� ���#Uan �rrnttf Permission is hereby granted__._. ............... �.-�?CU......____-_ to Construct (V) or Repair ( ) an Individual Sewage Disposal System y at No.. U7 <a k l/(1•C_ /-��-----.Lit/- -•---�.....----------- ..-- Street as shown on the application for Disposal Works Construction (Der it No. ._,_____-- -re ate.4------------------��................... /, ------ Board of�Hcalth DATE................�}.-.�.~-t:• .y-._.._..._...---------------• ` f FORM 36508 HOODS 6 WARREN.INC..PUBLISHER 1JES l 6 tiJ -PATA ' F,aMlLI( S+Icr I flr- 2 `� 6Am3A�E GRIN>7ErZ. .:PAIL;,-[ . FLoW S x Ilov 330 4,PD ly tir IDOD &AL � DISFMA L_ PIT (- &oo CAL/3 mtz 5IDEW4LL AREA • 132 SF? 1312.-QFX IS eZE ?"td off �SAGiL. NBC�' BOTTOM A25 t I 13 S>: , Lor I o 8 II 3 SF A 110 l I Belt. •TDTAL-teOW = 44 B 6w, -rOrAL 'DAILY rL0ri/_ sw 6Pcj e• bK. 'FeC40LAT1 oN ¢ATE _ �,�IA 2 M 14 o 2 UJS ly Came. Sgazr Pa �ZN0FMgss f r A. PETER SULLIVAN No.29733 ti l� Off, �ST�A ti. Fss/OVAL `� f'Gd l oSL-r 5 It4/s1 TF=I4•S .112•� G�u3 FG ►14 ; loam 4 sup,Sot�. �. Icy �a� uz.o l00 is . 1Nv a iu•¢ ui• SWIG ui,i< 14�t-P. � . ' GAL iil, �� TA►JY. SroNeS lwNA E!• STON 103.I `-10 '^ ;��SQ4ALL BE IA-2m ro wa i�oPe. 12 o8s•wa�p��l L�Z CE1Zi�l�l® P�7' •PLd tJ = SauD Loamow T ,opvse-'D pL.AN 1 C=fi/ MAAT TIS *Fvvkh:Ak-1o�j 5t104c1 N NE2EoN �oM'P��Lyy,S' wltµ IUS -51VE�LIME op`N SPa I Si1��bIV I 1 U W 40 15 ��t_o W. II.1 E mAlu. I. IL-L. SEc 7IC DA`T�� �31,9 �A X`CEfI �• NYE INC, p�Fi✓xfoEJdL LAW-D 5uv-V6-/ce5 'it�IS RAO IS Nor T3A4© oN tiN ow i L_ le, N SuWc-y AIJD Tqf_ 4 4flu1.-D STErzviu a MA;4 , uSC-11D To GSTABUSF4 FpoFE2:ry L4 Nc-S dPPLI�ANT: ���SIbE �tJILbIIJ(, 40aT 2 BhyS►DE BULO106 Co te i i'44So ( `1a oo / Q x9A 1f W P .r / ° r F. O / fa- r. iOPOSEI� 1( / • � Dwe�-ln1C� � Tr--iwi :t q- D a Or lot / a,82o Gov, 4 _ - r a CR A(� OF Mq�psgc ` �► �� PETER y5, _ _. .. SULLIVAN No.Y9733 " IST SS�ONA -Zo�E QF O VIC; A S Permit Number: Date: Completed by HIGH GROUND-WATER LEVEL COMPUTATION Site Location: Hy�T�n �I� � L"EQ- L C04"r _Lot No. log Ovrner: BL '&IDG `fit 0ILz)A, (5x:) Address: g�gErLAy Sm. C.t��rr' Contractor: e Address. Notes: STEP 1• Measure depth to water table to nearest 1/10 ft. date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and• determine: A) - Appropriate index well . . , , , , , , , , , . Snw 2S3 B) Water-level range zone 8 STEP 3 Using monthly report"Curren•t Water Resources Conditions" determine current depth to �G water level for index.well . . . . . . /Fr] mo yr STEP .. Using Table of Water-level Adjustments for index well STEP 2A7, current d&pth to water level for ind.ex..well (STEP 3) , and- water-level zone (STEP 2B) •determine water-level adjustment /./ . . , STEP 5 Estimate depth to high water by subtracting the water- ; level adjustment - (STEP 4) Soo from measured depth to water level at site (STEP 1) 9 4 KEY: a EXISTING CONTOUR: - - SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION PROPOSED CONTOUR: -..............••- HOLDER LN EXISTING SPOT ELEVATION: 25.5 FLOW ESTIMATE: 2" PEASTONE PROPOSED SPOT ELEVATION: 25.5 COVERS WITHIN 6" ti 3 BEDROOMS AT 110 GAL/DAY = 330 GAL! DAY OF FINISED GRADE TEST HOLE: - 11 TOP OF FOUNDATION WASHED S UTILITY POLE:: -{}- TONE FENCE LINE: - - SEPTIC TANK: 3' MAX. HYDRANT: 330 GAL/DAY x 2 DAYS = 660 GAL �[ COVER INSPECTION PORT LOCUS RETAINING WALL: (I' MIN) ELEV.= 97.0 USE 1000 GALLON SEPTIC TANK (EXISTING) 99.85 (EXISTING) 99.04 � � J N ELEV. ELEV. LEACHING AREA: (EXISTING) 97.0 96.83 441 USE 3 INFILTRATOR CHAMBERS(MODEL 3050)WITH 4' OF 99.36 1000 GAL ELEV. ELEV. 0 94.5 pA ELEV. SEPTIC TANK D-BOX 4� 2 4> ELEV. STONE AROUND SIDES AND 2' AT ENDS (25.4' x 12.2' x 2' DEEP) (6" OF STONE UNDER) 96.5 E 25.4' TEE SIZES: (TO BE VERIFIED) ELEV. LOCATION MAP SIDE AREA: (25.4' + 12.2')x 2 x 2 = 150 SF (0.74) = 111 GAL/DAY INLET: 6" UP, 13" DOWN 3 INFILTRATOR CHAMBERS(MODEL 3050) LOT 108 (18,820 SF) OUTLET: 6" UP, 14" DOWN GAS BAFFLE WITH 4' OF STONE AROUND SIDES AND ASSESSORS MAP: 174 PARCEL: 1-11 BOTTOM AREA: 25.4' x 12.2' = 310 SF (0,74) = 229 GAL/DAY AT OUTLET TEE TAT ENDS (25.4' x 12.2' x 2' DEEP) PLAN BOOK: 439, PAGE: 18 CAPACITY = 340 GAL/DAY FLOOD ZONE: C TH-1 1010 TH-2 99.0 ROOM TEST HOLE LOGS FILL ELEV. FILL ELEV. BED N 36' 99.0 14' 97.8 ROOM A HORIZON A HORIZON 103 t, ENGINEER: THOMAS McLELLAN, P.E. LOAMY SAND LOAMY SAND BT BATH BED ''` '" O - WITNESS: DONNA MIORANDI,R.S. 42" 10YR 3/1 98.5 20" 10YR 3/1 97.3 ROOM B HORIZON B HORIZON DATE: 10-15-07 LOAMY SAND LOAMY SAND 2nd FLOOR 103� / r 60" 10YR 6/8 97.0 42" 10YR 6/8 95.5 _- 102 �`- }�, PERCOLATION RATE: < 2 MIN/IN Cl HORIZON LOAMY SAND- Cl RIZON GARAGE DINING v A'44•Sp l \\ \ �/ V SILT LOAM MIX FINE � ND LIVING 108" 2.5Y 5/4 93.0 PERC ROOM ROOM `\ W - 101 C2 HORIZON 2.SY 8!4 84' MED-COARSE SAND FAMILY 102� \\ �\ �jj 156" WITH SILT&STONE 89.0 144" 87.0 BATH KITCHEN ROOM `\ / \ / \ 'S66o \\ Ofip,�V� FINE SAND C2 HORIZON / �p p�?I���\ �.-100 186' SILT LOAM 2.5Y 7/2 86.5 180" 84.0 1st FLOOR / \ / \ DAMP AT BOTTOM OF TH-2 EXISTING FLOOR PLAN 101 t \ / W G / NOTES / 1. VERTICAL DATUM: ASSUMED \ �L� 100 \\ E E�.`� TH-1 / 2. MUNICAPAL WATER IS AVAILABLE. - { W // / ' ' ' ' 7fl 3. SCHEDULE 40-4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. 4. ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 LOADING SPECIFICATIONS. t (Stq� Sly 5. PIPE PITCH = 1/4 PER FOOT (UNLESS NOTED OTHERWISE). �Yp13 / TH-2 ' 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE SET LEVEL. EXISTING 1000 GALLON 99� { {� C 102 SEPTIC TANK 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL. � ` �R,qC � i / W 101 0 // 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE STATE OF MASS. ENVIRONMENTAL 2 / 99 CODE(TITLE FIVE)AND LOCAL HEALTH REGULATIONS. 98 38EI�xNG lI� G / I x 99.8 ` 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. 102. Il 10, GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED 3'. 2.94 11, ALL UNSUITABLE SOIL(B HORIZON, APPROX. 42"DEEP)WITHIN Y OF PROPOSED LEACH AREA IS TO BE / 98 REMOVED AND REPLACED WITH CLEAN MEDIUM SAND. DESIGN ENGINEER TO VERIFY SOIL / CONDITIONS AT TIME OF CONSTRUCTION. `97 12. THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND IS SUBJECT TO CHANGE UNTIL SUCH TIME. 13. PROPOSED SEWER LINE TO BE ENCASED WITHIN A 20' SECTION OF 6"PVC PIPE,CENTERED OVER k -96 EXISTING WATER SERVICE. / 14. FIELD SURVEY PROVIDED BY TERRY A. WARNER, P.L.S., HARWICH, MA. --.95 15. EXISTING LEACH PIT IS TO BE PUMPED AND FILLED WITH SAND OR REMOVED. a SITE FLAN ~,N LOCATION: ^� BENCHMARK AT� WEST BARNSTABLE MA LEFT CORNER OF 75 HOLDER LANE, , BOTTOM STEP OF ELEVATION = 102.81 o THOMAS1 PREPARED FOR: Cl°'OL 4 ROBERT MAYER v No.36471iv a gg /S-v I� ' SCALE: 1" = 20' DATE: 10-16-07 ��034 QtAL � W - BASS RIVER ENGINEERING THOMAS MeL LAN, P.E. P.O. BOX 1163, EAST DENNIS, MA 02641 JOB#M7-50 1 508-385-3426